Current NHS consultant posts held
                                    Consultant in Stroke, Geriatric medicine and General Internal medicine at  Southend University Hospital, SS0 0RY.
                                                                                                    Research interests
                                    Emergency treatment in acute stroke.
Antihypertensive medication in stroke.
Deep vein thrombosis, genetics of lacunar stroke.
Multiple organ vascular disease.
I have been  involved in Stroke Research, and was a member of National Acute Stroke group NIHR Stroke Research Network.
I have been Principal Investigator for the following trials:
COSSACS, B-SWISS, IST-3, CLOTs, CLOTs-2, CLOTS -3, DNA Lacunar, TOMAS, CADISS, DIAS-4, SO2S, TARDIS, SOS Penumbra, Stroke INF, FABRYs, CROMIS-2, ACST-2, FOCUS, TICH-2, ROSE, AEGEAN, Navigate-ESUS, ReSTART, SoSTART, XILO-FIST, Da Vinci, CONVINCE, OPTIMAS, ATTEST-2.
                                                                                                    Personal interests
                                    I believe in honest and open communication with patients at all times. I aim to provide a 'down to earth' realistic approach to issues, whilst offering specialist professional advice.
I spend my free time with my wife and four children.
                                                                                                    Awards received
                                    2018 Southend University Hospital Hero Finalist: A team leader who sets the highest example in leadership to their team, consistently demonstrating openness and honesty, and striving to achieve the highest possible quality standards.
Centre of excellence healthcare analysis awards 2013
HEALTH SERVICE JOURNAL AWARDS 2013: Secondary Care Service Redesign
E-Health Insider Awards 2010
HEALTH SERVICE JOURNAL AWARDS 2009: Delivering Quality and Value with NICE Guidance
                                                                                                                                    Publications
                                    Acute ischaemic stroke-related choreoathetosis treated with arterial thrombectomy.
BMJ Case Rep. 2019 
e-ASPECTS software is non-inferior to neuroradiologists in applying the ASPECT score to computed tomography scans of acute ischemic stroke patients.
Int J Stroke. 2017.
Outcome of intracerebral hemorrhage associated with different oral anticoagulants.
Neurology 2017.
Choices of Stent and Cerebral Protection in the Ongoing ACST-2 Trial.
Eur J Vasc Endovasc Surg 2017.
Comparison of the diagnostic utility of physician-diagnosed with algorithm-defined stroke-associated pneumonia.
J Neurol Neurosurg Psychiatry.2016  
Volume and functional outcome of intracerebral hemorrhage according to oral anticoagulant type.
Neurology.2016. 
Effect of alteplase on the CT hyperdense artery sign and outcome after ischemic stroke.
Neurology.2016 
To determine whether or not intermittent pneumatic compression reduces the risk of post-stroke deep vein thrombosis 
Health Technol Assess.2015 
Prophylactic antibiotics after acute stroke for reducing pneumonia in patients with dysphagia 
Lancet.2015 
Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection 
Lancet Neurol.2015 
Effect of intermittent pneumatic compression on disability, living circumstances, quality of life, and hospital costs after stroke
Lancet Neurol.2014 
Thrombolysis delivery by a regional telestroke network--experience from the U.K. National Health Service.
J Am Heart Assoc.2014  
Effectiveness of intermittent pneumatic compression in reduction of risk of deep vein thrombosis in patients who have had a stroke 
Lancet.2013 
A multi-centre randomised controlled trial of rehabilitation aimed at improving outdoor mobility for people after stroke
Trials.2012 
The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke
Lancet.2012 
Intravenous thrombolysis in acute ischaemic stroke: a systematic review and meta-analysis to aid decision making in patients over 80 years of age.
J Neurol Neurosurg Psychiatry.2011