The evidence, on the record.

02·A

The consultant log

Wye Valley NHS Trust

2014–2026

19,619

Blackpool Victoria Hospital

2012–14

6,159

Working totals, not a per-year plot: yearly volumes moved with job plans and personal circumstances, and the trend line is not the story here. The Wye Valley 2014–16 figures undercount real activity — studies written under a second, parallel login those first three years were never exported into the personal log. BVH figures are April–March reporting years and include waiting-list-initiative CT and MR. Source: personal reporting log; 2026 to May.

By modality

Computed tomography

8,365

MRI — subspecialty core

6,233

X-ray

2,160

Ultrasound

1,714

Fluoroscopy

68

By body region

MSK limbs

5,686

Head · brain · neck

4,510

Chest

2,944

Abdomen · pelvis

2,659

Grouped totals, personal reporting log 2012–2026.

Registrar era — preserved logs

RIS export, Royal Blackburn

2011

566

SPET–angiography concordance

2007

214

Liver-biopsy audit

2010

50

RA extremity-ultrasound study

2010–11

49

Training-era figures (Jan–May 2011 window) kept separate from the consultant log — different hospital systems, different counting rules.

Private ledger — Nuffield Hereford

MRI

80%

1,830

CT

217

X-ray

176

Arthrograms

25

2,296 studies, Nov 2014 – Apr 2026 — confirmed against the password-protected SM reports ledger; a subset of the master log, not additional.

02·B

Evidence

European subspecialty examinations, passed on the record — beside the qualifications, output and roles that carry them.

EBNR · European Board examination record — nine modules

ECHNR Module 1 — head & neck

Online · 2020

ECiSR Spine Module 1 — spine radiology

Porto · 2022

ECNR Module 4 — degenerative · metabolic · inflammatory

Berlin · 2022

ECiSR Spine Module 2 — spine radiology

Athens · 2023

ECINR Module 3 — vascular anatomy & pathophysiology

Istanbul · 2023

ECNR Module 2 — tumours

Berlin · 2023

ECHNR Module 2 — head & neck

Ljubljana · 2024

ECNR Module 1 — anatomy & embryology

Valencia · 2024

ECNR Module 3 — vascular diseases

Valencia · 2025

Pass and CME certificates are held on file and shared directly on request; they are no longer published as scans here. Specialist registration itself verifies live, any time, on the GMC register.

Qualifications

MBBS — University of Kerala, Trivandrum Medical College

1999

Fellowship in Emergency Medicine — RCGP / Apollo Hospitals, Hyderabad

2000–01

MRCS — Member, Royal College of Surgeons

2005

FRCR — Fellow, Royal College of Radiologists

2009

Specialist Register, Clinical Radiology — GMC · verify ↗

28 Oct 2011

Postgraduate Diploma, Medical Ultrasound — Bournemouth University

2019

Posters & presentations

Reverse-oblique intertrochanteric fractures — Academic Day, Queen Mary's Sidcup

2004

Journal club — “Tuberculosis from head to foot” (AJR), Salford

2006

ASNR — CNS tuberculosis in HIV/AIDS, pictorial review (Hope Hospital)

2007

UKRC — acquired leukoencephalopathy, educational poster

2007

RSNA — three posters: “Enucleation sign” HCC review · named signs in uroradiology · residents' acute-abdomen AXR guide

2008

CIRSE Foundation, Florence — portal-vein embolisation: a resident's perspective

2008

CIRSE Lisbon — vascular closure devices, educational e-poster P-405

2009

BSIR Brighton — splenic artery embolisation in pancreatitis, case report

2009

RSNA — two MSK posters; “Unravelling the mystery of the bicipital sling” — Certificate of Merit

2010

ECR Vienna — “The ten-minute ultrasound examination of the rheumatoid hand” (with W Bhatti)

2011

UKRC — milestones and current frontiers of musculoskeletal radiology

2011

Prostate Imaging — oral presentation, Lancashire Cancer Network

2013

Conferences & courses — selected

AFIP radiologic-pathology course — Washington, DC (four weeks)

2007

CIRSE Foundation ET/ECIO, Florence · GE IR meeting, London · IR: The Basics, Plymouth

2008

CIRSE, Lisbon · North-West Interventional Radiology Club, Warrington

2009

Global Embolization Symposium, San Francisco · CX vascular access, St George's London · CELT leadership, Grange-over-Sands

2010

ECR, Vienna

2011

RSNA assemblies, Chicago — 2008 · 2010 · 2015 · 2016 · 2017 · 2018

2008–18

Beyond the reading room

• Radiology Research Lead — Wye Valley NHS Trust
• MSK Radiology Lead — departmental subspecialty lead
• PACS Lead representative — West Midlands Network meetings
• Gynae MDT imaging support — alternative strategies, follow-up planning

81.8% of FY2 trainees rated a 2025 radiology teaching session excellent — the remaining 18.2% rated it good.

02·C

Governance

Pulled from the appraisal folders as filed: protocols authored, risks escalated early, and colleagues and the service covered.

Guidelines & protocols

• Brachial plexus MR protocol — authored from the Radiographics review and issued into the departmental MRI protocol review (2017)
• MR arthrography contrast governance — when UK Magnevist supply ended, a formal pharmacovigilance query to the manufacturer settled intra-articular use, licensing and dilution practice (2024)
• On-call intervention scope — proposed a live competency matrix with minimum annual volumes before committing out-of-hours procedures (2016)
• Cervical-stenosis MRI protocols — written into daily departmental practice
• Gynae pathway input — protocol-level imaging advice at MDT, e.g. the CT-urogram pathway where MRI is contraindicated (2021)

Audits with verified datasets

• MR arthrography radiation-burden audit — Trust audit no. 1366, 99 studies (2016–17)
• PLAY gynae/pelvic biopsy audit — 29 procedures (2023–24)
• Urgent imaging & chest radiograph communication — completed (2020)
• BTS pulmonary nodules · thyroid nodules — departmental audits (2017–19)
• Registrar-era verified datasets — RA extremity-ultrasound study (49 studies, 2010–11) · liver-biopsy audit (50 consecutive, 2010) · myocardial SPET–angiography concordance (214 studies, 2007)
• Nine further registrar audits — teleradiology out-of-hours, shoulder imaging vs arthroscopy, MRI brain after normal CT, varicocele embolisation, IRMER CXR compliance, CT head in head injury, MSK ultrasound patient satisfaction, acromiohumeral distance study, discrepancy-log practice (registrar-era log preserved from 2006–10)

Safety & discrepancy practice

• Personal discrepancy logs — maintained 2017–2026; annual learning-from-discrepancy attendance
• Datix submissions — incident and risk reporting with closed-loop documentation (2018 · 2020)
• System-risk escalation — contrast-agent governance, on-call provision, workflow issues: documented, proposed, actioned

Colleagues & the service

• Consultant appointment panels — shortlisting and interviewing consultant radiologists for NHS England (2023)
• Emergency gynae-MDT cover and cross-site gynae reporting for Gloucestershire's CGH MDT (2019)
• Medico-legal assistance — imaging-systems input to the Trust's legal team (2017)
• Physician Grand Round — facilitation and attendance across years (2019–24)
• Repeat FY1 sessions by request — appendicular trauma, lower limb, hip/AXR/CXR (2023–25)
• Documented thanks — referrer letters for prompt reporting and second-opinion reads (2016–17)