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).

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

General practice • Accident and emergency and psychiatry • Trauma and orthopaedics • Paediatrics • Geriatrics