Mental health, Dementia, Technology, AI and multimorbidity
I am Professor of Clinical Psychiatry at the University of Exeter Medical School, Visiting Professor at the University of East Anglia, and Consultant Old Age Psychiatrist with Norfolk and Suffolk NHS Foundation Trust; I also support research memory clinics with Devon Partnership NHS Trust. My research focuses on anticholinergic burden and dementia risk, neuroinflammation and delirium, sleep and circadian disturbance, multimorbidity and frailty, digital and technology‑enabled dementia care, support for family carers, and complex interventions implemented within routine NHS and social care. I have published over 360 peer‑reviewed papers (including BMJ, JAMA Neurology, Lancet, Lancet Neurology, Nature Reviews Neurology, Age and Ageing, and Alzheimer’s & Dementia) and secured more than £50m as chief investigator or co‑applicant across NIHR, UKRI/MRC, Horizon Europe and major charities in the last 5 years.
My work on anticholinergic risk led to the Anticholinergic Cognitive Burden (ACB) scale, now widely used and cited in NICE dementia guidance; related contributions inform WHO dementia prevention activity. Throughout, I have prioritised co‑production, equity and real‑world impact, ensuring that discovery, trials and implementation are tightly connected.