PROMs 2.0 Early adopters
Sujesh BansalCentral Manchester University Hospitals Foundation Trust
Dr. Sujesh Bansal is a Consultant Anaesthetist at Central Manchester University Hospitals NHS Foundation Trust. He started training in anaesthesia in 1997 and was awarded MD in Anaesthesiology following a research in high-risk obstetric anaesthesia. He has a specialist clinical interest in anaesthesia for oncology, transplant and inpatient pain management.
He holds an honorary post of Senior Lecturer with Manchester University and has widely published in Anaesthesia and Pain Management. He also acts as a reviewer for European Journal of Anaesthesiology, Journal of Anaesthesiology Clinical Pharmacology and The Cochrane Anaesthesia Review group. In addition to his clinical duties, he is NCEPOD ambassador to the Trust and the Anaesthetic lead for ‘The Productive Operating Theatre’ programme and the Trust was involved with NHS Institute of Innovation & Improvement for development of this programme, as an associate site.
He has always had an interest in formal assessment of patient experiences and satisfaction to minimise obstacles to optimise perioperative experiences. He has introduced electronic patient experience tracker in Anaesthesia which has brought patient-experience centred approach to various perioperative initiatives within his hospital such as ‘enhanced recovery programme’. The PROMS 2.0 project is an exciting next step and would bring further focus on anaesthetic and surgery outcomes and would help clinicians to enhance quality by continuous spiral review of the patient care & outcomes and provide patients with the information they need to make informed choices about their postoperative care. PROMS 2.0 project at Central Manchester University Hospitals NHS Foundation Trust would involve patients undergoing prostrate cancer operations and would track anaesthetic and prostrate PROMS using internationally recognised validated outcome measures.
Muthu JeyamSalford Royal NHS Foundation Trust
Muthu is a Consultant Shoulder & Upper Limb Surgeon at Salford Royal NHS foundation trust. He specialises in arthroscopic shoulder & elbow surgery. In addition he is involved with the management of upper limb sports injuries including soft tissue reconstruction of shoulder and elbow. He also performs open surgery including primary & revision arthroplasty of the shouder. Muthu has been awarded academic prizes for research & other academic activities. He has a Masters degree (M. Phil) in research. He has presented & published his research in national & international meetings & Journals. He is a member of the British Shoulder & Elbow Society (BESS) and member of the Hospital Consultants & Specialist Association. He is an honorary senior lecturer at the Salford University.
Muthu is very keen on the PROMs 2 project as it enables him to have a closer look at the outcomes following shoulder and elbow surgery. This would also give him valuable information, as he finds it a challenge to use reliable outcome measures for his hospital & the cohort of patients he treats.
Penelope BellIpswich Hospital NHS Trust
Penny is a Senior Lecturer in the School of Health, Science & Technology at University Campus Suffolk which is part of the Universities of East Anglia and Essex. She is the Link Lecturer to Ipswich Hospital. She also retains a link to her previous post of Research Practitioner in the Institute of Orthopaedics at the Norfolk and Norwich University NHS Foundations Trust. Penny completed a PhD in Bone Density, Diet and Exercise and is currently involved in a variety of orthopaedic research projects. She is a reviewer for the NIHR Evaluation, Trials and Studies Coordinating Centre on Health Technology Assessment grant applications, as well as for NICE and the Journal of Clinical Densitometry. She is a member of the NHS Clinical Leaders Network and The East Anglian Musculoskeletal Alliance.
Penny has a particular interest in Outcome Measures and their electronic distribution and collection. The PROMS 2.0 project will be run at the IH orthopaedic department with the intention of engaging patients with their orthopaedic care using this novel IT solution to enhance data collection and offer the option of a paperless service. Allowing patients to see the result of the outcome measure they complete alongside standard scores is a definite patient benefit allowing them to become involved in their on-going care pathway. This innovation also has the potential to save manual data input which is important in order to maintain the quality and extent of services to a large community.Contact: email@example.com
David Sands JohnsonStockport NHS Foundation Trust
David is a Consultant orthopaedic surgeon working for Stockport NHS Foundation Trust at Stepping Hill Hospital. He has an interest in knee surgery, both relating to knee injuries and arthritis. He undertakes all forms of knee surgery including primary and revision joint replacement, arthroscopy, soft tissue reconstruction and procedures for recurrent patella dislocation.
In addition to his daily NHS duties, David is a member of the British Association for Surgery of the Knee Executive committee. He also acts as a reviewer for The British Journal of Bone and Joint Surgery, The Knee Journal and The Cochrane Review. He has undertaken a variety of research projects into topics relating to orthopaedic surgery. His M.Phil thesis was on the assessment of outcome measures used to assess the anterior cruciate ligament deficient knee.
He has always had an interest in the assessment of outcomes of surgery. More recently he has worked with his Trust to look at ways to review interventions on behalf of the organisation and individuals, with a view to presenting these results to the public and patients. In this respect David is committed to ensuring that the PROMs project is a firstname.lastname@example.org
Jane StairmandEast Cheshire Clinical Commisioning Group
Jane is the Improving Outcomes Manager for Eastern Cheshire Clinical Commissioning Group (ECCCG) responsible for improving health and reducing inequalities through outcomes based commissioning. Jane’s role also involves developing and delivering a framework for setting and improving health outcomes in partnership with patients and carers and supporting performance. Eastern Cheshire CCG, in partnership with East Cheshire NHS Trust, are the only PROMs 2.0 Early Adopter using the project to investigate the functionality of PROMs for long term conditions, namely Chronic Obstructive Pulmonary Disease. The partnership is also one of the only sites utilising a Patient Reported Experience Measure (PREM) within the project.
One of the key programmes within the CCG’s three year Clinical Commissioning Strategy is the Integrated Care Programme. Supported self-care is a key requirement within this, developing a culture of shared decision making and co-production where the patient is empowered to make their choices and actively participate in their own care. The PROMS 2.0 project is a forward step in providing patients with the information they need to make informed choices about the treatment they receive and where they receive it.
FRCS, FCEM, Dip Clin Ed, PGC in Leadership Skills
Marion qualified in 1975 from the University of Manchester and also completed her higher specialty training in Emergency medicine there. She was appointed to a Consultant post at the Countess of Chester Hospital in 1992. Marion has worked as Clinical Director of acute care within the Trust, and more recently, was also the chair of the urgent care pathway group for the North West’s contribution to Darzi Review . This led to a leading clinical role in developing and implementing Trauma Systems in the North West. She won the regional Clinical Leaders Network award in 2011. This has enabled her to pilot a system for the measurement of patient experience and outcome measures, and she has been invited to contribute to the development of a national system for measuring PROMS and PREMS following major trauma. She is a member of the transitional national Clinical Advisory Group for major trauma.
Dr.Sanjeevikumar Meenakshisundaram (Dr.Sanjeev)
Consultant Physician with special interest in Stroke. Dr Sanjeev qualified in 1994 and undertook his basic medical training in the Northwest region. He completed my higher specialist training from East Anglia before moving back to the North West Region as a Consultant Physician. He also practice General internal medicine, Geriatrics and Acute Medicine.
The primary goals of stroke management are to reduce brain injury and promote maximum patient recovery. The Stroke PROMS 2.0 project includes 3 Stroke related measures for monitoring patient recovery which are; The Stroke Impact Scale (SIS), Barthel Scoring System and the Modified Rankin Score. These will be used in addition to the EQ-5D and PREMS measures which are pre-built into the system for all users to access.
Once a patient is medically stable, the focus of their recovery shifts to rehabilitation. The primary goals of this sub-acute phase of recovery include preventing secondary health complications, minimising impairments, and achieving functional goals that promote independence in activities of daily living. Responses to treatment and overall recovery of function are highly dependent on the individual. Current evidence indicates that most significant recovery gains will occur within the first 12 weeks following a stroke.
Dr Daniel Conway qualified in Medicine at the University of Manchester in 1992 and embarked on a career as an Anaesthetist with a special interest in Critical Care. He is on the General Medical Council Specialist Register and was appointed to his consultant post at Manchester Royal Infirmary in 2001. He is a Fellow of the Royal College of Anaesthetists (FRCA) and the Faculty of Intensive Care Medicine (FICM).
Clinical Care As a consultant in Anaesthesia and Critical Care in one of Britain's largest hospitals, he helps to treat over 1800 adult patients with critical illness each year. Daniel works with surgeons who specialise in complex eye surgery; urological and infertility treatments.
Improving Care Through Research & Innovation Daniel led research trials which demonstrated the usefulness of 'intra-operative fluid monitoring' and his papers have over 100 citations (Anaesthesia 2002, BMJ 2011).
He leads the National Technology Adoption Centre Project into implementing innovative patient monitoring www.ntac.nhs.uk. This breakthrough was published in the BMJ in 2011 and has changed UK anaesthesia practice. Daniel was an expert clinical advisor for the NICE Guideline on oesophageal Doppler monitoring (MTG3).
Professional Leadership Dr Conway was appointed to the North West Programme Board for Enhanced Recovery following major surgery and has developed Enhanced Recovery Pathways at Central Manchester Foundation Trust, for over 2000 patients expanding this state-of-the-art approach into hepatic, biliary, vascular and transplant surgery.
Daniel chairs the Association of North Western Intensive Care Unitswww.anwicu.org.uk and has developed service improvement projects across the NW ICU groups.
Daniel is a founder member of ICAN-UK, a network for patients, carers and health professionals who work with those who experience critical illness.