Perioperative Medicine Leads


National Clinical Leads for the Perioperative Medicine Programme

Two National Clinical Leads have recently been appointed to drive forwards the Perioperative Medicine (POM) Programme. Dr Michael Swart, a Consultant in Anaesthesia and Critical Care in Torquay, has had a professional interest in perioperative medicine for the last 17 years and has been involved in developing and implementing improvements in preoperative and postoperative care for patients both locally and nationally. Dr Chris Snowden, a Consultant Anaesthetist in Newcastle upon Tyne, has throughout his career been involved in establishing key components of perioperative care at a local, regional and national level. The Clinical Leads will be an integral part of the Perioperative Medicine programme and will act as ambassadors for this vital work.


Dr Swart trained at University College London and undertook Anaesthesia and Critical Care training in Oxford, Cardiff and Cambridge. For the last 18 years Mike has worked as a Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital, Torquay, Devon.

Mike was previously the Medical Lead for the Peninsula Critical Care Network and Department of Health Advisor for Anaesthesia to the Enhanced Recovery Programme.

Clinical interests: Shared decision making with high risk surgery patients; cardiopulmonary exercise testing; high dependency unit care; patient reported and patient derived outcome measures; global health; perioperative medicine. 

Dr Chris Snowden B.Med.Sci (Hons) FRCA MD

Consultant Anaesthetist, Freeman Hospital Newcastle upon Tyne.
Honorary Senior Lecturer, Institute of Cellular Medicine Newcastle University.

Chris trained and graduated in Newcastle upon Tyne and became a Consultant Anaesthetist at The Freeman Hospital in 1997. His clinical week includes hepatobiliary (including liver and pancreatic transplantation), urology and vascular surgery. Chris also has extensive experience in developing preoperative assessment pathways and cardiopulmonary exercise testing.

Clinical Interests: High-risk surgery; Preoperative Assessment; Perioperative Habilitation; Cardiopulmonary Exercise Testing. Perioperative Research interests include alcohol cessation, behavioural interventions and Exercise training. Chris’s overall work program aims to promote the transformation of the anaesthetist into the broader base of a perioperative specialist.

To be put in contact with either of the POM National Clinical Leads please contact:


RCoA Perioperative Medicine Programme Fellow

Dr Anne-Marie Bougeard MA MBBS MRCP FRCA

Dr Bougeard trained at the University of Oxford and University College London Medical Schools.  She gained experience in Acute and Emergency Medicine in the UK and Australia before undertaking Anaesthetic training in Wessex and is currently ST5.  She has until recently been a less than full time trainee, with two young children, and taken time out of programme to work in Obstetric Anaesthesia in Western Australia. 

Dr Bougeard’s interest in Perioperative Medicine comes from her background in Medicine.  She is studying for an MSc in Perioperative Medicine and believes that harnessing the enthusiasm of trainees for perioperative medicine and training anaesthetists as perioperative specialists is key to a sustained and long term improvement in patient outcomes. 

Clinical interests: Prehabilitation; Shared Decision Making; management of the high risk surgical patient; major general and vascular anaesthesia; obstetric anaesthesia.  


Local Leads for the Perioperative Medicine Programme

In addition to the POM Clinical Leads we also have local leads based in hospitals around the UK. These POM Local Leads are committed to the development of Perioperative Medicine and are working to assist in the local delivery of Perioperative Care. We are aiming to identify a Lead in every hospital in the UK; if you do not currently have a Lead in your hospital and would like to put yourself forwards please contact us at and view the Job Description here.

If you would like to be put in touch with any of the Leads please contact





Perioperative Medicine Innovation of Practice Group

The Perioperative Medicine (POM) Innovation of Practice Group is made up of of clinicians with expertise in their respective areas of perioperative medicine. The role of the Group is to assist in the development of ‘toolkits’- providing resources to enable hospitals to implement and develop perioperative practice within their sites- along with providing guidance and support to the POM Local Leads. The Innovation of Practice Group is led by the National Clinical Leads for Perioperative Medicine and will continue to expand and develop to encompass a broad range of members, with experience across the spectrum of perioperative care.