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I qualified from Edinburgh Medical School in 1995. I trained in Scotland and Yorkshire before being appointed as a Consultant in Thoracic Surgery at Bristol Royal Infirmary in 2007.
I became lead clinician of the Department of Thoracic Surgery in Bristol in 2008 and oversaw a massive expansion in activity, including a 250% increase in lung cancer surgery. During this time the unit pioneered Enhanced Recovery After Surgery (ERAS) and became one of the leading centres in European for minimally-invasive surgery (or VATS - video-assisted thoracoscopic surgery).
I stepped down as clinical lead in 2012 due to national and international commitments. I continue to lead internationally on ERAS. As the South West Senate Representative for thoracic surgery, I help to advise NHS England on commissioning as part of the relevant Clinical Reference Group. I also sit on the clinical guidelines committee for the European Society of Thoracic Surgeons.
Bristol has now firmly established itself as one of the leading centres for thoracic surgery in the UK and, indeed, Europe. This has been recognised by Medtronic (a global medical technology company) and Bristol has been designated a European training centre for VATS lobectomy surgery under the auspices of Medtronic's ATLAS programme. I have mentored surgeons in VATS techniques from across Europe.
Areas of interest
Lung cancer; Video-assisted thoracoscopic surgery (VATS) - major lung (VATS lobectomy) and mediastinal resection; Thymectomy for myasthenia gravis (trans-cervical / VATS approach); Pulmonary metastasectomy; Lung volume reduction for emphysema - VATS surgery, endobronchial valves, endobronchial coils
Current NHS consultant posts held
Consultant in Thoracic Surgery, University Hospitals Bristol NHS Foundation Trust
Honorary Consultant, Royal United Hospital, Bath
Enhanced Recovery After Surgery
I am currently the Principal Investigator for two large, multi-centre, NIHR-sponsored randomised controlled trials.
The VIOLET study randomises patients to traditional open surgery or to VATS surgery if they require a lobectomy for lung cancer. It is looking principally at quality of life after surgery. This study, for which I am also a co-applicant, was awarded a £1.6 million grant and will hopefully shape the future of lung cancer surgery once it has reported.
The PulMiCC study recognises that surgery may not always be the best option in patients with metastatic colorectal cancer and randomises patients to surgery or no surgery for their pulmonary metastases.
Best presentation, New clinical specialties, NHS Enhanced Recovery Summit, London 2012.
Outcomes (checked and approved by medical professional body)
Please click on this link if you would like to see information about this healthcare professional’s performance compared to their peers, as published by their medical professional body.http://scts.org/patients/thoracic/data.aspx?type=trust&q=RA7
- BSc (Hons) University of Edinburgh 1992
- MBChB University of Edinburgh 1995
- MSc University of Leeds 2001
- FRCS(CTh) Royal College of Surgeons of Edinburgh 2006
Reference number 4212803
Professional bodies (positions held - last 3 yrs)
- South West Senate Representative Thoracic Surgery CRG, NHS England 2013
- Clinical Guidelines Committee European Society for Thoracic Surgery 2011
- Chair, Thoracic enhanced recovery guidelines committee ERAS Society 2014
Details of entry to specialist register
- Cardiothoracic Surgery, 2007
Affiliations / memberships
Society for Cardiothoracic Surgery
European Society of Thoracic Surgeons
- Spire Bristol Hospital, BS6 6UT
- 14:00 - 16:00
- 0117 973 4111
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.
In the event of an urgent query following treatment, Bupa members should use the following contact details
During office hours, call the office on 0117 9804042.
Evenings and weekends, call the Spire Hospital Bristol on 0117 9804000 and ask to speak to a nurse on level 3.
In the event of a true emergency, go to your local A&E department.