Whole System Patient Flow Improvement Programme - National Event. Speaker Biographies. Jane Murkin, Programme Director QuEST Scottish Government

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1 Jane Murkin, Programme Director QuEST Scottish Government Jane has recently been seconded into the Quality, Efficiency and Support Team in Scottish Government to take on the role as Programme Director for Acute Patient Flow. Previous to that Jane was working as the Professional Advisor for Quality Improvement within the Directorate of the Chief Nursing Officer, Patients, Public and Health Professionals within the Scottish Government. In this role Jane lead on the design and establishment of the Person Centered Health & Care Programme for NHS Scotland as part of the Person Centered ambition of the Quality Strategy. Prior to this Jane worked within HealthCare Improvement Scotland having initially been appointed in 2007 as the National Coordinator for the Scottish Patient Safety Programme, with responsibility for implementation and leadership of the programme across NHS Scotland and then in 2010 was appointed as the Associate Director of Improvement to lead the design, establishment and early implementation of NHS Scotland s Quality Improvement Hub in association with collaborating partners. Jane has spent the past eleven years of her career working at both a local, regional and national level in the field of Quality Improvement and has extensive knowledge, skills and experience advising on the design and delivery of improvement approaches and programmes as well as advising, mentoring and coaching staff with applying improvement methodologies and approaches within their work. Jane is a nurse and midwife by background. John Connaghan Director, Health Workforce and Performance Scottish Government After University John s working life started in printing and publishing with Wm Collins and Letts. John has had three different career roles firstly in industry, secondly in the NHS and now in the Civil Service. Starting as a management trainee John eventually became General Manager of production for Letts with responsibility for manufacturing plants in Scotland and Long Island USA. In the late 1980s John joined the NHS as General Manager for the South of Glasgow, responsible for the Victoria and Southern General. With the creation of Trusts John held three different positions over a 10 year period as Chief Executive of the Victoria, the Western General and Fife Acute Trusts. In 2002 John was asked to lead the national effort to reduce Waiting Times and was appointed Director of Health Delivery for Scotland in 2006 with responsibilities for Government HEAT targets, sponsorship of NHS Boards, Performance Management and the Centre for Change and Innovation (now QuEST). In 2011 John took additional responsibilities and is now Director for Workforce and Performance NHS Scotland. From early August 2013 John is acting Director General and Chief Executive of the NHS. Married with 4 children John relaxes playing golf and veterans hockey.

2 Professor Jason Leitch Clinical Director, The Quality Unit Scottish Government Jason has worked for the Scottish Government since 2007 and is now The Clinical Director of the Quality Unit in the Health and Social Care Directorate. He is a member of the Health and Social Care Management Board and one of the senior team responsible for implementation of the NHSScotland Quality Strategy. Jason is also the Medical Director of the Tayside Centre for Organisational Effectiveness and an Honorary Professor at the University of Dundee. Jason was the 2011 HFMA UK Clinician of the Year. He is a non-executive Board member of AQuA in the North-East of England. He was a Quality Improvement Fellow at the Institute for Healthcare Improvement, in Boston, sponsored by the Health Foundation. Jason is also a trustee of the UK wing of the Indian Rural Evangelical Fellowship which runs orphanages in southeast India. He has a doctorate from the University of Glasgow, an MPH from Harvard and is a fellow of the Royal College of Surgeons of England, The Royal College of Physicians and Surgeons of Glasgow and the Royal College of Surgeons of Edinburgh. He is also a Fellow of the Higher Education Academy. Dr Daniel Beckett Consultant in Acute and General Medicine and Speciality Lead for Acute Medicine NHS Forth Valley Qualified with honours from the University of Edinburgh in 2001, and has been working in NHS Forth Valley as a Consultant Physician in Acute Medicine since Dan undertook the Scottish Patient Safety Program Fellowship in 2011 and remains highly active in the program. Works closely with the Scottish Government as the Acute Medicine Advisor on the National Unscheduled Care Expert Group, and recently appointed as the Chief Medical Officer's Specialty Advisor for Acute and General Medicine. Main interests are use of data for improvement, response to the deteriorating patient and improving patient flow. Developed a structured response to the deteriorating patient which is being adopted and adapted as the National SPSP approach, and was published in BMJ Quality Safety. Most recently he has been appointed as a National Clinical Lead for the whole system patient flow project in Scotland.

3 Jane Jones PhD, MA (ED), BN, RGN Assistant Director Health Foundation Jane Jones is Assistant Director at the Health Foundation. She has worked part-time for the Health Foundation for the past four years leading work on patient safety and more recently on focusing on approaches to quality improvement and innovation. Jane is passionate about improving patients experiences of health care. She began working in the NHS over 30 years ago with a degree in nursing and then specialising in critical care. Following her PhD, Jane held a number of senior posts in clinical practice, academic research, and university education. Over more recent years Jane has developed a strong background in systems improvement having trained on the national Osprey programme and worked as a hospital-based clinical systems engineer. Prior to joining the Health Foundation she was Associate Director of Quality and Safety Improvement in an acute NHS Trust. Tracey Gillies Medical Director for University Hospital Services NHS Lothian Tracey qualified with a Bachelor of Medicine and Bachelor of Surgery (MB ChB) and is a Fellow of Royal College (FRCS). Tracey has been a Consultant in General Surgery within NHS Lothian recently taking up the post of Medical Director for the acute services. Tracey has also worked as National Clinical lead for National Improvement programmes, most recently she has been appointed as a National Clinical Lead for the Whole System Patient Flow Improvement Programme. Grant Haldane MBChB, FFARCSI FFICM, Associate Fellow of the Faculty of Pain Medicine Consultant Anaesthetist Hairmyres Hospital, Eaglesham, East Kilbride, Lanarkshire I graduated from Aberdeen University Medical School in 1989 & subsequently trained in Anaesthesia in the West of Scotland. In my last years of training I worked in Adelaide, South Australia where I developed an interest in Acute Pain Management. This has been a large part of my consultant career. I am the lead clinician for the acute pain service at Hairmyres Hospital & have been involved in the development of acute pain training across the West of Scotland. I was appointed as a Consultant Anaesthetist at Hairmyres Hospital in 2000 where I also have a considerable interest in Critical Care, & in particular the optimization of post-operative care in patients following major elective surgery. This led to my interest in Enhanced Recovery. Since 2004, I have led a multidisciplinary group developing an Enhanced Recovery Programme for colorectal surgery at Hairmyres Hospital & have also run a number of local & national meetings on Enhanced Recovery over that time. Since 2012, I have been the lead clinician fro the development of Enhanced Recovery across Lanarkshire Acute Hospitals.

4 Lech Rymaszewski Consultant Orthopaedic Surgeon NHS Greater Glasgow and Clyde Consultant Orthopaedic and Trauma Surgeon, Glasgow Royal Infirmary (GRI), with a special interest in the elbow (1988-present). Lead Clinician ( ), then Clinical Director posts ( ).Significant achievements in service redesign - from 1993 developed a Musculo-skeletal team approach based on triage / extended scope practitioners at Stobhill Hospital, which was then extended to GRI. The redesign was based on establishing transparent, evidence-based clinical processes to improve the quality of care whilst guaranteeing the meeting of the short-term targets. Member of National Committees, and was Orthopaedic Specialty Advisor to the Chief Medical Officer of Scotland ( ). Tom Wainwright Tom Wainwright is a healthcare improvement specialist and currently combines a part-time research role at The Royal Bournemouth Hospital, with working as an independent consultant, and studying for a PhD at Bournemouth University. Tom graduated as a physiotherapist with a first class degree and went on to specialise in musculoskeletal and orthopaedic physiotherapy. After working as a physiotherapist Tom moved into Clinical Research and has extensive experience of managing international randomised clinical trials. He has published and presented internationally on orthopaedic research topics relating to surgical technique and bearing surfaces. More recently he has held managerial roles within the National Health Service (NHS) including a crucial leadership role in the design, implementation, and delivery of an award winning orthopaedic enhanced recovery pathway. The results and methods of this work have been published and presented at peerreviewed conferences internationally. As well as peer-reviewed presentations Tom is frequently invited to speak at conferences in the United Kingdom and abroad. He is passionate about improving the quality of healthcare systems and now works to help healthcare providers improve the quality of their services. He has a Postgraduate Certificate in Leadership for Quality and Improvement, and The Institute of Consulting named him as the 2010 young consultant of the year for his work on a portfolio if quality improvement projects. In addition to his consultancy work Tom is also highly active academically. He is a Visiting Associate at Bournemouth University and was awarded a full scholarship to undertake his PhD. He is currently finishing his thesis that examines how to understand, appreciate, and account for variability when managing elective surgery clinical microsystems.

5 Tom Downes Clinical Lead of Quality Improvement Sheffield Teaching Hospitals NHS Trust Tom Downes, MBBS, MRCP, MBA, MPH (Harvard), is a Consultant Geriatrician in Sheffield Teaching Hospitals and following a year with the Institute for Healthcare Improvement (IHI) as a Health Foundation Quality Improvement Fellow, he returned to in the role of Clinical Lead for Quality Improvement. His areas of expertise include developing the capability for continuous improvement of quality and safety; engineering stability into and chaos out of complex systems to achieve and sustain exceptional performance and gain competitive advantage; serving as both a clinical and nonclinical leader for improvement; and translating improvement science to achieve clinician engagement. Paul Harriman Assistant Director Sheffield Teaching Hospitals NHS Trust Paul Harriman MBA, TDCR, FETC, HDCR, DCR(R). Paul originally trained as a Diagnostic Radiographer at the Middlesex Hospital qualifying in He worked in a number of hospitals and obtained his HDCR and TDCR qualifications before coming to Sheffield in Whilst working as a Superintendent Radiographer at the Royal Hallamshire Hospital, he undertook an MBA and was also selected to join the General Management Scheme. He has since held a number of posts within the Trust working both within clinical directorates and corporate functions. Paul has a major interests in system thinking, improvement science, the use of data for decision making and has been working with Statistical Process Control charts for over 20 years. The main focus of his current work is supporting Geriatric and Stroke Medicine, to understand, analyse and challenge the current work processes. He and Kate Silvester were part of the Flow, Cost, Quality programme sponsored by the Health foundation.

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