Consultant in anaesthesia and pain management
I studied medicine at St Thomas’s Hospital Medical School, London; trained in anaesthesia at St Thomas’s and St Bartholomew’s Hospitals before coming to Oxford in 1997; and was appointed consultant in 2000.
I have been Trust lead for Pain at the Oxford University Hospitals NHS Foundation Trust, and continue to be an honorary senior clinical lecturer at the University of Oxford.
I am secretary of the Acute Pain Special Interest Group (APSIG) for the International Association for the Study of Pain; a past chair of APSIG of the British Pain Society; a core member of the Opioid Painkiller Dependence Alliance, and am on the editorial board of the British Journal of Pain.
My pain interests include opioid painkiller dependence; persisting post-surgical pain; and pain management in neuromyelitis optica.
I work with Ben Goldacre and his group at the Evidence Based Medicine DataLab to identify patterns of opioid prescribing across England.
I have been interviewed about chronic pain and opioid use for a documentary on ITV's Tonight: https://www.itv.com/hub/tonight/1a2803a1224
and for Horizon with Michael Mosely: https://wingspanproductions.co.uk/what-we-do/read/63/Addicted-to-Opioids
With Katie Warnaby I am an investigator on the Oxford Persisting Post-Operative Pain Study (OxPPOPS). OxPPOPS is a major clinical trial to identify the incidence and predictive factors for development of chronic pain after surgery and its impact on quality of life. We have recruited over 700 patients undergoing caesarean section. Predictive factors under investigation include psychological, anaesthetic, surgical, genetic and hormonal factors as well as those relating to post-operative analgesic management and sleep. Identification of the variables that predict the development of persistent post-operative pain will allow interventions in ‘at-risk’ patients to be implemented.
Levy N. et al, (2020), Anaesthesia
Quinlan J. et al, (2020), Anaesthesia, 75 Suppl 1, e10 - e13
Quinlan J. et al, (2019), Clin Med (Lond), 19, 441 - 445
Curtis HJ. et al, (2019), The Lancet Psychiatry, 6, 140 - 150
Pollard R. et al, (2019), Anaesthesia, 74, 123 - 124
Opioid prescribing trends and geographical variation in England, 1998–2018: a retrospective database study
This Lancet paper describes the OpenPrescribing tool in action, showing the variation in opioid prescribing by GPs across England. The rise in opioid prescribing from 1998 to 2016 was higher than described in other studies as we looked at morphine equivalence rather than just the number of prescriptions. Opioid prescribing remains excessive, with no clinical benefit but significant risk for patients taking high doses for chronic pain, with attendant cost to the individual in terms of quality of life, and financial cost to the NHS. https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(18)30471-1/fulltext