2014-17 NICE Fellows

Amina Aitsi-Selmi

Senior Specialist Registrar in Public Health, Department of Health

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Dr Amina Aitsi-Selmi has been committed to a career in public health since medical school. She studied Social Anthropology with a placement exploring the Cuban public health system for her elective. After completing MRCP a European/NHS SHO exchange and a humanitarian mission with Médecins Sans Frontières in South Sudan, she became a NIHR Fellow in Public Health and completed a PhD in epidemiology at UCL supervised by Professor Sir Michael Marmot and funded through a Wellcome Trust fellowship. Her research focused on the social epidemiology of female obesity in lower-income countries and she has published on the role of education and wealth in China, Egypt, Brazil, India and other emerging economies.

On starting the NICE fellowship she was a specialist adviser in public health to the Department of Health to the team delivering on the Secretary of State's Reducing Avoidable Mortality Programme team and developed a consensus framework for system-wide action on comorbidities, co-produced by DH/NHS/PHE and third sector partners.

As a NICE Fellow she plans to continue working across the health and care system as a public health practitioner and academic to build the evidence-base necessary for cost-effective and equitable delivery of public health programmes at local level, creating links between national and local level public health players. She is also interested in future forecasting epidemiological trends of non-communicable diseases and their impact on society and believes NICE is an ideal institution for continuing to develop and promote evidence-based, population level approaches to improving health, preventing disease and reducing inequalities.

Rachel Brown

General Practitioner, Montpelier Health Centre

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Rachel had been a GP partner in a busy Bristol inner city practice for 18 years.

She believes in striving for clinical excellence for all patients, but also treating patients with compassion, being a listening ear, and helping them with their needs whether they be financial, housing, emotional, physical or psychological in nature. This can lead to GPs treading a difficult path between best practice and the needs of the patient. This is an area that would benefit from some work, looking at how GPs can be enabled to achieve clinical excellence within their consulting room.

She has been very involved in community gynaecology pathways and strategies for many years working with Primary Care Trusts and more recently with the Clinical Commissioning Group. She currently runs a gynaecology advice and guidance service for local GPs. She is also a trustee for a local charity; Off the Record, providing free confidential counselling for 12-25y olds.

Sally Coomber

Consultant Occupational Physician

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Dr Sally Coomber was appointed Clinical Lead for Accreditation of Occupational Health (OH) services at the Faculty of Occupational Medicine in 2011. In 2010 she completed the Senior Clinical Leadership Programme in the East of England. Having left the NHS she joined Public Health England in January 2014 as their first Consultant Occupational Physician, with the challenge of introducing high quality OH in a new and diverse PH organisation with 5300 staff on 115 sites across the UK. Having spent many years working with the NHS, county council, fire and police services Sally is now working in a more strategic role, profiling hazard and risks of laboratory work with infectious diseases, including high containment facilities and travel to high-risk areas.

Her clinical interests include assessing mental health in the workplace, the health of doctors, health surveillance for work related diseases and practicalities of improving resilience and wellbeing at work. She is also the Faculty of Occupational Medicine teaching lead for Norwich Medical School and a tutor for the University of Manchester MSc in Occupational Medicine.

The clinical skills and competencies that occupational health practitioners develop can add greatly to the health and work interface. Dr Sally Coomber intends to use her NICE Fellowship to explore the potential of clinical care pathways for OH, making it transparent where and how OH works and how its distinctive working relationships interact. She also intends to develop her ideas for START, a 'simple toolkit for auditing regular tasks' in OH. This can provide widely available quality assurance tools as part of the foundations of good practice for the speciality.

Victoria Elliot

Principal Care Consultant, Orders of St John Care Trust, Lincolnshire

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Victoria Elliot is Principal Care Consultant (Research and Innovation) with the Orders of St John Care Trust, a not for profit charity caring for 3,500 residents in 70 care homes across four counties. Prior to her current role, Victoria was Care Director with the Trust for seven years, responsible for all aspects of clinical governance. During this period she appointed the first My Home Life Admiral Nurse posts in the care home sector, in conjunction with My Home Life and Dementia UK. Victoria has worked in a variety of clinical and managerial roles in the NHS prior to her appointment with OSJCT.

Victoria aims to raise awareness of NICE amongst both nurses and care staff in the social care sector, and also to make guidance from NICE more accessible and relevant to care teams in residential and nursing homes. She will use her time as a Fellow to influence outputs from NICE to ensure that they reflect the needs of the social care sector and make a tangible difference to the lived experience of both residents and care teams in this sector.

Veronica Maynard

Clinical Education, Plymouth University Peninsula Schools of Medicine and Dentistry

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Dr Veronica Maynard, Senior Lecturer Postgraduate Clinical Education and Lead for Evidence Based Medicine BMBS Programme, Plymouth University Peninsula Schools of Medicine and Dentistry (PU PSMD).

Veronica originally qualified as a physiotherapist in 1986 from the Royal London Hospital and then worked clinically, both in the UK and in Australia from 1986-1997. During this time, she specialised in paediatric neurology, with clinical and managerial posts at St Mary's Hospital Paddington; Great Ormond Street; and Queen Elizabeth Hospital for Children, Hackney. From 1991-1993, she completed an MSc in Research Methods at Kings College, London; and in 2004 was awarded a PhD from Peninsula Medical School, Universities of Exeter and Plymouth for research into the effects of muscle stretch on spasticity in stroke patients.

Veronica has been actively involved in the leadership and design of both undergraduate and postgraduate educational programmes, with a particular focus on evidence based practice; and in 2011 was appointed Lead for Evidence Based Medicine on the BMBS programme at Peninsula College of Medicine and Dentistry; and in 2013 Lead for Postgraduate Programmes at Plymouth University Peninsula Schools of Medicine and Dentistry (PU PSMD).

The focus of Veronica's fellowship will be around ensuring that the principles and practice of evidence based medicine and shared decision making are embedded into the medical curriculum at PU PSMD and that through collaboration with NICE, to ensure their experiences are shared with other colleges throughout the region, both locally and nationally. As a NICE Fellow, she will act as an educational ambassador, contributing to the education strategy at NICE and to their guidance programmes and initiatives; to help ensure that medical and dental students emerge with a sound understanding of evidence based practice and shared decision making, and an in-depth understanding of the work of NICE.

Mojgan H Sani

Head of Pharmacy & Clinical Director Medicines Optimisation, Nottingham University Hospitals NHS Trust

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Mojgan is the Head of Pharmacy & Clinical Director Medicines Optimisation at Nottingham University Hospitals NHS Trust.

She has led the process of change management within several NHS organisations. Examples include the development of pharmacy satellites operating at ward level as part of the Medicines Management Agenda, redesigning services such as clinical pharmacy services to Clinical Decisions Unit/Acute Admissions, extended pharmacy opening hours, skill mix review projects and discharge clinics to facilitate reduction in length of stay. She has also been closely engaged with the medication safety agenda, Clinical Governance and patient experience committees as part of the CQC requirements.

Mojgan will be acting as an ambassador for NICE in her capacity as a Fellow with a personal area of interest in the national Medicines Management and Optimisation Agenda. The medicines optimisation agenda will ensure that patients have the best-possible experience and outcome by ensuring that the correct medicines are prescribed to manage specific conditions in line with the evidence, minimising medication risks and re-admissions as well as reducing medicines waste.

Andy Tilden

Director of Sector Development - Skills, Skills for Care

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Andy Tilden works for Skills for Care as Director of Sector Development - Skills. Skills for Care is a registered charity which supports employers to develop the skills of the 1.63 million social care workers in England and to plan for the future workforce. Andy leads a standards, learning and qualifications team, an apprenticeship team and has overall management for area teams in the South West, the Midlands and the North West.

Andy initially trained as teacher before moving into residential child care and education welfare work. He then re-trained and worked as a social worker before moving into lecturing. Andy then joined the NHS to work as a trainer and a National Vocational Qualification (NVQ) assessment centre manager before helping to set up a small charity to offer training and qualifications to the health and social care sector. He eventually joined Topps England (the predecessor of Skills for Care) in 2000. He has been involved in a range of NICE guidance and standards projects.

Throughout his work career Andy has always maintained his twin interests of social care and learning and development. He regards the Fellowship as a natural progression and intends to focus his energies on ensuring that NICE guidance and standards ‘reach the parts of the sector that others have failed to reach' in order to support workers and employers to drive up quality for those who receive care and support!

 

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2013-16 Fellows

David Baldwin

Consultant Respiratory Physician, Nottingham University hospitals

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David Baldwin was appointed Consultant Physician with an interest in respiratory medicine at Nottingham City Hospital (now Nottingham University Hospitals) in 1996. He is Honorary Associate Professor in the University of Nottingham. He has published over 100 papers on many aspects of respiratory medicine and lung cancer. He is lead respiratory physician and co-applicant on the UK CT lung cancer screening trial (UKLS).

He has written several chapters in well-known respiratory and general medical textbooks and has co-edited two books. He has co-supervised post-graduate students for higher degrees. He is enthusiastic about the use of interventional respiratory procedures in the diagnostic and staging process. He is Lead Clinician for the Nottingham Lung Cancer Centre. His national duties include the posts of Honorary Secretary of the British Thoracic Society, Clinical Lead on the NICE Lung Cancer Guideline Development Group (published in April 2011), and Chair of the Quality Standards Group on Lung Cancer ( published 2012). He enjoys time with his family and is a keen windsurfer and advanced instructor.

Rosie Benneyworth

GP, Clinical Commissioner, St James Medical Centre/Somerset CCG

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Rosie is an experienced GP in Somerset and has been involved in commissioning for the last five years. She sits on the Governing Body of the Somerset Clinical Commissioning Group and leads on urgent care, the Taunton and Somerset Foundation Trust contract and Cancer Commissioning. She is also a member of the Somerset Health and Wellbeing Board and believes this offers an excellent opportunity to look at how health and social care can work more closely together. Rosie has recently been involved in the NICE guideline development group for Urinary Incontinence in Women.

Rosie intends to spend her time as a NICE Fellow understanding how commissioners can ensure full implementation of NICE guidance across a patient pathway with the changes in the commissioning structures. This will involve working with primary and secondary care colleagues, and commissioners in both the National Commissioning Board and Local Authority. Rosie is passionate about improving the quality of care for patients in Somerset and believes the NICE fellowship is an opportunity to enhance this.

Nicola Decker

General Practitioner at Oakley and Overton Partnership, Dementia Lead for North Hampshire CCG

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Nicola works as a GP partner in a semi-rural practice in Hampshire. She is passionate about pathways and systems and has shown that investing in service redesign pays off and delivers improved outcomes in terms of patient outcomes, staff efficiency and satisfaction.

As dementia lead for the North Hampshire CCG, she is implementing the NICE dementia pathway which will encourage integrated care across health, social, primary and secondary care.

The Department of Health and our patients believe that Primary Care holds the key to accurate diagnosis and the ongoing management of patients with Dementia. Nicola believes that there are obstacles in the way, which need to be explored. Identifiying these would help to turn a clear guideline in to a successful and ongoing care pathway which will result in improved outcomes for our patients and their carers.

In primary care there is a need to identify the cultural obstacles (in society and in our profession) which hinder implementation. This is a well-recognised challenge for all guidelines, but Dementia has profound implications within primary care.

Nicola plans to interview a balanced sample of stakeholders in her Clinical Commissioning Group in the utilisation of the NICE dementia guidelines to understand the incentives and hindrances to successful implementation.

Krysia Dziedzic

Professor of Musculoskeletal Therapies, Arthritis Research UK Primary Care Centre, Keele University

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Krysia qualified as a physiotherapist at Manchester Royal Infirmary in 1982. In 1997 Krysia completed her PhD at Keele University and became a Senior Research Fellow at Keele and a West Midlands Physiotherapy Clinical Trialist, a post focussing on enhancing evidence based physiotherapy practice through randomised controlled clinical trials. In 2000 Krysia was appointed Arthritis Research UK Senior Lecturer in Physiotherapy. Krysia works as part of an interdisciplinary research team at Keele who was awarded Arthritis Research UK funding as the Arthritis Research UK Primary Care Centre and was awarded a personal chair in 2010. Krysia currently leads an NIHR funded study, MOSAICS (Managing Osteoarthritis In Consultations), implementing the 2008 NICE OA guidelines (GD59) in partnership with general practices in the North West Midlands. The MOSAICS study has produced resources for patients and training for GPs and practice nurses (led by clinical opinion leaders), integrated a pop up template to record care (quality indicators), and piloted OA quality measures of patients' experiences of care.

In this Fellowship Krysia will firstly integrate the Update of the NICE OA guideline (2013) into the above resources ready for local and regional roll out. Regionally, Krysia will develop integrated working between researchers, health care professionals, patients and NICE to increase the uptake of NICE musculoskeletal guidelines. Nationally Krysia will work closely with the British Society for Rheumatology, The British Health Professionals in Rheumatology and the Chartered Society of Physiotherapy (CSP) to disseminate the NICE osteoarthritis update guidelines through contributions to national conferences and professional meetings, and further the opportunities for allied health professionals to become involved in NICE GDGs. In the second phase of the Fellowship Krysia will work with NICE experts and stakeholders to develop a simple summary of guidance on non-pharmacological therapies across the key chronic diseases for patients and health care professionals.

Andrew Hartland

Consultant Chemical Pathologist and Medical Lead for Bariatrics, Walsall Hospitals NHS Trust

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Dr Hartland qualified in Medicine in 1991, having won a scholarship whilst at medical school. He is currently Consultant Chemical Pathologist, Bariatric Physician and Medical Lead for Obesity Services at Walsall Hospitals NHS Trust. Walsall Hospital is a designated Tertiary Referral centre for Bariatric Surgery. In 2009 Dr Hartland became Medical Lead in the Development of Walsall PcTs Level 3 Medical Weight Management Services. These services were some of the first Level 3 services to be developed in line with Dept of Health policy. He became the inaugural Chair of the West Midlands Section of the National Obesity Forum in 2008, a position he still holds, and is a Founding Trustee of the British Obesity Society. He was President of the Pathology Section of the Royal Society of Medicine 2011-2013. He is currently Honorary Senior Lecturer, University of Birmingham Medical School and Quality Lead for the Pathology School, West Midlands Deanery.

Dr Hartland aims to use his Fellowship to champion the implementation of NICE Guidance on the prevention of type 2 diabetes. This will involve developing training and up-skilling currently commissioned providers of medical weight management services at levels 2 and 3 to help reconfigure these services to provide diabetes prevention which is both clinically and cost effective. Once established, this model can be rolled out regionally and nationally.

Asma Khalil

Consultant in Fetal Medicine and Obstetrics, St. George's Hospital, London. Honorary Senior Lecturer at St George's Medical School, University of London

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Asma Khalil is a consultant obstetrician at St George's Hospital and honorary senior lecturer at St George's Medical School, University of London. She is a subspecialist in Maternal and Fetal Medicine. She is lead for the Multiple Pregnancy service at St George's Hospital, the referral unit for the South West London region. She gained her MD at the University of London in 2009. She also has a Masters degree in Epidemiology from the London School of Hygiene & Tropical Medicine and an MRC scholarship.

She has published more than 30 peer reviewed papers, and many published review articles and chapters. She was awarded many research prizes, both at national and international meetings. Her research interests include hypertensive disease in pregnancy and multiple pregnancy. She is committed to the implementation of clinical guidelines in practice and believes that they could reduce inequalities in care across the NHS. She is a representative member of the fetal medicine at the national Clinical Reference Groups for specialised services. She was selected for the “Prepare to Lead” scheme in 2011, a leadership programme funded by NHS London. She has active collaborations with international societies, particularly in developing countries.

She is an active member of the Royal College of Obstetrician and Gynaecologists (RCOG), British Maternal and Fetal Medicine Society (BMFMS), International Society for Prenatal Diagnosis and therapy (ISPD), International Society of Ultrasound in Obstetrics and Gynecology (ISUOG), International Society for the Study of Hypertension in Pregnancy (ISSHP) and Society of Gynecologic Investigation (SGI). She founded 'The Birth Foundation' charity which aims to raise public and professional awareness of medical problems in pregnancy.

Amanda Parker

Director of Nursing and Quality, Queen Victoria Hospital NHS Foundation Trust

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Amanda Parker is director of nursing and quality at the Queen Victoria Hospital NHS Foundation Trust. She is responsible for the quality of care and clinical governance arrangements for the hospital. She works with all clinical teams ensure that services are safe and effective, providing patients with the highest possible quality of care and experience during their interaction with the trust. She has a background in general nursing in the acute settings, having trained at The Middlesex Hospital, London. Over the last 30 years, she has been involved in nursing in a variety of roles both clinical and academic and specialised in perioperative care working as a scrub and anaesthetic nurse.

Amanda will spend her time as a NICE Fellow focussing on encouraging and supporting nurses' involvement and understanding of all aspects of NICE work programmes and other guidance development. Amanda is also keen to develop her nursing networks and to liaise with other nurses involved in NICE activities in order to develop a co-ordinated approach to raising awareness of NICE consultations, NICE quality standards, pathways and implementation tools.

Amanda Smith

Director of Therapies and Health Science, Powys teaching Health Board

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Amanda is Director of Therapies and Health Sciences at Powys teaching Health Board in mid Wales. Her professional career has been as a speech and language therapist, specialising in paediatric speech, language and communication disorders with school-aged children with special educational needs. With a particular interest in quality improvement in child and adult education, she completed her PhD in Education in 2004 and lectured and tutored on undergraduate and Masters courses for teachers.

In her current role, Amanda has responsibility for the quality and safety agenda across the teaching Health Board. Her contribution to the NHS Wales agenda includes her role as Chair of the Expert Scrutiny Panel for Review of Communication Aid provision in Wales; she is a member of the National Clinical Audit and Review Advisory Committee and the National Quality and Safety Forum through which she promotes improvement in clinical governance, quality and healthcare standards. As a member of the Strategic Education Development Group, Amanda has initiated a review of post-graduate training for Allied Health Professions in Wales.

Amanda participated on the NICE Guidance Development Group for Patient Experience (CG138). Her particular focus as a NICE Fellow will be on the implementation of guidance and quality standards to improve patient experience across a range of healthcare settings. She will work with therapy and health science professional groups across Wales and, specifically, with the Royal College of Speech and Language Therapists, to promote awareness of the work of NICE as a support for professional development and evidence-based practice. She will also continue to maintain strong links with higher educational establishments, contributing to the development of the undergraduate and postgraduate curricula for therapies and health science professions across Wales.

Liz Warburton

Consultant in stroke medicine, Cambridge University Hospitals NHS Foundation Trust

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Liz trained at Oxford University and Guy's /St Thomas' Medical school (UMDS).

After junior medical posts at Guy's and Northwick Park Hospital she was an SpR in West London before doing an MRC Training Fellowship in stroke research at the Hammersmith. She was appointed as a Consultant in Stroke medicine at Addenbrooke's Hospital in Cambridge in 1998. Since then she has led the development of organised stroke care locally and also in the East of England as the Anglia Stroke Network clinical lead within the National Stroke Improvement programme. She has maintained an active role in stroke research and leads the Cambridge Hyperacute Stroke Research Centre (part of the national, NIHR Stroke Research Network).

As a NICE fellow she aims to be an ambassador for stroke with a focus on the delivery of the NICE guidance (acute and rehabilitation) within more rural areas. Recognition of stroke, travel times, optimal size of stroke units and formation of specialist community stroke teams present particular challenges in areas of rurality. Service modelling, cost effectiveness analysis, public engagement and use of telehealth/telemedicine are some of the datasets needed to inform commissioners. In partnership with the newly created AHSN's and CCG's Liz aims to work with experts in service modelling and cost effectiveness to help define service structures best placed to deliver quality stroke care.

Alun Williams

Paediatric Urology and Transplant Surgery, Nottingham University Hospitals NHS Trust

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Alun is consultant in paediatric urology and kidney transplantation in Nottingham. He qualified at Oxford, did basic surgical training in Leeds and higher surgical training in paediatric surgery, paediatric urology and kidney transplantation between Leeds and Nottingham.

His clinical time is divided between transplantation in which he co-leads the paediatric and living donor programmes, and paediatric urology, with special interests in neuropathic and reconstructive urology, surgery for kidney failure and disorders of sex development. He also provides paediatric surgery and urology services at Royal Derby and Chesterfield Royal Hospitals.

'Congenital grown-up' urology is a specific interest of Alun's which draws in many elements of his eclectic practice, and opens up the possibility of examining diverse models of providing health and social care with a 'complex systems' approach.

Alun's interest in NICE was sparked by membership of the guideline development group for the management of lower urinary tract dysfunction in neurological disease. He aims to take up some of the strands of this, focussing in particular on transition from paediatric to adult care.

 

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2012-15 NICE Fellows

David Bennett-Jones

Consultant in Renal Medicine, University Hospitals Coventry and Warwickshire

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David trained at Cambridge University and St Thomas's Hospital Medical School. Following specialty training in Brighton, Kings, Guys and Stoke-on-Trent, he was appointed as Consultant Renal Physician at the Cumberland Infirmary Carlisle in 1989. He established and developed the renal service in North Cumbria, including comprehensive dialysis facilities and transplant follow-up. He was a founder member of both the Renal Senior Registrar Club and the Society for DGH Nephrologists. David has a long-standing interest in postgraduate medical education, having been Programme Director for Renal Specialty Training in the Northern Deanery and currently Deputy Clinical Tutor for the Foundation Programme in Coventry and Warwickshire.

David plans to work with primary care clinical staff, including medical, nursing and pharmacy colleagues, to implement NICE CKD guidelines (CG73). Chronic disease management for patients with CKD, frequently on a background of diabetes and vascular disease, is often complex and confusing. The clear presentation of sequential clinical data, including laboratory, radiological and clinical information is necessary for correct diagnosis and to formulate a logical management plan. David proposes to work with colleagues in the community to develop methods of sharing and presenting data, in order to enhance clinical decision-making and guideline implementation.

Alena Chong

Academic General Practitioner, Lichfield Grove Surgery and UCL

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Dr Alena Chong initially trained as an Obstetrician and Gynaecologist, before becoming a portfolio GP. Undergraduate medical education is a key interest as she organises the final year GP Assistantship Course at UCL Medical School. Recently, she was presented with The UCL Excellence in Medical Education Award and The Miriam Friedman Ben David New Educator Award by the Association for Medical Education in Europe (AMEE), for her innovative student-centred teaching ideas.

As a NICE Fellow, she intends to develop a research portfolio to complement her current GP and teaching roles. Her 3 year project is TONIC: The translation of NICE guidelines into care. As millions of pounds are spent on oral glucose control medicines, her focal question is: Do GPs take NICE guidance for prescribing oral glucose control medicines into account when exercising their clinical judgment? By developing innovative educational partnerships with community-based NHS healthcare professionals, this TONIC for diabetes mellitus aims to benefit individuals and populations.

Maria Dyban

General Practitioner, Aneurin Bevan GP out-of-hours service and Kings Road Surgery, Cardiff

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Dr Maria Dyban is a general practitioner with interests in Paediatrics and Medical Law. She spends an equal amount of time working in out-of-hours and in-hours general practice across two Health Boards which provides exposure to all aspects of Primary Care. Dr Maria Dyban is an assistant secretary of the South East Wales Faculty of RCGP and holds a Masters in Legal Aspects of Medical Practice. She is committed to the improvement of paediatric services in general practice. Last year, as part of Organisational Effectiveness Programme, she conducted regular tutorials for clinicians and collaborated with local paediatricians with the view to improving paediatric services in Aneurin Bevan Health Board.

Dr Maria Dyban intends to spend her time as a NICE Fellow expanding on her existing paediatric work as well advocating the use of relevant NICE guidance related to in-hours and out-of-hours General Practice. She wants to encourage collaboration between primary and secondary care and Royal Colleges in order to improve standards of care. She hopes to decrease the burden of clinical negligence litigation on the NHS by ensuring patients are given the best medical care and advocating the use of evidence based medicine.

Angela Green

Lead clinical research therapist, Hull and East Yorkshire Hospitals NHS Trust & NIHR North East Yorkshire and Northern Lincolnshire Comprehensive Local Research Network

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Angela Green is lead clinical research therapist at the Hull and East Yorkshire Hospitals NHS Trust. She is responsible for co-ordinating research and clinical governance activities for therapy services (physiotherapy, occupational therapy, dietetic, speech and language therapy, orthotic and prosthetic services) within her Trust. She works with therapy staff to ensure that services are effective, efficient and of the highest possible quality. This is achieved through monitoring patient safety, patient and staff experience and auditing modes of service delivery, process and clinical outcomes against evidence based standards and guidelines. She qualified as a physiotherapist, and maintains her clinical skills by running a well-being clinic for people with cancer-related fatigue. She completed a PhD at the University of Hull in 2008. Angela is also seconded part time to the National Institute for Health Research North and East Yorkshire and Northern Lincolnshire comprehensive local research network to encourage allied health professionals to engage in portfolio research projects and to build AHPresearch capacity within the NHS. This role has enabled her to develop a number of links with AHPs, both in the Yorkshire region and nationally.

Angela will spend her time as a NICE Fellow focussing on improving alignment of local rehabilitation pathways with best available evidence. This is to be achieved through work with local commissioners, health and social care agencies, leisure providers and the voluntary sector. Angela is also keen to develop her AHP networks and to liaise with other AHPs involved in NICE activities in order to develop a co-ordinated approach to raising awareness of NICE consultations, NICE quality standards, pathways and implementation tools. She also views her fellowship as an opportunity to act as a conduit between AHPs, NICE and the NIHR to identify gaps in evidence or guidance and to highlight new and innovative ways of working.

Dominic Horne

General Practitioner, RCGP Clinical Commissioning Champion

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Dr Dominic Horne is Lead GP and Clinical Services Director at Worcester Walk-in Health Centre. He is a member of the RCGP Midland Faculty Board and the NHS Clinical Leaders Network. He is involved in clinical governance, leadership training and service redesign. Dominic's clinical interests include Urgent and Unscheduled Care and Respiratory medicine as well as Public Health, particularly the social determinants of health. He is also passionate about sustainable healthcare.

As a Fellow, Dominic intends to promote the work of NICE amongst colleagues throughout the West Midlands. He will be looking at various aspects of Urgent and Unscheduled Care, including: telemedicine; the role of Walk-in Centres, Minor Injury Units and Urgent Care Centres; investigating how best to involve GPs in A+E; promoting greater integration between in-hours and out-of hours primary care, and assessing the implementation and impact of 111. He will be working closely with the Department of Primary Care at the University of Birmingham, researching ways in which QOF indicators can be utilised to help prevent unplanned admissions.

Jonathan Norris

Consultant Ophthalmic and Oculoplastic Surgeon, Oxford University Hospitals NHS Trust

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Jonathan Norris is a consultant ophthalmologist at Oxford University Hospitals NHS Trust. He has a special interest in oculoplastic, lacrimal and orbital surgery and is the current clinical governance lead for the Oxford Eye Hospital. He has written over 30 papers relating to Ophthalmology and was previously an honorary clinical lecturer at Leeds University Medical School. He currently volunteers for the Open Eyes Foundation aimed at developing electronic patient records (EPR) nationally in Ophthalmology. Jonathan is currently studying for an MSc at Oxford University in Surgical Science and Practice for which he was awarded a Department for Continuing Education Scholarship. The aim of this course is to develop systems within the NHS to improve patient care.

In his role as a NICE Fellow, Jonathan aims to develop a combined dermatology and oculoplastic tumour service. His aim is to evaluate the NICE guidance relating to eyelid skin cancer and to assess the economic impact of this service locally. He also aims to incorporate NICE guidance into the Open Eyes Foundation EPR system and secondarily develop surgical benchmarks in oculoplastic surgery. The third arm of his Fellowship is to act as a conduit between NICE and the Oxford University Hospitals NHS Trust, promoting NICE locally.

Rajini Ramana

Consultant in General Adult Psychiatry, Cambridgeshire and Peterborough NHS Foundation Trust

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Dr Rajini Ramana is a Consultant in General Adult Psychiatry at The Cambridgeshire and Peterborough NHS Foundation Trust and an Associate Lecturer at the University of Cambridge Clinical School, Department of Psychiatry. She is a Fellow of the Royal College of Psychiatrists and Regional Advisor for the Eastern Division of the College. She has worked in a variety of settings in acute care and community services and has considerable leadership experience in service development and training and education. Her clinical and research interest is in chronic and treatment refractory depression and in severe mental illness that co-exists with other long term physical illnesses. . She is currently the Principal Investigator in Cambridge, for a multicentre randomised controlled trial that hopes to evaluate the clinical and cost effectiveness of a specialist service for treatment refractory depression.

As a NICE Fellow and a member of the NICE implementation group of her Trust, Rajini hopes she will play a key role in promoting the principles of evidence -based care in her organisation. She is particularly keen to engage with local commissioners and health and social care providers and contribute to the incorporation of NICE quality standards in the commissioning of collaborative care packages for people with long -term mental disorders and co-morbid physical illness. As part of her current research, she is carrying out an audit on compliance with NICE guidelines for the treatment of depression, as well as qualitative research that aims to identify barriers and drivers to the provision of evidence-based care . She is setting up a specialist service for Affective Disorders in her Trust along with key clinical and academic colleagues. This aim of this service will be to enhance basic and clinical research into affective and anxiety disorders, to provide a specialist service for patients with complex and severe affective and anxiety disorders in the region and to deliver training and education. She is also working on a project to incorporate NICE guidelines into the new clinical information system for patient records. The aim of this is to ensure that frontline clinicians are prompted to consider NICE guidelines when designing treatment and care plans and to streamline data collection and evaluation to simplify procedures for auditing NICE compliance. As a Regional Advisor, she works with a network of regional representatives from many mental health trusts and will be able to be enhance communication and information sharing between NICE and the membership of the Royal College of Psychiatrists.

Mo Ray

Senior Social Work, Keele University

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Mo Ray is a Senior Lecturer in Social work at the University of Keele. Her background is in social work practice with older people having worked as a social worker, care manager and manager in Gloucestershire and Surrey. Her desire to understand more about research in social gerontology led her to the Centre for Social Gerontology at Keele University where she completed part-time doctoral research. Since that time she has become a full-time member of the social work group and teaches Masters and Undergraduate Social Work students. She specialises in practice based education with a focus on social work with older people and has a strong interest in social work with older people living with dementia. She has a strong interest in practice development projects and participatory research. She has worked on projects funded by the ESRC; the EU, voluntary agencies such as Anchor Trust and Social Service Departments. She has published a number of books and articles focusing on social work with older people and critical practice in gerontological social work. She has developed a range of CPD courses aimed at raising standards in direct care and practice with older people and has a particular interest in changing cultures of care in the residential care sector.

As a Fellow, Mo hopes to contribute to raising the profile of social care practice with older people with high support needs and the role of social work with older people. She hopes to use her interest in education and training/CPD to contribute to the work of the social care programme at NICE.

Elizabeth Robb

Senior Special Care Dentist, United Hospitals Bristol Primary Care Dental Service and NHS Foundation Trust

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Liz is a Senior Special Care dentist with the United Hospitals Bristol Primary Care Dental Service and is based in Bath, Somerset. Special Care Dentistry is concerned with the provision of oral care and the improvement of oral health of individuals and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or disability or, more often, a combination of a number of these factors. In the course of her work Liz undertakes domiciliary dental care in residential and nursing homes, general dental care in specially equipped surgeries as well as providing dental care under general anaesthetic for those unable to cooperate for care in any other way. After qualifying at University College Hospital, London, Liz spent many years working in Zimbabwe before returning to the UK in 2002 and has a special interest in the equity of and access to care, particularly of the elderly. She is also the Clinical Governance lead for the UHBristol Primary Care Dental Service.

During her time as a NICE Fellow Liz will be acting as an ambassador for NICE at a local and regional level alerting both dentists and dental care professionals to the lesser known aspects of the work of NICE. The new Health and Social Care Bill envisages Local Commissioning Groups as having an important role to play in NHS dentistry in the future and Liz intends to use her Fellowship role to ensure that dentistry, and in particular Special Care dentistry takes its rightful place in the new contract. On a wider level Liz would like to work with the Faculty of General Dental Practice (UK) to promote NHS Evidence to the profession at large. Finally, as a result of her work abroad, she looks forward to exploring how the work of NICE International could be developed to be of practical dental relevance to those with few resources thus contributing to the development and promotion of high quality, sustainable oral health strategies in low and middle income countries.

Micheline Tremblay

Adult Psychiatry and Honorary Lecturer for the University of Liverpool, Cheshire and Wirral Partnership NHS Foundation Trust

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Dr Tremblay is Consultant in Adult General Psychiatry as part of a Community Mental Health Team providing specialist mental health services to the Northwich population in Cheshire.

She completed her specialist training in Quebec, Canada, as well as her Master's Degree in Experimental Sciences.

Over years Dr Tremblay has held various posts within her Trust including Clinical Director, Chair of the ElectroConvulsive Therapy Group and Medical Governor. This exposure to medical management and governance helped shape an interest for the effective management of disorders through the use of Integrated Care Pathways.

Dr Tremblay developed a special interest for Bipolar Disorder being involved in training and education with a variety of groups including psychiatric trainees as Honorary Lecturer for the University of Liverpool, practitioners including pharmacists and GPs, and most importantly users and carers through her work and involvement with Bipolar UK.

As a Fellow of NICE, Dr Tremblay wishes to expand this interest in adapting a concept of Integrated Care Pathway in the management of Bipolar Disorder for use with the Patient Electronic Record systems. This tool is designed to provide cutting edge evidence based information at the finger tips of mental health practitioners. A collaboration with NICE will support the infusion of the latest information within the pathway and facilitate its dissemination. She is hoping to promote evidence based practice, training and education with the use of Integrated Care Pathways. This project is part of a partnership application aiming at facilitating cultural and educational visits with Bipolar Expert Centres in Europe.

 

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2011-14 NICE Fellows

Colin Angel

Head of Policy and Communication, United Kingdom Homecare Association Ltd

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Colin Angel joined the United Kingdom Homecare Association Ltd (UKHCA) in October 2004 as Head of Policy and Communication. He was originally a Registered Nurse and an NHS manager before moving into health and social care recruitment and staffing services. His experience includes international recruitment, local authority contracting and the regulation of nurses' and domiciliary care agencies in all four UK administrations.

UKHCA is a not-for-profit professional association committed to promoting high quality, sustainable care services to help people live at home and in their local community. Colin's role is to represent the views of independent and voluntary sector homecare providers with policy makers and to provide the Association's member organisations with up-to-date information about developments in social care policy and practice.

Colin leads a team who produce guidance, resources and analysis for homecare providers. He is a member of the Care Quality Commission's Provider Advisory Group and the co-author of the Adult Protection Toolkit for Domiciliary Care Agencies, written jointly with national charity, Action on Elder Abuse.

Colin will use his Fellowship and his specialist knowledge to assist NICE design new quality standards into the social care sector. As a member of the Care Providers Alliance, he works with the other ten national professional associations across England, representing the residential, domiciliary care and adult placement providers in the independent and voluntary sectors.

Nigel Beasley

ENT Consultant, Deputy Medical Director, Nottingham University Hospitals NHS Trust

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Nigel was a student at Guy's Hospital in London, and then trained in Nottingham, Liverpool, Oxford and Toronto, Canada, before returning to Nottingham as a consultant in 2002. Nigel was Clinical Director of ENT from 2004 to 2007 and then worked with the NHS Institute for Innovation and Improvement as their clinical lead for cancer from 2007 to 2008. He was appointed Deputy Medical Director at Nottingham University Hospital (NUH) in October 2007 and has taken on responsibility for appraisal and revalidation, and clinical effectiveness, including the implementation of NICE guidance.

Nigel aims to investigate the use of clinical indicators and clinical audit, linked to NICE guidance and quality standards, as strategic tools to drive change and sustain improvements in patient outcomes at NUH. Working with local, regional (Quality Observatory) and national (Information Centre) teams he plans to develop a dashboard of clinical indicators for use by patients, the public and staff to monitor the implementation of NICE guidance and quality standards at NUH. Nigel is keen to explore sustainability models around the maintenance of high standards of clinical care and share the assurance framework, dashboard and sustainability models with other secondary care organisations. He is supervising Owen Bennett, NICE Scholar (2011/12), they are looking at the development of new coding systems to monitor the implementation of NICE Interventional Procedure Guidance. Nigel is also a member of the independent Advisory Committee for NICE's Commissioning Outcomes Framework.

Paul Blenkiron

Consultant Psychiatrist and Public Education Officer, NHS North Yorkshire and York

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Paul Blenkiron is an NHS consultant in adult and community psychiatry at Bootham Park Hospital in York. He is also Public Education Officer for the Royal College of Psychiatrists' Northern and Yorkshire Division, and Honorary Senior Clinical Lecturer at Hull-York Medical School and Leeds University. He has a special interest in cognitive behaviour therapy (CBT), and practises as an accredited member of the British Association for Behavioural and Cognitive Psychotherapies. His longstanding enthusiasm for evidence-based psychiatry has included acting as an expert consultee on NICE guidelines for depression and computerised CBT. He is a clinical advisor on the psychological panel of the Health Technology Assessment Programme, and has authored over 70 clinical and research publications in the areas of self harm, CBT, depression, guidelines and service user views. His most recent research examined factors that determine General Practitioners' concordance with the NICE guidelines for depression.

In his role as NICE Fellow, Paul will be working with the Department of Health Sciences at York University and with the Royal College of Psychiatrists. He will evaluate the impact of NICE guidelines upon front line mental health services. We already know that simply producing guidelines is not enough to make a practical difference to patient care. This project will focus upon gateways and barriers to implementing effective interventions - including attitudinal, educational and organisational factors. He will also promote high quality teaching, support NICE-concordant projects in the Yorkshire region, and work with his peers in the role of continuing professional development (CPD) coordinator. As a media spokesperson for the Royal College of Psychiatrists, Paul will endeavour to publicise cost-effective treatments in mental healthcare, and highlight the work of NICE as being much more than a body that approves new drugs.

Louise Brown

Department of Social & Policy Sciences, University of Bath

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Louise Brown is a Senior Lecturer in Social Work at the University of Bath. Her background is in child protection practice having worked as a child protection officer for the NSPCC and a number of local authorities in the South West. The lack of a strong evidence-base for her practice led her to start a second career in academia at the Thomas Coram Research Unit, University of London examining the role of expert witnesses in child care proceedings. Currently as a social work academic she is involved in research and education at the University of Bath. She teaches family law and critical appraisal skills to social work students.

Louise is one of a small number of social work academics in the UK who have experience of using a wide range of research methods to generate evidence including RCTs', cost-benefit analysis, qualitative approaches and innovatory methods enabling service users to take control of the research process. She has worked on projects funded by the NHS Executive examining the impact of integrated health and social care services on older people living in the community. She has published her work widely, is part of a number of European research networks and is on the Editorial Board of Public Management Review. With over 15 years experience of undertaking service evaluations her current areas of interest are in using innovative models of care to improve practice, innovation and ageing, change management and the use of accreditation to raise quality standards. She has been a Trustee at SCIE since 2010.

As a Fellow, Louise will contribute to the development of NICE's social care work programme.

Janice Fawell

Programme Manager - Project Diamond, NHS London

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Janice has worked in finance in the NHS for over 20 years. For the majority of that time she has worked in national specialised services, collaborating closely with clinicians in service development for patients with rare conditions. Last year, Janice was asked to lead Project Diamond (a network of the large teaching and specialist hospitals in London) to look at funding issues for specialist treatments, particularly in relation to the PbR tariff. Using Patient Level Information & Costing Systems (PLICs), the trusts are beginning to benchmark costs and productivity at individual patient level. Comparisons are being made with other organisations nationally, with the aim of influencing the development of specialist best-practice tariffs.

Janice will spend her time as a NICE Fellow using PLICs to help assess the clinical cost and benefits of introducing new technologies and standards, particularly around integrated patient pathways and assessment of health value over time. She will encourage a holistic approach to cost assessment, with patients actively involved in decisions about evidenced-based options.

Janice is also interested in the wider concept of public value within a society and follows this interest through her fellowship of the RSA as well with other social-sector organisations.

Jacqueline Fletcher

Senior Professional Tutor in the Section of Wound Healing, Department of Dermatology and Wound Healing, Cardiff University

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Jacqui is currently Senior Professional Tutor at the Section of Wound Healing in Cardiff, Principal Lecturer in the School of Nursing and Midwifery at University of Hertfordshire and Editor of Wounds UK. She developed her interest in wound care when working in her first staff post at St Bartholomew's Hospital in London. The then Director of Nursing Pamela Hibbs had a strong interest in Pressure Ulcer Prevention and Management and Jacqui was intrigued to see the huge differences in care delivery and priorities when she moved to Manchester. Her first role as Clinical Specialist for Calderdale Healthcare Trust encompassed 3 hospitals and 18 community health care centres. After this she moved into the Higher Education sector teaching entirely on Tissue Viability. Throughout this time she has maintained her clinical role initially with East & North Hertfordshire and more recently with Cardiff and Vale UHB.

She will spend her time as a NICE Fellow focusing on issues that both raise the profile of wound healing nationally and help standardise the care patients receive irrespective of where they are in the UK. Her 3 stage project will cover; the development of a communication network for those involved in the delivery of wound care, the co ordination of a minimum data set (a topic which is being addressed in many regions but not nationally) and finally the development of minimum standards for education on wound healing.

Jacqui sees her role in this project as a facilitator and communication hub for co coordinating the huge amount of good work already occurring in this field particularly by the regional groups.

Angela Hassiotis

Reader and Honorary Consultant, Psychiatry of Learning Disability, Camden & Islington NHS Foundation Trust & UCL

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Angela Hassiotis is a clinical academic and honorary Consultant Psychiatrist in Learning Disabilities at Camden & Islington NHS Foundation Trust. She is based within the Camden Learning Disabilities Service. She has significant track record in research and service developments within her speciality. Her work, and with colleagues, has led to innovations in care delivery. She has published over 50 peer reviewed papers, book chapters, has edited a book on mental health in learning disabilities and lectures nationally and internationally.

She is a Fellow of the Royal College of Psychiatrists, Finance Officer of the Faculty of the Psychiatry of Learning Disability and chair of a special interest group of an international members research organisation in learning disabilities (IASSID) and member of the board on the IASSID Academy.

She will spend her time as a NICE Fellow focusing on issues relevant to the implementation of NICE guidelines within the newly developed service lines in her trust and will investigate how guidelines can be implemented within care pathways in learning disabilities. In addition, given her recent work on international projects she is interested in looking at how treatment and management guidelines may translate into practice in low and middle income countries.

Finally, as a champion of evidence based practice, she will work with her wide network of professional contacts at local, national and international level to consider ways in which she can use her position to improve guideline implementation.

Trevor Mills

PCT Medical Director, General Practitioner, NHS Nottingham City

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Dr Trevor Mills has been an inner city GP for over 25 yrs. An experience GP trainer and post graduate educator he became involved in commissioning and clinical governance 10yrs ago. During that time he has been GP prescribing lead, mental health lead and more recently long term conditions lead for the PCT. He has been an advocate of skill mix in health care and in developing the role of specialist nurses, especially in community and primary care. He became Medical Director in 2008 and champions the drive for quality, evidenced based health care; underpinned by robust continuing medical education. This post has given him experience of monitoring patient safety, quality assurance and clinical performance. Trevor is a Fellow of the Royal College of General Practitioners.

Trevor intends to use his 3 yr NICE Fellowship to promote the work of NICE, and its suite of products, amongst the new GP commissioners, as well as the various healthcare providers in the Nottinghamshire area and the East Midlands generally. His priority will be ensuring a good understanding of the importance of the new NICE Quality Standards within the changing NHS environment; together with the NHS Outcomes Framework, they will impact on all facets of commissioning and provision. His work will facilitate partnership working between primary, secondary and community care lead clinicians on the clinical effectiveness, clinical variation and service development agendas. Trevor's work will not forget mental health providers, local authorities and third sector organisations who he also hopes to get involved. Finally, he will be promoting the NICE message to front line GPs at all stages of their careers. Trevor believes that quality healthcare can only be achieved if the clinical workforce is engaged, educated and enthused; he hopes his Fellowship will be helped by this conviction.

Richard Preece

Consultant in occupational medicine, Mid Cheshire Hospital NHS Foundation Trust

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Richard Preece is a consultant in occupational medicine based at Mid Cheshire Hospitals NHS Foundation Trust from where he provides medical leadership to a service supporting three hospitals and a number of primary care organisations. The Cheshire service has been identified as a model for future services. Richard is seconded part-time to NHS Plus (the national occupational health body) as Director of Organisational Development to guide service reconfiguration and the establishment of a national clinical governance system. He is involved in a number of national bodies including the group considering improvements to the Fit Note.

Richard has been directly involved in development of two of NICE's six workplace guidance documents. He has recently been the Clinical Lead for National Audit of Implementation of NICE workplace guidance. Richard intends to use his Fellowship to promote understanding of the interaction between health and work amongst all clinicians so that all patients of working age benefit from consideration of their capabilities. He will first use networks in the North West and then other regions to promote the uptake of workplace guidance and promote understanding of the improvements in performance and productivity that come from this.

Daghni Rajasingham

Consultant Obstetrician, Guys and St Thomas' Foundation Trust Hospital

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Daghni Rajasingam is a consultant obstetrician at Guy's and St Thomas' Foundation Trust. Her clinical interests include obesity, diabetes, pre-pregnancy counselling, early access to care and social complications in pregnancy. She has a Masters and academic interest in leadership and partnership working and provides bespoke consultancy services. She has been awarded grants for user engagement in innovative designing of community pre-pregnancy services for diabetes and postnatal support for women with diabetes.

She is lead for the Maternity project in Leading Workforce Transformation (NHS London), was a member of the NICE guideline development group for Social Complications in Pregnancy and external obstetric advisor to the Confidential Enquiry into Maternal and Child Health (CEMACH) Obesity Project. She is on the Royal College of Obstetrics and Gynaecology (RCOG) Council and is an official spokesperson for the RCOG. She was an appointed member of the Clinical Advisory Group for Healthcare for London and co-Chair of the Maternity User Engagement Group. She is NHS London's clinical lead for the Clinical Leadership Network, chair of the National CLN Congress and is evaluating the national Clinical Leaders Network.

Yana Richens

Consultant Midwife Public Health, University College London Hospital NHS Trust

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Yana undertook general nurse training prior to becoming a midwife in 1988 and her interest in clinical guidelines began in 1996 when she completed a Masters degree which was a qualitative study looking at the use of evidence in clinical practice. She commenced her current post in 2004; previously she worked as a research fellow for the Royal College of Nurses looking at implementation of clinical guidelines. Yana has been a midwifery member of two NICE clinical guideline development groups, and has been involved in international guideline development; she is committed to the implementation of clinical guidelines in practice and holds the firm belief that they will reduce inequalities in care for both mothers and babies.

During her time as a NICE fellow she will focus on guidelines relevant to maternity services and the implementation of NICE guidance into clinical practice. She will work collaboratively with the Royal College of Midwives, and obstetric colleagues to produce a short compilation of NICE guidance relating to maternity services which can be used in the clinical area. She would also like to work with students at a local and national level to ensure that evidence is embedded into clinical practice.

Julia Scott

Chief Executive, British Association and College of Occupational Therapists

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Julia Scott is Chief Executive of the British Association and College of Occupational Therapists, the professional body for around 30,000 Occupational Therapists, support workers and students. Julia started her career in the NHS before moving into the field of social care. She chaired the London Boroughs Occupational Therapists Managers Group, was seconded to the Department of Health to complete the Integrating Community Equipment Guidelines and, having completed her MSc at Brunel University, taught a quality assurance module at the University. Prior to taking up her role as Chief Executive, Julia was Head of Physical Disability Services at Kensington and Chelsea Social Services. She currently represents the College on the SCIE Partners Council and the Skills for Care Workforce sub- committee. Julia was awarded an Honourary Fellowship from Brunel University in 2006 in recognition of her contribution to undergraduate Occupational therapy education.

Julia is passionate about good quality social care and as a NICE Fellow will offer an informed, positive and supportive contribution to the development of social care standards. She will use her existing relationships with key players in the field of social care to promote the standards and their implementation. Julia plans to help raise awareness of the NICE quality standards for social care amongst the social care community, support the provision of standards that are appropriate to a social care delivery model and act as an ambassador for the standards to both Occupational Therapists and the wider Allied Health professions workforce.

Paul Wilkinson

University Lecturer and Honorary Consultant in Child and Adolescent Psychiatry, University of Cambridge; Cambridgeshire and Peterborough NHS Foundation Trust

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Paul Wilkinson is a clinical academic child and adolescent psychiatrist in Cambridge, and commenced his current post in May 2009. He is currently involved in the leadership and evaluation of a number of local and national projects which are trying to improve the delivery of evidence-based treatments to children and young people with emotional and behavioural disorders. He firmly believes that the more widespread use of evidence-based practice will both lead to improved outcomes for our patients and improved cost-effectiveness of our limited resources.

He will spend his time as a NICE fellow working on three projects. Firstly he will be part of the leadership team developing evidence-based local care pathways, that are well-integrated with partner agencies (including the local authority, education and the voluntary sector). Secondly, he will lead the development of interpersonal psychotherapy (IPT) locally. IPT is recommended as a first-line treatment for adolescent depression by NICE, but is rarely available due to a lack of therapists and supervisors. He will complete supervisor training and develop a network of supervisors. Thirdly, he will contribute to the national leadership of the improvement in the delivery of evidence-based therapies for children and adolescents with emotional and behavioural disorders. This will be through continuing to give lectures to a wide variety of audiences and through his work on the national group developing Improved Access to Psychological Therapies (IAPT) for Children and Young People.

 

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2010-13 NICE Fellows

Sara Furness

Consultant, Acute Medicine, Salford Royal NHS Foundation Trust

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Sara Furness is an acute physician at Salford Royal NHS Foundation Trust. Her background is in Nephrology & General (internal) Medicine (since acute medicine was not recognised as a specialty when she commenced her training). She commenced her current post in June 2009 and has become involved in a number of projects looking at delivering reliable, reproducible care and assuring a culture of safety within our department and the wider trust. She is a member of the Royal College of Physicians (Edinburgh), the Society of Acute Medicine, the Royal Society of Medicine and the Renal Association.

She will spend her time as a NICE Fellow focusing on issues relevant to acute medicine, including promoting aspects of NICE guidance within the acute medicine network. Having worked on reliability and quality improvements projects locally focusing on the acutely unwell adult, she is particularly interested in trying to bridge the gap between identifying sick patients and responding to their deterioration in a safe and timely fashion. She will help build a wider network within acute medicine, and learn from other acute medical units in the North West and beyond. Junior medical staff are vital in delivering improvements in response to physiological deterioration. She intends to focus on involving medical students and junior doctors to embed the use of evidence based practice and the use of NICE guidance at an early stage. Ultimately, she would like to see a shared language across acute trusts and the NHS in general which ensures a similar response to an acutely unwell patient, regardless of the institution.

Ian Gallen

Consultant Physician, Buckinghamshire Hospitals NHS Trust

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Ian Gallen is an experienced diabetologist, working at Buckinghamshire Hospitals NHS Trust. He is widely recognized for his work in the field of helping diabetic athletes, and in the care of pregnant women with diabetes. He designed, manages and edits the diabetes and sport website Runsweet.com. He has considerable experience in developing diabetes services, working with PCTs and national organisations, and understands the issue of funding services. His clinical research is in the field of diabetes and sports, with studies to reduce dysglycaemia and improve performance with exercise in diabetes and on optimizing CSII therapy during and following exercise. He has a key interest in undergraduate education, and is an Associate Director of Clinical Studies. He is also Honorary Secretary of the Association of British Clinical Diabetologists (ABCD).

As a Fellow, Ian will carry out a project concerned with the implementation of NICE guidance on continuous insulin infusion pump therapy (TAI51). The project, which is supported by ABCD, aims to survey diabetes centres in England, to establish basic data on numbers and type of insulin infusion pump starts and follow up, but also investigate how services are provided, compared to proposed national standards. This project will identify examples of excellent service, which then can be given accreditation. The possibility of accreditation of services will assist commissioners of pump services to work with excellent services and offer stimulus to other potential services to improve standards. Areas with inadequate service provision will be also identified, and plans can be developed to assist those services. The quality, quantity and equity of CSII therapy, with the resultant benefits to people with diabetes, can be increased.

Jenny Gordon

Programme Manager for Evidence into practice, Royal College of Nursing

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Jenny Gordon chose nursing as a profession because, in common with many other people, she wanted to ‘make a difference.' She has a background in general and paediatric nursing in acute and community settings. She trained at Great Ormond St. Hospitals for Sick Children and University College Hospital, London. Over the last 30 years, she has been involved in nursing in a variety of roles both clinical and academic.

Her current role of Programme Manager of the Evidence into Practice Team within the Royal College of Nursing (RCN) Learning and Development Institute gives her the opportunity to combine her clinical and academic knowledge and skills to influence, support and improve outcomes for patients and healthcare professionals. It involves the development of strategies, processes and resources to facilitate and support the implementation of evidence in healthcare. Her team also co-ordinates the NICE programme within the RCN; encourages and supports nurses' involvement with all aspects of NICE work programmes and other guidance development- so that she hopes that she is still making a difference.

As a Fellow, her work will include:

  • The development and piloting of a blended accredited modular education programme for nurses involved in developing National Guidance that will enable them to get formal recognition of skills and knowledge gained as a result of developing guidance
  • Developing an RCN implementation position statement and programme of work to increase specific areas of implementation of guidance, using College expertise, championing and support
  • Coordinating a programme of work combining aspects of the above projects to develop and support newly qualified nurses to ensure that in the future there will be continued access to appropriately qualified and experienced nurses who can contribute to the NICE work programme.

Nicholas Harland

Team Lead Extended Services Hambleton and Richmondshire Area, North York and Yorkshire PCT

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Nicholas Harland is a physiotherapist and currently works as Team Lead for Extended Musculoskeletal Services for an area of North Yorkshire and York PCT. He is also clinical lead for spinal services across all areas of the PCT, geographically the largest in the country. These roles take up half of his time and involve both management duties and spinal assessment clinic work. The other half of his time is funded by the National Institute for Health Research as a ‘Clinical Lecturer' to undertake a three year RCT research project and complete a career development program. His NICE Fellowship is part of that career development portfolio. Further, he is Editor of the Journal of the Physiotherapy Pain Association, a national bi-annual non-peer review journal, and acts as an article reviewer for Elsevier on Physiotherapy, an international peer review journal.

As a Fellow, Nicholas will act as an intermediary between NICE and the clinical and indeed commissioning communities. He hopes to help reduce the barriers that can exist between NICE and grassroots clinicians by acting as a conduit between NICE and various clinical groups. Without wishing to be a single issue constituent, as a back pain specialist linked to NICE, he can facilitate the understanding and implementation of the recent NICE Persistent Back Pain Guidelines. He also has a particular interest in the Depression Guidelines as these are also highly pertinent to those treating chronic pain of any sort. He hopes to work across his Strategic Health Authority and beyond to engage clinicians and services in taking full advantage of NICE work to improve quality of care and clinical effectiveness.

David Kernick

General Practitioner, RCGP Headache Champion, St Thomas Medical Group

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David Kernick formerly trained as a chemical engineer. He has worked for the last 25 years in a large group practice in Exeter, where he is lead research GP. His research interests have been in health economics in primary care, complexity theory particularly from the perspective of organisational theory and more recently, headache. He holds an MD in the field of laser Doppler flowmetry applied to the microcirculation. He has recently stepped down as Chair of the British Association for the Study of Headache and is currently headache champion for the Royal College of General Practitioners (RCGP). He runs an Intermediate Care Headache Clinic for NHS Devon.

As a Fellow, David will build upon and complement work already in progress under the auspices of the RCGP. The objective of this work is working with other key organizations, both lay and professional, to reduce the unmet burden of headache in the population. There are three main elements to this work: firstly, improving the education of general practitioners and providing guidance in relevant clinical areas; secondly, targeting headache in occupational settings; thirdly, improving the identification and management of headache in schools.

Monica Lakhanpaul

Consultant Paediatrician and Senior Lecturer in Child Health, Leicester City Community Health Services, University of Leicester

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Dr Monica Lakhanpaul works as a Consultant Paediatrician for the inner-city Leicester area. Much of her clinical work involves working with children and families with multi-ethnic backgrounds from underprivileged areas; this has inspired her to start such groups as the South Asian Health Foundation Children's Working Group to specifically research and advocate for children's needs in minority communities. She is also a Senior Lecturer in Children's Health at the University of Leicester and has a particular interest in the transfer of knowledge into clinical practice. She is a national and international expert in the creation and implementation of guidelines in healthcare. She has been instrumental in creating guidelines commissioned by NICE having previously been the founding Child Health Clinical Director for the National Collaborating Centre for Women and Children's Health. She has also demonstrated her commitment to evidence-based practice by her national positions, such as her membership of the NHS Evidence Advisory Committee and Royal College of Paediatrics and Child Health Quality Standards Committee. She is currently a member of the Leicester NIHR funded ‘Collaboration for Leadership in Applied Health Research and Care (CLAHRC),' working with primary care and hospital trusts to identify ways of improving guideline implementation.

As a NICE Fellow, Dr Lakhanpaul will further pursue her advocacy for children's needs. Her main focus will be to map out key individuals who hold a stake in influencing and improving the quality of children's healthcare to strengthen collaborative working and to make interfacing easier and more fluid. She wants to work with the team involved in the quality standards initiative and with the NICE international team to further her work in guideline execution on a national and international level. She would also like to work with NICE to resolve some ongoing issues such as the controversial licensing of medicines for children which, if resolved, could have a great influence on the future of health for children in the UK.

Mahendra Patel

Senior Lecturer and Consultant Pharmacist, University of Huddersfield

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Mahendra is a pharmacist and senior lecturer at Huddersfield University. He is also Honorary Research Fellow at Bradford University with published work in the BMJ. Since graduating and gaining his PhD, his career has spanned community practice, health promotion, academia, research, guideline development and voluntary work. His specialist interest revolves around the health status of black and minority ethnic groups and health inequalities -- especially relating to cardiovascular disease and diabetes, and barriers to accessing treatment. In his professional role, Mahendra was nominated in 2006 to represent the South Asian Health Foundation as its northern lead in the development of the NICE clinical guideline on medicines adherence - resulting in evidence based, best practice recommendations to helping NHS staff deliver high quality care. His work with Sheffield PCT contributed to the success of the Champions for Achieving Better health in Sheffield (CABS) Project - recently acknowledged in the post-2010 Marmot Review. Mahendra is a member of the British Heart Foundation's Ethnic Health Strategy Committee and Heart Health Editorial Board. He helped develop and deliver their Health Advocates Programme nationally, culminating in producing the Healthy Hearts Tool-kit. As Advisor to the BHF in Pharmacy and BME issues, he facilitated provision of vascular health screening programmes across diverse community settings. In 2009, he was appointed professional ambassador for NHS Evidence. In his role as Consultant Pharmacist and Pharmacy Academic Lead for the NIHR CLRN (NHS) - Yorkshire, Mahendra is responsible for encouraging portfolio research among pharmacists.

As a NICE Fellow, Mahendra will continue to develop his current activities with greater strength and depth by working more closely with the various organisations including PCTs locally and nationally - ultimately to help achieve better quality healthcare accessible by all. He aims to help further advocate and support NICE's Medicines Adherence Guidelines by extensive collaboration with healthcare practitioners involved in the prescribing and dispensing of medicines. As ambassador for NHS Evidence, Mahendra intends to promote its easy to access, high quality information source by creating a staged model of NHS Evidence Student Champions across a number of universities and healthcare faculties. Senior academics and researchers will be also targeted alongside voluntary and non-voluntary organisations, with a view to presenting the benefits of NHS Evidence at national and international conferences.

Shanaya Rathod

Consultant Psychiatrist and Associate Medical Director, Hampshire Partnership NHS Foundation Trust

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Shanaya Rathod is a Consultant Psychiatrist in a Crisis Resolution Home treatment team and Associate Medical Director for Mid Hampshire and Eastleigh, Hampshire Partnership NHS Foundation Trust. She is involved in a range of activities in the NHS including research, audits, teaching, service and strategy development. Following her postgraduate medical education, she completed a doctorate in medicine, certificate course in managing health services with the Institute of Health Care Management and recently acquired a certificate of Advance Medical Leader with British Association of Medical Managers. She has been the Secretary of the South East division of the Royal College of Psychiatrists and National Clinical Advisor for the College multisource feedback. She has published a number of chapters, papers in peer reviewed journals and lectured extensively at national and international events.

As a Fellow, Shanaya will be involved in a number of activities locally and nationally as an ambassador for clinical excellence. She has been principal investigator of a qualitative study to develop culturally sensitive Cognitive Behaviour Therapy (CBT) for psychosis for ethnic minority patients by exploration and incorporation of service users' and health professionals' views and opinions. The study has resulted in a culturally adapted CBT for psychosis with guidance for health professionals. As a Fellow, Shanaya will assess the feasibility of the culturally-adapted CBT for psychosis for use in specified black and minority ethnic groups and design a training package for dissemination and use by professionals. An effective treatment based on cultural adaptation will ensure better quality of care for this group of patients through better engagement, and therefore satisfaction with services. It will impact on the quality of care in this group. This project had been funded by the Department of Health Delivering Race Equality Clinical trailblazers group.

Sian Williams

Consultant in Occupational Medicine and Clinical Director of the Health and Work Development Unit, Royal Free Hopsital London

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Sian Williams is a consultant in occupational medicine at the Royal Free Hospital in North London. She is seconded for four sessions a week to the Royal College of Physicians where she is clinical director of the Health and Work Development Unit (HWDU). At the HWDU, her role is to contribute to improving the health of the UK workforce. For the remaining session/week, Sian works on one of the Royal Free's outside contracts, providing occupational health advice to a Medical Research Councils laboratory facility. Here she runs a clinic, investigates suspected cases of occupational disease, and provides policy input. Sian qualified in medicine from University College London in 1984 and gained the MRCP before training in occupational medicine at St Thomas's Hospital, the Health and Safety Executive and the Royal Free Hospital.

As a NICE Fellow, Sian will support the implementation of public health guidance relevant to the workplace. Using NICE guidance on the management of long-term sickness absence, she will work with the Royal Free to introduce innovative ways of influencing both patient and staff behavour. With pre-operative patients who work, she will pilot the provision of information on evidence based post-op recovery times. She will use this opportunity to educate the patient and their clinical team about the recommendations in the NICE guidance on long-term sickness absence. For staff, she will use the electonic staff record (ESR) to routinely identify staff off sick beyond an agreed length of time. The chosen time point can be used to trigger an automatic email to managers. She will design a simple message that includes recommendations from the NICE guidance on how to manage the case and how to make a referral to the trust's Health and Work Centre for occupatioanl health advice. If successful, the simple processes can be replicated in other NHS organizations locally, regionally and nationally.

Stuart Williams

Consultant Radiologist and Clinical Director for Radiology, Norfolk and Norwich University Hospital NHS Foundation Trust

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Stuart Williams has been a consultant radiologist since 2001 and is currently clinical director of a large radiology department at a teaching hospital. Earlier in his time as a consultant he was heavily involved in the establishment of a radiology academy in Norwich, a project which sought both to increase training numbers of doctors in radiology and also look at how that training could be delivered in new and more effective ways. As clinical director, he has spent time explaining to clinical and management colleagues how improvements in the local imaging infrastructure can benefit clinical pathways in terms of triage, patient flow and clinical decision making. The Trust strategy which emerged from this has seen significant inward investment into imaging services within the hospital.

As cost pressures mount over the next few years, the use of capital-intensive resources of the kind that populate radiology units will come under increasing scrutiny. Evidence-based imaging practice is key in defining best practice. However, it needs to be taken in the context of reduced time frames for clinical decision making, changes in postgraduate career experience in clinical disciplines, the need to avoid admission to an acute unit unless absolutely necessary and the expectations of patients and their families. Starting a debate within the profession about where imaging adds most value to the health economy is important in guiding how services can be rationalised. On a personal level, Stuart feels the need to gain a different perspective than the one that one develops within his own medical discipline. As a Fellow, he will increase the profile of NICE and the methodologies it employs with radiology communities nationally and within Europe. On a local level he wants to use the time to build links between imaging services and university health economic programs.

 

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Professor the Lord Darzi of Denham PC, KBE - Honorary Fellow

Professor Darzi holds the Paul Hamlyn Chair of Surgery at Imperial College London where he is Head of the Division of Surgery. He is an Honorary Consultant Surgeon at Imperial College Hospital NHS Trust and the Royal Marsden Hospital. He also holds the Chair of Surgery at the Institute of Cancer Research. A detailed account of Professor Darzi's many professional achievements, honours, and interests is available on the Imperial College website.

Professor Darzi has been awarded the first Honorary NICE Fellowship in recognition of his significant contribution to improving the quality of NHS care.

Current NICE Fellows