After completing his undergraduate studies in medicine, Dr Subramaniam Ramakrishnan spent more than 15 years specializing in gastroenterology and general medicine. In 2007, he was appointed as a consultant with a specialist interest in all aspects of endoscopy, gastroenterology, liver, and pancreatic disease. He is currently the endoscopy lead at the endoscopy unit at Warrington, with a keen interest in service development, teaching, training, and research. He has performed over 8000 diagnostic and therapeutic procedures, including gastroscopy, flexible sigmoidoscopy, colonoscopy, and ERCP, with excellent success rates and high patient satisfaction scores. Subramaniam is also the lead for the advancing quality programme (AQuA) and actively participates in achieving high-quality care across both medical and surgical divisions.