Dr Santhirapala is a Consultant Anaesthetist and Perioperative Medicine Lead at Guy’s and St Thomas’ NHS Foundation Trust, London, UK. She qualified from University College London, and undertook her dual certified UK training in Anaesthesia and Intensive Care Medicine in East Anglia and London. She is a fellow of the Royal College of Anaesthetists, Faculty of Intensive Care Medicine and Higher Education Academy. Ramai has published in the remit of novel devices, perioperative medicine and shared decision making. She is a Honorary Associate Professor at University College London.

Ramai has a keen interest in patient centred care, specifically shared decision making believing healthcare decisions should be made in partnership with patients – ‘no decision about me, without me’. She is currently the Clinical Lead for the UK arm of an international programme in shared decision making, “Choosing Wisely”, which is led by the Academy of Medical Royal Colleges. Alongside this Ramai is the Shared Decision Making Lead at the Centre of Perioperative Care and sits on the Choosing Wisely International Roundtable.