My Cardiology Practice
work in York Teaching Hospital – this is a large District Hospital of over 500
We have invasive
cardiology catheter lab facilities on site and perform percutaneous coronary
intervention PCI (angioplasty) on site.
I also work in
the Yorkshire Heart Centre in Leeds General Infirmary (Hon Consultant
Cardiologist) were I am on call for Primary PCI. I work at 3 private hospitals
in the region.
I am the senior
cardiologist in York, and run a very busy Clinical Cardiology Dept. I see
patients daily on the Coronary Care and Intensive Care Units with a large
number of referrals of patients with acute cardiological problems. I deal with
cardiological emergencies on a regular basis. I perform coronary intervention
(PCI) on both elective, urgent and emergency patients (Primary PCI rota in Leeds)
I have a very
busy outpatient workload (both private and NHS) with up to 4 clinics per week
–I see patients with a very wide range of clinical cardiological problems
on a daily basis including angina,
hypertension, cardiac dysrhythmias, dyslipidaemia, valvular heart disease,
syncope, adult congenital heart disease, heart disease in pregnancy etc.
I have been
Chairman of the hospital Resuscitation Committee for past 12 years
I have special
interests in and am clinical cardiology lead for patients with highly
specialised problems such as Adult Congenital Heart Disease (working a hub and
spoke model with Regional ACHD centre in Leeds), Syncope, Pulmonary
Hypertension and Heart Disease in Pregnancy.
Cardiology Invasive /Interventional
I have been
fully trained in cardiac catheterisation and interventional cardiology. I have
performed in excess of 5,000 coronary arteriograms (both femoral, radial and
brachial artery approach) and right/left heart catheterisation for valvular,
adult congenital heart disease and RV biopsy. I perform interventional
cardiology in Leeds General Infirmary (since 1994) including elective, ACS and
primary PCI (average 125 procedures /year total in excess of 2000. I am a
member of BCIS (British Cardiovascular Intervention Society) - and have been on
the Faculty for past 2 annual conferences of British Cardiovascular
Interventional Society and set up Regional Society meeting in York recently.
I am fully
trained in the insertion of permanent pacemaker systems (single and dual
chamber) having inserted over 500 systems. I am involved in the regular follow
up, including programming, of dual chamber and rate responsive systems. I am
trained in the indications and techniques of tilt table testing for diagnosis
and evaluation of vasodepressor syncope.
I have received
training in the performance and analysis of various invasive electrophysiological
techniques and I am competent to perform basic electrophysiological studies eg.
programmed ventricular stimulation and diagnostic electrophysiology. I also
have an interest in internal implantable cardioverter defibrillator (ICD)
devices. I have had exposure to the techniques of radiofrequency and low energy
DC catheter ablation and arrhythmia surgery.
Other Cardiology Skills
I have extensive
research and clinical experience in transthoracic and transoesophageal
I have other
interests in the diagnosis and management of hypertension and hyperlipidaemia.
I was on the
NICE committee for Stable Angina Guidelines 2009-2011.
Medico Legal Practice
I have been
involved in preparing medicolegal reports for > 10 years. Given my clinical
cardiological practice I am well qualified and able to give an informed opinion
on a wide range of cardiological issues. The majority of my reports are for
solicitors receiving instruction from a plaintiff – although it is clearly
understood my formal reports are for the benefit of the Court irrespective of
instructing solicitor status. Most instructions request a report regarding
breach of duty or causation. I have attended medico legal courses most recently
I will prepare
on average 20 -30 reports per year.
occasionally been required to make court appearances (including The Court of
I have had a
very active role in clinical teaching throughout career.
I am currently
Royal College of Physicians Clinical Tutor for York teaching Hospital
I am honorary
Senior lecturer in Hull & York Medical School and associate Professor of
cardiology at St Georges medical School, Grenada
Currently I am
involved in teaching clinical medical students from University of Leeds, St
George’s University, Grenada and Hull and York Medical School.
I am also
involved in regular teaching of candidates for the Royal College of Physicians
I am very
interested in ‘Teaching the Trainers’, I have attended a number of training
days for teachers at the University of Leeds.
I am interested
in using new technology in training/teaching particularly with regard to
cardiology ie interactive computer programmes for dysrhythmias, computer
generated heart sounds/murmurs, models for teaching invasive skills. However I
strongly feel traditional clinical skills are the cornerstones of medical
Of Learned/Professional Bodies
Fellow of Royal
College of Physicians, London
British Cardiac Society
of British Cardiovascular Intervention Society
have been an expert member of the NICE clinical guideline committee on Stable
of Resuscitation Committee York Hospital
of Yorkshire Consultant Cardiology Regional Working Group
Lead in Cardiology Research York Hospital
have published widely in major national, European, American and international
peer review journals (see publications in CV). My major research areas include
ischaemic heart disease (heart attacks and angina), cardiac imaging with
cardiac ultrasound/ Echocardiography/Doppler, drug therapy in cardiac disease,
cardiac dysrhythmias (heart rhythm disturbances and palpitations)Ischaemic Heart Disease (chest pain, angina, heart attacks)