Emeritus Professor of Medicine (Intensive Care). Retired
Retired Honorary Consultant in Intensive Care Medicine, Whiston Hospital
Honorary Senior Fellow Institute of Ageing.
His undergraduate training 1971-77 was in Medicine (MBBS) at University College London where he also obtained a BSc in Physiology. Early professional training in London included a research MD studying human muscle energetics by MR spectroscopy. On moving to Liverpool in 1984 he continued his research interests in muscle and expanded these into nutrition (glutamine) and the outcome of the critically ill consistent with his consultant career move in 1985 into adult Intensive Care Medicine.
As a pioneer of the rehabilitation of the post-ICU patient, he was involved in the first ICU cost-effectiveness outcome study in the UK in conjunction with the Kings Fund in 1988. He published some of the earliest descriptions of muscle pathology in ICU and in 1995 was awarded The John M Kinney International award for Nutrition and Metabolism for the effect of passive stretch on muscle in the critically ill. Combining his interests in nutrition and the recognition of a conditional deficiency of glutamine with his outcome research facilitated the first RCT to use a six month survival outcome testing glutamine addition to parenteral nutrition dependent patients in 1997.
For two decades he has published extensively on the physical, psychological and cognitive problems of the post ICU patient and identified the challenge of memory & PTSD in 2001 and led the first multi-centre study on the rehabilitation of the critically ill patient in 2003. More recent research themes included collaborative laboratory research within musculoskeletal biology focusing on how skeletal muscle can be preserved in the critically ill elderly patient through effects on oxidative stress and cellular protection mechanisms, and clinical intensive care research on the physical, psychological and cognitive dysfunction following ICU. He held grants from the MRC & NIHR.
As a clinical academic with a busy intensive care commitment in one of the oldest UK ICUs (established 1959) he was for many years a council member and Chair of the research committee of the UK Intensive Care Society and helped with the evolution of the UK Faculty of Intensive Care Medicine of which he is a founding fellow.
He has also been extensively involved over the last three decades in undergraduate curriculum reform and as the Director of the Final Year pioneered a much praised portfolio based learning program and is a Fellow of the Higher Education Academy.
He retired from the NHS in April 2013 and was made an emeritus professor with an honorary senior fellowship in the University of Liverpool.
He retired fully from any regular University activity in August 2016.
Prizes or Honours
- Gold Clinical Excellence Award (ACCEA, 2009)
- International award for Nutrition and Metabolism (Nutrition, 1996)