Special Interests: Adult Cardiac Surgery
Consultant Cardiothoracic Surgeon:
- South Tees Hospitals NHS Trust from 12th May 1997
- Sheffield Teaching Hospital NHS Foundation Trust from 2nd September 2013
I am an adult cardiac surgeon with special interests in valve reconstruction surgery and surgery for cardiac dysrhythmias. I have performed over 6000 cardiac operations and I have been involved with the management of trauma for 30 years. I have led the development in the United Kingdom of minimal access surgery for the repair of mitral valves and for ablation of atrial fibrillation. I have trained surgeons in 23 centres across the UK and Europe in these techniques.
- Chairman of the Young Cardiothoracic Club (elected) – 1999 to 2002.
- Young Surgeons representative on the Executive of The Society of Cardiothoracic Surgeons of Great Britain and Ireland – 1999 to 2002.
- Programme Director for Cardiothoracic Surgery, Northern Deanery – 2001 to 2004.
- Chairman of the Specialty Training Committee for Cardiothoracic Surgery, Northern Deanery – 2001 to 2005.
- Clinical Director for Cardiothoracic Surgery, the James Cook University Hospital, Middlesbrough – 2001 to 2005.
- Elected member of the Executive of The Society of Cardiothoracic Surgeons of Great Britain and Ireland – 2002 to 2005.
- Cardiothoracic Dean for Great Britain & Ireland – (SCTS Executive, Cardiothoracic SAC & Cardiothoracic Intercollegiate Examination Board) 2005 to 2010.
- Cardiothoracic Surgery adviser to the Medicines and Healthcare products Regulatory Agency (MHRA).
- Cardiothoracic Surgeon for the British (FIA) F1 Grand Prix (motor racing trauma management) – 1996 to present
- Honorary Lecturer with the School of Health and Social Care, University of Teesside 2000 – 2013
- Honorary Lecturer in Anatomy at Durham University Medical School 2002-2013
- Member of the Cardiothoracic SAC (College Rep) 2005-2013
- Secretary of the Cardiothoracic Intercollegiate Examination Board 2007 – 2010
- SAC National Selection Lead 2008 – 2013
- Cardiothoracic Intercollegiate Examiner 2005 – 2015
- Honorary Senior Clinical Lecturer, Sheffield University 2013 to present.
- Centre for Clinical Practice Advisor for the National Institute for Health and Care Excellence 2015
- Programme committee member for the European Association of Cardiothoracic Surgery (EACTS)
- Member of the EACTS Academy
ACADEMIA AND TRAINING
- I have 45 papers published in peer reviewed journals.
- I am a reviewer for the European journal of Cardiothoracic Surgery (79 papers in the last 5 years).
- I am an associate editor of the Annals of Cardiothoracic Surgery.
- I am the Principal Investigator on two international trials.
- I am on the faculty of three international courses and I have delivered 91 national/international lectures.
1984 BMedSci (Hons) - Second Class Division I
1986 BM BS
1990 FRCS (Eng)
1996 FRCS (CTh)
GMC REGISTRATION Full. Registration No. 3133897
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