My main areas of work have involved evidence based mental health, pharmacological and non-pharmacological interventions in dementia. I have developed areas of dementia health service research in primary care, care homes and acute hospital settings.
Current research themes are focused on enhancing care for patients with established with dementia and improving early intervention and prevention strategies. My research work is currently funded by the National Institute of Health Research, industry and charitable foundations.
I have a national and international network of research collaborators and I am recognised internationally as a leading researcher in older peoples’ mental health.
Reader in mental health August 2014
Clinical Senior Lecturer/Honorary Consultant Psychogeriatrician Norwich Medical School University of East Anglia + Norfolk and Suffolk NHS Foundation Trust-August 2010 ongoing
Clinical Director of Kent and Medway NIHR Comprehensive Local Research Network October 2007- 2010
Consultant Psychiatrist/Senior Lecturer Kent and Medway NHS and Social Care Partnership Trust/University of Kent-August 2001- August 2010
Psychiatric Specialist Registrar Department of Adult Psychiatry, The Fairmile Hospital, Wallingford, Oxford April 2001- August 2001
Psychiatric Specialist Registrar Department of Psychiatry of Old Age, The Fairmile Hospital, Wallingford, Oxford April 2000 - April 2001
Psychiatric Specialist Registrar Department of Psychiatry of Old Age, The Warneford Hospital, Oxford May 1999 - March 2000.
Psychiatric Specialist Registrar RAF Brize Norton Department of Community Psychiatry August 1998 - May 1999
Psychiatric Specialist Registrar Northallerton NHS Trust Yorkshire August 1997- August 1998
Psychiatric Specialist Registrar Ministry of Defence Training Scheme - Colchester Essex August 1997- August 1998
Senior House Officer/Registrar Ministry of Defence Scheme Duchess of Kent's Hospital, Catterick Garrison North Yorkshire October 1996 – August 1997
Senior House Officer/Registrar Northallerton NHS Trust April 1996 – October 1996
Senior House Officer/Registrar Ministry of Defence Training Scheme Duchess of Kent's Hospital, Catterick Garrison, North Yorkshire October 1995 – April 1996 and Princess Alexandra's Hospital, RAF Wroughton, Swindon Wiltshire August 1993 – October 1995
Senior House Officer General Practice Berlin RAF Gatow August 1992-August 1993
House Officer Royal Free Hospital, London January 1992 - August 1992
House Officer Royal East Sussex Hospital, Hastings, Sussex August 1991 - January 1992
I spent 6 years researching trauma/personality assessments and treatment and psychometric assessment development with the Ministry of Defence. Then I went into the NHS and undertook an MD on anger characterisation in elderly mentally ill patients.
In the last 10 years I undertook 3 Cochrane reviews in dementia, set up and developed clinical trials in dementia as a chief investigator and regional lead. In 2004 I set UK/US collaborations with colleagues which are ongoing. We have jointly co-developed work on the harms of screening, medication trials in dementia, collaborative care in dementia and the anticholinergic burden scale.
I worked as an NHS consultant for 9 years and developed an applied research strategy. I am presently working on funded projects on collaborative care in dementia, screening in dementia, inpatient rehabilitation in dementia and assistive technology in dementia.
I have led and been an active collaborator on designing medication trials in dementia targeting prevention and behaviours.
I have MHRA regulatory experience from leading trials and expertise in trouble shooting recruitment and design issues in clinical trials.
Professional Qualifications and professional memberships
MBBS; Bsc; Mmedsci; MRCPsych; MD
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Freedom of Information Act: scalpel or just a sharp knife?,
in Journal of Medical Ethics
pp. 60-62Full Text UEA Repository
Focusing the Neuroscience and Societal Implications of Cognitive Enhancers,
in Clinical Pharmacology and Therapeutics
(Designer Drugs 2.0)
pp. 170–172Full Text UEA Repository
Factors predicting incidence of post-operative delirium in older people following hip fracture surgery: a systematic review and meta-analysis,
in International Journal of Geriatric Psychiatry
pp. 386–396Full Text UEA Repository
A qualitative study exploring medication management in people with dementia living in the community and the potential role of the community pharmacist,
in Health ExpectationsFull Text UEA Repository
(E-pub ahead of print)
Protected engagement time on older adult mental health wards: A thematic analysis of the views of patients, carers, and staff,
in International Journal of Mental Health NursingFull Text UEA Repository
(E-pub ahead of print)
Development of a core outcome set for disease modification trials in mild to moderate dementia: a systematic review, patient and public consultation and consensus recommendations,
Effectiveness of interventions to directly support food and drink intake in people with dementia: systematic review and meta-analysis,
in BMC Geriatrics
article no. 26Full Text UEA Repository
Improving the management of behaviour that challenges associated with dementia in care homes: protocol for pharmacy-health psychology intervention feasibility study,
in BMJ Open
article no. e010279Full Text UEA Repository
Mental Illness in the Elderly,
in Brocklehurst's Textbook of Geriatric Medicine and Gerontology.
Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review,
in BMC Geriatrics
article no. 89Full Text UEA Repository
A feasibility study comparing UK older adult mental health inpatient wards which use protected engagement time with other wards which do not: study protocol,
in Pilot and Feasibility Studies
article no. 7Full Text UEA Repository
Dementia: Introduction, Epidemiology and Economic Impact,
in Mental Health and Older People : A Guide for Primary Care Practitioners.
ISBN 978-3-319-29490-2Full Text UEA Repository
The Arts In Dementia Care Education: A developmental study,
in Journal of Public Mental Health
pp. 18-23Full Text UEA Repository
Does anticholinergics drug burden relate to global neuro-disability outcome measures and length of hospital stay?,
in Brain Injury
pp. 1426-1430Full Text UEA Repository
Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery,
in Cochrane Database of Systematic Reviews
article no. CD010569Full Text UEA Repository
Multimodal imaging in Alzheimer's disease: validity and usefulness for early detection,
in The Lancet Neurology
pp. 1037-1053Full Text UEA Repository
Attitudes and preferences towards screening for dementia: a systematic review of the literature,
in BMC Geriatrics
article no. 66Full Text UEA Repository
Use of medications with anticholinergic activity and self-reported injurious falls in the older aged community-dwelling adults,
in Journal of the American Geriatrics Society
pp. 1561–1569Full Text UEA Repository
A Predictive In Vitro Model of the Impact of Drugs with Anticholinergic Properties on Human Neuronal and Astrocytic Systems,
in PLoS ONE
article no. e0118786Full Text UEA Repository
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Key Research Interests
My research interests cover a wide range from bioscience through epidemiology, psychological interventions and health services research. My main areas of work have involved evidence based mental health, pharmacological and non-pharmacological interventions in dementia, collaborative projects in neurology and UK/US studies in dementia; both interventions and outcome research at the interface of primary and secondary care. I have been involved in 7 clinical trials of investigational medicinal products as lead and co-investigator.
Currently I am pursuing a research strategy of novel medication usage for dementia, health service research in the UK and USA in dementia and protection of cognition in vulnerable hospitalised elders.
I am one of the Dementia Research Directors in the UK for DeNDRoN.
Internationally I have links with the Das Deutsche Zentrum für Neurodegenerative Erkrankungen DZNE which has led to publications and projects
I have had a collaboration with the Indiana University Center for Aging Research since 2004 which has led to research bids and the collaboration has supported my interest in implementation research.
I am involved in the NIHR Collaborations for Leadership in Applied Health Research and Care led by Cambridge.
Implementation - how education can change practice
- Module 11(Psychiatry) lead MB BS
- MB BS Examiner
- HSC Educator
- Visiting Tutor Hull York Medical School
- External Examiner MSC Brighton Medical School
External Activities and Indicators of Esteem
- DeNDRoN Dementia Research Director
- DeNDRoN Primary care and Dementia CSG member
- Professional activities
- Consultant Psychogeriatrician
- CRN D 4 Lead Eastern region
Administration posts and responsibilities (including roles)
Chair of Dementia Research Innovation Group
- Chair of Dementia Research Innovation Group