Hospital(s): South Tees Hospitals NHS FT
Special Interests: Adult Cardiac Surgery
Enoch is one of the UKs leading cardiac surgeons. His initial medical training was at the University of Leicester where he graduated with an honours degree. He then completed a doctorate thesis at the University of Sheffield where he performed ground breaking research into the use of gene therapy to treat conditions of the heart. This research was funded by the British Heart foundation.
Enoch underwent specialist cardiac surgery training in a number of UK cardiac surgery units including Papworth Hospital in Cambridge, Sheffield, Bristol and Plymouth before moving to Melbourne Australia, for a one year advanced cardiac surgery fellowship. An award from the Society of Cardiothoracic Surgeons for Great Britain and Ireland funded this fellowship.
During this period Enoch gained specialist expertise in beating heart surgery for patients needing heart bypass surgery and keyhole techniques for patients needing a variety of heart surgery procedures.
Since he became a consultant in 2010, Enoch has become one of the most experienced keyhole heart surgeons in the UK. He travels widely both in the UK and abroad, training other surgeons trying to learn keyhole techniques for heart surgery. If you want to know more about Enoch go to enochakowuah.co.uk
FRCS (C/Th) Intercollegiate Examination Board, October 2007
The Royal College of Surgeons
Doctor of Medicine (MD) The University of Sheffield July 2004
MRCS (London) The Royal College of Surgeons June 2000
MBChB (with Honours) The University of Leicester June 1997
National Institute of Healthcare Research (NIHR)
Awarded an HTA program grant for £1.6 Million by the NIHR, for The UK Mini Mitral Trial.
I am the Chief investigator with overall responsibility for the trial. This application was developed with the Research Design Service and is being conducted with the Clinical Trials Unit at Durham University.
This will be the world’s largest ever randomised controlled trial in minimally invasive cardiac surgery.
The application has the strong support of the Society for Cardiothoracic Surgeons of GB and Ireland.
National Institute of Healthcare Research (NIHR)Awarded an RfPB program grant for £360,000 by the NIHR, July 2013 for an RCT entitled: Manubrium-limited ministernotomy versus conventional sternotomy for aortic valve replacement: a randomised controlled trial (MAVRIC). I am the Chief investigator with overall responsibility for the trial. This application was developed with the Research Design Service is being conducted with the Clinical Trials Unit at Durham University
Number and type of operations performed
This graph shows the number and percentage of each type of heart surgery done by this consultant surgeon. The number of operations is shown in the line going up the left hand side. The percentage (%) underneath each coloured bar shows how much of this consultant's heart surgery is made up each procedure type.
The 'key' underneath the graph shows what procedure(s) each coloured bar shows. The abbreviations used are explained below:
- Isolated: This procedure has been carried out on its own. No other procedures were done during the same operation.
- CABG: Coronary artery bypass grafting
- AVR: Aortic valve replacement
- MV: Mitral valve procedure
You can find out more about these procedures in the 'About cardiothoracic surgery' section. If you or someone you know if having heart surgery, it may be helpful to know whether the consultant does lots of that procedure. If you have questions or concerns about the number of procedures being done at your hospital, you should speak to your heart surgeon.
In-hospital survival rate (risk adjusted)
This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected and the number of operations performed over the last 3 year period. The blue line indicates the predicted survival and the red dotted lines the range of results expected, worked out by complex statistics.
For more information on understanding mortality rates, look at the Understanding the graphs page
Average patient risk profile
Some risk factors like age, gender, and other medical problems can affect the outcome of heart surgery.
Each of the graphs below shows what percentage of this consultant's patients have each risk factor (light blue bar on the left) next to the average for the whole of the UK (dark blue bar on the right). This can tell you whether the consultant operates on high risk patients in general, and whether they specialise in doing particular types of complicated surgery, like operations on the thoracic aorta.
You can find out more about the risk factors in the 'About cardiothoracic surgery' section.