Clinical Practice and Expertise

Dr Hunter has worked as a Consultant Physician with NHS Lothian since 2019. His consultant practice includes work at the Royal Infirmary of Edinburgh and encompasses acute and hyperacute stroke care, acute general medicine and the care of older people.

Stroke Medicine

• Acute stroke assessment and treatment
• Hyperacute stroke care
• TIA assessment and management
• Thrombolysis
• Thrombectomy assessment and referral
• Secondary stroke prevention
• Stroke rehabilitation

Geriatric Medicine

• Assessment and management of frailty
• Acute illness in older adults
• Rehabilitation medicine
• Multimorbidity
• Complex decision-making in older patients
• Falls

General Internal Medicine

• Acute medical admissions
• Emergency medical assessment
• Management of complex medical presentations
• Coordination of multidisciplinary care

Medico-Legal Experience

Dr Hunter accepts instructions relating to Stroke Medicine, Geriatric Medicine and General Internal Medicine.

His practice is particularly relevant to cases involving:

• Delayed or missed diagnosis of stroke or TIA
• Recognition and assessment of acute neurological symptoms
• Appropriateness of specialist referral
• Acute stroke management
• Thrombolysis decision-making
• Thrombectomy assessment and referral pathways
• Secondary stroke prevention
• Stroke rehabilitation
• Causation and prognosis following stroke
• Acute medical management
• Care of older adults with complex medical needs
• Multimorbidity and frailty-related care.

His involvement in thrombectomy relates to patient assessment, treatment decisions and referral through thrombectomy pathways rather than the performance of endovascular procedures.

His combined experience across Stroke Medicine, Geriatric Medicine and General Internal Medicine is particularly valuable in complex cases where acute neurological disease overlaps with frailty, multimorbidity, rehabilitation needs and co-existing medical conditions.

Clinical Interests

• Acute and general internal medicine.
• Diabetes and diabetes-related complications.
• Hypoglycaemia.
• Thyroid disease and thyroid cancer.
• Adrenal, pituitary and neuroendocrine disorders.
• Neuropathy.
• Steroid-related complications, including steroid-induced diabetes and steroid withdrawal.

Leadership and Management

Dr Hunter is Clinical Lead for TIA Services within NHS Lothian, with responsibility for the organisation and delivery of rapid-access assessment services for patients with suspected TIA.

His leadership responsibilities include:

• Development of TIA services
• Delivery of rapid-access assessment pathways
• Service improvement initiatives
• Clinical governance activities
• Contribution to wider stroke service development

Research and Publications

Research Interests

Dr Hunter is a member of the University of Edinburgh Cerebrovascular Research Group. His research interests include:

• Stroke prevention
• Cerebrovascular disease
• Antithrombotic therapies
• Secondary prevention following stroke and TIA
• Intracerebral haemorrhage

Principal Investigator Roles

OCEANIC-STROKE

• Phase III international clinical trial
• Investigating asundexian for prevention of recurrent ischaemic stroke
• Patients following acute non-cardioembolic stroke or high-risk TIA

AXIOMATIC-SSP

• Phase II international clinical trial
• Investigating milvexian for secondary stroke prevention
• Patients following ischaemic stroke or high-risk TIA

Collaborative Research

• RESTART programme
• Antiplatelet therapy following intracerebral haemorrhage
• Cerebrovascular disease research
• Secondary stroke prevention strategies

Dr Hunter's research and publication record reflects interests in:

• Cerebrovascular disease
• Stroke prevention
• Antithrombotic therapy
• Intracerebral haemorrhage
• Medical education

His academic work includes peer-reviewed stroke research, collaborative cerebrovascular studies, research examining antiplatelet therapy after intracerebral haemorrhage and publications in medical education.

Teaching and Training

Teaching & Training

Dr Hunter is an Honorary Senior Lecturer at the University of Edinburgh and has been actively involved in undergraduate and postgraduate medical education since 2019.

Educational Roles

• Honorary Senior Lecturer, University of Edinburgh
• Postgraduate Internal Medicine Course Organiser
• Lecturer in postgraduate medical education

Teaching Experience

• Medical students
• Junior doctors
• Nursing professionals
• Allied health professionals

His educational activities are informed by active consultant practice and ongoing involvement in stroke research.

Professional Memberships

• Fellow of the Royal College of Physicians of Edinburgh (RCPE)
• Member of the British and Irish Association of Stroke Physicians (BIASP)