Ordinary Members Representing England

There are two Ordinary members representing England, click on their name below to view their profile

I am currently  Clinical director of Neurosciences at University Hospital of North Midlands and Honorary Senior Lecturer Keele University. . I am also the Clinical Director for Stroke for the West Midlands Strategic Health Network.

Following my qualification in 1992, I did my postgraduate training in Medicine in South Manchester, North Wales and Exeter.   My Specialist Training was in the West Midlands during which time I developed a Special Interest in Stroke Medicine. I did my Stroke Fellowship year at St. Mary’s Hospital London. I worked as a Specialist Registrar for 3 years at the University Hospital North Midlands and having enjoyed every bit of my time here I returned back to the Potteries as a Consultant Stroke Physician.

Since my appointment here at UHNM I lead the Implementation of the Regional thrombolysis rota across Shropshire and Staffordshire.

I have been Championing Stroke prevention secondary to atrial fibrillation to the wider community with key aim of preventing disabling strokes. Established this unique service which was nurse led intervention and this work was recognised with the Royal College of Physicians innovation in Patient Care Award for our work on Stroke Prevention in Atrial Fibrillation 2016

I lead the Implementation of Neuro-interventional pathway for Hyper-acute strokes for clinical and research purposes at University Hospital of North Midlands and the wider West Midlands region in my role as the Regional Clinical Director for Stroke.


Stroke and Me

When I was a trainee doctor at Royal Stoke Hospital I got inspired in a career in Stroke Medicine  from Prof. Roffe who was my mentor.  My clinical work in stroke includes TIA/stroke clinics, a specialist service for people with cardioembolic strokes  or conditions that may cause it, out-of-hours thrombolysis on call work, and emergency stroke outreach services to my hospital’s emergency department and also to support the local hospitals needing expert stroke advice across the West Midlands.

I am National Clinical Director for Stroke Medicine for NHS England & Improvement. Prior to starting this role in January 2020 have been the Joint National Clinical Lead for Stroke Medicine with GIRFT (Getting It Right First Time) for NHSE&I since 2017.

I have been a Consultant Stroke Physician and Geriatrician at Wirral University Teaching Hospital NHS Foundation Trust since 2005. I take part in a ‘hot week model of care to deliver Hyper-acute Stroke Unit care and rapid access TIA assessment and have maintained my clinical role as well as leadership roles, as this is this is my favourite part of my job.

I have had several managerial and leadership roles locally and regionally including Clinical Service Lead for Stroke, Elderly Care and Rehabilitation; Clinical Director for the Division of Medicine and Clinical Lead for Stroke for the Northwest Coast within the NHSE Strategic Clinical Networks and Senate from 2014-2019.

I graduated from Liverpool University in 1997 and did my postgraduate medical training within Merseyside and Cheshire region. I completed a Stroke Research Fellows post at Aintree University Teaching Hospital and have an interest in patient empowerment and education. I have been Principle Investigator for many national and international stroke trials and co-applicant for the DECISIONS trial (UCLAN) and independent steering committee member for SPATIAL trial (University of Manchester) and the COMMITS trial (UCLAN). I am currently Stroke Programme Clinical Lead for the NHSE Research Signalling and Demand work stream.

As Joint National Stroke Lead with GIRFT I met with every stroke service in England in 2019 and aim to promote a culture of effective clinical engagement and leadership, accurate performance monitoring and the use of high quality data to drive sustainable quality improvement. I am a member of the Faculty of Medical Leadership and Management and a trained coach with the Institute of Leadership and Management.

I co-chair the National Stroke Delivery Board which oversees the delivery of the Long Term Plan Stroke Programme for NHSE&I and I am a board member of the NHSE&I CVD-Respiratory Board, Intercollegiate Stroke Working Party and Joint Neurosciences Board.


Stroke and me

I knew from being a third year medical student that I wanted to be a Geriatrician. This was heavily influenced by growing up surrounded by the most amazing grandparents, with a real love and respect for the ‘older’ generation. I worked with some really inspirational Geriatricians as a junior doctor, the most impressive being Dr Anil Sharma. He had set up one of the first stroke units in England at what was then Fazakerley Hospital, and now Aintree University Hospital. Up until this point, patients that had suffered from a stroke would often languish on general medical wards with no standardised care or therapy. I learnt so much of my neurology and stroke medicine from Dr Sharma and saw how well he communicated with patients, relatives and staff across the multi-disciplinary team. His passion for stroke medicine rubbed off on me and I became his research and clinical fellow after getting my MRCP in 1999.

An area of research interest was to understand how to support compliance with secondary prevention and reduction in modifiable risk factors post stroke. The importance of patient empowerment, self-care and monitoring, and patient and carer education was clear. I developed a patient education booklet called the ‘CareFile’ with systematic follow up post discharge. Sadly, 20 years later we are still not consistently delivering education to our stroke survivors to ensure adherence to medication and life style changes, or consistent follow up.

Stroke Medicine was very attractive to me as I really loved the combination of very fast paced acute stroke assessment in the Accident and Emergency Department, organised ward based stroke unit care and then the continuity of seeing a stroke survivor through their rehabilitation journey. The non-hierarchical multidisciplinary approach to holist patient care really appealed to me, as did the consideration of psychological, mental and physical health all being important parts of a stroke survivors recovery.

I was always keen to stay in a speciality that allowed me to continue to have ongoing experience and expertise in General Internal Medicine. As so many stroke patients have other comorbidities, it allows me to maintain my skills as a Geriatrician and General Physician. I really enjoyed Neurology and also Cardiology during my training, but knew that that my heart lay with Stroke and Geriatric Medicine. This was really hit home to me when as an SHO, one of my Consultant supervisors said to me…”why on earth do you want to do Stroke Medicine when you could do any speciality” and I answered “it’s because I could do  any speciality that I want to do stroke”. I disliked Stroke Medicine being seen as a Cinderella speciality, even though it was the largest cause of disability in the country; geriatrics being seen as something you did if you couldn’t get another training number was also a myth I was keen to bust!

I have always been very passionate about my speciality and ensure that medical students and junior doctors rotating through the stroke unit see what an amazing career stroke medicine offers. What other speciality gives you the