Graham has been a rural general practitioner in Cheshire and, having been taught by Frank Dudley Hart at Westminster Hospital, he has maintained an interest in rheumatology through the Primary Care Rheumatology Society, of which he is past-President.
Graham completed an MSc in rheumatology in 1999 and has been involved in postgraduate education for General Practitioners (GPs) as a lecturer, trainer, course organiser and appraiser.
From 2008-2011, Graham was the Royal College of Practitioners (RCGP) Clinical Champion for Musculoskeletal Medicine (with an interest in Osteoporosis) and was later appointed to a similar role at Keele University.
Graham has a particular interest in osteoporosis and has been involved in the development of guidelines, organising the National Osteoporosis Conferences and works with NICE as an osteoporosis clinical expert. As well as osteoporosis, Graham is an expert in corticosteroid joint injections and has taught over 1500 GPs in his workshops, locally and nationally, over the last 30 years.
Graham is currently a co-investigator on a primary care based research trail which focusses on the management of carpel tunnel syndrome (INSTinCTS trial). He has also chaired a working party to develop guidelines for the early management of inflammatory arthropathy (The S-factor) and has been involved in similar projects for lupus and ankylosing spondylitis.
As a member of the British Society for Rheumatology Gout Group,he has been involved in the recent update of gout guidelines.
Over the last 30 years, Graham has run a number of national and local musculoskeletal educational days and conferences for GPs and registrars.
Research and scholarship
Graham's primary research interest is the management of common musculoskeletal problems in primary care, with a particular focus on joint injections. He is currently a co-investigator on a CTIMP trial comparing corticosteroid injections versus night splints in carpal tunnel syndrome.
Full Publications Listshow
Seeing the light at the end of the carpal tunnel: the challenges of recruiting sites to a clinical trial of an investigational medicinal product in primary care. TRIALS (vol. 18). link>2017.