Dr Ajit Kumar Verma

Consultant Physician & Geriatrician with specialist interest in Stroke Medicine

Qualifications

MBBS, MD, MRCP UK, MRCP (Geriatrics), FRCP Edin

Year of first medical qualification: 1996

Professional profile

Dr Verma qualified from the prestigious Patna Medical College (previously Prince of Wales Medical College) in India in 1996. Afterwards, he pursued a specialisation in General internal Medicine and completed research on Diabetes leading to award of MD in 2001. He accumulated vast medical experience in general & tropical medicine, Diabetes and Cardiology while working in Tertiary Hospitals in Kanpur & New Delhi.

Dr Verma came to the UK in 2003. He completed higher specialist training with dual accreditation in General Internal Medicine and Geriatrics from South Wales. During his registrar training, he worked with ABUHB and Cardiff & Vale University Health Boards. He joined as a substantive Consultant Physician with a specialist interest in Geriatrics and Stroke Medicine at Royal Gwent Hospital in 2011. He participates in acute medicine and stroke thrombolysis services besides running inpatient services for older people, specialist Medical and TIA clinics at Royal Gwent & St Woolos Hospitals. He has been a clinical director since October 2009. He is also the lead clinician for St Woolos and Chepstow Community Hospitals for his speciality

During his training Dr Verma has accumulated experience with a wide range of medical problems while working in stroke & TIA clinics; general and post-stroke rehabilitation, Parkinson’s disease, falls& syncope, Tilt table testing, osteoporosis & bone health, dementia, heart failure, palliative care, incontinence, orthogeriatric & perioperative care, intermediate care & home visits for the elderly and chronic conditions clinics for the elderly as well as young people.

Throughout his career, he has provided acute medical specialist services with medical emergency admissions which involves managing multiple medical conditions in young as well as older people such as heart, lung, gastrointestinal, neurological, metabolic and infectious disease problems.

He is an accredited clinical and educational supervisor providing training to a large number of trainee doctors including registrars. He has a keen interest in quality improvement work and postgraduate medical education. He leads postgraduate education in his department and organises RCP approved Gwent Stroke study days and training programmes for Geriatrics. He is also an examiner for postgraduate MRCP (UK) PACES examination. He has been an honorary clinical teacher at Cardiff University and member of dementia board at ABUHB.

He has made presentations in various National and International Conferences and published in peer-reviewed journals. He lectures on a wide range of topics including comprehensive geriatric assessments, post-stroke recovery, polypharmacy issues, stroke/TIA management, dementia, delirium and prognostication in older adults. He is the lead for national audit for dementia in Royal Gwent Hospital.

Dr Verma has actively contributed to the multidisciplinary service development works within ABUHB/ South Wales leading to centralisation of acute stroke services, expansion of services for frail older people, chronic long term conditions and Elderly Frailty Unit at Royal Gwent Hospital.

In his NHS Senior Clinician role, he has the responsibility for providing leadership in the integration, interprofessional collaboration and coordination for the service delivery towards the health care needs of the elderly patients within Newport and surrounding localities. He is quite familiar with the local community, psychosocial and population needs. He works with a large multidisciplinary team including trainee doctors, pharmacists, specialist nurses, physiotherapists and occupational therapists.

What to expect from a private consultation

•    Generous consultation times- New consultations- 40 minutes to 1 hour, Follow up patients- up to 30 minutes
•    Comprehensive assessments including medical, physical, functional, cognition, mental, spiritual, nutritional and functional aspects 
•    Medication list reviews
•    Full clinical examination
•    Discussion with family and carers if patient consents
•    Possible diagnosis- Explanation and counselling
•    Organisation of necessary laboratory tests/ scans and investigations 
•    Shared decision making
•    Individualised and person-centred management plans
•    Liaison/ collaboration with specialist services/ physiotherapists/ support services if necessary
•    Clinic letters to GPs/ patients
•    Prescriptions & Referral letters
•    Follow up appointments

For patients undergoing or planning to go for surgical procedures:

  • Thorough assessment of health and care needs 
  • Acute medical care plan & support prior to and after the surgery
  • Management of delirium & medical complications in the perioperative stage
  • Help with post-surgical rehabilitation and discharge planning
  • Bone health assessments and care for patients undergoing orthopaedic surgeries.      

Clinical Director, Medicine for older people, Royal Gwent Hospital, ABUHB, Newport.

Dr Verma’s has expertise in all aspects of General, Geriatric and Stroke Medicine, including rehabilitation. This includes, but is not limited to, conditions such as-

General & Geriatric Medicine

  • Comprehensive geriatric assessments
  • Holistic assessments for patients with multiple symptomatology & chronic long term conditions (including young people)
  • Counselling and wellbeing advice for healthy & productive ageing
  • Nutrition problems in the elderly
  • Frailty and sarcopenia (muscle loss) management
  • Multiple medications (polypharmacy) reviews
  • Urinary incontinence in elderly
  • Complex multimorbidity problems in elderly
  • Psychosexual problems in elderly
  • Medication (polypharmacy) reviews
  • Unexplained decline in general conditions

Hypertension and Diabetes

Stroke Medicine & Rehabilitation

  • Stroke and post-stroke rehabilitation
  • TIAs (Mini strokes)
  • Vascular dementias
  • General rehabilitation after acute illnesses

Neurological/ psychological/ cognitive conditions & Dementia in old age

  • Parkinson’s Disease
  • Epilepsy/seizures at old age
  • Dementia, cognition and memory assessments
  • Behavioural and psychological symptoms in dementia
  • Delirium (Acute confusional state)
  • Depression, isolation & chronic stress
  • Chronic headache
  • Bereavement issues

Syncope (Blackouts), Funny turns, dizzy spells & vertigo

Fitness for surgery & perioperative assessments

  • Assessments for fitness for surgery
  • Providing support for post-surgical recovery and rehabilitation
  • Prognostication and Perioperative assessments for the elderly
  • Orthogeriatrics- supportive and medical therapy to older patients undergoing bone and spinal surgeries

Falls, balance problems & bone health

  • Falls and balance problem risk assessments and treatment for reversible causes
  • Falls prevention strategies
  • Osteoporosis and bone health
  • Injection therapies for osteoporosis
  • Chronic Pain/ osteoarthritis management

Cardiovascular problems in elderly

  • Atrial fibrillation and long-term anticoagulation
  • Chronic angina
  • Heart failure

Pressure sore management

Mental capacity assessments & safeguarding issues in elderly

Effective discharge planning in patients keen to go home soon after acute illness management & operations.

General Internal Medicine, Geriatrics (Medicine for older people) & Stroke Medicine.

 I Singh, K Morgan, A Verma, G Belludi, S Aithal. Does nurse’s education reduce their work-related stress in the care of older people, Journal of Clinical Gerontology and Geriatrics 6, 1; March 15,34-37 

Khanna K, Verma A, Richard B. “The locked-in syndrome”: Can it be unlocked?  Journal of Clinical Gerontology and Geriatrics, Dec 2011,2;4:96-99

Verma A, Hasan T. Thyroid disorders in older people. Reviews in Clinical Gerontology, Aug 2009, 18; 3:193-206

Verma A. Stroke in young adults- A review. Welsh Stroke Bulletin Sept 2008; 18:8-12

Malik A, Verma A, Richard B, Khanna P. Epilepsy in Stroke. GM2, 2009; 39; supplement 5:8-11

Conditions and Treatments

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