I am an NHS and Private Obstetrician and Gynaecologist working in Central London with 30 years experience in Obstetrics and Gynaecology. As well as caring for pregnant women I also specialise in complex Laparoscopic surgery, Endometriosis and Urogynaecology. I founded and run one of the few nationally recognised Specialist Endometriosis units within the UK. I qualified at Guy’s Hospital in 1984 and have trained and worked ever since in London teaching hospitals. After passing my specialist exams (MRCOG) in 1991 I was honoured with the Fellowship of Obstetrics and Gynaecology (FRCOG) in 2005.
I currently practice privately at OBGYN Matters which is a subsidiary of Nuada Gynaecology and continue to work part-time in the NHS at the Homerton University Hospital.
My primary reason for becoming a doctor was to go into a career where I felt that I could make a difference, to me it is not a job, it is a vocation.
During my career I soon discovered that I had a particular talent for those areas of medicine that were more intensive and practical. I realised that it is the, patient contact, team work, operating and teaching that I am good at and that drive me. As a result I have focussed my attention on building my communication, practical and surgical skills to the highest possible standard. I do not want to give patients routine care, I wish to give them extraordinary, personalised care and excellent outcomes.
Many Gynaecological operations may be performed using Laparoscopic surgery, my aim is where possible to perform simple and complex gynaecological surgery using Minimal Access Techniques in order to maximise surgical outcome, minimise hospital stay and shorten the recovery period. I also believe that where open surgery is necessary this needs to be performed gently and with finesse in order to minimize complications and speed recovery. Moreover, I have learned that successful surgery requires teamwork, careful patient communication and detailed preoperative assessment; to understand patient needs, to build trust and to set obtainable surgical goals.
My long career to date has enabled me to train many juniors and to work closely with many different specialists, and of course patients, from whom I have learnt so much.
There are two broad areas to my practice:
Working in top London Teaching Hospitals for many years I have had the opportunity to work in many specialist clinics dealing with all aspects of Gynaecology. As a result I have in depth knowledge in many areas including, endometriosis, fibroids, pelvic floor problems (prolapse and incontinence) as well as Menopause, Hormone replacement therapy (HRT) and period problems. Many of these issues can be resolved by careful history taking, listening, examination, proper counselling and conservative management. Where surgery is required I aim to perform this to the highest possible standard. Many Gynaecological operations may be performed using Laparoscopic surgery, where possible I perform simple and complex gynaecological surgery using Minimal Access Techniques in order to maximise surgical outcome and minimise hospital stay and patient morbidity.
Through experience I have learned that wherever possible surgery should be avoided. Having said this there are still large numbers of women for whom medical management is contraindicated or unsuccessful. When surgery is needed it needs to be performed to a high standard.
The more complex Laparoscopic (keyhole) surgery procedures I perform are for advanced, Stage IV, endometriosis (excision), rectovaginal endometriosis, prolapse, fibroids and hysterectomy, but laparoscopic techniques can be used for simpler procedures. The great advantages of this type of surgery are less pain, a shorter hospital stay, a quicker recovery and minimal scars. This combination is particularly important to women who are keen to get on with their lives and resume normal activity. All of my surgery is fertility sparing.
In order to maintain standards, I perform around 200 major and 300 minor operations a year. I continue to practice part-time in the NHS and take part in a continuing medical education programme (CME) from the Royal College of Obstetricians and Gyneacologists (RCOG). I also lecture and teach surgical skills both in the UK and abroad and attend national and international meetings, to ensure that I am up to date in my opinions and practice.
I manage and run a specialised Endometriosis Centre. This is one of the few units within the UK that has formal accreditation from the British Society of Gynaecological Endoscopy (BSGE). In order to obtain this we have to comply with all National regulations, provide externally audit-able data, have regular multidisciplinary meetings, perform large numbers of complex cases and provide long term outcome data.
My experience in Obstetrics spans 30 years of working in top London hospitals. I see it as a real privilege to look after pregnant women and to ensure that they feel confident, safe and informed throughout their pregnancy. Patient centred care, where treatment is individualized to each pregnant woman and her partner, is an important part of this. Primarily I want the mother and baby to be safe but I also want to deliver a good experience for the woman and her partner. I still find childbirth a truly amazing experience and I don't think that this feeling will ever leave me. I feel the same way now as I did when I performed my first delivery as a medical student in 1983!
Individual women and their partners often have views on how they wish to be managed antenatally and are encouraged to make safe birth choices. Wherever possible these choices are taken into account, to offer women the birth experience they desire.
I am happy to support all birth choices as long as they do not lead to increased risk for the mother or baby.
My knowledge in Obstetrics is kept up to date by my NHS practice. For the last 19 years I have worked in a unit where we deliver close to 6000 babies each year.
The Homerton hospital is in a very socially deprived area of London where as well as having many normal pregnant women we also have to deal with serious complications on a regular basis. I am often called in personally when Obstetric emergencies do occur because I always remain calm under pressure and am considered by my colleagues to be very experienced in the management of emergency situations.
In Private Practice the vast majority of women have low risk pregnancies and my focus is on risk reduction, early recognition of problems and prevention of possible complications. Nonetheless, emergencies can occur and my patients feel reassured that I will be able to deal with these should they arise.