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Dr James Warner

Dr Warner is a consultant psychiatrist specialising in older adult’s mental health. He qualified as a doctor from Charing Cross Hospital Medical School in 1986. After further training as a physician he undertook training in psychiatry in Liverpool before a series of academic appointments at Charing Cross Hospital, Royal Free Hospital and then Imperial College London.

He has been a consultant psychiatrist at Central North West London Foundation Trust since 1998 specialising in diagnosis and treatment of dementia, depression, psychosis and other mental illnesses. His training as a physician as well as a psychiatrist enables me to provide holistic care for my patients.

He was elected as chair of the Faculty of Old Age Psychiatry at the Royal College of Psychiatrists in 2012, he is the UK representative for Old Age Psychiatry in the World Psychiatric Association and was appointed National Professional Advisor for old age psychiatry at the Care Quality Commission in 2014. He is also the Medical Director of Red & Yellow Care.

Expertise

James is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

  • Depression
  • Alzheimer’s disease
  • Vascular dementia
  • Lewy body dementia
  • Other dementias
  • Anxiety states including panic disorder and generalised anxiety
  • Schizophrenia and other causes of psychosis
  • Assessment of capacity

Research and Publications

Dr Warner an honorary reader in psychiatry at Imperial College London. His academic interests include research and teaching. He has led several research projects in mental health, dementia and mental capacity. He has published over 60 peer-reviewed articles and co-authored three books. Selected publications include:

Lowery D, Cerga-Pashoja A, Iliffe S, Thuné-Boyle I, Griffin M, Lee J, Bailey A, Bhattacharya R and Warner J ‘The effect of exercise on behavioural and psychological symptoms of dementia: the EVIDEM-E randomised controlled clinical trial’, International Journal of Geriatric Psychiatry 29: 819-827 (2014)

Warner J and Jenkinson J ‘Psychiatry for the elderly in the UK’, The Lancet 381: 1985 (2013)

Graham N and Warner J, Understanding Dementia, BMJ Family Doctor Series, ISBN-13: 978 1 903474-617 (2009)

Warner J and Nomani E, ‘Giving consent in dementia research’, The Lancet 372; 183-185 (2008)

McCarney R, Fisher P, Iliffe S, van Haselen R, Griffin M, van der Meulen J, Warner J ‘Ginkgo biloba for mild to moderate dementia in a community setting: a pragmatic, randomised, double-blind, placebo-controlled trial’, International Journal of Geriatric Psychiatry 23: 1222-1230 (2008)

Warner J, McCarney R, Griffin M, Hill K, Fisher P ‘Participation in dementia research: rates and correlates of capacity to give informed consent’ Journal of Medical Ethics 34: 167-170 (2008)

Warner J, Butler R and Prabhakaran P ‘Which Treatments are effective for cognitive, behavioural and psychological symptoms in dementia?’ Evidence Based Mental Health 6: 69-71 (2003)

Assessment and Treatment

James provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

Appointment prices

Initial assessment of 90 minutes incl. report, priced at £450.

Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

Home visit supplements starting from £100.

Dr Alex Bailey

Dr Alex Bailey graduated in Clinical Sciences from the University of Leeds in 2003 and subsequently gained a Postgraduate Certificate in Systemic and Family Therapy and a Master’s in Education from Imperial College. He is currently working as a Consultant in Old Age Psychiatry at Westminster Older Adults and Health Ageing Community Mental Health Team, where he has lead several service improvement initiatives. His previous appointments include Clinical Advisor to the NHS Medical Director at the Department of Health and Teaching Fellow at Central and North West London NHS Foundation Trust. Teaching has always been an integral part of his practice and he is currently Foundation Champion for North West Thames Foundation School and Honorary Lecturer at Imperial College. He is also on the Old Age Faculty Executive at the Royal College of Psychiatrists and has recently published a new edition of the popular book “Alzheimer’s at your fingertips”

Expertise

Alex is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

Anxiety Disorders
Depression
Alzheimer’s disease
Vascular dementia
Lewy Body dementia
Mild Cognitive Impairment
Panic Disorders
Capacity Assessment

Assessment and Treatment

Alex provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

Appointment prices

Initial assessment of 90 minutes incl. report, priced at £450.

Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

Home visit supplements starting from £100.

Dr Colin Mitchell

Dr Colin Mitchell Graduated in Medicine in 2002 from Edinburgh University. He has served as a Senior House Officer and Specialist Registrar at various hospitals throughout the UK and also the Maroondah Hospital in Melbourne. He is now a consultant Geriatrician and Physician at St. Mary’s Hospital in London. His extra-clinical work includes positions as speaker at the Elder Care /Ageing Seminars for the Working Parent Company and as an Honorary Lecturer for Imperial College. Colin has a special interest in using Information Technology and Social Media to improve training and service design and has authored numerous articles and presentations on the subject, such as “Using smartphones and the medical web to become a more up-to-date, productive and informed physician” (CME – Geriatric Medicine, Jun 2011).

Expertise

Colin is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

Arthritis – Osteoarthritis / Joint pain
Alzheimer’s disease
Vascular dementia
Hypertension
Frailty
Immobility & Falls
Mild Cognitive Impairment
Parkinson’s disease
Capacity Assessment
Dizziness / blackouts
Weight changes

Assessment and Treatment

Colin provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

Appointment prices

Initial assessment of 90 minutes incl. report, priced at £450.

Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

Home visit supplements starting from £100.

Dr Giovanna Zamboni

Dr Giovanna Zamboni is a Senior Clinical Fellow and Honorary Consultant Neurologist at the Nuffield Department of Clinical Neurology, University of Oxford.  She graduated in Medicine and Surgery and specialized in Neurology at the University of Modena and Reggio Emilia, Italy, where she developed a special interest in dementia and cognitive disorders and worked in memory clinics while also continuing her clinical training in general neurology. She then worked as postdoctoral fellow for almost three years at the National Institutes of Health in the United States. In 2008 she joined the Oxford Project to Investigate Memory and Ageing (OPTIMA) to lead the continued development of the neuroimaging research while working as Locum Consultant in the Oxford Memory Clinic (OXMAC) of the John Radcliffe Hospital, Oxford.  In 2012 she obtained a doctoral degree (DPhil) defending a thesis entitled “Structural and functional magnetic resonance imaging in the prediction and characterization of Alzheimer’s disease and Mild Cognitive Impairment”. She is currently responsible for the continued development of functional imaging research of the Stroke and Dementia Prevention Research Unit in Oxford. She is author of several papers and publications in the fields of imaging and dementia. Her clinical expertise is in the early detection of cognitive impairment and in the differential diagnosis of atypical dementia.

Expertise

Giovanna is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

Alzheimer’s disease
Vascular dementia
Lewy Body dementia
Fronto-temporal dementia
Posterior cortical atrophy and other atypical dementias
Mild Cognitive Impairment
Parkinson’s disease
Atypical Parkinsonian syndromes – Progressive Supranuclear Palsy, Corticobasal Degeneration Syndrome, Multisystem Atrophy
Epilepsy & seizures
Sleep Disorders
Neuropathy
Headache

Assessment and Treatment

Giovanna provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

Appointment prices

Initial assessment of 60 minutes incl. report, priced at £300.

Initial assessment of 90 minutes incl. report, priced at £450.

Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

Home visit supplements starting from £100.

Vascular dementia


Help with Vascular dementia in later life.

Out at lunch with a friend, you suddenly can’t find the right words to say. You also find yourself fumbling with your fork. After a few minutes you’re back to normal but, over time, you notice your memory is not as sharp as it used to be. The sudden, brief loss of speech and weakness in the arm could be a sign of a mini-stroke, and this can sometimes lead to a type of dementia called vascular dementia.

Vascular dementia is the second most common form of dementia. It is due to poor blood supply to the brain, sometimes caused by a single large stroke, sometimes by lots of mini strokes. It can even develop with no history of stroke at all.

With well-coordinated care, people with vascular dementia can be greatly helped, and the symptoms controlled.

Find out more about Vascular dementia

What are the symptoms?

There are a wide variety of symptoms depending on which parts of the brain are affected. The common symptoms are:

  • memory loss, particularly of recent events
  • difficulty finding the right words and following conversations
  • trouble with recognising people or places
  • changes in personality and behaviour
  • problems carrying out everyday tasks like cooking or driving

What causes it?

The brain stays healthy by receiving up to one third of the blood pumped from the heart. Reduction to the blood supply to the brain, caused by narrowing of the arteries to the brain, stroke or other reasons may result in vascular dementia.

Key facts about vascular dementia

  • Vascular dementia is common; up to 200,000 people in the UK have it
  • It can often occur alongside Alzheimer’s disease
  • The symptoms may not progress for a long time and then get suddenly worse- known as step-wise progression
  • Looking after your heart (eg by not smoking and keeping fit) may reduce the risk of vascular dementia

How will it affect me?

Unlike Alzheimer’s disease, vascular dementia can begin quite suddenly. Vascular dementia can affect your memory, your ability to recognise people or objects, and your use of language. It can also lead to changes in personality and behaviour. You may notice changes yourself more than in other types of dementia. The confusion and memory problems may fluctuate over time so you may notice you have good days and bad days. 

How is it diagnosed?

Some of the symptoms of vascular dementia may also occur in other conditions (like depression, anxiety or Parkinson’s disease), so it is important to be diagnosed by a doctor with the appropriate skills.

The doctor will begin by taking a full account of your symptoms and how they developed, how they have affected your life day-to-day and will also want to know about any medical conditions you have. In addition the doctor will want to organise some brain-function tests (called cognitive tests) and probably want you to have a brain scan. 

How is it treated?

Although there are no specific drug treatments recommended for vascular dementia a lot can be done to help. Sometimes the doctor may prescribe drugs normally used for Alzheimer’s disease.

Maintaining heart health is really important. If you are a smoker, you should receive help to stop. Your blood pressure and heart rhythm should be checked. You may be advised to lose weight or exercise more. People with vascular dementia usually have other long-term medical conditions (such as type-2 diabetes, hypertension) and making sure these are carefully treated is an important part of medical management.

Cognitive stimulation therapy is often helpful – this helps keep your brain active.

Vascular dementia may also cause depression, anxiety, loss of motivation and sometimes hallucinations. It is important to look out for and treat these symptoms.

For these reasons people with vascular dementia really benefit from carefully coordinated care.

We’re Red & Yellow Care, the
health experts for later life.

At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

Meet some of our consultants.

Dr James Warner

Consultant Psychiatrist

Psychiatry

Dr Hema Ananth

Consultant Psychiatrist

Psychiatry

Dr Brian Parsons

Consultant Psychiatrist

Psychiatry

Dr Giovanna Zamboni

Consultant Neurologist

Neurology

Dr Colin Mitchell

Consultant Geriatrician

Geriatrics

Dr Ioana Popescu

Consultant Psychiatrist

Psychiatry

How we can help.

Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

Clear and simple pricing.


First appointment up to 90 minutes, priced at £450.

Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

Home visit supplements starting from £100.

Get started now

Smarter, faster, easier and
more thorough healthcare.

Expert

We have the best consultants and other specialists dedicated to the health of older people.

Fast

We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

Flexible

We fit our service around you. Planning your appointments where and when suits you best.

Comprehensive

We are committed to
giving you the most thorough assessment, treatment and care.
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    Teresa – sister and carer
  • Had a wonderful appointment with my mum. Amazed at the thoroughness and delicacy which Dr Zamboni afforded her.

    Laura – daughter and carer
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    Natalie – daughter and carer

    Request an appointment today.

    Dr Brian Parsons

    Dr Brian Parsons is a Consultant Psychiatrist specialising in the mental health of older adults. He studied Medicine at University College, Dublin. After completing his Medical and Surgical residency posts he trained in General Practice and obtained membership of the Irish College of General Practitioners. Dr Parsons then went on to train in psychiatry in Ireland, Australia and the United Kingdom gaining a CCT (Certificate of Completion of Training) in General Adult and Old Age Psychiatry with an endorsement in Liaison Psychiatry. He took a substantive consultant post with Surrey & Borders Partnership NHS Foundation Trust in 2007 where he is currently working as a Community Consultant Old Age Psychiatrist.

    Dr Parsons has previously managed in-patients with functional mental illness and dementia, as well as providing Liaison Psychiatry services to St. Peter’s Hospital in Chertsey. He was the Trust Clinical Lead for the “Enhancing Quality Programme for Dementia” and his Memory Service has been accredited as “Excellent” by the Memory Services National Accreditation Programme (Royal College of Psychiatrists) in 2015.

    Dr Parsons has recently completed a four year term as an Elected Member of the Executive Committee of the South East Division of the Royal College of Psychiatrists. He became a member of the Royal College of Psychiatrists in 2002 and was awarded a Higher Diploma in Healthcare Risk Management in 2003.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Mild cognitive impairment
    • Panic disorders
    • Capacity assessment
    • Psychosis

    Research and Publications

    Das K, Davis R, Du Toit B, Parsons B ‘Sporadic Creutzfeldt-Jakob disease: a description of two cases’,
    International Psychogeriatrics  24(7): 1183-1185 (2012)

    Parsons B, Agrawal N ‘Acute confusional state’, British Medical Journal, e-learning on-line programme
    http://learning.bmj.com/learning/search-result.html?moduleId=10007766

    Campbell F, Parsons B, Loane R ‘An analysis of referral letters to a department of Old Age Psychiatry’, Irish Journal of Psychological Medicine  25(1) (2008)

    Parsons B, Kennedy M ‘A review of recorded information given to patients commenced on clozapine and the development of guidelines on disclosure, a key component of informed’,  Journal of Medical Ethics  33:564-567 (2007)

    Walsh I, Regan J, Sowman R, Parsons B, McKay AP ‘Prevalence of language, communication and swallowing disorders in mental health service attenders’, Irish Journal of Psychological Medicine  24(3):89-93 (2007)

    Campbell F, Parsons B ‘Anxiety disorders mental health distance learning module’, Forum, Journal of the Irish College of General Practitioners  23(12): module 112 (2006)

    Murphy M, Nathan M, Lee E, Parsons B, Gunasekera L ‘Oedipism: autoenucleation in a patient with schizophrenia’, case report
    Irish Journal of Psychological Medicine  23(4): 159-160 (2006)

    Parsons B, McCabe B ‘Diagnosis and management of anxiety disorders in primary care’, Forum, Journal of Irish College of General Practitioners 6(1): 14-18 (2006)

    Bedford D, Igoe G, White M, Parsons B, Foyle D, Howell F, Corcoran, R ‘The acceptability of pneumococcal vaccine to older persons in Ireland’, Irish Medical Journal 93 (2): 48-9 (2000)

    Parsons B ‘General Practice and the ageing Irish’, Forum, Journal of the Irish College of General Practitioners 12 (3): 38-40 (1995)

    Assessment and Treatment

    Brian provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Ana Saiz

    Dr Saiz qualified as a medical doctor in the Basque Provinces in the North of Spain; she then undertook psychiatric training in London “Guy’s and St Thomas’ training programme” and obtained the Membership with the Royal College of Psychiatrist in 1995.

    Dr Saiz is a Consultant Psychiatrist specialised in older adults services (people over 50). She has been a Consultant for Oxleas NHS Foundation Trust since 1999. Her special interest is the assessment, diagnosis and treatment of neurodegenerative conditions like dementia. She has been the Clinical Lead for the Memory Services in the Trust for the past three years having contributed to the development of this service and the subsequent accreditation with the Royal College of Psychiatrist.

    She has done a lot of work in primary care settings helping to promote early diagnosis of dementia and early interventions to improve the prognosis of this condition.

    Expertise

    Ana is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Dementia of Alzheimer’s
    • Vascular dementia
    • Lewy-body dementia
    • Other less common types of dementia
    • Advise to families and carers on the impact of dementia on behaviour, and other associated mental health problems
    • Younger people with dementia
    • Depression
    • Anxiety disorders
    • Bipolar disorder
    • Other psychotic conditions
    • Assessment of capacity

    Assessment and Treatment

    Ana provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Ramin Nilforooshan

    Dr Ramin Nilforooshan is a Consultant Psychiatrist, specialising in Older Adult Mental Health. He completed his psychiatric training in Guy’s and Maudsley Rotation and has been a Consultant Psychiatrist for Older Adults in Surrey and Borders Partnership NHS Foundation Trust since 2011 and is now also Associate Medical Director for research and development.

    He is specialty lead for dementia research for Kent, Surrey and Sussex, Honorary Senior Clinical Lecturer at University of Surrey and Senior Research Fellow at King’s College London.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Assessment of Capacity
    • Schizophrenia and all psychosis

    Assessment and Treatment

    Ramin provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.