Acute kidney injuries, general medical take, ongoing care of medical inpatients, ambulatory care and same-day emergency care • All acute medicine presentations, including chest pain, breathlessness, VTE, sepsis and infections, collapse, confusion, delirium, headaches, seizures, overdose and poisoning, alcohol use and related disorders, falls, head injuries, abdominal pain, gastrointestinal bleeding, endocrine/diabetes emergencies and non-specific deteriorations in health

I am the Clinical Lead for Acute Medicine and Acute Frailty. I also review complaints and author serious incident reports. Common themes are delays in the treatment of: • Sepsis • Acute kidney injuries • Chest pain • Pulmonary embolism/venous thromboembolism (VTE) • Delirium • Falls • Seizures • Complications of alcohol I manage diabetes and endocrine patients both acutely (like acute diabetic feet/DKA) and long term (conditions like diabetes, thyroid disorders, adrenal conditions, osteoporosis and hypercalcaemia).

My consultant role includes both acute and more long-stay traditional geriatric and general medicine, and I have an interest in perioperative care and syncope. I have extensive experience of writing legal reports on acute medical matters, as well as more specific geriatric problems such as falls and delirium.

Clinical negligence • Failure to diagnose and delayed diagnosis • Geriatric medicine - falls, frailty, delirium, medication errors, polypharmacy • General internal medicine - complex multi-morbidity, sepsis, acute medical admissions, hospital-acquired complications, including infections, falls, pressure ulcers, hospital-acquired thromboembolism • Substandard care in acute and long-term care settings • Acute medical conditions, including sepsis