Special Interests: Adult Cardiac Surgery
I have been a Consultant Cardiothoracic Surgeon since 1999. I have performed over 2500 cardiac procedures and a similar number of thoracic operations.
Since 2001 I have been an Honorary Senior Lecturer for the University of Edinburgh Medical School.
From 2005 to 2008 I was a clinical advisor for the National Confidential Enquiry for Patient Outcome and Death (NCEPOD) and was a Complaints Advisor for the Healthcare Commission (HCC). Both NCEPOD and HCC are subsidiary organisations of the Department of Health.
I provide medico-legal reports on all aspects of cardiac and thoracic adult surgery, chest trauma and intensive care management. I have provided expert medico-legal advice for the Procurator Fiscal in Scotland and for H.M. Coroner in England. I have also provided reports for the Central Legal Offices of several Health Boards, the Prisoner Ombudsman for Northern Ireland, the Medical and Dental Defence Union of Scotland and the Medical Defence Union (in GMC cases). I am an Expert Witness for the Central Legal Office of NHS Scotland. I have provided expert advice for many clinical negligence law firms throughout the United Kingdom and the Republic of Ireland. I am registered with the Law Society of Scotland as an expert witness.
I have Court room exposure, experience with the press and media work and have appeared on BBC and ITV television in a professional capacity.
King's College Hospital
Trent Regional Rotation
BSc Anatomy (1st Class Hons)
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