Dr Peter Pockney

Dr Peter Pockney

Senior Lecturer

School of Medicine and Public Health (Medicine)

Career Summary

Biography

Dr Peter Pockney has been the Senior Lecturer in Surgery at the University of Newcastle since 2011. In this role, he combines an active teaching and research commitment to the School of Medicine and Public Health with clinical practice as a specialist colorectal, general and trauma surgeon at the John Hunter Hospital, Newcastle.

Peter completed undergraduate medicine at University College London in 1996, graduating with Distinction in Surgery and Merit in Medicine.  He did basic clinical training at University College London, Southampton University Hospitals and Cambridge University Hospitals before completing his Doctorate of Medicine in 2004 at Southampton University under the Supervision of Professor John Primrose. This research was in the field of surgical randomised clinical trials, which remained the main focus of his research activity until 2016.

After finishing research training and his DM, Peter completed higher surgical training in 2007, specialising in General and Colorectal surgery. A subspecialty fellowship in Newcastle, NSW in 2008 was followed by 2 years working as a Consultant Surgeon in London.

Peter returned to Newcastle as the Senior Lecturer in Surgery in 2011.  He has the role of course coordinator for surgery in the BMed, which includes responsibility for course and assessment design, and approximately 10 hours a week contact time teaching with the students.

His research activity has included being the Chief Investigator and contributor to 5 randomised clinical trials aimed at improving outcomes after major colorectal surgery, and three prospective studies of biomarkers as indicators of adverse events in surgery. He has also led a major project in service redesign to improve access to colonoscopy for people at high risk of bowel cancer, and a further study that improved cost effectiveness and efficiency in the operating theatre during common surgical procedures.

In 2016 he led an initiative that brought together the Hunter New England Local Health District and the University of Newcastle to support 4 Junior Clinical Fellows in Surgical Research and Teaching.  These Fellows are funded through part-time work for the hospital to teach undergraduate students and to conduct high quality research.  The projects being undertaken include examining the role of circulating cell free tumour DNA as a biomarker for colorectal cancer, the role of Neutrophil Extracellular Traps in colorectal cancer metastases, neurotrophic growth factors in prostate cancer, a randomised clinical trial of prehabilitation in major upper gastrointestinal surgery, and a multicentre audit of emergency laparotomy operations.

This program is being extended in 2018, with 12 positions being offered across General and Colorectal Surgery, Neurosurgery, Cardiothoracic surgery and Trauma surgery. Other projects being undertaken under his supervision include examining the role of the colonic microbiome in anastomotic leaks, the utility of a biomarker in diagnosis of acute appendicitis, and the role of variations in the genome of CD36 in the phenotype of Familial Adenomatous Polyposis.

Membership

Royal Australasian College of Surgeons, Section of Academic Surgeons

Colorectal Surgical Society of Australia and New Zealand


Qualifications

  • Doctor of Medicine, University of Southampton - UK
  • Bachelor of Science (Honours)(Geography), University of Exeter - UK
  • Bachelor of Medicine, Bachelor of Surgery, University of London
  • Post Graduate Cert-Completion of Train(Gen Surgery, Post Graduate Medical Educ & Training Board - UK

Keywords

  • Clinical Trials
  • Colorectal Cancer
  • Colorectal Cancer Screening
  • Colorectal Surgery
  • FAP
  • Neutrophil Extracellular Traps

Fields of Research

Code Description Percentage
080799 Library and Information Studies not elsewhere classified 30
110399 Clinical Sciences not elsewhere classified 35
111799 Public Health and Health Services not elsewhere classified 35

Professional Experience

UON Appointment

Title Organisation / Department
Senior Lecturer University of Newcastle
School of Medicine and Public Health
Australia

Professional appointment

Dates Title Organisation / Department
11/01/2011 - 21/07/2028 Consultant Surgeon

Consultant Colorectal and General Surgeon.

John Hunter Hospital, Newcastle
Colorectal Surgery
Australia
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (21 outputs)

Year Citation Altmetrics Link
2017 Smith SR, Pockney P, Holmes R, Doig F, Attia J, Holliday E, et al., 'Biomarkers and anastomotic leakage in colorectal surgery: C-reactive protein trajectory is the gold standard.', ANZ J Surg, (2017)
DOI 10.1111/ans.13937
Co-authors John Attia
2017 Zala A, Bollipo SJ, Pockney P, Foster R, '1038 Endoscopic Removal of a Large Kitchen Knife', Gastrointestinal Endoscopy, 85 AB126-AB126 (2017)
DOI 10.1016/j.gie.2017.03.210
2017 Schmiegel W, Scott RJ, Dooley S, Lewis W, Meldrum CJ, Pockney P, et al., 'Blood-based detection of RAS mutations to guide anti-EGFR therapy in colorectal cancer patients: concordance of results from circulating tumor DNA and tissue-based RAS testing', MOLECULAR ONCOLOGY, 11 208-219 (2017) [C1]
DOI 10.1002/1878-0261.12023
Citations Web of Science - 1
Co-authors Rodney Scott
2017 Penna M, Hompes R, Arnold S, Wynn G, Austin R, Warusavitarne J, et al., 'Transanal Total Mesorectal Excision', Annals of Surgery, 266 111-117 (2017)
DOI 10.1097/SLA.0000000000001948
Citations Scopus - 1
2017 'Abstract Journal General Surgery', ANZ Journal of Surgery, 87 41-60 (2017)
DOI 10.1111/ans.13993
2015 Smith S, Pockney P, Attia J, 'Corrigendum: A Meta-analysis on the Effect of Sham Feeding Following Colectomy: Should Gum Chewing Be Included in Enhanced Recovery After Surgery Protocols?', Diseases of the colon and rectum, 58 e416 (2015) [O1]
DOI 10.1097/dcr.0000000000000407
Co-authors John Attia
2015 Smith SR, Draganic B, Pockney P, Holz P, Holmes R, Mcmanus B, Carroll R, 'Transversus abdominis plane blockade in laparoscopic colorectal surgery: a double-blind randomized clinical trial', INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 30 1237-1245 (2015) [C1]
DOI 10.1007/s00384-015-2286-7
Citations Scopus - 3Web of Science - 3
2015 'Abstract Journal for General Surgery', ANZ Journal of Surgery, 85 43-59 (2015)
DOI 10.1111/ans.13084
2015 'Abstract Journal for Pain Medicine (RACS)', ANZ Journal of Surgery, 85 93-94 (2015)
DOI 10.1111/ans.13093
2014 Ho YM, Smith SR, Pockney P, Lim P, Attia J, 'A Meta-analysis on the Effect of Sham Feeding Following Colectomy: Should Gum Chewing Be Included in Enhanced Recovery After Surgery Protocols?', DISEASES OF THE COLON & RECTUM, 57 115-126 (2014) [C1]
DOI 10.1097/DCR.0b013e3182a665be
Citations Scopus - 19Web of Science - 17
Co-authors John Attia
2014 'Colorectal Surgery Program Abstracts', ANZ Journal of Surgery, 84 30-52 (2014)
DOI 10.1111/ans.12609
2014 'The Six Best Abstracts', Colorectal Disease, 16 1-2 (2014)
DOI 10.1111/codi.12638
2010 Reid K, Pockney PG, Pollitt T, Draganic B, Smith SR, 'Randomized clinical trial of short-term outcomes following purse-string versus conventional closure of ileostomy wounds', British Journal of Surgery, 97 1511-1517 (2010) [C1]
DOI 10.1002/bjs.7151
Citations Scopus - 32Web of Science - 26
2010 Reid K, Pockney P, Draganic B, Smith S, 'Barrier wound protection decreases surgical site infection in open elective colorectal surgery: A randomized clinical trial', Diseases of the Colon & Rectum, 53 1374-1380 (2010) [C1]
DOI 10.1007/DCR.0b013e3181ed3f7e
Citations Scopus - 37Web of Science - 32
2009 Pockney PG, Primrose J, George S, Jayatilleke N, Leppard B, Smith H, et al., 'Recognition of skin malignancy by general practitioners: Observational study using data from a population-based randomised controlled trial', British Journal of Cancer, 100 24-27 (2009) [C1]
DOI 10.1038/sj.bjc.6604810
Citations Scopus - 14Web of Science - 14
2008 George S, Pockney PG, Primrose J, Smith H, Little P, Kinley H, et al., 'A prospective randomised comparison of minor surgery in primary and secondary care. The MISTIC trial', Health Technology Assessment, 12 1-30 (2008) [C1]
DOI 10.3310/hta12230
Citations Scopus - 24
2004 Pockney P, George S, Primrose J, Smith H, Kinley H, Little P, et al., 'Impact of the introduction of fee for service payments on types of minor surgical procedures undertaken by general practitioners: Observational study', Journal of Public Health, 26 264-267 (2004)

The 1990 general practitioners (GPs) contract introduced item of service payment for minor surgery, payable for six categories of procedure. Early review showed no substitution of... [more]

The 1990 general practitioners (GPs) contract introduced item of service payment for minor surgery, payable for six categories of procedure. Early review showed no substitution of cheaper procedures for more expensive treatments. Detailed payment data from six Health Authorities for the period 1993-2000 show an 11 per cent increase in claims, largely accounted for by the rise in cautery, incorporating cryotherapy. Cryotherapy is no more effective at treating warts than cheap commercially available products, but is quite profitable for GPs. This is yet another example of item of service payment distorting treatment priorities. The new GP contract, and the initiative to develop GPs with special interests in dermatology and minor surgery, will allow primary care trusts to develop minor surgery undertaken by appropriately skilled and experienced GPs, and which reflects the needs of the population.

DOI 10.1093/pubmed/fdh152
Citations Scopus - 3
2002 Smith GB, Nolan J, King A, Pockney P, Nielsen M, Coombes M, et al., 'Medical emergency teams and cardiac arrests in hospital', BMJ, 324 1215 (2002)
DOI 10.1136/bmj.324.7347.1215/a
2002 Smith GB, Nolan J, King A, Pockney P, Nielsen M, Coombes M, et al., 'Medical emergency teams and cardiac arrests in hospital [3] (multiple letters)', British Medical Journal, 324 1215-1216 (2002)
Citations Scopus - 4
2002 King A, Pockney P, Nielsen M, Coombes M, Bailey I, Clancy M, 'Medical emergency teams and cardiac arrests in hospital. Bottom up approach works too.', BMJ (Clinical research ed.), 324 (2002)
Citations Scopus - 1
1998 Clancy MJ, Pockney PG, 'Fitness to drive', JOURNAL OF ACCIDENT & EMERGENCY MEDICINE, 15 366-366 (1998)
Show 18 more journal articles

Conference (3 outputs)

Year Citation Altmetrics Link
2015 Scott R, Dooley S, Lewis W, Meldrum C, Pockney P, Draganic B, et al., 'Concordance of RAS mutation status in CRC patients by comparison of results from circulating tumour DNA and tissue-based testing', ANNALS OF ONCOLOGY (2015) [E3]
DOI 10.1093/annonc/mdv233.270
Co-authors Rodney Scott
2013 Grice DM, Bauer DC, Duesing K, Li D, Greenfield P, Nielsen S, et al., 'Human and microbial transcriptomics from lean and obese individuals with colorectal cancer: A comparison of Total and Poly A RNA sequencing from clinical samples.', CANCER RESEARCH (2013) [E3]
DOI 10.1158/1538-7445.AM2013-LB-237
Co-authors Rodney Scott
2003 King AT, Pockney PG, Clancy MJ, Moore BA, Bailey IS, 'An Early Warning System reliably identifies high-risk surgical ward patients early in their clinical deterioration', BRITISH JOURNAL OF ANAESTHESIA (2003)
Citations Web of Science - 1
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Grants and Funding

Summary

Number of grants 10
Total funding $483,076

Click on a grant title below to expand the full details for that specific grant.


20173 grants / $201,000

Improving access to colonoscopy by targeted waitlist management$141,000

A grant to examine waitlists for colonoscopy in public hospitals in Newcastle to look for concordance or otherwise with National Guidelines in the indication for colonoscopy.  Using the data extracted, a pragmatic proposal for ensuring closer adherence to guidelines to ensure appropriate use of public resources will be devised

Funding body: Cancer Institute of NSW

Funding body Cancer Institute of NSW
Project Team

C/Professor Jon Gani, C A/Prof Tony Proietto, Dr R Foster, Ms D Gillies, Mrs J Lack

Scheme Innovations in Cancer Control Grants
Role Lead
Funding Start 2017
Funding Finish 2018
GNo
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON N

HCRA Infrastructure Funding$40,000

Funding body: Hunter Cancer Research Alliance (HCRA)

Funding body Hunter Cancer Research Alliance (HCRA)
Scheme ....
Role Lead
Funding Start 2017
Funding Finish 2017
GNo
Type Of Funding External
Category EXTE
UON N

The Impact of Surgery, Inflammation and Sepsis on Neutrophil Extracellular Trap (NET) Formation and Subsequent Metastatic Disease in Colorectal Cancer$20,000

Funding body: John Hunter Charitable Trust Grant

Funding body John Hunter Charitable Trust Grant
Scheme John Hunter Charitable Trust Grant
Role Lead
Funding Start 2017
Funding Finish 2017
GNo
Type Of Funding External
Category EXTE
UON N

20162 grants / $111,200

Improving Access to Colonoscopy for Diagnosis of Symptomatic Patients at High Risk of Colorectal Cancer (CRD) in HNE LHD$90,000

Funding body: Cancer Instititue NSW

Funding body Cancer Instititue NSW
Scheme Innovation Grant
Role Lead
Funding Start 2016
Funding Finish 2016
GNo
Type Of Funding External
Category EXTE
UON N

A Propective Observational Study of CRP Velocity in Suspected Acute Appendicitis$21,200

Funding body: John Hunter Charitable Trust Grant

Funding body John Hunter Charitable Trust Grant
Scheme John Hunter Charitable Trust Grant
Role Lead
Funding Start 2016
Funding Finish 2016
GNo
Type Of Funding External
Category EXTE
UON N

20133 grants / $120,876

Introduction of Streamlined Access Pathways for Potential Colorectal Cancer Cases in the Lower Hunter$50,000

Funding body: Cancer Institute NSW

Funding body Cancer Institute NSW
Scheme Evidence to Practice Grant
Role Lead
Funding Start 2013
Funding Finish 2013
GNo
Type Of Funding External
Category EXTE
UON N

Providing tailored web-based information to support colorectal cancer patients in their preparation for and recovery from surgery: A feasibility study$48,656

Funding body: Cancer Institute NSW

Funding body Cancer Institute NSW
Project Team Laureate Professor Robert Sanson-Fisher, Doctor Steve Smith, Doctor Sancha Robinson, Ms Gill Batt, Conjoint Associate Professor Frans Henskens, Conjoint Associate Professor Ross Kerridge, Doctor Christopher Oldmeadow, Doctor Peter Pockney, Doctor Christopher Hayes
Scheme Evidence to Practice Grant
Role Investigator
Funding Start 2013
Funding Finish 2013
GNo G1300868
Type Of Funding Other Public Sector - State
Category 2OPS
UON Y

A Phase 3 Randomised, Double Blind, Placebo Controlled Pragmatic Trial to Assess the Efficacy of Tranexamic Acid in Reducing the Blood Loss in Patients with Per Rectal Bleeding$22,220

Funding body: John Hunter Charitable Trust Grant

Funding body John Hunter Charitable Trust Grant
Scheme John Hunter Charitable Trust Grant
Role Lead
Funding Start 2013
Funding Finish 2013
GNo
Type Of Funding External
Category EXTE
UON N

20121 grants / $20,000

Standardisation of Operative Equipment and Techniques for Common Acute General Surgery Operations$20,000

Funding body: Hunter New England LHD, NSW Health

Funding body Hunter New England LHD, NSW Health
Scheme Innovation Support Scholarship
Role Lead
Funding Start 2012
Funding Finish 2012
GNo
Type Of Funding External
Category EXTE
UON N

20111 grants / $30,000

Donation to Support CNC GI Clinical Research Position$30,000

Funding body: Hunter New England LHD, NSW Health

Funding body Hunter New England LHD, NSW Health
Scheme Division of Surgery
Role Lead
Funding Start 2011
Funding Finish 2011
GNo
Type Of Funding External
Category EXTE
UON N
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Research Supervision

Number of supervisions

Completed4
Current3

Total current UON EFTSL

PhD0.65

Current Supervision

Commenced Level of Study Research Title Program Supervisor Type
2017 PhD Circulating Tumour DNA as a Novel Biomarker for Colorectal Cancer PhD (Medical Genetics), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2017 PhD The Impact of Surgery, Inflammation and Sepsis on Neutrophil Extracellular Trap (NET) Formation and Subsequent Metastatic Disease in Colorectal Cancer PhD (Surgical Science), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
2017 PhD Nerve Dependence in Human Cancers PhD (Medicine), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor

Past Supervision

Year Level of Study Research Title Program Supervisor Type
2016 Masters A Potential Modifier Gene in Familial Adenosis Polyposis
This was a project that examined the genes of patients with FAP looking for evidence of modifier genes that affect the age of onset of polyposis and of developing cancer in patients with FAP.
Genetics, University of Edinburgh Co-Supervisor
2014 Masters Haemorhoid Goligher grade versus symptom severity
This was a pilot study of the correlation of patient reported symptoms compared to surgeon assessed clinical severity.
Surgery, The University of Sydney Principal Supervisor
2014 Honours Development of a Novel CO2 Insulflation Device for Laparotomy
This was an honours student project that developed a device that provided a constant infusion of CO2 to the wound edge in an animal model of a laparotomy wound, with the long term aim of developing a device that can reduce the incidence of aerobic infections in surgical wounds.
Surgery, NEWCASTLE UNIVERSITY Co-Supervisor
2013 Honours A randomised clinical trial to assess the efficacy of bolus vs infusion as a mode of delivery for local anaesthetic blocks following abdominal surgery
This was a randomised clinical trial of two methods of delivery of local anaesthetic to manage post-operative pain in patients who underwent abdominal surgery.  The trial showed a modest difference in favour of bolus delivery.  The trial included 120 patients. It has been presented at the Royal Australasian College of Surgeons Annual Scientific Meeting in 2015
Surgery, NEWCASTLE UNIVERSITY Co-Supervisor
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Dr Peter Pockney

Position

Senior Lecturer
School of Medicine and Public Health
Faculty of Health and Medicine

Focus area

Medicine

Contact Details

Email peter.pockney@newcastle.edu.au
Phone (02) 4985 5527
Fax (02) 4921 4274

Office

Building .
Location John Hunter Hospital, Newcastle

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