Nephrologist & Deputy CCIO @GSTTnhs. Medical ethics, transplantation, education, digital health, social justice, and really into architecture too 🏳️‍🌈 He/him

London
Joined February 2009
For UK and ROI HCPs only 🌍 How do social and cultural factors shape adherence in transplant patients? 🎧 Tune in to the second episode of our podcast series: 🔗 qrco.de/bgTyhL with Prof Michael Marmot, @AdnanSharif1979 & @refikg. They explore socioeconomic and ethnic disparities, and discuss how clinicians can help overcome structural barriers. #HealthEquity #TransplantCare #Adherence IE-TR-2500121 | November 2025
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🧵Today we published our analysis, commissioned by @jrf_uk, which reveals that people living in poverty find it harder to live healthy lives, harder to access #NHS services, live with greater illness and die earlier than the rest of the population. kingsfund.org.uk/insight-and…
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Registration is open for this special one-day event at the RSM exploring Young Adult Kidney Care rsm.ac.uk/events/nephrology/… @arvnagra @tinachrysochou @Allysonegan1 @LondonKidney @BAPNnephrology @UKKidney @RoySocMed @ReadySteadyGo3 @kidneycareuk @YAKidneyGroup
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Day 11 of our #Epic go-live across @GSTTnhs, @KingsCollegeNHS and @Synnovis. I’m so proud to be part of a team that has achieved so much already - and still lots to do!
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A common question: what can we, in health care, do about the social determinants of health. The answer in this report: a great deal. Health care organisations can be active partners to act on social determinants to prevent illness and reduce inequalities.
A report I wrote with @DrDominiqueAllw & @Mimi_Malhotra for @UCLPartners is out today - showing that hospitals have an important role tackling the social determinants of health. Four inspiring case studies show us not only why this is important, but how it can be done...
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And we’re off! The largest single Epic go-live ever :) – at Camden Town, London
Lift off 🚀 We’re delighted to announce that Epic, our new electronic health record system, has launched today across Guy’s and St Thomas’ and @KingsCollegeNHS. Find out more: guysandstthomas.nhs.uk/epic #TeamGSTT #EpicLaunch  (1/2)
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Just hours to go until the launch of our new #Epic EHR across @GSTTnhs, @KingsCollegeNHS & @Synnovis. Years of work coming to a head - and the true transformation is yet to come!@cormbreen @OHSELCCIO – at London, England
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There's just 4⃣0⃣ days to go until Epic, our new electronic health record system, launches on 5 October. 🚀 Epic will transform the way we deliver care and empower our patients to get more involved in decisions about their health. #ReadyForEpic #TeamGSTT
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Over 18 years since I was last the Renal SHO on nights at Guy’s. Happy to be supporting the #juniordoctorsstrike @GSTTnhs
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Waves of nostalgia as I prescribe analgesia (electronically) while Céline Dion (Power of Love) plays at the nurses’ station. Some things never change
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Refik Gökmen retweeted
With doctors striking in desperation the NHS becomes an emergency-only service. Sadly this is exactly what the government wants. The evidence is clear that tax-funded universal health care is the best way of providing health care in a civilised society. Draw your own conclusion.
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Such important work on the long-term consequences of kidney failure in childhood from @angelacwebster and colleagues. Crucial for nephrologists involved in transition & young adult care too – at Paddington, London
Of the consequences of kidney failure in childhood, those rated as most important are its effects on long-term survival. This study shows that children with kidney failure lose a substantial number of their potential life years bit.ly/JASN0118 @angelacwebster
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Lovely weekend to be on call @GSTTnhs - but with 6 transplants over the week and a 7th in theatre now with @rhz59 and @TransplantMaple (pancreas-kidney) it’s been a great reminder of what it’s all about! – at London, England
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Important to understand this properly: social determinants of health (food security, healthcare access etc) can help explain racial health inequalities, rather than biological effects of race. And disparities in SDoH often the result of structural racism thelancet.com/journals/lanpu…
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NEJM Catalyst Insights Council members in the United States and United Kingdom discuss the use of behavioral nudges to influence patient and clinician behavior: nej.md/3VSrlWx @refikg @GSTTnhs
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Interviews from NEJM Catalyst Insights Council members on how their organizations apply behavioral nudges: nej.md/3VSrlWx Thanks to Nikolaus Kashey @OurLegacyHealth @refikg @GSTTnhs and Cynthia Deculus @CedarsSinai for your thoughts!
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I really enjoyed speaking with @nejmcatalyst about behavioural nudges - particularly in relation to our Epic EHR implementation programme @GSTTnhs & @KingsCollegeNHS. How can we encourage clinicians to get the most out of an EHR without even noticing? #digitalhealth
"Behavioral Nudges Are Under the Radar but Omnipresent" nej.md/3VSrlWx with Nikolaus Kashey @OurLegacyHealth @refikg @GSTTnhs Cynthia Deculus @CedarsSinai
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As ever, a great summary of the dual problems of pay erosion and workplace culture
NEW: we need to talk about NHS staff retention. At a time when Britain’s healthcare system is acutely short of workers, *1 in 7* UK-trained doctors are practising overseas. No other developed country is like this, which immediately tells you there’s a problem. Let’s dig deeper:
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