Dr Arshad Hussain Rather
MBBS, MSc, FRCP (London) MRCP (UK), MRCP (Geriatrics)
Consultant Geriatric Medicine and General Internal Medicine
- Complex diagnostic problems and holistic review of patients with multiple medical problems, including review of medicines
- Acute inpatient medical care of general medical patients
- Medical care of surgical and orthopaedic patients (perioperative medicine)
- Falls, frailty and rehabilitation
- Parkinson’s disease
- Dementia, Delirium and memory impairment
- Chronic disease management like hypertension, heart failure, osteoporosis and bone health assessment
- Assessment of capacity
- Depression in the older person
Dr Arshad has got more than 8 years’ experience working as a Consultant Physician in Geriatric and General Medicine in University College Hospital. He is the Head of Department of Geriatric medicine at UCLH. His postgraduate training was mainly in Northwest London at Imperial College Hospitals NHS trust. He is involved in undergraduate and postgraduate clinical education and also an honorary Clinical Associate Professor in UCL medical school heavily involved in teaching of medical students.
His specialist interests are in General internal medicine, complex medical issues needing holistic care, perioperative medicine, orthogeriatrics, Parkinson's disease, complex disease management, dementia, falls and bone health. He works closely with surgeons and other specialists at The London clinic hospital to optimize medical care of inpatients. His specialist clinic for Parkinson’s disease at university college hospital helps him manage complex multi-morbid Parkinson’s patients in a comprehensive and holistic way and also running a comprehensive geriatric and general medical clinic on Harley Street treating patients with complex diagnostic problems.
Dr Arshad's approach to professional excellence is simple. "I treat people as I would like members of my own family to be treated. I am approachable, friendly, and try to establish empathy early in a consultation. I believe in “getting it right first time”. This means more than getting the diagnosis right. It means finding out what the patient hopes for and expects from treatment, and explaining the limitations and risks of treatment".
1. Lecture to postgraduate students on geriatric syndromes, RILA, London.
2. Presentation at BMA grand round on non-motor symptoms in Parkinson’s disease, London
3. Presentation at GP Seminar at UCL, London
4. Presentation at neurology for primary care under RCGP in oxford: non-motor symptoms.
5. Parkinson’s Patients - Presentation at Barnet CCG GPs on Parkinson’s disease and non-motor symptoms.
Research and Publications
1. Outcomes from COVID-19 across the range of frailty: excess mortality in fitter older people: Amy Miles, Thomas E. Webb, Benjamin C. Mcloughlin, Imran Mannan, Arshad Rather, Paul Knopp, Daniel Davis, Eur Geriatr Med. 2020; 11(5): 851–855. Published online 2020 Jul 18. doi: 10.1007/s41999-020-00354-7PMCID: PMC7368630
2. Complementing chronic frailty assessment at hospital admission with an electronic frailty
Index (FI-Laboratory) comprising routine blood test results: Hugh Logan Ellis MBBchir, Bettina Wan MBBS, Michael Yeung MBBS, Arshad Rather MBBS, Imran Mannan MBBS, Catherine Bond MBBS, Catherine Harvey MBBS, Nadia Raja MBBS, Samuel D. Searle MD. CMAJ 2020 January 6;192: E3-8. doi: 10.1503/cmaj.190952
3. Arshad HR & Qureshi A: The Non-motor symptoms of Parkinson Disease and their management: Clinical Focus Primary Care: Rila Publications Ltd, London, publication March 2016
4. Amer H & Rather A: Heart Failure in the Older Patient; Clinical Focus, Primary Care: Rila Publications Ltd, London publication May 2016.
5. I was principal Investigator at University College London for Frailsafe study. The FRAILsafe project was supported by a Health Foundation ‘Closing the Gap in Patient Safety’ award. FRAILsafe aimed to improve measured quality of care for frail older patients admitted to NHS hospitals with medical emergencies. Published in age and ageing. The results were published in 2018 in Age and Ageing.
Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK Age and Ageing, Volume 47, Issue 2, 1 March 2018, Pages 311–317
6. I was a collaborator a national survey of junior doctors’ understanding of delirium as a Hospital. The work was published in “Age and Ageing”. It is a repeat of a previous study done 5 years ago considering the NICE guidelines on delirium and increased prominence of delirium in education. Published in Age and ageing in July 2016
Increasing delirium skills at the front door: results from a repeated survey on delirium knowledge and attitudes. Age and Ageing, Volume 45, Issue 4, 1 July 2016, Pages 517–522
7. Poster presentation of management of first seizures in over 75’s in University college hospital London. Presented at international neurology and neurosurgery conference in London 2018