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Mr Bramhall qualified in 1988 and following his House Officer posts he commenced his surgical training. He undertook a period of academic research in molecular aspects of pancreatic cancer which led to the award of Doctorate of Medicine. Following this he was appointed as a lecturer in surgery by the University of Birmingham and during this time he continued his academic work raising significant sums of money to fund his research while supervising junior colleagues during their own higher degrees. He was appointed as a consultant liver transplant and HPB surgeon on Birmingham Liver Unit in 2002. He continued in this post carrying out liver transplantation and major HPB resections until 2014. During this period he was involved in clinical academic research, National, Regional and hospital committee work and innovated and developed all aspects of his clinical work. He subsequently moved to the County Hospital where he practices as a general and upper GI consultant surgeon. He has continued to develop his academic interests along with teaching.