Qualifications
1976 MB, BS (London), LRCP, MRCS
1981 MRCPsych.
1985 MSc. (Clinical Psychotherapy)
1988 MD (University of London)
Charing Cross Hospital Medical School, University of London.
Prizes
Chemistry prize in sixth form at school.
Thomas Henry Green Prize for Clinical Medicine awarded for work carried out during an elective period at the Cassel Hospital.
Previous Appointments
January 1977 – June 1977 House Surgeon in Orthopaedics to Mr Strachen, Charing Cross Hospital.
September 1977 – March 1978 House Physician in General Medicine to Dr Hobson and Dr Coe, West Middlesex Hospital.
April 1978 – October 1978 Senior House Officer in Adult Psychiatry to Dr Wagner, West Middlesex Hospital.
November 1978 – April 1979 Senior House Officer in Adult Psychiatry to Dr Duff-Miller and Dr Steinert at St. Bernard’s Hospital.
May 1979 – August 1980 Registrar in Adult Psychiatry and Psychotherapy to Dr Morrish and Dr H Bourne at St. Bernard’s Hospital.
September 1980 – June 1981 Registrar in Child Psychiatry to Dr Bailey at West Middlesex Hospital.
July 1981 – February 1982 Registrar in Adult Psychiatry to Dr Baxter at Charing Cross Hospital (Day Hospital).
October 1982 – March 1983 Research Fellow to Professor Crisp, St. George’s Hospital.
April 1983 – April 1985 Wellcome Clinical Research Fellow in the Urodynamic Unit, Department of Obstetrics and Gynaecology, St. George’s Hospital. Supervisors – Mr Stanton and Dr Stern.
May 1985 – May 1986 Senior Registrar in Adult Psychiatry to Dr Bearcroft and Dr Forsyth at Kingston Hospital.
June 1986 – May 1987 Senior Registrar in Adult Psychiatry and Psychotherapy to Professor Crisp and Dr Burke, St. George’s Hospital.
June 1987 – January 1988 Senior Registrar in the Supra-regional Deaf Unit at Springfield Hospital (Dr Kitson) and Senior Registrar in Mental Handicap.
August 1987 – April 1988 Locum Consultant in Mental Handicap at St. Ebba’s Hospital. Five sessions.
February 1988 – April 1988 Locum Consultant at Queen Mary’s Hospital, Roehampton. Five sessions.
May 1988 – April 1989 Alcohol Unit, Epsom Hospital,
Dr Yeldham.
June 1989 – January 1990 Senior Registrar, Addiction Research Unit, St. George’s Hospital. Prof. H Ghodse.
Other locum appointments include Lecturer in Psychiatry, Senior House Officer in Obstetrics and Gynaecology, Accident and Emergency and Registrar in Psychiatry.
February 1990 – September 2008. Consultant Psychiatrist Berkshire NHS Trust, and predecessor organisations.
Special Experience
My professional training has been broadly based and extremely varied. After house jobs in Orthopaedics and General Medicine I joined the psychiatric rotational training scheme based at Charing Cross Hospital, West Middlesex Hospital and St. Bernard’s Hospital.
General Professional Training
At West Middlesex Hospital I worked as an SHO for Dr Wagner in General Adult Psychiatry. In addition to the day-to-day care of the in patients I was able to undertake liaison work in A and E and on the general medical wards. I also had some experience of psychogeriatrics, including home visits.
At St. Bernard’s Hospital I worked first as an SHO for Dr Duff-Millar and Dr Steinert. This was mainly acute adult psychiatry but included some experience in long-stay and rehabilitation. I then worked for Dr Morrish for eighteen months looking after the female disturbed ward and was actively involved in a more community orientated approach which included liaison with social services, half-way houses and home visits. During this period I also took advantage of an opportunity to work half time in the therapeutic community (Conolly ward).
I returned to West Middlesex Hospital to work for Dr Bailey in Child Psychiatry. In this post there was particular emphasis on family therapy. I also enjoyed working with the older age group and ran an outpatient group for adolescents. I was closely involved with paediatric liaison and additionally held a clinic at the local school for physically and mentally handicapped children.
Following this I worked for Dr Baxter at Charing Cross Hospital in the Day Hospital. This post also included an important commitment to the emergency walk-in clinic.
Higher Professional Training
I first worked for Professor Crisp for six months at St. George’s Hospital as a research fellow in the sleep laboratory. I successfully completed a research project evaluating a treatment for nocturnal enuresis and the results were written up and published in a specialist journal.
In April 1983 I was extremely fortunate in being able to continue my interest in liaison psychiatry and was appointed as a clinical research fellow in the Urodynamic Unit, Department of Obstetrics and Gynaecology at St. George’s Hospital for two years. This post was also fully accredited for higher professional training in general adult psychiatry. The work involved investigating the psychological aspects of women with urinary disorders. The research showed a previously unreported level of anxiety and unhappiness in such patients and also demonstrated that psychological treatments were effective in helping patients overcome their urinary and psychological symptoms. The research led to a number of publications and I am particularly proud of the article in the British Medical Journal. I was also awarded my doctorate for this research.
I then joined the St. George’s Senior Registrar rotation and worked at Kingston Hospital for Dr Bearcroft and Dr Forsyth for one year. I was responsible for the day hospital and the supervision and teaching of the junior staff and medical students. I regularly taught casualty staff and organised the academic programme.
My next post on the rotation was at Atkinson Morley’s Hospital where I worked for Professor Crisp and Dr Burke for one year. I was able to continue developing my interest in psychosomatic medicine and psychotherapy. The clinical work involved eating disorders, sleep disorders and adolescent disturbances. I had the opportunity to run groups and undertake family therapy as well as supervise other staff.
At the Supra-regional Deaf Unit I was involved with the community service side of the work, supervising the community nurses and visiting patients at other establishments. On the mental handicap (now referred to as learning disabilities) side I started at the Roehampton Community Mental Handicap Team before moving to St. Ebba’s to take up a locum consultant appointment.
At Epsom Hospital I was responsible for the alcohol unit, which was a regional in-patient and day patient resource operating on a therapeutic community basis. Whilst there I was involved with the development of community approaches, outpatient detoxification programmes and controlled drinking groups.
I elected to expand my experience in addiction behaviour by joining Professor Ghodes’s team at St. George’s before taking up my appointment in East Berkshire.
Psychotherapy Experience
In all my appointments I took part in the sensitivity groups for staff and whilst at Kingston I ran a staff group and have supervised other staff running groups. In addition to the group work in the therapeutic communities I have run outpatient groups including one for patients with sleep disorders.
During my MSc. course I undertook individual work, including seeing one patient twice a week for two years. My research involved individual brief psychotherapy and behavioural treatment for patients with urodynamic disorders.
I have considerable training and experience in family therapy and work with couples. This was gained in particular during my time in child psychiatry, mental handicap and addictions.
Previous appointments to day hospitals have afforded the opportunity to develop supervisory skills, especially in supportive and behavioural psychotherapy.
In addition to this clinical interest I have also attended a number of courses:
• General Course, Institute of Group Analysis. (1979 to 1980). This was a one-year, half-day course consisting of a lecture programme, small group discussion and large group experience.
• Introductory Course, Institute of Family Therapy. (1980 to 1981). This was a one-year half-day course consisting of a lecture programme followed by a small group tutorial and case supervision.
• MSc. Psychotherapy Course, St. George’s Hospital (1982 to 1985). Part-time three-year course consisting of a lecture programme, clinical supervision, sensitivity group and presentation of a dissertation.
• Hypnosis. I have been a member of the British Society of Medical and Dental Hypnosis. I conducted a randomised trial of self-hypnosis for analgesia in labour, the results of which were published in the British Medical Journal.
Research Experience
I had always wanted to undertake research into psychosomatic medicine and I was extremely pleased to have the opportunity during my higher professional training. My research developed in a number of areas and lead to the following publications.
Urodynamic Work
Articles
• Macaulay AJ, Stern RS, Holmes DM, Stanton SL. Micturition and the Mind: psychological factors in the aetiology and treatment of urinary symptoms in women. British Medical Journal, 1987,294,540-543.
• Macaulay AJ, Micturition Disorders. Stress Medicine. 1989,5,47-55.
Chapters
• Urinary Disorders in Handbook on the Psychological Management of the Physically Ill edited by Burns T and Lacey H. Published by Churchill-Livingstone 1988.
• Psychiatry and the Unstable Bladder in The Unstable Bladder edited by Freeman RM and Malvern J. Published by John Wright 1989.
• Psychiatric Aspects in Clinical Gynaecological Urology edited by Stanton SL. Published by Churchill-Livingstone 1990.
• Psychiatric Aspects in Clinical Gynaecological Urology edited by Stanton SL and Monga A. Published by Churchill-Livingstone 2000. 2ed. Edition.
Conference Proceedings
• Macaulay AJ. Psychological treatments for urinary frequency and urgency – a preliminary report of a prospective, randomised controlled trial. Proceedings 15th European Conference of Psychosomatic Medicine (1984).
• Macaulay AJ, Holmes DM, Stanton SL and Stern RS. A prospective, randomised controlled trial of brief psychotherapy, bladder drill and propantheline for urgency and frequency of micturition in women. Proceedings International Continence Society, 1985, 184-185.
• Macaulay AJ, Holmes DM, Stanton SL and Stern RS. A clinic survey of the mental state of 211 women attending a urodynamic unit. Proceedings International Continence Society, 1985, 180-181.
• Macaulay AJ, Norton K, Holmes DM. The effect of intrapsychic stress on bladder pressure. Proceedings International Continence Society, 1985, 182-183.
Other Work
Articles
• The relationship between nocturnal motility and the enuresis alarm device. Macaulay AJ, Gupta M, Crisp AH and Bhat AV. Journal of Psychosomatic Research. 1986,30,63-65.
• Randomised trial of self-hypnosis for analgesia in labour. Freeman RM, Macaulay AJ, Eve L, Chamberlain GVP, Bhat AV. British Medical Journal. 1986,292,657-658.
• Experiences with video: A report on video as a teaching aid. Macaulay AJ. Bulletin of the Royal College of Psychiatrists. 1985,9,199-200.
• Adventures in distance learning. Macaulay AJ. Journal of Public Mental Health. 2012,11.1,39-42.
• What you can learn from Mental Health Television? Macaulay AJ. Viewfinder. March 2013 No 90.
Conference Proceedings
• The effect of sleeping on a wire mesh – a presumed element in the effect of the bell and pad treatment for nocturnal enuresis. Macaulay AJ, Gupta M and Crisp AH. 1984. Proceedings 15th European Conference of Psychosomatic Medicine.
• Relationship of blood pressure to aspects of the psychological status within the general population. Crisp AH, Macaulay AJ, Queenan M, D’Souza MF. 1984 Proceedings 15th European Conference of Psychosomatic Medicine.
• Web TV – what works and what doesn’t. Macaulay AJ. Doctors 2.0 and You 2012. Basil Strategies, Paris Conference 2012.
During my consultant appointment I took part in several drug trials and obtained funding for a clinical research fellow (Dr K Kelly) for one year (1994).
I retained my interest in research by joining the Local Research Ethics Committee from 1991 and was the Chairman from 1992 to 2004.
Audiovisual Experience
In 1982 I worked as the technical advisor on a TV series for Channel Four called “The Nations Health”. Critically acclaimed, considered racy and controversial in its day. I have also advised on some and appeared in other broadcast programmes, such as “Dr Christian will see you now”, for Firefox films.
At St. George’s Hospital I established the library video service and advised on equipment purchase.
For over 30 years I have undertaken interview skills training, using role-play and video feedback.I have advised, supported and worked with AV units at Charing Cross Hospital, St. George’s Hospital and the University of London.
In recent years I have set up a video and broadcast facility without any call on NHS or university funds. This allows the production of educational material that can be distributed at modest charge.
More recently I have contributed to the stigma campaign run by the Royal College of Psychiatrists.
I am active in the production of distance learning material for the College and member of the eCPD group which provides distance learning modules for Consultants and other senior staff.
Productions
I have made numerous teaching and patient information tapes. Some have been quite specific and for conference use whilst others have longer shelf life. The full catalogue of current titles is available at www.mentalhealthtv.co.uk.
Some are award winning; for example, “Not Too Small to Mourn” about late miscarriage was the Silver Medal Winner in 1992. The tape on Post Traumatic Stress Disorder is extremely popular, whilst Psychological Defence Mechanisms has become a classic in educational television.
Administrative Experience
Vice-president of the student union 1973-74. Appointment concerned student welfare, social, sporting and external affairs. Since this time I have always maintained a clinical interest in student health and sick doctors.
At St. Bernard’s I was a member of the staff and educational committees for two years.
Member of the teaching resources committee at St. George’s for 3 years.
Past member of the audio-visual working party of the Royal College of Psychiatrists (1983 – 85).
At Kingston Hospital chairman of the multidisciplinary staff meetings.
At Wexham Park Hospital I was on various committees and working parties, including police liaison committee and the major incident working group. My main contribution to administration was the Chairmanship of the Local Ethics Research Committee, which I undertook for many years (1992 – 2004).
At also chaired the consultants meeting 2002 to 2006.
Clinical tutor from 2004 – 2008.
Advisory board Royal College of Psychiatrists distance learning project (2005 on).
Postgraduate Courses
During all my appointments I have attended the academic programmes and in addition have been on a number of courses such as the NW Thames MRCPsych. and SW Thames residential revision courses. I have also kept up to date by attending Royal College meetings, conferences and postgraduate lectures. I have registered for continuing professional education and I am a member of a Personal Development Group.
Teaching
I still draw on the experiences and skills I learnt during my time as a teacher at Forest Grange Preparatory School, Horsham, Sussex, which I did for one year before going to medical school.
In the past I have run a course on hypnosis for General Practitioners and Psychiatry for social workers at Kingston Polytechnic. I have run introductory and revision courses and well as teaching medical students in all of my appointments.
I have lectured local general practitioners and postgraduate staff and contributed to the appraisal skills programme at Wexham Park Hospital.
I have taught medical and other students attending the Cardinal Clinic.
I have been an invited lecturer at Decartes University, Paris, teaching for a week each year (from 2015).