I took up appointment as a Consultant Neurosurgeon and Senior Clinical Lecturer in Neurosurgery in Birmingham in 1992. For a number of years my neurosurgical practice included all aspects of Neurosurgery. I developed a particular interest in intracranial skull base tumours, posterior circulation aneurysm surgery and complex spinal surgery. My clinical responsibilities also included the care of head and spinal injuries. Like most other neurosurgeons appointed at that time I undertook nearly every aspect of the specialty mainly in adults but to a lesser extent in children. I was Chairman of the Neurosurgical training programme in the West Midlands region and the Royal College Regional representative for Neurosurgery.
In the late 1990’s as increasing sub-specialisation occurred in neurosurgery, I increased my interest in spinal surgery providing an emergency and elective spinal service for a wide range of spinal conditions including degenerative, infective, tumour and congenital pathologies. Specialist services I provided have included treatment of intradural/intramedullary spinal lesions, cranio-cervical, and syringomyelia surgery. I held a mainly adult practice but have treated children from infancy through to adolescence. I have not offered any independent practice in paediatric scoliosis surgery but occasionally assisted specialist colleagues with their patients.