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- 2012-13 NICE Scholars
Positions are those held on appointment as a NICE scholar
Patient Safety & Quality Manager
Caroline Beattie graduated as a physiotherapist from the University of Ulster (Jordanstown) in 1996. She has completed a number of post graduate courses including a MSSc in Occupational Health and Safety and is a Chartered Member of the Institute of Occupational Health and Safety. She has worked in a variety of physiotherapy, safety and governance roles and is currently employed as Patient Safety & Quality Manager within the Southern Health & Social Care Trust. One of the key responsibilities within her role is to facilitate the implementation and monitoring of NICE guidelines within the organisation.
As a NICE Scholar Caroline will undertake a project to review the current processes for the implementation of NICE guidelines and identify from evidence based practice the key principles that underpin an effective, well-designed and communicable implementation programme. The key objective of the project will be to make recommendations for improving awareness, knowledge and implementation of NICE guidelines within the SHSCT thereby ensuring there is a positive safety culture for delivering safe, effective and quality care. It is hoped that the learning from this NICE scholarship programme will also benefit the region and may support other local health care organisations to strengthen their NICE processes for implementation and monitoring.
Medical oncology specialist registrar
Caroline Forde is a medical oncology specialist registrar and first year Cancer Research UK funded clinical research fellow at the Centre for Cancer Research and Cell Biology, Queen’s University Belfast.
She is passionate about improving the quality, safety and consistency of neutropenic sepsis management as it remains a common and potentially life-threatening complication of systemic anti-cancer treatment. Over the last four years she has played a key role implementing change locally in the Belfast Trust to improve initial neutropenic sepsis management.
Caroline’s research currently centres on optimising low risk neutropenic sepsis management and predicting response to antibiotic treatment in low risk adult cancer patients.
Her project with NICE will work to address some of the evidence gaps identified by the NICE neutropenic sepsis guideline development group. She aims to provide an updated understanding of current UK neutropenic sepsis incidence, management and outcomes. She will also assess the impact of NICE guidance on treatment approaches and explore current clinician attitudes to risk stratification and management.
Specialist Registrar in Infectious Disease and Medical Microbiology
Jasmin is a NIHR ACF Specialist Registrar in Infectious Diseases and Medical Microbiology with an interest in hospital acquired infection and antibiotic resistance. Antimicrobial resistance is a major public health risk recognised by the UK government and World Health Organisation (WHO), leading to mounting healthcare costs, treatment failure and deaths. Within the UK, over and inappropriate antibiotic use is a major driver of resistance.
Jasmin will use the NICE Scholarship to develop and pilot an evidence-based clinical decision tool to promote the safe reduction of unnecessary antibiotic prescribing in acute respiratory infection, which remains the commonest indication for antibiotics in hospital. This work supports the implementation of recent NICE guidance on antimicrobial stewardship and will be undertaken at Brighton and Sussex University Hospital. A key component of the project is identification of the barriers to changing established antibiotic stewardship in clinical practice.
To facilitate this, a working group of clinicians, pharmacists and patients will explore novel ideas around improving education within the Trust that includes the use of antibiotic prescribing champions. The final part of the scholarship will evaluate the contribution of procalcitonin to algorithm driven antibiotic stewardship interventions.
Consultant spine surgeon
Mathew Sewell is a consultant spine surgeon specializing in the management of adults and children with complex spinal conditions including those affected by deformity, neuromuscular conditions, trauma and tumours. He works at the James Cook University Hospital in Middlesbrough. Mathew graduated from Bristol University in 2004 with an MB ChB and 1st class BSc in Neuroscience. He completed orthopaedic training in London and fellowship training in Brisbane, Australia.
Mathew has over 70 published papers, is a expert peer reviewer for leading medical journals, an academic clinical lecturer at the University of Queensland, and has been an ambassador for the British Orthopaedic Association and European Paediatric Orthopaedic Society in Europe and South America. In his spare time, Mathew enjoys leading charity expeditions to remote locations, such as Mount Kilimanjaro.
As a NICE scholar, Mathew will analyse quality of life and participation outcomes following growth rod treatment for children with early onset scoliosis, providing new information to inform existing guidelines.
Senior Lecturer at Manchester Metropolitan University
Matthew is a Senior Lecturer in Animal Behaviour at Manchester Metropolitan University. He has Parkinson’s and is currently a lay member on the Parkinson’s GDG. After his diagnosis, Matthew began to design and deliver outreach activities which aimed to improve scientific literacy in the Parkinson’s population. That experience then led him to working closely with Parkinson’s UK and other organisations helping to drive forward a range of PPI activities.
As a NICE Scholar, Matthew will continue this theme by involving current lay members of GDGs in the production of training materials for new lay GDG members.
Specialty Registrar in Anaesthesia
Pooja graduated from the University of Sheffield in 2009 and has since gathered a broad experience of clinical medicine across specialist and general medicine firms as a junior doctor. She is interested in quality improvement and has completed the Darzi fellowship in Leadership and Clinical Medicine during which she was involved in understanding and improving pan-London relationships in liaison psychiatry so as to improve the quality of care delivered to patients.
Pooja currently works as a Specialty Registrar in Anaesthesia at Barking, Havering and Redbridge University Hospitals NHS Trust. As a NICE Scholar, Pooja will aim to implement a pre-emptive and pro-active approach to identifying the older at risk patient presenting for elective surgery in order to be able to carry out individualised strategies to improve those patients’ perioperative care and outcomes. She is interested in being able to challenge attitudes and shift the traditional healthcare professional’s focus from the cure to the prevention of negative patient experiences and outcomes.
Consultant Clinical Psychologist
Dr Richard Whitehouse is a Consultant Clinical Psychologist who completed his clinical training at The Universities of Coventry and Warwick, graduating in 2004.
After initially working in LD Forensic Services in England, he moved to Northern Ireland in 2006 to work for the Northern Health and Social Care Trust. Richard has a specific interest in working with people with learning disabilities and challenging behaviour and leads the Northern Trust’s ‘Positive Behaviour Support Service’. This is a multi-disciplinary service aimed at reducing levels of challenging behaviour by using Positive Behaviour Support strategies. The philosophy of the service is to use the least restrictive approaches, promote quality of life for service users and to maintain and improve local community placements.
Richard is also an Honorary Lecturer at Queen’s University Belfast and contributes to the Doctorate in Clinical Psychology’s learning disability teaching as well as offering placements to Trainee Clinical Psychologists. Richard is also Senior Professional Lead for the RESPECT Training Programme (organised though NAViGO) within the Northern Trust and helps to deliver training to all staff working within the Trust’s Learning Disability Services.
As a NICE Scholar, Richard will be undertaking an implementation project to ensure that NICE Guidelines (NG11) ‘Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities’ are being implemented within the Northern Health and Social Care Trust’s Learning Disability Service.
Academic Clinical Fellow
Rory is an academic clinical fellow and higher trainee in psychiatry of intellectual disability at University College London. His research interests are psychotropic medication prescribing and improving evidence-based care for people with intellectual disability and co-morbid health conditions, including investigating how health services can be best delivered to achieve optimal outcomes in this group.
Clinical Research Fellow and Specialty Registrar in Vascular Surgery
Sarah is a vascular surgical registrar, currently in an out of programme placement to complete a PhD on the epidemiology and mechanistic processes involved in the development of varicose veins. She is passionate about improving the care for patients with venous disease, and has authored numerous publications on the subject, including contributing to the European Guidelines on the management of chronic venous disease. Sarah is particularly interested in population studies analysing regional trends and differences in the delivery of healthcare.
As a NICE Scholar, Sarah will assess referral and treatment patterns for patients with varicose veins in England by interrogating primary and secondary care databases. This will provide an assessment of the impact of NICE guideline implementation, regional compliance with guidance, cost analysis, regional differences in referral and procedure patterns and factors associated with this.
Varicose veins are extremely common and have an important, negative impact on quality of life. The aim of this project is to assess guideline implementation, identify factors associated with regional variation in healthcare delivery (including healthcare inequalities) and improve quality of care by supporting the implementation of evidence based guidance.
Lead Behavioural Practitioner, Consensus Group
Simon Jones is Consensus Group’s Lead Behavioural Practitioner. He is a qualified Applied Behavioural Analysist and a Consultant Learning Disability Nurse. He is also BILD PBS consultant, an Expert Witness, a PHSO Consultant and a Tizard Associate.
Before working for Consensus, Simon worked for Care UK and Lifeways Group. He has also worked for and managed NHS community learning disability teams, NHS outreach teams, LD Residential Homes and LD Supported Living schemes, specialising in providing support to people whose behaviours inhibit their quality of life.
Simon has a master’s degree from the Tizard Centre at the University of Kent in LD and Autism and two first class degrees in Applied Behavioural Analysis and Community Nursing as well as being a learning disability nurse. In 2008 he was appointed a Queens Nurse and is published author in his field of expertise.
Positions are those held on appointment as a NICE scholar
Paediatric Surgery Registrar, Nottingham Children's Hospital
Professional Adviser, Physiotherapist, The Chartered Society of Physiotherapy
Carley works as a Professional Adviser at the Chartered Society of Physiotherapy, the professional, educational and trade union body for physiotherapists across the UK. Her current UK wide role as a professional adviser entails supporting physiotherapists to implement research into practice, alongside promoting the role of physiotherapy in public health.
As a NICE Scholar, Carley aims to complete a project collating all NICE accredited respiratory physiotherapy recommendations into one document, with an accompanying step by step audit tool. She will also conduct a survey to assess how useful these documents are in helping physiotherapists implement
Specialist registrar in respiratory medicine, Thames Valley Deanery
He will use his scholarship to improve services for those with severe asthma in the Thames Valley region. Five
Working with all members of the multi-disciplinary team to set up a severe asthma service it should be possible to substantially improve the care of this group of patients, preventing emergency admissions and reducing healthcare associated costs. NICE has provided guidelines on such a service, but there is no evidence on how successfully these guidelines are being implemented. He will assess uptake and institute a quality improvement programme in the Thames Valley Deanery aimed at improving care for this vulnerable cohort of patients.
Senior Registrar in Neurosurgery, North Western Deanery
As a NICE Scholar, Nick will work with the Greater Manchester and Cheshire Cancer Network on metastatic spinal cord compression (MSCC). Specifically, he hopes to examine barriers to recognition of the condition by patient and clinicians alike, and in turn provide an intervention to improve access to the MSCC pathway.
Nicola’s project with NICE aims to improve the uptake of Hepatitis B screening and vaccination in people attending the sexual health clinics who are at increased risk of Hepatitis B acquisition. She has set up the UHB NHS Foundation Trust Sexual Health Key performance Indicators for Hepatitis B screening and vaccination and will be using a real-time clinically-led benchmarking system to continuously monitor performance and drive the service improvement process. This project is framed within NICE public health guidance.
Clinical Research Fellow, Newcastle upon Tyne Hospitals
Nikoletta will spend her time as a NICE Scholar focusing on fertility support offered to children, teenagers and young adults with cancer at the Great North Children’s Hospital, which is one of the largest children’s medical centres in the UK with a strong commitment to
Specialist Registrar, Obstetrics and Gynaecology, Southmead Hospital
Rachel will use her time as a NICE Scholar to assess the national implementation of NICE guidance on the management of ‘Ectopic pregnancy and miscarriage’ and to identify potential barriers to implementation. She aims to improve patient experience by ensuring standardisation of care received by patients experiencing pregnancy loss.
Otolaryngology NIHR Academic Clinical Fellow, Ear Institute University College London
As a NICE
Academic GP Registrar & Academic Clinical Fellow in General Practice
Handsworth Wood Medical Centre and University of Birmingham
Sam is currently undertaking a master’s degree in clinical primary and community care. Sam is interested how research outcomes are translated into clinical practice and how clinical guidelines influence clinician’s behaviours. As a NICE scholar, Sam is looking to utilise ‘big data’ to examine how NICE guidelines are applied in primary care with a specific emphasis on lipid lowering guidance and cardiovascular risk scoring.
Specialist Registrar in Obstetrics & Gynaecology, Severn Deanery & North Bristol NHS Trust
Stephen will spend his time as a NICE Scholar looking at how services are delivered to women with severe fear of childbirth. He will seek to understand how pregnant women perceive childbirth as a traumatic experience and how this affects their uptake of services. The project will be the first to study the delivery of NICE recommendations on
2014-2015 NICE Scholars
Positions are those held on appointment as a NICE scholar
Lead Enhanced Recovery Surgical Pharmacist
Central Manchester University Hospitals NHS Foundation Trust
Neetu graduated from the University of Manchester with a distinction degree in Pharmacy and subsequently undertook her basic training within the North West. In 2008, she moved to Addenbrookes Hospital in Cambridge and trained as an Independent Prescriber at King's College in London. In 2010, she was appointed as the Lead Clinical Pharmacist at the London Bridge Hospital and also undertook an MSc in Advanced Pharmacy, graduating with a distinction. In 2013, Neetu moved back to the North West to take on her current role. Most recently, Neetu has been awarded recognition as one of the first Royal Pharmaceutical Society faculty members in the country.
As the Lead Enhanced Recovery pharmacist, Neetu's role involves working strategically and in collaboration with various members of the multidisciplinary team to implement enhanced recovery pathways within different surgical specialities. The overall aim is to improve patient outcomes and patient experience with an
As a NICE scholar, Neetu aims to undertake a supported improvement project demonstrating the positive impact pharmacists can make in optimising medicines use and improving patient safety by the implementation of various NICE guidance and quality standards along enhanced recovery pathways.
Clinical Specialist in Falls Prevention and Management (Specialist Physiotherapist)
Gloucestershire Hospitals NHS Foundation Trust
Will works as Clinical Specialist in Falls Prevention and Management and is a Physiotherapist by profession. He is based at Cheltenham General Hospital in Gloucestershire. His role is split between direct clinical patient contact and non-clinical service development activities. Clinically, he works in a multidisciplinary falls assessment clinic as well as managing his own caseload of patients and triaging falls attendances at the Emergency Department. His countywide remit includes evolving the exercise continuum between NHS and Local Authority exercise classes, facilitating best practice within falls clinics and promoting the falls service pathway as a whole.
Will's Scholarship project will focus on the recently updated NICE guidance surrounding falls prevention in hospital in-patients. He aims to audit his organisation's current compliance with the guidance then develop and deliver education programmes aligned with new assessments and care plans that will allow the recommendations to be met.
Specialist Registrar in Nephrology
South London Rotation
Partha Das graduated from Guy's, King's and St Thomas' School of Medicine and Dentistry in 2003 with degrees in medicine and neuroscience and a diploma in the history of medicine before undertaking junior medical training at King's College Hospital and St Thomas' Hospital. He commenced specialist registrar training in nephrology and general medicine on the South Thames rotation in 2008. He is chairperson of the UK and Ireland Nephrology SpR Club which represents renal physicians-in-training nationally.
He spent a year working for the organisation NHS Kidney Care and with the Department of Health on a variety of quality improvement and service development projects. These focused on raising the standard of care for patients with kidney disease in England, reducing inequity, fostering shared learning between renal units and advising on national renal healthcare policy. He is currently reading for a Masters degree in Health Policy, Planning and Financing at the London School of Hygiene and Tropical Medicine and the London School of Economics and Political Science.
Partha is interested in the actors and drivers that shape health policy, decision-making behaviour of healthcare professionals, economic aspects of clinical guidelines and the public communication of medicine and science. His project with NICE will examine how primary care and secondary care professionals interact when managing chronic kidney disease (CKD) on the South Coast of England. The project is framed within the context of NICE clinical guidance for CKD and will assess its impact on patient outcomes, provider behaviour and resource use.
Addenbrooke's Hospital & University of Cambridge
Angelos is an academic clinical trainee in neurosurgery in Cambridge. His research interests include neurotrauma and cerebrovascular diseases. His research, which has received support from a NIHR Academic Clinical Fellowship, a Royal College of Surgeons of England Research Fellowship and a Raymond and Beverley Sackler Studentship, currently focuses on the effects of decompressive craniectomy on the injured brain.
Angelos is involved with the IDEAL Collaboration, an initiative which aims to improve the quality of research in surgery. Angelos strongly believes in making clinical research more accessible to trainees and all clinicians. He has been the elected academic representative of the British Neurosurgical Trainees Association (BNTA) since April 2012 and with colleagues from the BNTA, has led the establishment of a research and audit network for neurosurgical trainees in the UK (British Neurosurgical Trainee Research Collaborative).
Angelos will spend his time as a NICE Scholar focusing on the management of malignant middle cerebral artery (MCA) infarcts - the most devastating sub-type of ischaemic stroke in terms of high mortality and socio-economic consequences. The proposed project will be the first study to assess the uptake of NICE recommendations regarding decompressive
Foundation Year 1 Doctor
North West Thames
Mahiben is an Academic Foundation Doctor in North West Thames and is passionate about improving health system quality and efficiency. He serves as Advisor to Thomas Zeltner, Special Envoy of the World Health Organisation; advisor to governments on health policy implementation; Director of the World Surgical Association; and Chairman of the UK Medical Students' Association.
He studied preclinical medicine at the University of Cambridge, graduating with a triple First Class, read clinical medicine at Oxford University, where he was the youngest appointed Teaching Scholar, and was a Kennedy Scholar at Harvard University. Mahiben has over 40 academic awards, 40 peer-reviewed publications, and has presented his work across four continents. He has a strong interest in education, authoring three student-targeted medical books.
As a NICE Scholar, Mahiben will focus on the use of structured feedback in surgery. He will be collaborating with colleagues at Harvard University, Imperial College London and Oxford University, with the aim of developing national guidelines on implementing feedback to improve outcomes at the team and individual surgeon level.
NICE Assurance lead
Plymouth Community Healthcare CIC.
Mel Muller-Forster is NICE Assurance Lead for Plymouth Community Healthcare (PCH) supporting and facilitating the implementation and monitoring of NICE guidance within her organisation. Mel has a clinical background in Podiatry and has also completed an MSc Social Research. Mel is passionate about improving the quality of patient care through the application of
As a NICE Scholar Mel will be undertaking a project to explore PCH staffs' awareness and knowledge of NICE guidelines and understand more fully factors that are likely to facilitate or impede their implementation. The project will make recommendations for improving awareness, knowledge and implementation of NICE guidelines within PCH. Findings from this project may support other organisations to develop their NICE processes and implementation.
Dr Paula Murphy
Consultant Forensic Psychiatrist
St Andrew's, Northampton
Dr Paula Murphy studied medicine in Scotland and qualified as a doctor in 2001. She completed her foundation level training in Glasgow before moving to Melbourne where she worked for two years. She returned to the UK to do her basic psychiatric training on the Royal Free rotation in London before sub-specialising in forensic psychiatry on the South London and Maudsley rotation. Currently she works as a Consultant Forensic Psychiatrist at St Andrew's, a mental health charity providing specialised in-patient care. She works on a medium secure ward for male mentally disordered offenders. During her higher training, she was a ‘Prepare to Lead' candidate, a scheme aimed at preparing doctors for leadership roles. She completed a Masters degree in Public Health and Health Services Management at the London School Hygiene and Tropical Medicine in 2012. Her interests include clinical leadership, mental health policy and quality improvement. She is currently co-editing a handbook on Clinical Leadership and Management for Oxford University Press, in association with the Faculty of Medical Leadership and Management.
As a NICE Scholar, Paula will assess the barriers to the implementation of the NICE guidelines on Violence in her organisation. She also aims to develop guidelines on best practice for areas where little guidance exists within the current guidelines. Violence within psychiatric setings remains a signifcant issue and has wide implications
NIHR Clinical Research Associate in Infectious Diseases
Coventry & Warwickshire Partnership Trust / University Hospitals Coventry & Warwickshire
Amandip has a keen interest in service development and was selected as Clinical Leadership Fellow for the NHS Leadership Academy in 2012. During the 1-year programme run by the King's Fund and Universities of Manchester and Birmingham, he helped establish Leicester's first Outpatient Parenteral Antimicrobial Therapy (OPAT) service as a QIPP initiative, and obtained a PGC in Leadership and Service Improvement. Amandip is currently a post-CCT Clinical Research Associate for the West Midlands (South) CLRN. Based in Coventry, he is gaining experience in research development and delivery with an interest in HIV and tuberculosis (TB), and studying for a PGC in Research Methodology at the University of Warwick.
As a NICE Scholar
Specialty Registrar in General Surgery
Countess of Chester Hospital NHS Foundation Trust
Paul qualified from the University of Nottingham in 2006 before completing the Academic Foundation Programme in Trent Deanery. He followed this with Core Surgical Training in the North West obtaining his NTN in General Surgery in Mersey in 2010 where he has expressed subspecialty interests in Colorectal Surgery and Surgical Oncology. To further this interest he was awarded a Cancer Research (UK) Clinical Research Training Fellowship whereby he is currently reading for a PhD at the University of Liverpool; the focus of his research is predicting response to neoadjuvant therapies in metastatic and advanced colorectal cancer. He plans to return to full time clinical training in 2015 and subsequently aspires to a Clinical Lectureship.
His research interests are complemented
Paul's interest in NICE was sparked following the presentation of one of his audits as a Shared Learning Award at the 2013 NICE Annual Conference. He will spend his time as a NICE scholar working towards the development of Patient Reported Outcome Measures (PROMS) for colorectal cancer.
Head of Clinical Effectiveness
St Andrew's, Northampton
Lesley Wilson qualified as a Registered Mental Nurse in 1994 and after a clinical career predominately in the substance misuse field moved into Quality and Governance in 2004. While working in Quality and Governance Lesley has worked within acute, primary care and mental health settings giving a wide range of experience. As Head of Clinical Effectiveness for St Andrew's, a charity providing secure care for mental health, learning disability, autism and brain injury, Lesley is responsible for the implementation and monitoring of
A key challenge for an organisation such as St Andrew's is the highly specialised and complex needs of patients and the ability for clinicians to easily access the key and relevant best practice guidance and research evidence for their patients. As a NICE Scholar Lesley will work with the Charity's Clinical Directors to develop evidence based, diagnosis specific care pathways, which clearly detail treatment and therapeutic options. As the Charity's patients tend to have multiple diagnoses complex mental health needs the project will also aim to develop an online resource which will bring together guidance and research as well as advice on approved procedures and treatments within the Charity.
2013-14 NICE Scholars
Positions are those held on appointment as a NICE scholar
Clinical Research Fellow
University Hospitals of Coventry and Warwickshire/Warwick University
Tim's preclinical training began at St Andrews University with a BSc in medical science, where he was awarded numerous academic prizes, a Health Foundation Scholarship for research, and graduated with first class honours. Tim completed his medical degree at Manchester University in 2007, where he graduated from with honours. Following foundation level training in the North West deanery, during which he won 'Foundation house officer of the year' and chaired the North West Deanery's Foundation Years Council, Timothy was appointed an Academic Clinical Fellow (ACF) at University Hospitals of Coventry and Warwickshire (UHCW), supported by the National Institute for Health Research (NIHR). He has recently completed a Masters Degree in Trauma and Orthopaedics at the University of Warwick and was awarded a Royal College of Surgeons (Glasgow) Travel Fellowship for work in a musculoskeletal camp in India. He is currently taking time out of programme towards a PhD degree, which is aimed at developing an outcome prediction tool for patients considering a knee replacement.
As a NICE scholar Tim will assess the barriers to the implementation of the NICE guidelines for patients with knee osteoarthritis. By identifying and addressing barriers to implementation locally, and disseminating these finding widely, he hopes to improve patient care, based on the best possible evidence.
Public Health Specialty Registrar
County Durham Council
Jim Brown is a Specialty Registrar in Public Health and a locum GP in the North East of England. In Public Health, he has had placements in NHS South of Tyne and Wear, the North East Health Protection Unit and NHS County Durham and Darlington. In Public Health, he has been developing the NHS Health Checks programme in County Durham and Darlington, working with local CCGs to address the key health needs identified by the local Joint Strategic Needs Assessment, and working on a project to improve the quality of care for people with long term conditions. He led a health needs assessment of maternal obesity in South Tyneside.
Prior to working in Public Health, Jim was a GP working in County Durham, Newcastle upon Tyne and New Zealand, with an interest in diabetes care. He also worked in guideline and indicator development for NHS Clinical Knowledge Summaries. During this time, he earned a distinction in an MSc in Public Health and Health Services Research, which he undertook part-time, writing a dissertation on the impact of trial context on the efficacy of patient decision aids.
As a NICE Scholar, Jim will be working on a project to implement shared decision making in the care pathways for hip and knee osteoarthritis in County Durham and Darlington. Shared decision making improves patient experience, and may reduce unwarranted variations in healthcare practice and health care costs associated with more expensive, unwanted options. Patient decision aids - tools to implement SDM - can help to implement guidelines by bridging population-level research evidence with individual patient values.
Extremity Reconstruction Fellow
Imperial NHS Foundation Trust, London
Graham Lawton is an Army Burns and Plastic Surgery registrar on the Pan Thames rotation and is currently the Extremity Reconstruction Fellow at Imperial College Healthcare NHS Trust. He is due to start a Training Interface Group Fellowship in Reconstructive Trauma Surgery later this year.
He qualified from Guy's and St Thomas' Hospitals and then went onto complete his basic surgical training in Yorkshire. He was awarded his Fellowship of the Royal College of Surgeons in 2012.
Graham's scholarship will examine how we are treating open lower limb fractures in North West London, Pan-London Major Trauma Centre's (MTCs), in the network served by the Queen Elizabeth II Hospital Birmingham and finally nationally.
NICE is not due to publish guidance related to the assessment and management of major trauma until June 2015. However, evidence based professional standards regarding the management of open lower limb fractures already exist.
Aspects of these standards have been defined as key performance indicators (KPIs) and published as the British Orthopaedic Association Standards for Trauma (BOAST 4). The Trauma Audit Research Network (TARN) attempts to collect elements of the BOAST 4 dataset but uptake and acceptability is variable.
The aim is to to improve TARN uptake, acceptability and profile with specialties involved in limb reconstruction. Thereby allowing central National collection of data and monitoring of these KPIs and driving forward care of these severe injuries.
This scholarship will allow NICE to examine how guidance could be linked with data collection and performance assessment in a manner that will benefit both patients, clinicians and aid in the commissioning of these specialist services.
Specialty Registrar in Ear, Nose & Throat Surgery
Barking, Havering, Redbridge Hospitals NHS Trust
Reza Nouraei is a specialist registrar in Otolaryngology - Head & Neck Surgery at the London Deanery. He is currently based at Barking Havering and Redbridge NHS Trust and holds an honorary senior lecturership at Anglia Ruskin University. He studied oculomotor neurophysiology under Prof Roger Carpenter at Gonville and Caius College, Cambridge, and graduated with bachelors of medicine and surgery in 2002.
He undertook basic surgical training within the Hammersmith rotation in London. He was admitted as a member of the Royal College of Surgeons of England in 2007 and after a year's secondment as a management registrar at Charing Cross hospital, culminating in a Health Services Journal award in the category of Data-driven service improvement, was appointed as an academic clinical fellow in ENT surgery at the London deanery.
Reza's main and long-standing clinical interest is in the management of voice, swallowing, and airway disorders, and in particular, managing adult laryngotracheal stenosis. He has published over 30 peer-reviewed publications in the latter area as part of a long-standing collaboration with Mr Guri Sandhu.
His other main interest is patient safety and in particular how health information and the coded hospital data can be used to improve it. The main focus of his NICE scholarship will centre on improving the quality of healthcare data in head and neck cancer surgery in order to enable Hospital Episode Statistics to provide meaningful clinical outcomes and quality surveillance.
NIHR Academic Clinical Lecturer in Infectious Diseases
University of Leicester/University Hospitals Leicester NHS Trust
Dr Manish Pareek qualified with honours degrees in medicine and epidemiology from the University of Birmingham before undertaking training in internal medicine and infectious diseases in Birmingham, London and Leicester. Between 2007 and 2011 he undertook, and completed, a four-year Medical Research Council funded MSc and PhD in the Tuberculosis Research Unit and the Department of Infectious Disease Epidemiology at Imperial College London. His thesis, which focused on the topic of tuberculosis and migration, resulted in several high-impact publications and was recently awarded the Barnett-Christie lectureship for excellence in original research. Following the successful completion of his doctoral work, Dr Pareek returned to Leicester where he was appointed as a NIHR Academic Clinical Lecturer and Honorary Specialist Registrar in Infectious Diseases at the University of Leicester and University Hospitals Leicester NHS Trust.
As a NICE scholar, Manish will make use of his extensive experience in the area of tuberculosis and migration to implement a pilot of primary-care based migrant screening for latent tuberculosis as per NICE guidelines in Leicester which has an ethnically diverse population with one of the highest rates of tuberculosis in the UK.
Specialty Trainee year 5 - Haematology
Royal Surrey County Hospital, Guildford, Surrey
Matthew trained in Medicine at Magdalen College, Oxford, from where he graduated in 2006. He is currently working as a specialist registrar in haematology on the South West London rotation. His interests span the whole spectrum of hospital haematology, from coagulation disorders to haemato-oncology, and especially the interface between haematology and other specialties.
Alongside this Matthew has a long-standing interest in identifying and overcoming barriers to change in healthcare. Accordingly his NICE scholarship project aims to examine the factors which have influenced the adoption of NICE recommendations regarding novel anticoagulant drugs. He hopes, in the process, to raise awareness of NICE and its guidance, and of the new anticoagulant agents themselves, among prescribers in his local area.
Consultant in Public Health
Greater London Authority
Lucy Saunders is a Consultant in Public Health working for the Greater London Authority and Transport for London. Lucy has a unique role integrating public health considerations into policy and practice in the transport sector across London. Lucy completed the Specialist Public Health training programme in London in 2012. During this programme she worked for the World Health Organisation, Department of Health, Greater London Authority, PwC, London School of Hygiene and Tropical Medicine, the Health Protection Agency and Islington PCT. Lucy developed a specialist interest in transport, planning and behaviour change during her training.
Lucy's first degree was an MA in Geography at University of Edinburgh. Prior to the Specialist Public Health training programme Lucy worked in the Public Health team at Southwark PCT and completed her Master degree in Public Health at Lund University, Sweden.
As a NICE Scholar Lucy will be disseminating the new NICE Guidance for Promoting Walking and Cycling across a range of stakeholders in London including local authorities, Transport for London and campaigners. The movement of Public Health responsibilities to Local Authorities on April 1st 2013 provides a new opportunity for engaging stakeholders with a role in transport and street environments. In London there is great potential for improving the health of the population and reduce inequalities through measures that increase walking and cycling.
Patient & Public Experience Lead
Dorset County Hospital, Dorset
Sarah graduated from the Florence Nightingale School of Nursing & Midwifery, Kings College London and has nearly twenty years of practical experience working in hospital and community environments as a mental health nurse in acute and crisis services. During this time she has led on a variety of projects focused on the patient experience of mental health services. This included leading on a borough-wide service improvement project based on the patient experience and Lean methodology at the South London & Maudsley NHS Foundation Trust and collaborating with the NIHR King's patient safety and service quality research centre to evaluate it.
Sarah currently leads on a number of projects to promote and improve the patient and public experience at Dorset County Hospital NHS Foundation Trust. This includes The Information Standard; an independent certification scheme for health and information producers supported by the Department of Health, Experience Based Design from the NHS Institute for Innovation and Improvement and the Department of Health's Friends and Family Test.
Sarah will spend her time as a NICE Scholar focusing on complaints and the patient experience of the NHS complaints process. She will be using the NICE patient experience quality standards to categorise complaints and identify themes of good and poor practice with focus on improving the patient experience. She will also be using the experience based design approach to support staff to explore the emotional impact of a complaint with a view to improving the complaint responses.
ST6 Specialty Trainee - Ophthalmology
Manchester Royal Eye Hospital
Reshma received her undergraduate medical training at the University of Glasgow, and later went on to undertake an MSc in Investigative Ophthalmology and Vision Science at the University of Manchester. Her MSc research project, (supervised by Prof David Henson and Miss Cecelia Fenerty) was on barriers to access to glaucoma care leading to blindness. Her findings were published in the BMJ.
Reshma is currently a final year specialty registrar in Ophthalmology in the North West Deanery. She has received a number of prizes for clinical and audit project presentations. She has a keen interest in teaching, trainee development and patient experience. She has undertaken advanced surgical training in Oculoplastics at Manchester Royal Eye Hospital, and will soon commence further subspecialty training in Acute and Primary Care Ophthalmology.
She was appointed to the Medical Leadership Programme of the North West Deanery this year and is reading for the MSc in Leadership & Service Delivery from Manchester Business School.
During her scholarship with NICE, Reshma will examine barriers to implementation of NICE guidance in the glaucoma pathway. She hopes to improve clinician understanding and engagement with this guidance in both a large teaching hospital and smaller district hospital, to derive shareable lessons to improve the quality of patient care nationally.
2012-13 NICE Scholars
Positions are those held on appointment as a NICE scholar
MBBCh MSc FRCS
James qualified in medicine from the University of Wales, College of Medicine in 2002. After basic surgical training in South Wales, he moved to South West England as a higher surgical trainee. He became a fellow of the Royal College of Surgeons of England in February 2012. He has published and presented internationally in both general and vascular surgery. He has a large teaching portfolio running courses on medical education and surgical trauma surgery.
His interest in the care of the patient with the diabetic foot has led to the work that will be undertaken during his time as a NICE Scholar. The South West has the highest amputation rate amongst diabetics and he plans to examine this as well as look into the risk factors for failure in patient undergoing infra-inguinal bypass surgery for peripheral vascular disease and diabetic foot disease.
Adanma Ezihe-Ejiofor MBBS, FWACS, FRCA
Specialist Registrar, Anaesthetics
Brighton and Sussex University Hospital NHS Trust
Ada completed her anaesthetic residency training in Nigeria before relocating to the UK and currently works as a 6th year specialist registrar in anaesthetics. Her UK anaesthetic training spans the West Midlands, Welsh and Kent, Surrey and Sussex deaneries. Apart from clinical duties she has on-going research interests, having previously held a Clinical lecturer/research post at the University Hospital of Wales in Cardiff. She has published and presented at national and international meetings. Ada is currently exploring cost containment and sustainable development themes as ways of improving efficiency in the NHS.
Outside the UK, Ada has maintained links with colleagues in Nigeria where she has regular teaching commitments. She recently started the IMPRACSE project of which she is Team Leader. IMPRACSE (IMproved Pain Relief After CaeSarean sEction) is a multicentre obstetric anaesthesia project which aims to develop a blueprint for improving post caesarean section pain management in a way that is practical and sustainable in an economically-challenged environment. It will be the first project of its kind in Africa.
As a NICE scholar, Ada will be conducting a research project looking at whether ultrasound examination can safely replace chest radiography after central venous catheter (CVC) insertion. It is estimated that over 200,000 CVC's are inserted in NHS hospitals per year. The NICE guidance issued in 2002 was responsible for the increased use of real-time ultrasound visualisation to facilitate CVC insertion into the internal jugular vein. Various studies subsequently demonstrated an improved safety profile when using ultrasound compared to the traditional landmark based technique for internal jugular vein CVC insertion. Ultrasound guided CVC insertion is now routine practice in the UK. With this improved safety profile is it still necessary to do a routine chest x-ray after CVC insertion in the internal jugular or subclavian vein or can ultrasound technology go even further? If ultrasound is shown to be a safe post procedure diagnostic tool this will obviate the need for routine post procedure radiography, avoid unnecessary patient exposure to radiation and minimize delays in starting therapy while waiting for radiography.
Siobhan is a Public Health Registrar in her 3rd year of training and currently on a two-year placement in the Cheshire and Merseyside Health Protection. Before joining the training scheme in 2009, she graduated with a 1st class Honours degree in Physiology and began her career in Public Health in the North East of England, where she led on a project looking at the prevention, identification and management of obesity among children across ten Primary Care Trusts. Siobhan then worked in young people's Health Improvement in Hartlepool, the Healthy Schools programme in Redcar & Cleveland, and then relocated to the Beacon award-winning St Helens Healthy Schools team in the North West of England, where she led on Food and Nutrition and Drugs Education. Her current role includes involvement in the management, control and investigation of outbreaks, providing public health advice on daily health protection queries, audits and a new project looking at vaccination for patients with chronic kidney disease. Siobhan achieved a distinction her Masters in Public Health in 2010, and recently published a paper and editorial from her dissertation on the relationship between socioeconomic status, substance use and wellbeing. Siobhan holds a second Masters degree; her dissertation was on children's perceptions of alcohol. She passed both the Faculty of Public Health Membership exams in 2011 and is currently Vice Chair of the FPH National Specialty Registrar Committee.
Siobhan's project will promote, measure, monitor and report upon the implementation of the NICE guidelines for identifying and managing tuberculosis (TB) among hard to reach groups in the Cheshire and Merseyside area. TB remains a significant public health issue, causing over 2 million deaths worldwide. In the UK, people from hard-to-reach groups are not only more vulnerable to the disease, but are also less likely to comply with treatment. The aim of this project is to agree with local stakeholders a vision for TB services that meet the needs of hard-to-reach groups and to examine what aspects of the NICE guidance are already in place, what gaps exist and what barriers and levers there might be to implementing the guidance locally. The results of this project will be useful to commissioners locally, but will also be fed back to NICE for wider dissemination to other areas also implementing the guidance.
Amy Ford is a Medical Oncology Registrar in Merseyside. She is currently taking time out of programme to study for a PhD within the School of Law, University of Manchester, as a NIHR Doctoral Fellow. Her research examines resource allocation in ‘exceptional circumstances' by Primary Care Trusts, from a legal and ethical perspective.
As a NICE Scholar, Amy is undertaking a project examining the variation in the uptake of drugs funded by the North West Cancer Drugs Fund, compared to the variation in the use of NICE-approved cancer drugs, within the same region.
Khushbu Lalwani works in Public Health in Bexley, South East London. Khushbu has led the Joint Strategic Needs Assessment (JSNA) 2010-12 between the NHS and the Local Authority. Khushbu is the principal lead for Public Health Governance in Bexley. Khushbu is a member of the local Clinical Quality Assurance Group, which now also incorporates public health as part of the transition of public health to local authority and other organisations. Khushbu has also led the redesign of the childhood immunisations and questioned the processes of this traditional intervention in the new and complex public health system (Vaccines in Practice, Feb 2012 edition).
As a NICE Scholar, Khushbu will bring together all the elements of NICE public health guidance related to prevention of diabetes and present evidence of local savings and benefits as well as the impact on other non-communicable diseases in Bexley. An important element of this work will focus on how organisations at Clinical Commissioning Group (CCG) level prioritise funds allocated to diabetes, and the proportion that should be allocated to prevention. Khushbu is engaging with the local diabetes network group to ensure endorsement of the project to reflect real local change. The result will be a 10-year prevention strategy between the Local Authority and the NHS to ensure alignment of resources to public health interventions for diabetes prevention in a borough significantly under-resourced for public health.
NIHR Academic Clinical Fellow in Paediatrics
Imperial College London/London Deanery
Dr Logan Manikam is a first year paediatric specialty trainee based at Barnet & Chase Farm Hospitals NHS Trust. He is also currently an ACF (Academic Clinical Fellow) based at Imperial College London undertaking research in paediatric allergy and respiratory medicine. His research interests in addition to these include a keen interest in public health, provision and delivery of effective interventions via evidence synthesis and supporting innovation in medical education.
He works in collaboration with Professor Monica Lakhanpaul (Institute of Child Health, UCL), an existing NICE Fellow, on numerous projects including the multifaceted multidisciplinary HSR NIHR funded Management and Interventions in Asthma study (MIA) in South Asians and the Department of Health-commissioned Spotting the Sick Child educational tool. He has published in peer-reviewed journals including commissioned publications and has presented both nationally and internationally.
As a NICE Scholar, Dr Manikam will conduct a national survey of junior doctors aimed to quantify the knowledge of junior doctors on NICE clinical practice guidelines (CPGs) and seek an understanding of their attitudes and the influence of their work environment and teaching on NICE CPGs. This will provide some insight into the attitudinal barriers and facilitators to implementing evidence-based practice (EBP) and following of NICE CPGs amongst junior doctors. Additionally, this will further guide NICE's effort in improving EBP teaching amongst junior doctors and development of its undergraduate educational tools in line with NICE's education strategy.
Lisa Peto is a Public Health Specialty Registrar based in the Oxford Deanery. She is currently working at Solutions for Public Health on an evidence review on osteoporosis screening for the National Screening Committee and a needs assessment and service specification for forensic children and adolescent mental health services for the Department of Health. She has also had placements at West Berkshire PCT, Bristol PCT and the Avon Health Protection Unit. Prior to joining the Public Health Training Scheme, she worked as a Research Reviewer and Analyst at the West Midlands Health Technology Assessment Collaboration Centre.
As a NICE scholar, Lisa will be conducting an audit on the implementation of the NICE guidance on promoting physical activity for children and young people across Oxfordshire. Oxfordshire is considered to have low levels of physical activity in children and young people and it is hoped the audit will help to determine reasons for this, as well as determining whether any gaps and variations in practice and provision of promoting physical activity exist, particularly between affluent and deprived areas in Oxfordshire. The project will also investigate any barriers local authorities and schools face in implementing NICE guidance.
Profile to follow.
Division of Orthopaedic & Accident Surgery, University of Nottingham & Nottingham University Hospitals NHS Trust
Jeremy's interest in research stems from his first three degrees, all from the University of Edinburgh. His intercalated BSc(Hons) in Experimental Pathology was supported by a competitive Wolfson Intercalated Award, and he achieved first class honours. He was awarded his MBChB with honours, having passed each year with distinction. Amongst other undergraduate academic prizes, Jeremy secured Cancer Research UK funding for his elective at The Royal Melbourne Hospital. During Core Training in Plastic Surgery in the East Midlands (North) deanery, he completed the 'ESSQ' MSc in Surgical Sciences, which was awarded with distinction. He is now part of the teaching faculty for the University of Edinburgh/RCSEd ESSQ programme. While in the second year of his Core Training, Jeremy successfully obtained an ST3 National Training Number in Plastic Surgery in the Yorkshire & the Humber deanery. He is now out of programme (OOPR) to pursue this current project for a DM degree. In addition to a variety of publications and over 60 national and international presentations to date, he co-edits 'Core Surgery Journal'. He was part of the team of six surgical core trainees who devised and launched this journal, which aims to provide young surgeons with practical, real-world knowledge.
Jeremy's project investigates the long-term outcomes after different types of surgical intervention for Dupuytren's disease. It is hoped that the data from this multi-centre study will be of use in planning future RCTs. The project is supervised by Professor Tim Davis and Professor Brigitte Scammell, and has been kindly funded by the British Society for Surgery of the Hand.
Lecturer in Sociology
University of Sussex
Catherine teaches and researches on topics including health policy and practice, the growth of preventive medicine and methodology in both the medical and social sciences. She is interested in interdisciplinary work based on her own experience in a number of different social sciences and in the ways that other sciences produce knowledge and evidence. She joined the University of Sussex in 2007 and now teaches both sociologists and medical students on a range of courses. She is currently co-convenor of the British Sociological Association's Medical Sociology Group, which has been central to the development of this field since its foundation in the 1960s.
Catherine plans to spend her time as a NICE scholar looking at different sites where ordinary people's preferences and values are brought into the work of NICE. These might be included in discussions of ‘acceptability' in production of guidance of different kinds, and she is interested to understand what kinds of evidence are used to explore this issue. Analysis of the practice of guidance production will be used to map possible opportunities for the Institute to make greater use of evidence from the social sciences, and to stimulate debate among social scientists about such opportunities. In the same vein, she intends to relate NICE's own broader discussion of ‘social value judgements' to emerging work on the ethics and politics of public health.