My research interests have evolved over the years and I’ve become increasingly interested in clinical complexity and it’s role in determining risk, outcome and health economic costs. This dovetails with my other key interest of outcome measurements, and finding the optimal, practical dataset to fully take account of patients' complexity. I’m looking at this both in elective and trauma patients.
All of my research has been undertaken while working as a full time NHS consultant and trainee, without formal funding. As of the end of 2016, this comprises:
- 24 articles in peer reviewed journals; 17 as lead or senior author
- 110 Presentations at national or international scientific meetings; 78 podium / oral, 32 as posters
- 3 published book chapters including editions of prestigious titles such as Bailey & Love and the Oxford Textbook of Orthopaedics & Trauma
Other topics include: Knee arthritis natural history and treatments, in particular TKR (total knee replacement), Uni (partial) KR, ACL surgery, risk classification and outcome measures for TKR and UKR. In terms of trauma, most of my current research relates to risk classification and outcomes following hip fracture and peri-articular lower fracture surgery. Previously I’ve undertaken major projects on acetabular fractures, multi-ligament knee injuries, tibial plateau fractures, revision surgery with impaction grafting, lumbar spinal stenosis, cervical spine tumour surgery, management of polytrauma and severe injuries, major chest injuries, hip replacement in renal transplant patients.
Additional current clinically related activites include:
- Reviewer for Injury (International journal of the care of the injured
- Orthopaedic surgeon to Swindon Town FC
- Faculty of AO/ASIF (Association for study of internal fixation) UK, a number of knee surgery courses including the Oxford Uni Knee, ATLS instructor
- Past Clinical Lead T&O Department and Clinical Trauma Unit Lead
- Founding chairman of Swindon Orthopaedics limited
- Member of a number of committees within the Trust including the Trust Mentors Group and Transfusion Committee
- Previously Surgical Clinical Lead for Emergency Service Collaborative GWH
- BOA Clinical Champion for Swindon