DM FRCS Ed FRCS(Orth)

Medical Qualifications

• 1986 Bachelor of Medicine & Surgery University of Liverpool (MB ChB)
• 1991 Fellowship, Royal College of Surgeons of Edinburgh (FRCS Ed)
• 1994 Doctor of Medicine DM, University of Nottingham (DM)
• 1996 Inter-collegiate Fellowship in Orthopaedic Surgery (FRCS Tr & Orth)
• 2019 Honorary Clinical Professor, University of Liverpool

Professional Memberships

• The British Elbow and Shoulder Society (BESS) Member of Council (2012 – 2017); President (2017 – 2019)
• American Shoulder and Elbow Society (ASES) Corresponding member (2017 to present)
• European Society for Surgery of the Shoulder and Elbow (SECEC) Member (2015 to present)
• British Orthopaedic Association (BOA) Member (1993 to present)
• Arthroscopy Association of North America (AANA) International member (2017 to present)
• Shoulder and Elbow Society India (SESI) Honorary Lifetime member 2019

Current Clinical Practice

Consultant Orthopaedic Surgeon

NHS
Liverpool University Hospitals NHS Foundation Trust

Private
The Bone & Joint Centre, Spire Liverpool Hospital
The Grosvenor Nuffield Hospital, Chester

Leadership Experience

1. President British Elbow and Shoulder Society (BESS) (2017-2019)
2. Managing Partner of the Bone & Joint Centre UK LLP (2010-present)
3. National Medical Advisory Group, Nuffield Health (2020 – present)
4. Orthopaedic Programme Director Mersey region (2007-2010)

Medicolegal Experience

I have a track record of providing clear independent medical reports to the legal profession for over 20 years. I am fully conversant with the restricted timescales for civil litigation, the limitations of expertise and the absolute need for independent, balanced consideration. I bring to bear:

1. Twenty years experience at preparing medico-legal expert witness reports
2. I have attended courses on the preparation of medicolegal reports and attendance at Court
3. I have experience of giving expert evidence under cross examination in Court (1 occasion)

Currently I accept around 100 medico-legal instructions per year with approximately an equal balance between claimant and defendant work. My reports deal exclusively with shoulder and elbow conditions, including medical negligence cases (breach of duty, causation, condition and prognosis).

Clinical Experience

In 1998 I was appointed as a Consultant Orthopaedic Surgeon in Liverpool where I was instrumental in establishing the Liverpool Upper Limb Unit as a centre of excellence for shoulder and elbow surgery.

My clinical practice is focused exclusively on shoulder and elbow surgery. Typically, I will carry out 250 shoulder and elbow operations per year. I run a monthly complex shoulder instability clinic that accepts tertiary referrals from out of region.

I am recognised for my expertise in arthroscopic shoulder surgery and I am regularly invited to lecture and carry out live surgical demonstrations at courses across Europe and the United States.

Previously I have treated a significant number of elite athletes including players from 10 Premiership football teams and I was the upper limb surgeon to Liverpool Football Club from 2000 to 2017.

In 2019 I was appointed an Honorary Clinical Professor at the University of Liverpool.

Publications & Presentations

I have authored or co-authored 6 sets of BESS/BOA (British Orthopaedic Association/British Elbow Society) National Care Pathways as below:

1. Traumatic shoulder instability
2. Atraumatic shoulder instability
3. Frozen shoulder
4. Shoulder arthritis
5. Subacromial pain
6. Elbow replacement surgery

I have 25 other publications in peer reviewed journals. The subjects covered include:

1. Clavicle fractures
2. Shoulder dislocation
3. Distal biceps rupture
4. Proximal humeral fracture fixation
5. Elbow kinematics
6. Shoulder decompression surgery

I have achieved International recognition in my chosen sub-speciality of shoulder and elbow surgery and particularly in the management of sports related shoulder injuries. I am regularly invited to lecture at both national and international meetings. Since 2010 I have given over 75 presentations and carried out 25 live surgical demonstrations.

Of note, I have been invited to present on sports related shoulder injuries at the British Orthopaedic Association Instructional Course in 2012, the European Society for shoulder and elbow surgery in 2014 and 2017, the Indian Orthopaedic Association in 2015, the Swedish Orthopaedic Federation in 2015 and the British Orthopaedic Sports Trauma and Arthroscopy Association 2017.

In 2017 I was invited by the President of the Arthroscopy Association of North America (AANA) to be one of his Presidential guest speakers. I have continued to develop strong links to sports related shoulder and elbow surgeons in the United States and in 2018 I was honoured to receive an invitation to become a corresponding member of the American Shoulder and Elbow Society (ASES).

Teaching Experience

1. Honorary Clinical Professor University of Liverpool 2019
2. Course Director Liverpool Advanced Shoulder Arthroscopy Course/Masterclass (2001 – present)
3. Course Director Liverpool Upper Limb Trauma Course (2004 – 2008)
4. Clinical Supervisor Shoulder/Elbow Fellowship Liverpool Upper Limb Unit (2005 – present)

Editorial Experience

1. Associate Editor – Journal of Shoulder and Elbow (2012-present)
2. Reviewer Bone and Joint Surgery Journal (2015-present)