I work for the National Health Service and also in private practice in Cambridge.
I see private patients at the Nuffield Hospital, the Spire Cambridge and the Coach House Clinic.
You can write to me at:
The Nuffield Hospital
4 Trumpington Rd,
You can email me directly or call my private secretary’s telephone number below.
I only see patients who are referred by their General Practitioners. This is the route that is advised by the General Medical Council so that you only come to see the right specialist and that your GP is involved in your care.
I have also acted as an expert witness for Courts and Tribunals. And am a member of the Society of Expert Witnesses.
To introduce the meeting I will usually ask about who you live with, what your family situation is and your work. We will discuss what are your current concerns and the symptoms that have led you to want a consultation. This usually focuses on your mood, anxieties, thinking and behaviour, including eating and sleeping. How these problems have affected your ability to function at home and outside. You may have already had some treatment and we will review this.
Many illnesses run in families and I need to find out if any of your relatives have had problems with their health both physical and mental. Your personal history needs to be discussed – birth, childhood, education and work life.
Relationships are an important part of most people’s lives and this can give a good insight into your personality.
Many people have problems with alcohol and drugs even if they do not have an addiction problem and this will be reviewed along with any physical illnesses especially those affecting the brain. I will check what medication you are taking.
There may be particular issues for you that have not been covered in this review and you need to have a chance to bring these up.
The next step is to agree the appropriate diagnosis and make a plan of treatment. You may need some investigations of your physical state either by examination or blood tests and occasionally scans of the brain. We wll also look at lifestyle issues such as exercise and sleep pattern.
Many psychiatric illnesses can be treated with medication and this is an area which we may discuss in detail. We are also likely to review whether you could also benefit from some talking treatment.
We would finish by agreeing whether we should meet again, sometimes with other people who are important such as a partner or relative. At times the history given by a family member can be vital to making an accurate diagnosis. Many patients bring along someone to their first appointment and you are welcome to do so.
You can read more about this process on the website of the Royal College of Psychiatrists.
Six years at medical school is the basic
requirement to be a Doctor. I did the first three years at Cambridge University and then
finished at a Clinical School, St George’s Hospital in London.
After qualification as a Doctor I worked
in Medicine, Surgery and Accident and Emergency in London. Needing to
understand more about the brain I took a six month post in Neurology
before starting to train in Psychiatry.
I did my basic psychiatric training for three years at St Bartholomew’s Hospital in London with posts also in Hackney. This led to the exams for Membership of the Royal College of Psychiatrists (MRCPsych) when I had completed this practical training.
Understanding research is vital for doctors and so I spent three more years doing a project on the Causes of Recurrence in Bipolar Disorder. This was a Doctorate thesis leading to a Doctor of Medicine (MD) degree from the University of London in 1993.
Two more years as a registrar on the Oxford higher training scheme completed my training.
So 15 years after starting my training I was appointed as a Consultant Psychiatrist in Cambridge.