NAME:           RAPHAEL ADAM PERRY

ADDRESS:    Cardiothoracic Centre - Liverpool, Thomas Drive, Broadgreen,
                     Liverpool, L14 3PE

TELEPHONE NUMBER:   0151 600 1429        FAX:    0151 293 2429
e-mail:   Raphael.perry@ctc.nhs.uk

DATE OF BIRTH:    9th October 1956

Results can be viewed at the Cardiothoracic Centre Web Site. Click here.

MARITAL STATUS: Married - Four Children

EDUCATION: 
          Merchant Taylor's School, Liverpool
          Harrogate Grammar School
          Nottingham University Medical School

QUALIFICATIONS:
          1978 B Med Sci (Hons) Nottingham University
          1980 BM BS Nottingham University
          1984 MRCP (UK) RCP London
          1990 DM Nottingham University
          1993 FACC American College of Cardiology
          1995 FRCP RCP London

          GMC Registration 2639828
          MPS Membership 126867

POSITION:
         Consultant Cardiologist CTC Liverpool
         Clinical Lecturer in Medicine University of Liverpool

SOCIETIES:
         British Cardiac Society (1988)
         European Society of Cardiology (1989)
         British Cardiovascular Intervention Society (1985)
         British Society of Echocardiography (1991)

CONSULTANT APPOINTMENT - (1990 to Present)

The Cardiothoracic Centre - Liverpool is a tertiary referral centre for the investigation and treatment of adult cardiac and thoracic disorders. The centre serves a population of 2.8million.

There are four Catheter Laboratories and seven theatres. In 2002/3 the workload of the Unit included 1250 Coronary Interventional procedures plus 30 PTMCs, in excess of 4,500 invasive cardiac investigations, 1000 permanent pacing procedures, 1500 CABG procedures and 250 other cardiac operations.

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Clinical Experience

I have since appointment undertaken a heavy clinical workload in my major area of interest i.e. Interventional Cardiology with a total experience in excess of 4,500 cases. Year on year I have performed the largest number of coronary interventions in an increasing variety of patient subgroups. In addition I have until recently been heavily involved in the clinical development of Echocardiography.

Developments in Interventional Cardiology (ongoing); the introduction of new techniques to CTC including lead use of intracoronary ultrasound, first/lead user in UK of Transluminal Extraction Atherectomy and Barath Cutting Balloon Angioplasty, development of cost saving coronary stent regimes. Collection of Audit Data on Interventional Cardiology. Recently I have led the development of groin sealing post PTCA and the radial PCI programme with a view to early mobilisation and discharge.

Director of Echocardiography 1991 - 2000: overseeing of training in Echocardiography; the development of new technology including multiplane TOE; the recent setting up of the a stress echocardiography service including facilities for contrast echo; the development and reporting of a GP based open access echocardiography service.

Clinical Director of Cardiology 2000-present - Administrative lead for department of cardiology.

> Member of Management Board and Medical Directors Forum 2001-present
> Member of Clinical Governance Committee 2000-present
> Member of Zonal Commissioning Team 2001-present
> Revascularisation Lead for CHD Collaborative 2001-present
> Member of Booked Admissions Steering Group 2000-present
> Member of Local Steering Group and Strategy Group for CTC site expansion/development
> District Medical Advisory Committee 1993-2001.
> Regional Cardiology Advisory Board
> Management of all Junior Staff rotas and leave 1991- present: liasing with Junior Doctors steering group on Hours/Regional Task force. Member of Doctors/Nurse Liaison Group
> Steering Committee for development of the Heart Emergency Centre 1994/1995 and ongoing audit of data.
Regular meetings as medical representative with purchasing authorities concerning new technologies

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Medico-Legal Experience

I have extensive experience of performing medico-legal examinations and writing reports for solicitors, crown court, coroner's court and others. I am registered with a number of medico-legal agencies and have attended a variety of courses in medico-legal work. I have made crown court appearances on various occasions for both prosecution and defence.

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Teaching/Training

I have been involved in both undergraduate and postgraduate teaching for many years and regard this as a major commitment both in my role as postgraduate tutor and in the development of the Calman training program.
Postgraduate Clinical Tutor (1993-present); heavy workload in ensuring high quality educational opportunities for junior medical staff in traditionally high service commitment posts

> Chairman of Local Education Board 1993-present
> Chairman of STEC (Cardiology 1997): also a member of STEC (GIM) and STEC (Medicine).
> Programme Director Specialist Registrar Training (Cardiovascular Medicine)
> Regional Specialist Advisor to RCP (Cardiovascular Medicine)
> Director of Undergraduate Teaching at CTC 1991-1998; continued work on student timetabling.
> Examiner for MRCP PACES 2002 onwards
> Examiner for both Finals and exams in the new Medical School Curriculum (c. six days annually).
> Member of Faculty Board and Board of Clinical Studies 1992- present
> Supervisor and Assessor for MD Theses, also occasional external examiner for other institutions.

I arrange and chair the weekly cardiology seminars which are principally for the Junior Medical staff but are attended by a wide range of the CTC staff. I participate in the regular local MRCP Teaching and the regional MRCP Roadshow. I teach nurses studying for MSc in nursing who are regularly attached to my firm. Medical Student teaching during term time both at CTC and during block teaching at the University. I teach junior doctors and technicians on echocardiography.

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Research and Audit

Member of Primary Care Audit Group 1995-1998: mainly in the development of GP based protocols of management of Heart Failure in the Community
Collection of Interventional Data on behalf of BCIS 1989-present
My main areas if research have been in intervention and coronary artery disease and also in the evaluation of LV diastolic function. I have collaborated closely with the research Lab Staff in establishing various assays in particular in evaluation of platelet function and markers of restenosis. The following paragraph expands on this and I have listed the three publications I feel are most significant.

Assessment of diastolic left ventricular function including correlation of invasive and non-invasive measures and the effect of various stressors most recently isometric handgrip. The triggering of anginal events particularly in unstable angina and the role of platelet activity and inhalation of cold air. I have been involved in National Trials in coronary intervention including supervising the SOS Trial, the BRIT Study, PRESTO, CARISA and CHOICE 2000, also presently CARDIA and ACUUTY. I have also been an active participant in the RITA 2 Trial and COVERT Study as well as a number of trials of therapeutic agents in angina and heart failure. I have three further major projects in development in conjunction with my junior staff involving the scientific basis of restenosis in various clinical subgroups undergoing intervention. I have funded three and supervised four research fellows (1991-present) all of whom have produced work suitable for submission for MD theses. I have been a member of the R & D Strategy Group and the Research Grants Committee at CTC and was involved in the establishment of the two CTC Senior Lecturer posts and the development of links with the University

I have an extensive list of publications including book chapters, reviews and peer reviewed original research.

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