Research Improvement

and

conference 2018 Speakers biographies

Keynote speakers

Professor Catherine Pope BA (Hons), PhD, Professor of Medical Sociology, University of Southampton

Catherine Pope is Professor of Medical Sociology in the Faculty of Health Sciences, University of Southampton where she leads the Emergency and Urgent Care (EmU) research group. Her research examines health care work and the organisation and delivery of health services and this has entailed recent work on NHS 111 urgent care services, the role of evidence in GP commissioning and studies of ambulance services. She has contributed to major national evaluations of NHS treatment centres, Walk-in Centres and Access to General Practice, and was an invited methodological expert to the Chantler independent review of plain paper packaging of tobacco. Catherine has played a leading role in developing qualitative methods and evidence

synthesis in health services research and is co-author of significant books and journal papers on these methods.

Catherine will be discussing what real partnership working looks like when working with patients and their families.

Cluster ADerek Stewart OBE

Born in Scotland, Derek Stewart was treated successfully for cancer of the larynx in 1995. A former teacher working with challenging pupils, Derek became involved in numerous aspects of patient involvement at a local, network and national levels. A blog of his views can be found at Making a Difference.

As former Chair of the National Cancer Research Institute Consumer Liaison Group, Derek assisted with the increase in patient participation in the establishment and work of the National Cancer Research Institute.

Derek still works as a freelance consultant with his own company providing training on patient and public involvement across charity and public sector. This contribution to health services in particular cancer led to being awarded an OBE in the Queen’s Birthday Honours list 2006. Derek is Associate Director for patient and public involvement for the National Institute for Health Research Clinical Research Networks Coordinating Centre and Director for Patient Involvement at Nottingham Biomedical Research Centre.

Derek will be sharing what he considers to be the key elements of successful partnership working from a patient’s perspective.

Cluster A

Rachel Chappell, Quality Improvement Lead working across Wessex CLAHRC (University Hospital Southampton and University of Southampton) and the Mental Health Clinical Network (NHS England)

Following a career which started as a research student and many years as an IT professional, Rachel has now worked in the NHS for 17 years in a variety of roles across the country. For the past 3 years she has worked with the Wessex Mental Health Clinical Network to share best practice and promote system wide working to improve mental health and dementia care. She is currently seconded to the Wessex CLAHRC to develop the NeuroLTC Online platform alongside the clinical, research and IT teams.

Rachel’s presentation is titled ‘NEUROLTC Care Plan - myMedicalRecord’ and will focus on:

• Enhancing our support for patient self-management and personalised care planning• Using digital technology to support novel ways of delivering healthcare• Creating new connections between patients and their clinical teams

Ana-Carolina Goncalves, Clinical Doctoral Research Fellow and physiotherapist

Ana is currently conducting a PhD in the field of physical activity for people living with dementia at the University of Southampton, and working as Senior Physiotherapist in Older Person’s Mental Health services at Solent NHS Trust. In this joint role, she has led and collaborated with projects related to falls prevention, maintenance of mobility during hospital admissions, and the use of group activities to improve wellbeing in hospital. She has also published scientific work in the areas of outcome measurement in physical activity interventions for people living with dementia; burden of treatment; and the international classification of functioning, disability and health.

Ana-Carolina’s presentation is titled ‘Quality improvement work can reduce rate of falls in dementia patients’ and will focus on: • How quality improvement work can reduce rate of falls in dementia patients, • How the the use of routinely collected data and staff and carer involvement is • the key to success• The challenges and solutions to involving carers in the project.

Sam Burr, Speech and Language Therapist, Children’s Therapy Service

Sam started work as an Newly Qualified Practitioner with Solent NHS Trust in September 2013 after completing her MSc at UCL. She has worked in the community with pre-school children and in mainstream schools. In March 2016 she secured funding from Solent NHS Trust to complete a Clinical Academic Internship to prepare her application for an HEE/NIHR ICA Doctoral Research Fellowship. Her application was successful and the 4-year fellowship began in June 2017. Sam continues to hold a clinical caseload and also supports the Speech Sound Disorder Care Pathway Lead, Jude Rosier in the development of the pathway, and training and development for the clinical team.

Sam’s presentation is titled ‘Empowering and engaging clinical colleagues in research’ and will focus on:

• Investing time in engaging the clinical team in your research reaps rewards for everyone.• Flexibility and open-mindedness are vital skills in successfully engaging busy clinicians.• Keeping the conversation going from start to finish and beyond!

Nadine Booysen MRes BPhyst MCSP, Senior MSK Physiotherapist Team Lead and MPP Clinical Effectiveness Team Lead, Solent NHS Trust

Nadine has just completed her NIHR Clinical Doctoral Research Fellowship in the Faculty of Health Sciences, University of Southampton. Her research interest is in movement control patterns; focusing on conservative management of musculoskeletal conditions including osteoarthritis, with an emphasis on exercise in prevention and management. She is currently the vice-chair of the International Movement Screening and Interventions Group (IMSIG) to gain international consensus for movement screening tools to prevent and manage joint injury. Her current work aims to see whether exercises to protect joints in elite sports can be adapted for the general active population.

Nadine’s presentation is titled ‘Exercise programmes for hip control to improve lower limb movement quality during recreational exercise in youths’ and will focus on:• The Hip and Lower Limb Movement Screen • How the intervention showed the proof of concept of retraining hip and pelvic movement control with improved movement quality• The feasibility of the study in recreational youth football and its implications for a future randomised controlled trial.

Cluster B

Suzi Graves, Integrated Services Matron Adults Southampton

Suzi trained at Canterbury University between 2008-2011 and gained a BSc in Adult Nursing.During her last year of nurse training Suzi worked as a carer for a local care agency in Southampton and it was here that she developed a love for dealing with patients in their own homes. This love of community work encouraged her to apply for a role within Solent NHS Trust, and was successful in securing a post with the Southampton Rapid Response team, as a Community nursing sister. She has since untaken an Advanced Practitioner course in specialist community nursing and nurse independent prescriber training. Suzi is

currently on secondment as integrated services matron for adult nursing and Palliative Care .

Suzi’s presentation is titled ‘A mixed methods study to investigate if unmaintained static air pressure in cushions affect the patient experience’ and will focus on:• How this type of study has never been undertaken in the community setting in the past using the wide range of seating found in this environment • How the quantitative results show that our patients are being put at risk and the qualitative results show that they cannot use these items of equipment independently• How a larger study would quantify the results from this study

Samantha Belfrage, Public Health Development Manager, Portsmouth City

Council;Jenny Hardwick, Specialist Community Public Health Nurse, School Nursing;Vicki Pennal, Health Visitor and Project Lead for Healthy Settings Project

Samantha has been working in the Local Authority of 10 years, and has recently completed her MSc in Public Health. Sam is passionate about supporting the health and wellbeing of young people especially within the school environment. Her MSc dissertation explored the barriers and facilitators to promoting health in schools by newly qualified teachers.

Jenny has been working for Solent NHS since 2015 and has recently completed a post graduate degree in Public Health. Jenny is also a qualified Paediatric Nurse and has worked at the local hospital caring for sick children but now her passion is the prevention of ill health and promotion of wellbeing.

Vicki has been a Health Visitor for 8 years and completed her MSc in Public Health in 2012. Vicki’s particular interests lay in infant nutrition and sleep practices. She is currently leading the Healthy Settings project across Southampton in which the team have launched a new schools award (The Healthy High 5 Award) and an initiative to help promote healthy eating to families affected by ‘holiday hunger’ in the city. She is also a member of the digital innovation project which spans Health Visiting and School Nursing.

Their presentation is titled ‘Changing health outcomes for overweight and obese children for better engagement with their familiess’ and will focus on:• Ways to improve engagement with parents / carers of children identified as obese through the year R National Child Measurement Programme (NCMP) • How a quality improvement methodology was used to identify small low cost or no cost recommendations to improve both uptake of the NCMP and engagement post measurement

• How changing health outcomes for overweight and obese children requires a multiagency approach.

Sarah Stephens, Clinical Nurse Specialist

Sarah is a Clinical Nurse Specialist working within the Community Emergency Department Team (CEDT). CEDT is a multi-professional team based in the Emergency Department. The team help in the assessment and decision making process for patients who are medically fit for discharge, who have complex health and social care needs +/-frailty.

Sarah’s presentation is titled ‘Standardising Community Emergency Department Team assessment of patients who have fallen’ and will focus on:• You can’t always predict the outcome!• Good communication is vital so that everyone understands the plan

• Understanding your team, and using their skills to help the project.

Clare Ryan, Clinical Physiotherapy Specialist (spines), Musculoskeletal Service

Clare has worked as a clinical specialist in Solent NHS Trust for the past 11 years and specialises in managing people with musculoskeletal (MSK) spinal problems such as neck and back pain. She is also a Clinical Effectiveness Lead for the Musculoskeletal Service. In this role she supports staff to lead projects that measure whether the treatment we offer is consistent with current guidelines and how

well the MSK service is performing.

Between 2014-2016, Clare had the opportunity to complete a Masters in Clinical and Health Research (funded by the National Institute of Health Research). During this time she undertook research exploring how people experience living with and being treated for the condition sciatica.

Clare’s presentation is titled ‘Life on hold: the lived experience of sciatica’ will focus on: • What matters to patients about living with the condition sciatica

• What these findings mean for clinical practice.

Cluster C

Theresa Crowley and Thea Claxton, Clinical Lead Physiotherapists

Theresa joined the Solent NHS trust as an MSK Physiotherapist in 2015, having worked in a number of public and private clinics in both Ireland and Australia prior to this. She has a keen interest in shoulder injuries, orthopaedic rehabilitation, health promotion and has helped to establish a new MSK Telephone Triage Service within Portsmouth, offering patients specialist advice and early access to treatment for MSK conditions.

Thea is a Clinical Lead Physiotherapist within Solent NHS trust with 13 years experience. She specialises in chronic pain particularly CPRS and hypermobility and helping patients with self-management of their conditions. In joint

collaboration with Theresa she has set up and implemented a MSK Telephone Triage Service within Portsmouth, which has received great support and positive feedback from both service users and GPs.

Their presentation is titled ‘Tackling demand in Primary Care: Managing Musculoskeletal conditions more effectively through telephone triage’ and will focus on:• The prevelance of MSK conditions in GP consultations• How this patient group can be managed more effectively• The outcome of implementing the MSK Telephone Triage service

Amber Young, parent and Social Worker;Brett Young, parent and Lecturer;Dr Catherine Tuffrey, Consultant Paediatrician and parent

Catherine has been a consultant neurodisability paediatrician in Solent since 2010. Prior to this she undertook a PhD looking at social participation for adolescents with disability at Newcastle University where she also developed her interest in education through completing a Post-graduate Ceritificate in Clinical Education. Her continuing work in education includes being an author on the e-learning package, Disability Matters, as well as being Lead for Undergraduate Education for Community Paediatrics in

Solent East. She is an active clinical researcher in Solent as well as being consultant Lead for general paediatrics at Portsmouth Hospitals NHS Trust. As the Solent medical rep on the Wessex Paediatric Innovation Education and Research network, she also has a keen interest in quality improvement.

Amber and Brett Young are the parents of Elsie and Beau. Elsie has Down syndrome and they first met the Solent Community Paediatric Medical Team and therapists when Elsie was a few weeks old. With the confidence of their professional backgrounds, they have challenged the assumptions and practices of the services they have come into contact with and have been working with Catherine to see how the systems can be improved.

Their presentation is titled ‘To Holland and back… clinicians and families together improving the journey’ and will focus on:• The importance of examining the whole patient pathway when trying to improve services• Using education, research and QI to make improvements in different ways• How it is important to have high aspirations for all individuals

Cluster D

Ana-Carolina Goncalves, Clinical Doctoral Research Fellow and physiotherapist; Mary Ramsay, patient research ambassador (PPI)

Ana is currently conducting a PhD in the field of physical activity for people living with dementia at the University of Southampton, and working as Senior Physiotherapist in Older Person’s Mental Health services at Solent NHS Trust. In this joint role, she has led and collaborated with projects related to falls prevention, maintenance of mobility during hospital admissions, and the use of group activities to improve wellbeing in hospital. She has also published scientific work in the areas of outcome measurement in physical activity interventions for people living with dementia; burden of treatment; and the international classification of functioning, disability and health.

Mary Ramsay is a public representative in the Patient and Public Involvement group for Research and Improvement, ‘Side-by-Side’. Having watched her husband lose his life to Dementia, Mary wanted to give something back, ‘do more’ and get involved in research. Mary also works closely with Ana-Carolina in relation to her PhD studies.

Their presentation is titled ‘Our journey through research’ and will:• Showcase examples of collaboration and involvement of patients and carers in research as co-researchers

• Present benefits of this collaboration• Discuss how can this collaboration continue to grow in the future.

Sue Green, NIHR/HEE Clinical Lecturer and Associate Professor, University of Southampton

Sue is a clinical academic and Registered Nurse. She holds a clinical role in Solent NHS Trust and a research and teaching role at the University of Southampton. In her clinical role, Sue works as a Nutrition Nurse with the Southampton City Home Enteral Nutrition Team.

Sue’s presentation is titled ‘What do people want to support them to manage enteral tube feeding at home? ’ and will focus on:• The importance of examining the whole patient pathway when trying to improve services• Using education, research and QI to make improvements in different

ways• How it is important to have high aspirations for all individual

Nicola Sirman, Speech & Language Therapist;Emily Mason, Speech and Language student

Nicola has worked as a speech and language therapist in the NHS since 2009, She has also held a joint academic role until recently working at University College London training student speech and language therapists. She has supported students and practice educators on clinical placements for many years and is very passionate about this aspect of her work.

Emily has just finished the fourth (and final!) year of her Speech and Language Therapy degree at the University of Reading. Initially drawn towards working in paediatrics, Emily’s placement with Nicola really opened her eyes to how complex and interesting working with adults is and as a result this is the area she is now looking to work in.

Their presentation is titled ‘Students going the extra mile’ and will focus on:• The benefit of providing student placements• The knowledge students come with• How students can be a help, rather than a hindrance!

Cluster E

Bethany Kelly, Community Diabetes Specialist Nurse

Bethany currently works in Southampton City as a Community Diabetes Specialist Nurse and has been a qualified nurse for 10 years. She has been published by NHS England, the Nursing Times, and the Diabetes Specialist Nursing Forum UK, and is due to be published in the Journal of Diabetes Nursing soon. Bethany is currently working with the Diabetes Specialist Nursing Forum UK in her spare time to help share best practice amongst DSNs around the UK. She is also attending the House of Commons later this month to take part in parliamentary discussion surrounding diabetes activities.

Bethany’s presentation is titled ‘From research to practice: Getting the freestyle Libre on prescription for Southampton’ and will focus on:• How a previous research study has now translated to practice and is being shared across the UK• A patient’s first-hand experience of how this has changed their life.

Dr Emily Thomas, Consultant in rehabilitation medicine

Emily has been a Consultant in Rehabilitation based on Snowdon ward at the Western Community Hospital for the last 3 years. She is passionate about delivering person-centred rehabilitation and has a special interest in traumatic brain injury. She has recently completed a PhD, based at the University of Otago, Wellington, New Zealand, investigating the impact of traumatic brain injury on self-identity and developing a tool with which to assess this.

Emily’s presentation is titled ‘The effects of brain injury on self-identity and how identity reconstruction can be supported in rehabilitation from traumatic brain injury’ and will focus on:• The issue of identity change following traumatic brain injury• How reconstruction of identity following traumatic brain injury should be a key theme in rehabilitation• Measuring what matters - outcome measures need to assess important personal changes not just ones that are easy to measure or important to rehabilitation professionals

Laura Merrett, Clinical Neuropsychologist, Western Community Hospital;Philippa Beckworth, Clinical Psychologist, Hobbs Rehabilitation

Laura works as a Clinical Neuropsychologist as part of Solent Neuro Rehab Services in Southampton. Her interests include how best to utilise psychological therapy, specifically Acceptance and Commitment Therapy (ACT), in neurological populations in order to improve emotional wellbeing and quality of life.

Philippa is a Clinical Psychologist and works in neurological rehabilitation for Hobbs Rehabilitation with both inpatients and outpatients. Her clinical and research interests include acceptance, adjustment, resilience and personal growth in the context of neurological conditions.

Their presentation is titled ‘Exploring the relationship between cognition and psychological flexibility in Multiple Sclerosis’ and will focus on:• The difficulties experienced by people with MS • How psychological therapy is beneficial for people with MS • What thestudy found iin terms of the relationship between cognitive impairment and the impact on certain aspects of psychological therapy.

Sue White, Team Leader CAMHS LACAlex Millham, Senior Family Therapist

Sue White is a social worker by background and one of the team leads of the Children and Adolescent Mental Health Service (CAMHS) LAC team. She helped set us the current service user involvement group ‘Pizza ‘N’ Chat’ that then merged with another local group forming Futures In Mind.

Alex Millham is family therapist and is leading on the implementation on Improving Access to Psychological Therapies (IAPT) to CAMHS in the East, a key part of this is increasing service user participation.

Their presentation is titled ‘Making participation meaningful’ and will focus on:• Where have we come from? • Where are we now? • Where do we want to go from here? The next step to participation and sharing power.

Cluster F

Pam Bailey, Senior Physiotherapist (Neuro Gym Outpatients and Community Neuro service – Portsmouth); Luke Parsons, Physiotherapist, Queen Alexandra Hospital

Pam Bailey is a senior physiotherapist working at the Neuro Gym within the Community and Outpatient Neurophysiotherapy Service in Portsmouth (Solent NHS Trust). Pam has been in her current post since 2010, previously completing rotations in different clinical areas of neurology through acute and rehabilitation settings. Pam has completed an MSc in Neuro Rehabilitation (Physiotherapy) from Nottingham University in 2014.Luke Parsons is a physiotherapist currently completing 6 monthly rotations within Solent NHS Trust and Portsmouth Hospitals NHS Trust. Luke recently spent 6 months working in the Community and Outpatient Neuro physiotherapy service where he engaged in a variety of service development

projects. Luke is currently awaiting publication of his research on self-management and health promotion.

Their presentation is titled ‘Challenger8: An early intervention physiotherapy course incorporating high effort and high frequency exercise to improve movement and function for people with Parkinson’s disease’ and will focus on:• The benefit of Intensive, high effort and high frequency exercise for people with Parkinson’s disease in the early stages • The results of a pilot course, “Challenger8”, which incorporates principles of forced intense exercise to specifically target the motor symptoms of Parkinson’s disease• What ‘Challenger8’ is.

Lindsay Welch, Integrated COPD Team Lead (Solent NHS Trust) and NIHR Wessex CLAHRC Theme 5 Doctoral research fellow

Lindsay is the ICOPD Team Lead at Solent NHS Trust and is also a Clinical Doctoral Research Fellow, working towards her Doctorate with the faculty of Health Sciences at the University of Southampton. In order to fulfil this she is seconded out from her Solent NHS leadership role for 0.2 WTE to investigate, implement and evaluate the GENIE social networking tool within the Southampton COPD patient population. Lindsay is keen to ensure strategic clinical pathways are sufficiently evidenced and grounded in robust and timely research. In this way facilitating an ethos of care provision that promotes patient wellbeing in long term conditions, and moves away from reactive COPD care, towards early preventative health strategies.

Lindsay’s presentation is titled ‘Evaluating GENIE in the Chronic Obstructive Pulmonary Disease service: A clinical trial and evaluation to ascertain patient benefit’ and will focus on:• Complexity of implementation of research• Positive results• Getting new interventions in the right place

Bethany Carter and Natalie Mounter, Infection Prevention Specialist Nurses

Bethany is an experienced Infection Prevention Nurse who was previously employed by the British Army and deployed to Sierra Leone on OP Gritrock in response to the 2014 Ebola Epidemic. She worked as an Infection Prevention Specialist in an Ebola Virus Disease Treatment Unit, manned by military staff, but also working closely with local staff and external agencies. Audit, monitoring and evaluation were an integral part of her role.

After several years of working in Infection Prevention, Natalie

volunteered in an Ebola Holding Unit based in a main government hospital in Sierra Leone during the 2014 Ebola Epidemic. She then went on to set up an Infection Control system in the largest government hospital in Sierra Leone, working closely with local staff to do so. Monitoring and evaluation was an important part of this process.

Their presentation is titled ‘Auditing in a crisis: monitoring and evaluation during and after the 2014 Ebola epidemic in Sierra Leone’ and will focus on:• The importance of audit• How audit was conducted inside an Ebola Treatment Unit in Sierra Leone during the 2014 Ebola Epidemic• How an audit system was set up from scratch in a large government hospital in Sierra Leone after the 2014 Ebola epidemic.

Workshops

Side-by-Side and Dr Catherine Pope

Side-by-Side is the name given to a partnership between the Solent Academy of Research and Improvement team and a dedicated group of individuals that give a patient and public perspective to our work. The group meet regularly to help make sure everything that the team do has a patient perspective embedded at the heart of it.

Some of the activities undertaken by Side-by-Side include:

• Planning our annual conference• Setting priorities for the year• Judging our annual awards• Delivering training• Working on research and improvement projects• Helping to evaluate new initiatives

For Dr Catherine Pope’s biography, please see page 1.

Their workshop is titled ‘Overcoming the challenges of working in partnership with patients in a stretched NHS’ and will explore:• The challenges to working in partnership• The benefits to working in partnership• The solutions to working in partnership

This workshop will include group work and discussion.

Lara Bracher

Lara initially trained and qualified as a primary school teacher in 2003. Between 2005-2013, Lara completed her psychotherapy training at the Tavistock and Portman NHS Foundation Trust, during which time she worked as a trainee in Ashurst New Forest CAMHS and Southampton CAMHS. Whilst training, Lara began to develop a specialist interest in Infant Mental Health and is currently in the early stages of pursuing research in this area. She has recently secured two transitional research grants through Solent NHS Research and Improvement and HEE Wessex with the aim of working towards

securing PhD funding to take her research interests forward.

Lara’s workshop is titled ‘Baby watching: an early intervention model for enhancing parent/infant interaction’ and will focus on:• What is ‘Baby Watching’?• How ‘Baby Watching’ aims to enhance the quality of parent-infant interaction • How ‘Baby Watching’ aims to support the development of a ‘secure attachment’ between parent and infant.

Dr Veronika Wagner

Veronika graduated in medicine in Germany 1988, trained in neurology in Germany and Britain, and has been working in neuropsychiatry across the region since 2000. She is also a part time music student. Veronika now works with Lifemusic and aims to bring together the medical and the musical sphere.

Veronika’s workshop is titled ‘Using ‘Lifemusic’ in a Mental Health rehabilitation setting - outcomes of the SAS Wessex Quality Improvement Fellowship and practical examples’ and will focus on:• The first precept of Lifemusic: There are no wrong notes in music• Patients and staff benefit from a holistic rehabilitation environment using music• “Less discussion, more percussion”

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