I undertook a degree in medicine at Cambridge and completed my clinical training at The Royal London Hospital, qualifying in 1988. I was appointed as a Consultant in Renal Medicine at East Kent Hospitals University Foundation Trust in 1999.  Whilst improving our transplant service I  became interested in service improvement and lean methodology and did the Clinical Systems Improvement Programme at Warwick Business School. In 2007 I was seconded part time to a NHS II project looking at Delivering Quality and Value in CKD. Between 2008 and 2012 I was Clinical Director Strategic Development and since 2012 have been Associate Medical Director for Patient Safety at EKHUFT.

My interests include:

Sepsis and I lead on this, establishing a local collaborative in East Kent in 2014 and then becoming Co- Lead for Regional KSS AHSN Sepsis Collaborative in 2015.

Human factors and establishing a safety culture. I teach on this within my trust and have been involved in establishing a Teams Improving Patient Safety Programme (TIPS).

I am also the clinical lead for Schwartz rounds and am very interested in the link between people's openness to expressing thoughts and feelings and empathy.