Appointed as the first Professor of Acute Medicine within the UK within the Faculty of Medicine at Imperial College London. The Department of Acute Medicine is now established and based at the Chelsea and Westminster Campus. The department is the leading academic department in this field and has an increasing research portfolio of work including the NIHR CLAHRC for Northwest London, a £20M research programme now in its 8th year. The programme is designed to accelerate research into practice and has succesfully supported over 60 change projects and is developing a new systematic approach to delivery of health care including the use of big data and high fidelity quality improvement methods. Other areas of research interest inlcude the organisation and delivery of health care in relation to patient outcomes and the using co-production as an essential part of research design and care delivery. In addition the department has growing expertise in the role of patient and public involvement in research and has over 30 staff. The department coordinates modules in three Imperial College Masters programmes including Global Health. He is currently President of the Royal College of Physicians and advisor to several government programmes.
Previous appointments include;
• Associate Medical Director for the Acute Division of NHS Lothian.
• Inaugural President of the Society for Acute Medicine and involved in developing Acute Medicine as a distinct specialty.
• National Clinical Director Unscheduled Care Collaborative for the Scottish Government.
• National Clinical Director Emergency Services Collaborative the Modernisation Agency.
Graduated from Edinburgh University in 1980 and was a Lecturer in the Department of Medicine with an MD on the inflammatory response to myocardial infarction. Initially specialised in Chest and General Medicine with an interest in Intensive Care and was appointed as Consultant, Central Middlesex Hospital, London before moving to Edinburgh as a Consultant in Acute Medicine and Chest Medicine.
Currently serves on several National Committees. Academic research interests relate to quality and organisation of care, particularly acute medical care, and in the methods of delivery of care. Clinical research interests include illness severity assessment, pulmonary embolism and pneumonia.
et al., What makes a sustainability tool valuable, practical, and useful in real world healthcare practice? A mixed methods study on the development of the Long Term Success Tool in Northwest London, Bmj Open, ISSN:2044-6055
et al., 2015, Protocolised Management In Sepsis (ProMISe): a multicentre randomised controlled trial of the clinical effectiveness and cost-effectiveness of early, goal-directed, protocolised resuscitation for emerging septic shock, Health Technology Assessment, Vol:19, ISSN:1366-5278, Pages:1-+
et al., 2015, A systematic review and meta-analysis of early goal-directed therapy for septic shock: the ARISE, ProCESS and ProMISe Investigators, Intensive Care Medicine, Vol:41, ISSN:0342-4642, Pages:1549-1560
et al., 2012, Designing and implementing a COPD discharge care bundle, Thorax, Vol:67, ISSN:0040-6376, Pages:90-92
et al., 2014, Designing quality improvement initiatives: the action effect method, a structured approach to identifying and articulating programme theory, BMJ Quality & Safety, Vol:23, ISSN:2044-5415, Pages:1040-1048
et al., 2014, Effect of the readmission primary diagnosis and time interval in heart failure patients: analysis of English administrative data, European Journal of Heart Failure, Vol:16, ISSN:1388-9842, Pages:846-853
et al., 2011, 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey, Clinical Medicine, Vol:11, ISSN:1470-2118, Pages:322-326
et al., 2013, The impact of changing the 4 h emergency access standard on patient waiting times in emergency departments in England, Emergency Medicine Journal, Vol:30, ISSN:1472-0205, Pages:e22-e22
et al., 2013, Patient and Public Views on Electronic Health Records and Their Uses in the United Kingdom: Cross-Sectional Survey, Journal of Medical Internet Research, Vol:15, ISSN:1438-8871, Pages:e160-e160
et al., 2013, A systematic review of evidence on the links between patient experience and clinical safety and effectiveness, Bmj Open, Vol:3, ISSN:2044-6055, Pages:e001570-e001570
et al., 2014, Monitoring patient flow in emergency departments: the use of scatterplots versus time-based measures to assess patient flow in A&E, European Journal of Emergency Medicine, Vol:21, ISSN:0969-9546, Pages:291-295
et al., 2013, Consultant Input in Acute Medical Admissions and Patient Outcomes in Hospitals in England: A Multivariate Analysis, PLOS One, Vol:8, ISSN:1932-6203, Pages:e61476-e61476