Emeritus Consultant Geriatrician at Guy’s and St Thomas’ NHS Trust in London and Professor of Medical Gerontology at King’s College London. At Guy’s & St Thomas’ for 32 years, helped develop and evaluate a broad range of acute and community clinical services for older people in urgent care, older people having surgery, post-acute care and care homes.
Research on geriatric syndromes including falls, fracture prevention, delirium and muscle function, and the applications of CGA across clinical areas. Current research: fragility fracture care and rehabilitation and care homes medicine. Citations 21,164, H-Index 54 (Google Scholar, 25.02.2021)
Immediate Past-president, European Geriatric Medicine Society, 2020-2021. Past-president, British Geriatrics Society 2010-12. Non-executive director, National Institute of Care and Health Excellence, England (NICE) 2013-2016. Member of the WHO Clinical Consortium on Healthy Ageing (2016- ).
Acting Clinical director on Older People, England Department of Health 2008-2010 (paid advisory role). He led the creation of the England Department of Health falls and fractures toolkit and was co-founder and clinical lead (2012-2018) for the NHS funded national Falls and Fragility Fractures Audit programme, which incorporates the National Hip Fracture Database.
Currently clinical lead for frailty working with NHS England Same Day Emergency Care Programme, and clinical associate, NHS Elect, a health service quality improvement body.
Areas of Expertise (6)
Health Services Development and Evaluation
Health Care of Older People
Honorary Honorary (professional)
1996 Royal College of Speech & Language Therapy
University of London: BSc, Med Sciences/Physiology 1970
University of London (Charing X): MB, BS 1974
Royal Colleges (UK): MRCP 1977
University of London: MSc, Biochemistry 1982
University of London: MD 1984
pathphysioplogy of muscle wasting conditions
- Population Health Sciences, Faculty of Life Sciences and Medicine, King’s College London
Featured Articles (5)
Probable delirium is a presenting symptom of COVID-19 in frail, older adults: a cohort study of 322 hospitalised and 535 community-based older adultsAge and Ageing
Frailty, increased vulnerability to physiological stressors, is associated with adverse outcomes. COVID-19 exhibits a more severe disease course in older, comorbid adults. Awareness of atypical presentations is critical to facilitate early identification.
COVID-19 highlights the need for universal adoption of standards of medical care for physicians in nursing homes in EuropeEuropean Geriatric Medicine
The nursing home sector has seen a disproportionately high number of deaths as part of the COVID-19 pandemic. This reflects, in part, the frailty and vulnerability of older people living in care homes but has also, in part, been a consequence of the failure to include care homes in the systematic planning of a response to COVID, as well as a measure of neglect of standards and quality improvement in the sector.
Care homes after covid-19: the government needs a planBMJ
I welcome Oliver’s plea that care homes are not forgotten (again) by the government after covid-19.1 But not forgetting will not be enough; the government needs a plan. Even if they had received prompt nationally coordinated support with personal protective equipment and testing, among other things, care home staff face particular challenges: scaling up medical supportive therapies while providing safe empathic hands-on care and psychological support, not least for residents dying without family involvement.
August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19European Geriatric Medicine volume
The European Geriatric Medicine Society (EuGMS) is launching a second interim guidance whose aim is to prevent the entrance and spread of COVID-19 into long-term care facilities (LTCFs).
Multimorbidity And Health Outcomes In Older Adults In Ten European Health Systems, 2006–15Health Affairs
Despite the increase in awareness of chronic disease, little is known about whether multimorbidity—defined as two or more coexisting chronic conditions—has had a diminished impact on health in Europe in the past decade. We used multiple cross-sectional data from the Survey of Health, Ageing and Retirement in Europe to estimate changes in the prevalence of multimorbidity and in its association with health outcomes in ten European countries between 2006–07 and 2015.