Special Interests: Adult Cardiac Surgery
Schooled in Llanelli, I studied medicine at St Georges’ Hospital Medical School London. I developed an interest in cardiothoracic surgery whilst completing my general surgical training in Brisbane Australia.
In the UK my training continued at Harefield, and then I completed a research MD at The Hatter Institute part of University College, London.
I completed my Cardiothoracic training in the northern rotation between The Freeman Hospital Newcastle and The James Cook University Hospital Middlesbrough. This was finished off with a fellowship at St Vincents Hospital Sydney prior to my consultant appointment at the Lancashire Cardiothoracic Centre in Blackpool.
Since appointment as a consultant I have built one of the largest practices in the UK with excellent outcomes.
My interests include coronary artery revascularisation, minimally invasive cardiac surgery and atrial fibrillation surgery. I routinely perform minimally invasive aortic valve procedures including sutureless valves, trans-apical and percutaneous TAVI. I have been granted fellowship of the International Society of Minimally Invasive Cardiothoracic Surgery.
Regionally I have an excellent reputation for training advanced trainees in cardiac surgical skills. I am developing a national presence as the Society of Cardiothoracic Surgeons of Great Britain and Ireland’s representative to the College of the Society of Clinical Perfusion Scientists reporting to the executive committee.
St Georges Hospital Medical School
Basic Surgical Training Rotation Brisbane Australia
Victoria Hospital Blackpool SHO Cardiothoracic Surgery
Harefield Hospital Specialist Registrar Cardiothoracic Surgery
The Hatter Institute University College London Research MD
Northern Deanery Cardiothoracic Rotation: Freeman Hospital Newcastle upon Tyne and The James Cook University Hospital Middlesbrough
Senior Fellow St Vincents Hospital Sydney
Diploma Business Management
Fellow of the International Society of Minimally Invasive Cardiothoracic Surgeons
Patient Centred Care
Minimally Invasive Surgery
Atrial Fibrillation Surgery
Off pump CABG
Teaching and Surgical Training
Risk-adjusted in-hospital survival rate
This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.
The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.
The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.
The icons that sit on the horizontal line should give you more information about your surgeon/team.
The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.
- If the solid dot is red it means survival is worse than expected
- If the solid dot is black it means that it is within limits
- If the solid dot is green it means that there is significantly higher survival than expected
There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.
A more detailed explanation about these graphs and methodology can be found here: Graph Explanations