I am a nationally recognised authority on anaesthesia for high risk vascular surgery. I led the anaesthetic component of the National Quality Improvement Programme for Aortic Aneurysm Repair.

I have an extensive and varied vascular anaesthetic practice encompassing aortic aneurysm repair, carotid surgery, lower limb, vascular surgery and renovascular access. I am the Trust lead for preassessment and have a particular interest in the frail elderly patients undergoing major surgery.

I undertake joint preoperative assessment clinics of elderly surgical patients in collaboration with elderly care and surgical colleagues. I undertake emergency anaesthesia sessions caring for a wide range of patients including urgent trauma, plastic vascular ENT, spinal, and maxillofacial surgery.

I am a previous Chairman of the Vascular Anaesthesia Society of Great Britain and Ireland. I am Chair Elect of the Board of the British Journal of Anaesthesia and have published extensively on to pics including vascular anaesthesia, anaesthesia for the older patient, and perioperative cardio problems.

I am Chair of the Scientific Committee of the European Association of Cardiovascular Anaesthesiology. I undertake regular medicolegal and clinical training to support my practice and remain fully a breast of important developments.