Obituary: Dr Anthony Hopkins

Anthony Hopkins, Director of the Research Unit at the Royal College of Physicians since 1988, was a most distinguished and unusual figure in the world of medicine.

His appointment in 1972 as Consultant Neurologist at St Bartholomew's Hospital, London, was controversial. To Bart's, a hospital which had then the reputation of appointing its own, he was a foreigner, having trained at Guy's. At 35 he was thought too young, and too inexperienced clinically. He had come from the stable of the National Hospital, Queen Square, where he had trained under Roger Gilliatt, whose reputation for academic accuracy, if sometimes combined with an acerbic tongue, occasionally broke through in Hopkins's own manner.

But he continued to climb, becoming Physician in Charge of the Department of Neurological Sciences at Bart's in 1976. In clinical neurology, he was before his time in many developments. He established "hub and spoke" links (links between the Teaching Hospital and District General Hospital) in the Bart's department some 15 years before it became a term used by the NHS Executive and others. He realised not only that it improved clinical practice and quality of consultant staff, but that it would become a necessity for the survival of specialised units in a changing NHS. We noted, however, that Hopkins remained very much at the centre of the hub.

Major clinical research projects followed, in diverse fields, as he established a neurological department. With Dr Richard Greenwood he carried out tests studying changes in the reflexes in subjects falling from a height, dropping even Edward, his infant youngest son, as part of his research.

A perceptive (and quite unconnected) study on the everyday problem of headaches followed. One of the commonest symptoms of human beings, headaches had been studiously disregarded by most neurologists until Hopkins addressed the subject. Collaborating with sociologists, rather than doctors, he measured the size of the problem, pointing out the cost of 1,600 people per 100,000 consulting a doctor for headache each year, while fewer than 10 had any serious disease.

Several studies on the epidemiology of epilepsy followed, resulting in the publication of Epilepsy (1987). Finally, with Dr Elizabeth Davies, he turned to the care of patients with malignant brain tumours, recording in meticulous detail the care which this unfortunate group of patients and their families actually receive. His findings were roundly criticised, having irritated the cancer doctors' establishment, but he was very ready to defend them - and his last words on this matter will be published posthumously.

One common theme ran through these studies. They recorded and researched what happened, for better or worse, to patients, in a general population rather than in an ideal medical setting. Each, in its way, remains a landmark study.

Whilst he gave a first-class clinical opinion, medicine at the bedside was not his forte. He was able to acknowledge this to those close to him, confessing impatience and irritation. It was however in his writing about clinical events that he portrayed a softer side, and one of deep human understanding. Clinical Neurology: a modern approach (1993) is an example of economy of style, readability and clinical wisdom.

His mid-consultant career was marred by some personal disappointment. He failed to be appointed to the Chair of Medicine at Bart's, and later to the post of Dean of the Medical School, his applications an indication that he was looking for a role as a leader in the profession. In an unusual but wise move for a clinician in a then flourishing hospital, he left Bart's in 1988 to become Director of the Research Unit of the Royal College of Physicians, a post where he could develop his interests in Health Economics, Clinical Effectiveness, Audit and Outcome. He soon penetrated the NHS Executive, and sat on seven of its advisory groups, though he indicated that many colleagues there frustrated him because "they seemed to change their minds so often, following political fashion".

Numerous other appointments followed, from work with the Chief Economist on quality and effectiveness measures, through a galaxy of Royal College committees, to liaison with patient support groups, the editorial boards of six journals and the King's Fund Centre Committee. If these were not enough, in addition he managed to be the main author of 10 major publications in the last year.

Those of us who respected his intellect found ourselves a lifelong ally, and one who was ready to understand our anxieties, and to encourage unusual career moves. Hopkins was suspicious of the present trend of increasing dogged specialism and questioned the value and the effect of cloning specialists who, he argued, would have to carry out progressively mundane work as their numbers increased.

In the weeks before he died, Hopkins was proposed as one of eight candidates for the forthcoming Presidency of the Royal College of Physicians. Whether he would have succeeded remains conjecture, but the seven survivors who strive for election would do well to heed his understanding of that savage arena between Government, health care and the medical profession itself.

To his friends Anthony Hopkins seemed on the threshold of a new era. This slightly gaunt figure, with a lifelong ambling gait, a shock of dark hair, piercing brown eyes and a slight stoop was unmistakable. Our friendship lasted nearly 20 years, but for many others he was not an easy man, particularly when a combination of his intellectual crispness and caustic turn of phrase clashed with the medical establishment. It is hard to capture this complex, resolute soul.

Charles Clarke

Anthony Philip Hopkins, neurologist: born Poole, Dorset 15 October 1937; Consultant Neurologist, St Bartholomew's Hospital 1972- 76, Physician in Charge, Department of Neurological Sciences 1976-88; Director, Research Unit, Royal College of Physicians, London 1988-97; married 1965 Elizabeth Wood (three sons); died London 7 March 1997.

Suggested Topics
Start your day with The Independent, sign up for daily news emails
Latest stories from i100
Have you tried new the Independent Digital Edition apps?
Independent Dating
and  

By clicking 'Search' you
are agreeing to our
Terms of Use.

iJobs Job Widget
iJobs People

Recruitment Genius: Office Manager

Negotiable: Recruitment Genius: Have you been doing a brilliant job in an admi...

Surrey County Council: Senior Project Officer (Fixed Term to Feb 2019)

£26,498 - £31,556: Surrey County Council: We are looking for an outgoing, conf...

Recruitment Genius: Interim Head of HR

£50000 - £60000 per annum: Recruitment Genius: Are you an innovative, senior H...

Recruitment Genius: Human Resources and Payroll Administrator

£20000 - £22000 per annum: Recruitment Genius: Our client, a very well respect...

Day In a Page

HIV pill: Scientists hail discovery of 'game-changer' that cuts the risk of infection among gay men by 86%

Scientists hail daily pill that protects against HIV infection

Breakthrough in battle against global scourge – but will the NHS pay for it?
How we must adjust our lifestyles to nature: Welcome to the 'Anthropocene', the human epoch

Time to play God

Welcome to the 'Anthropocene', the human epoch where we may need to redefine nature itself
MacGyver returns, but with a difference: Handyman hero of classic 1980s TV series to be recast as a woman

MacGyver returns, but with a difference

Handyman hero of classic 1980s TV series to be recast as a woman
Tunnel renaissance: Why cities are hiding roads down in the ground

Tunnel renaissance

Why cities are hiding roads underground
'Backstreet Boys - Show 'Em What You're Made Of': An affectionate look at five middle-aged men

Boys to men

The Backstreet Boys might be middle-aged, married and have dodgy knees, but a heartfelt documentary reveals they’re not going gently into pop’s good night
Crufts 2015: Should foreign dogs be allowed to compete?

Crufts 2015

Should foreign dogs be allowed to compete?
10 best projectors

How to make your home cinema more cinematic: 10 best projectors

Want to recreate the big-screen experience in your sitting room? IndyBest sizes up gadgets to form your film-watching
Manchester City 1 Barcelona 2 player ratings: Luis Suarez? Lionel Messi? Joe Hart? Who was the star man?

Manchester City vs Barcelona player ratings

Luis Suarez? Lionel Messi? Joe Hart? Who was the star man at the Etihad?
Arsenal vs Monaco: Monaco - the making of Gunners' manager Arsene Wenger

Monaco: the making of Wenger

Jack Pitt-Brooke speaks to former players and learns the Frenchman’s man-management has always been one of his best skills
Cricket World Cup 2015: Chris Gayle - the West Indies' enigma lives up to his reputation

Chris Gayle: The West Indies' enigma

Some said the game's eternal rebel was washed up. As ever, he proved he writes the scripts by producing a blistering World Cup innings
In Ukraine a dark world of hybrid warfare and murky loyalties prevails

In Ukraine a dark world of hybrid warfare

This war in the shadows has been going on since the fall of Mr Yanukovych
'Birdman' and 'Bullets Over Broadway': Homage or plagiarism?

Homage or plagiarism?

'Birdman' shares much DNA with Woody Allen's 'Bullets Over Broadway'
Broadchurch ends as damp squib not even David Tennant can revive

A damp squib not even David Tennant can revive

Broadchurch, Series 2 finale, review
A Koi carp breeding pond, wall-mounted iPads and a bathroom with a 'wellness' shower: inside the mansion of Germany's 'Bishop of Bling'

Inside the mansion of Germany's 'Bishop of Bling'

A Koi carp breeding pond, wall-mounted iPads and a bathroom with a 'wellness' shower