- Fee assured
- Verified account
- Stroke medicine
- Video and telephone consultations
I am a Consultant for Stroke and Consultant in Geriatric medicine and General Internal medicine at Southend University Hospital.
I have been a National Stroke Improvement Programme Associate for hyperacute stroke.
I am involved in Stroke Research, and am a member of National Acute Stroke group NIHR Stroke Research Network, having previously been Lead for Stroke in the Essex and Hertfordshire Comprehensive Local Research Network and North East London Stroke Research Network Clinical Lead.
Areas of interest
Stroke and TIA (Minor Stroke);
General Medicine and Geriatric medicine conditions;
Management of complicated high risk cardiovascular/cerebrovascular disease;
Aspects around anticoagulation and atrial fibrillation (AF);
Appropriate use of medication/polypharmacy.
Current NHS consultant posts held
Consultant in Stroke, Geriatric medicine and General Internal medicine at Southend University Hospital, SS0 0RY.
Emergency treatment in acute stroke.
Antihypertensive medication in stroke.
Deep vein thrombosis, genetics of lacunar stroke.
Multiple organ vascular disease.
I am involved in Stroke Research, and am a member of National Acute Stroke group NIHR Stroke Research Network.
I have been Principal Investigator for the following trials:
COSSACS, B-SWISS, IST-3, CLOTs, CLOTs-2, CLOTS -3, DNA Lacunar, TOMAS, CADISS, DIAS-4, SO2S, TARDIS, SOS Penumbra, Stroke INF, FABRYs, CROMIS-2, ACST-2, FOCUS, TICH-2, ROSE, AEGEAN, Navigate-ESUS, ReSTART, SoSTART, XILO-FIST, Da Vinci, CONVINCE, OPTIMAS, ATTEST-2.
I believe in honest and open communication with patients at all times. I aim to provide a 'down to earth' realistic approach to issues, whilst offering specialist professional advice.
I spend my free time with my wife and four children.
2018 Southend University Hospital Hero Finalist: A team leader who sets the highest example in leadership to their team, consistently demonstrating openness and honesty, and striving to achieve the highest possible quality standards.
Centre of excellence healthcare analysis awards 2013
HEALTH SERVICE JOURNAL AWARDS 2013: Secondary Care Service Redesign
E-Health Insider Awards 2010
HEALTH SERVICE JOURNAL AWARDS 2009: Delivering Quality and Value with NICE Guidance
Acute ischaemic stroke-related choreoathetosis treated with arterial thrombectomy.
BMJ Case Rep. 2019
e-ASPECTS software is non-inferior to neuroradiologists in applying the ASPECT score to computed tomography scans of acute ischemic stroke patients.
Int J Stroke. 2017.
Outcome of intracerebral hemorrhage associated with different oral anticoagulants.
Choices of Stent and Cerebral Protection in the Ongoing ACST-2 Trial.
Eur J Vasc Endovasc Surg 2017.
Comparison of the diagnostic utility of physician-diagnosed with algorithm-defined stroke-associated pneumonia.
J Neurol Neurosurg Psychiatry.2016
Volume and functional outcome of intracerebral hemorrhage according to oral anticoagulant type.
Effect of alteplase on the CT hyperdense artery sign and outcome after ischemic stroke.
To determine whether or not intermittent pneumatic compression reduces the risk of post-stroke deep vein thrombosis
Health Technol Assess.2015
Prophylactic antibiotics after acute stroke for reducing pneumonia in patients with dysphagia
Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection
Effect of intermittent pneumatic compression on disability, living circumstances, quality of life, and hospital costs after stroke
Thrombolysis delivery by a regional telestroke network--experience from the U.K. National Health Service.
J Am Heart Assoc.2014
Effectiveness of intermittent pneumatic compression in reduction of risk of deep vein thrombosis in patients who have had a stroke
A multi-centre randomised controlled trial of rehabilitation aimed at improving outdoor mobility for people after stroke
The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke
Intravenous thrombolysis in acute ischaemic stroke: a systematic review and meta-analysis to aid decision making in patients over 80 years of age.
J Neurol Neurosurg Psychiatry.2011
- FRCP Royal College of Physicians 2017
- MRCP Royal College of Physicians 2000
- MB BS University of London 1997
- Bsc (Hons) University of London 1994
Reference number 4415644
Details of entry to specialist register
- General (internal) medicine, 2007
- Geriatric Medicine, 2007
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Post treatment communication
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