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Career history

 

I am Professor and Head of the Department of Anaesthesia and Critical Care at the University of Nottingham; I work in the NHS as a Consultant Anaesthetist at the Nottingham University Hospitals NHS Trust (working mainly at the Queen’s Medical Centre). Until 2018, I was the Director of Research and Deputy Head of the School of Medicine at the University of Nottingham. 

I am a GMC-registered specialist (consultant) in anaesthesia (GMC registration number: 3462061); I was re-validated by the GMC in 2013, 2018 and 2023.

 

I studied medicine at the University of Nottingham Medical School from 1985 to 1990. I commenced practice in anaesthesia in 1992 and entered the GMC’s specialist register in 1998. I worked as a Consultant Anaesthetist and Director of Research at the Royal Brisbane Hospital, Australia, from August 1999 until December 2001. Subsequently, I took up my clinical academic post in Nottingham. I have been a consultant anaesthetist since that time. I was promoted to Professor of Anaesthesia at the University of Nottingham in 2012.

I have administered more than 30,000 general anaesthetics and more than 6,000 regional anaesthetics (i.e. epidurals, spinals & nerve blocks). I have experience and training in all the anaesthesia sub-specialities (including cardiac, paediatric & obstetric anaesthesia), chronic pain management and intensive care medicine. However, I no longer practice chronic pain medicine, or paediatric, obstetric or cardiac anaesthesia. My practice in intensive care is now limited to caring for critically ill patients in theatre, and in providing resuscitation and transport of critically ill patients outside the operating theatre.

 

I spend 50% of my working time administering anaesthesia, analgesia, sedation and resuscitation and the remaining 50% in research, teaching, medicolegal practice, journal editing and writing textbooks.

I have clinical interests in regional anaesthesia, major trauma, crisis management, airway management and risk optimisation. My clinical duties include the provision of anaesthesia and perioperative medicine in various disciplines, including emergency surgery, major trauma, major abdominal and elective orthopaedic surgery. My workload is predominantly in high acuity care, including difficult airway management, vascular access, major haemorrhage and high-risk-of-death surgery.

 

Academic medicine

 

I have published around 300 peer-reviewed articles, educational articles, editorials and textbooks (with around 5,000 citations). I have delivered research presentations and lectures at more than 100 international meetings and conferences. I review more than 100 manuscripts and grant applications yearly at the request of various organisations, including the major anaesthesia-related journals, UK Research Councils and the Department of Health.

 

I have presented lectures and published numerous articles on complications arising during and following anaesthesia. I am the lead editor of Consent, Benefit and Risk in Anaesthesia (Oxford University Press, 2009) and of the Oxford Textbook of Anaesthesia (Oxford University Press, 2016); the latter is a major 2-volume, 91-chapter work, covering all sub-speciality areas of anaesthetic practice.

 

Indicators of standing

 

Markers of standing/responsibility:

  • Editor & editorial board, British Journal of Anaesthesia, 2007-present

  • Associate editor-in-chief, British Journal of Anaesthesia, 2016-present

  • Examiner in the Final FRCA, Royal College of Anaesthetists, 2010-present

  • Macintosh Professor, Royal College of Anaesthetists, 2007-08
  • Member of College of Experts, Medical Research Council, 2006-10

  • Guest editor, Anesthesia & Analgesia, 2007-12

  • Chair, Respiration Subcommittee, ESA, 2008-11

  • Hon. Secretary, Anaesthetic Research Society, 2007-12

  • Member, Nottingham Local Research Ethics Committee, 2004-08

Affiliations:

  • The Royal College of Anaesthetists (Fellow by examination)

  • The European Society of Anaesthesiology (Member)

  • The Association of Anaesthetists of GB and Ireland (Member)

  • The Australian and NZ College of Anaesthetists (Fellow by examination)

  • The Medical Protection Society (Member)

  • The Difficult Airway Society (Member)

  • The Anaesthetic Research Society (Member)

  • The Expert Witness Institute (Member)

 

Medicolegal activity

 

I was trained in the duties of the expert witness by Bond-Solon & Cardiff University in 2002, gaining their Expert Witness Certificate. I produce around 40 reports on standard of care and causation per year. Approximately 50% are on the instructions of the Defendant. I have been instructed to act in civil, criminal, coronial and GMC matters. I have extensive experience of presenting evidence in Court (civil, criminal, coronial and GMC).  

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