High Quality Service Delivery
• Setting up and developing a dedicated colorectal surgical team.
• Setting up a Rapid Access One Stop Colorectal Clinic.
• Lead Clinician for Colorectal cancer since 1997 and set up a multi-disciplinary team.
• Provision of a modern and effective colorectal service for the local population with recognition at local,
regional & national level. Some of the evidence for this includes: Reduction in: operative mortality from
11% to <3%, anastomotic leak rate from 9% to 1%, permanent stoma rate from 55% to 29%, median
length of stay in hospital from 10 to <7 days, (now ≤ 2 days in some selected laparoscopic cases),
reduced waiting times, Increase in detection of early cancers from 10% to 22%, All RCS Guidelines met
or exceeded – (validated and published data).
• Specialist Laparoscopy - one of few surgeons in the UK providing laparoscopic surgery for over 95% of
colorectal cancer patients and recognised by the Royal College of Surgeons as a Preceptor.
• Clinical Lead and Director for Cancer Services (1997-2004), provided clinical leadership for the
management of cancer services in the Trust- meeting all required standards and improving services
across all specialities.
As Clinical Director
• Improved clinical governance arrangements.
• Achieved consistently high levels of performance in external assessment processes of risk management
such as the HIW and WRP assessments.
• Improved clinical incident reporting awareness across all grades of staff.
• Introduced major changes in service provision in General Surgery and T&O including the introduction of
the Surgeon of the week, Assessment Unit, Formal Pre-operative assessment service, re-structuring of
the elective/ emergency workload, introduction of structured compliant junior doctor rotas without
compromising ‘team working’ and continuity of patient care etc.
• Expansion in the role of various specialist nurses.
• Achieved significant expansion of staff and services in various departments including consultant, junior
doctors and senior nurses.
www.profharay.co.uk
Track Record As Consultant Surgeon
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• Established collaborative links with Powys LHB and other neighbouring LHBs.
• Improvements in Day Surgery rates, LOS, Theatre utilisation, maximising bed utilisation etc. All waiting
list targets met with minimal waiting list initiatives.
• Improvements in Human Resource utilisation.
• Implementation of Shared (pooled) waiting lists across all specialities.
• Achieved annual under-spend helping to mitigate the effects of Trust deficit.
• Extensive involvement and time commitment around implementation of the Amended Consultant
Contract and Consultant Appraisals and Job plans.
• Extensive involvement around Trust integration & reconfiguration of services and the future service
provision in the Trust and the Region.
Service Development
• Established laparoscopic cholecystectomy in the Trust – Jan 1997.
• Established a combined multi-disciplinary clinic with oncologist – Feb 1998.
• Established Laparoscopic surgery for colorectal disease – April 1998, (One of earliest centres in Wales &
UK – published data).
• Establishing Nurse-led colorectal clinics (first in the UK – published data).
• Led the cancer services in the Trust from 1997 to 2005.
• Fund Raising Examples include: Equipment (>£50,000) for the 1 stop clinic, negotiated sponsorships >
£750,000 for clinical and research activities, Successful Capital & Revenue bids for >£1M for cancer
services, Secured charitable funds for dedicated cancer services facility (£1.7M).
Managing Health Care Delivery - As Chairman
• Chair of various Medical Education & Revalidation committees – since 2013.
• Deputising for Medical Director.
• South East Wales Colorectal Cancer Network (2002 - 2006).
• Trust Cancer Services Strategy Group (1997 – 2004).
• Elective & Emergency Theatres Working Group.
• Surgical and Medical Products Advisory Group (1997 - 2000).
www.profharay.co.uk
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• Chair of various committees within the Combined Surgical Directorate (2004 - 2008).
• Chair of the ‘Prevention of Surgical Complications’ work stream of the 1000 lives campaign (2008 -
2010).
As Committee Member
• Various National committees for Medical Education, Revalidation, etc – since 2013.
• The All Wales Colorectal Cancer Steering Group (2002 - 2007).
• Advisory Sub-committee for Surgery (Wales) – 1997 to date.
• All Wales Laparoscopic Colorectal Surgery Steering Group – 2008 to date.
• Trust Executive Board (2000 - 2008).
• Trust Research and Development Committee – 1998 to date.
• Cancer Services Advisory Board Bro Taf (1998 - 2003).
• Endoscopy Users Group - 1997 to date.
• Audit & Clinical Effectiveness Committee (1997 - 2001).
Team Building Activities
• Prof Haray has established an Alumni Association for all present & past staff of the colorectal surgery
department, with an annual dinner.
• Members of the Team meet regularly socially.
www.profharay.co.uk
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