- Bupa Platinum consultant
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Fee assured
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Verified account
- Open Referral network
About me
Dr Cousins has trained in weight loss surgery by visiting and attending courses in 9 different bariatric centres across Europe and the UK. He has anaesthetised most of the surgical cases at Imperial in 2007/8. Prior to this he worked to provide anaesthesia for all the high risk oesophagectomies, Nissen’s, Hellers, gastrectomies, hiatal hernias and achalasias at Charing Cross.
Combining this training with his broad experience he has created a tailored anaesthetic package to allow the most rapid return to full mobility and respiratory function in patients with an increased BMI.
All of our surgical cases are monitored with Entropy (a brain wave monitor) to ensure the perfect depth of anaesthesia to this challenging group of patients.
He personally runs a dedicated pre-assessment service prior to surgery for these cases to ensure safety and minimise the risk of complications and potential cancellation.
As the founder of the Society of Bariatric Anaesthetists UK he is involved with national and local projects into improving bariatric surgical/anaesthetic services across the UK.
He is currently performing research into perioperative thrombosis in weight loss surgery at Imperial Healthcare and is responsible for post-operative shared care pathways.
Areas of interest
Anaesthesia for the obese, Perioperative safety and efficiency. PICC insertions.
Information for healthcare professionals (Bupa patients only, last 12 months)
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64302
Transoesophageal echocardiography (including reporting) (as sole procedure) - (>50)
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J1830
Laparoscopic cholecystectomy - (5-50)
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K5761
Pulsed Field Ablation (PFA) of paroxysmal atrial fibrillation (including mapping) - (5-50)
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J5000
Percutaneous examination of bile duct - (5-50)
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T2400
Repair of umbilical/paraumbilical hernia (irrespective of age) - (5-50)
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T2012
Laparoscopic repair of inguinal hernia - bilateral - (5-50)
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X5020
External cardioversion - (5-50)
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K1680
Transluminal closure of atrial septal defect / patent foramen ovale - (5-50)
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T2620
Repair of recurrent incisional hernia requiring mesh - (5-50)
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K5760
Ablation of left atrial fibrillation by isolation of the pulmonary veins left/right (RFA/CRYO/Laser) (including mapping) - (5-50)
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T2002
Laparoscopic repair of inguinal hernia - unilateral - (5-50)
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A5755
Nerve Root Block +/- Image Guidance (including Bilateral) LUMBAR - (5-50)
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G2331
Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication) - (5-50)
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T4130
Freeing of adhesions of peritoneum - (5-50)
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A5753
Nerve Root Block +/- Image Guidance (including Bilateral) CERVICAL - (5-50)
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K6010
Cardiac pacemaker system introduced through vein (dual chamber) - (5-50)
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J1880
Laparoscopic cholecystectomy with peri-operative cholangiogram - (5-50)
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G6500
Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye spray - (1-5)
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E5430
Pulmonary lobectomy (including segmental resection) - (1-5)
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H0280
Laparoscopic appendicectomy - (1-5)
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K5730
Ablation of right atrial arrhythmia (including mapping) - (1-5)
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A7302
Continuous nerve block +/- Image guidance (as sole procedure) - (1-5)
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T4300
Laparoscopic adhesiolysis (including biopsy) - (1-5)
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A5756
Nerve Root Block +/- Image Guidance (including Bilateral) CAUDAL - (1-5)
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K5780
Ablation of accessory pathway or selected modification of AV node (including mapping) - (1-5)
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S0656
Removal of small lipoma less than 10cm - (1-5)
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K6582
Adult cardiac catheterisation - radial access (including coronary arteriography/catheterisation of right/left side of heart/ contrast radiology) - with pressure wire (including fractional flow reserve measurement) - (1-5)
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K6581
Coronary angioplasty following angiography with fractional flow study on the same day, +/- insertion of stent - femoral or brachial access - (1-5)
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K5050
Coronary angioplasty following angiography with intravascular ultrasound on the same day, +/- insertion of stent - femoral or brachial access - (1-5)
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T0110
Thoracoplasty - (1-5)
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T2782
Minimally invasive component separation technique requiring mesh - (1-5)
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T2024
Laparoscopic repair of recurrent inguinal hernia requiring mesh - bilateral - (1-5)
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T2023
Laparoscopic repair of inguinal hernia requiring mesh - bilateral - (1-5)
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A7085
Sacral nerve stimulation for faecal/urinary incontinence or constipation - (1-5)
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G2330
Transabdominal repair of hiatus hernia - (1-5)
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G2800
Partial gastrectomy - (1-5)
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T0215
Open surgical correction of pectus deformity of chest wall (or other congenital defect thereof) - (1-5)
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AA963
Coronary angioplasty following angiography with fractional flow study on the same day, +/- insertion of stent - radial access - (1-5)
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G6100
Bypass of jejunum - (1-5)
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K6700
Pericardiectomy - (1-5)
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XR360
Embolisation of vascular mass (including uterine embolisation) - (1-5)
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Q1800
Hysteroscopy (including biopsy, dilatation, +/- cauterisation, curettage and resection of polyp(s) +/- hormonal coil insertion) - (1-5)
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S0657
Removal of large lipoma greater than 10cm - (1-5)
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K5810
Diagnostic intracardiac electrophysiological study (including characterisation of intracardiac conduction and any testing of anti-arrhythmic drug efficacy by programmed stimulation) - (1-5)
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K4920
Percutaneous transluminal angioplasty of coronary artery(ies) for chronic total occlusions (CTO), +/- insertion of stent - (1-5)
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T0710
Decortication of pleura of lung - (1-5)
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E6100
Open resection of invasive mediastinal tumour - (1-5)
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Q4400
Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral) - (1-5)
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A5745
Medial branch block injection(s) +/- image guidance (including bilateral) LUMBAR - (1-5)
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Q1280
Introduction of a hormonal coil - (1-5)
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A5766
Neurolytic Root Block (Radiofrequency denervation, Thermocoagulation, Cryotherapy or Phenol, including Rhizolysis) +/- Image Guidance (including Bilateral) CAUDAL - (1-5)
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P3195
Robotic assisted excision of recto-vaginal endometriosis including rectal shave, +/-ureterolysis - (1-5)
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E5180
Diagnostic bronchoscopy +/- biopsy - (1-5)
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T1500
Repair of rupture of diaphragm - (1-5)
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A5790
Sacroiliac joint injection under image guidance (and bilateral) - (1-5)
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A5765
Neurolytic Root Block (Radiofrequency denervation, Thermocoagulation, Cryotherapy or Phenol, including Rhizolysis) +/- Image Guidance (including Bilateral) LUMBAR - (1-5)
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A5200
Epidural injection (cervical) - (1-5)
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T8510
Radical dissection of cervical lymph nodes - (1-5)
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K5020
Coronary angiography proceeding to angioplasty on the same day, +/- insertion of stent - femoral or brachial access - (1-5)
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K4100
Bypass for coronary artery(ies) including harvesting of grafts and endarterectomy - (1-5)
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K3580
Trans catheter aortic valve implantation (TAVI) - (1-5)
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W7440
Allograft anterior cruciate ligament reconstruction +/- meniscectomy - (1-5)
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K1000
Closure of defect of interatrial septum (secundum atrial septal defect or patent foramen ovale) - (1-5)
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J3900
Therapeutic ERCP with insertion of biliary or pancreatic stent(s), sphincterotomy or stone extraction - (1-5)
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J0900
Diagnostic laparoscopy (including any biopsy) - (1-5)
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H0310
Drainage of abscess of appendix or drainage of intra-abdominal abscess - (1-5)
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A5743
Medial branch block injection(s) +/- image guidance (including bilateral) CERVICAL - (1-5)
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B2818
Mastectomy and immediate reconstruction of breast using expandable prosthesis and acellular dermal matrix (ADM) - unilateral - (1-5)
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K5710
Ablation of atrio-ventricular junction (including mapping) - (1-5)
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W1920
Primary open reduction of long bone with fixation - (1-5)
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T2000
Primary repair of inguinal hernia - (1-5)
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S2500
Local flap - less than 9cm2 - (1-5)
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S0633
Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma) - (1-5)
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M7071
Transurethral water jet ablation for lower urinary tract symptoms caused by benign prostatic hyperplasia - (1-5)
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K6115
Insertion of an implantable cardioverter defibrillator with subcutaneous leads (subcutaneous ICD) - (1-5)
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K6111
Insertion of combined biventricular pacemaker and cardioverter defibrillator (CRT-D) - (1-5)
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K6082
Removal of pacing system (generator only) - (1-5)
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K6060
Lead replacement for Pacemaker or implantable cardioverter defibrillator (ICD) - (1-5)
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K6015
Implantation of biventricular pacemaker - (1-5)
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T8520
Block dissection of axillary lymph nodes (axillary clearance) levels 1 to 3 - (1-5)
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AA962
Coronary angioplasty following angiography with intravascular ultrasound on the same day, +/- insertion of stent - radial access - (1-5)