Training & Innovation
Why Choose Parathyroid and Thyroid Surgery with Us?
4 good reasons to book endocrine surgery with James Kirkby-Bott
1. Continuous Intra-operative Nerve Monitoring (cIONM)
Spire Southampton in conjunction with James Kirkby-Bott are the only site in the region routinely using continuous intra-operative nerve monitoring (cIONM) during every operation.
This cutting edge technology improves voice preservation and airway protection. It continually monitors nerve function and warns James of changes in wave signal that precede functional nerve damage that causes altered voice and recurrent chest infections.
2. Extensively trained in Endocrine Surgery
Mr Kirkby-Bott is extremely knowledgeable and experienced in the science and practice of thyroid and parathyroid surgery, having performed over 1,000 thyroid lobe and parathyroid gland excisions.
He trained at 2 of the most prestigious endocrine surgery units in the world: Hammersmith Hospital, London and CHRU, Lille, France.
He is very passionate about using outcomes to improve quality innovations in surgery. Combining surgical outcomes with his extensive experience leads to the best advice and even better surgical outcomes.
Mr Kirkby-Bott is now utilising real-time PTH monitoring in Thyroid and Parathyroid surgery (IOPTH) at the Spire Southampton. IOPTH is key to improving outcomes.
Using localisation studies and IOPTH can improve parathyroid surgery success from 94% (localisation only) to 99% with localisation and IOPTH.
Using IOPTH in total thyroidectomy can predict low calcium due to too little PTH hormone being produced. Doing this during surgery can help decision making to try and preserve parathyroid function long term.
4. Get Help Quicker With Minimal Wait Times
We aim to offer consultations within 1 week of contacting us directly and offer surgery within 2-3 weeks.
"I felt confident from the start that I was in expert hands. I was impressed by the speed and efficiency of the administrative arrangements. I am extremely appreciative of and grateful for the quality of care I received." – 76yr old parathyroid patient
Mr James Kirkby-Bott presenting to the BAETS congress in Athens about the database of surgery outcomes for endocrine surgeons across the UK that he is responsible for. October 2023.
Thyroid and Parathyroid Surgery Resources
Problems with the thyroid and parathyroid glands can often be treated by surgery. The following has been written to help you with your surgery.
Medications and Calcium Levels
Details on pain relief and thyroid hormone and calcium replacement. How to maintain calcium levels
Call us to make an appointment
02380 178 991Written by Mr James Kirkby-Bott. Last reviewed 12/10/2026