Special Interests: Adult Cardiac Surgery
• Established and Practising Consultant Cardiothoracic Surgeon at Leeds Teaching Hospitals University Trust started February 2001 – delivering an innovative Process Orientated Multidisciplinary Service
• Lead on IT system and data management.
• Pilot site in Trust for the Electronic Patient Discharge and on Trust Committee.
• Trust Strategy Board.
• Trust People Development Board
• Patient Safety Steering Group
• Patient Safety Officer Executive Development Program – IHI Boston September 2008
• Clinical Director of Cardiac Services
• Lead Clinician for the National Primary Care Development Team furthering clinical leadership and managing change.
• Lead Clinician SMART Care Program
• Past President of the Association of Surgeons in Training. Instigator and innovator behind the Silver Scalpel Award to recognise the best Surgical Trainer of the Year as advertised in Hospital Doctor.
• Tutor BAMM Fit to Lead Program
• Basic Surgical Skills Tutor, Royal College of Surgeons and Yorkshire School of Surgery.
• Examiner and Interviewer of Leeds University Medical School.
• Leeds Healthy Schools Programme and Primary Prevention – Regular road show presenting at Primary Schools in the Leeds area
• PAR Excellence – national course teaching the ergonomics of stitching
• Society of Cardiothoracic Surgeon of UK and Ireland
• European Association of Cardiothoracic Surgeons
• Southern Thoracic Society
• Faculty Of medical Leadership and Management
• Bachelor of Medicine, Southampton 1985.
• Fellow Royal College of Surgeons of Edinburgh 1990.
• Intercollegiate Exam Cardiothoracic Surgery 1999.
• Doctorate of Medicine, Imperial College 2000.
• Masters in Business Administration awarded with distinction - Leeds University Business School 2005. The MBA thesis (“Why can’t dinosaur’s boogie”) provides new models for organising healthcare
• Patient Safety Officer Executive Development Program - IHI Boston September 2008
• Felllow of the Faculty of Sugical Trainers of the Royal College of Surgeons of Edinburgh 2014
• NHS Leadership Academy Award in Executive Healthcare Leadership 2015
Bachelor of Medicine, Southampton 1985
Fellow Royal College of Surgeons of Edinburgh 1990
Intercollegiate Exam Cardiothoracic Surgery 1999
Doctor of Medicine, Imperial College 2000
MBA (distinction), Leeds University Business School 2005
QIPP Award 2012
Fellow of the Faculty of Surgical Trainers RCS Ed 2013
NHS Leadership Academy Award in Executive Leadership 2015
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