Professor Suzanne Mason
MBBS, FRCS, FFAEM, MD
Population Health, School of Medicine and Population Health
Professor of Emergency Medicine
+44 114 222 0694
Full contact details
Population Health, School of Medicine and Population Health
3019
Regent Court (ScHARR)
30 Regent Street
Sheffield
S1 4DA
- Profile
-
I qualified in medicine from London University in 1990. I pursued my training initially in surgery and then specialised in Emergency Medicine.
I spent a year as a Royal College of Surgeons of England Research Fellow and was awarded an MD whilst undertaking higher training in Emergency Medicine.
I joined Sheffield University as a Senior Clinical Lecturer in 2001, was promoted to Reader in 2007 and professor in 2010. I divide my time between the university and as a consultant at the Sheffield Teaching Hospitals Trust emergency department.
- Research interests
-
My main research interests include evaluating complex interventions in emergency and urgent care. I am particularly interested in the evaluation of new roles and alternative pathways of patient care.
I have extensive experience in multi-centre mixed methods studies which can directly inform the delivery of high-quality emergency care to patients.
Current studies include CLAHRC 2: avoiding admissions and attendance in patients with long term conditions; Understanding Exit Block in Emergency Departments, Evaluating the impact of ED Closures on demand for services.
Current projects:
Principal Investigator
- Health North: Connected Health Cities (within Connected Yorkshire), 2016-2018. Department of Health, Principal investigator - S Mason, Other investigator - J Nicholl. £692,206
- Liaision Mental Health in ED, 2016-2017. NHS Sheffield CCG, RCF (SHSC). Principal investigator - S Mason, Other investigators - C O'Keeffe. £40,000
- Frail Older People in ED, 2016-17. CLAHRC RCF. Principal investigator - S Mason Other investigator - C O’Keeffe. £24,510
- CLAHRC2: Theme Lead for Avoiding Attendance and Admission in Patients with Long Term Conditions, 2013-2018. NIHR. Principal Investigator – S Mason, Other investigators – J Young, S Gilbody, E Goyder, S Mason, M Hawley, K Gerrish, J Wright, R Lawton, J Brazier. £1.4 million
- Urgent and Emergency Care : The role of the Consultant, 2014-2016. Y&H Academic Health Science Network. Principal investigator - S Mason, Other investigators - M Kuczawski, K Reynard, J Lee. £250,000
- Patients and staff perspectives on the reasons for attendance at Emergency Departments in Yorkshire and Humber, 2016-2017. BMA. Principal investigator - S Mason, Other investigators - J Nicholl, C O’Keeffe, R Jacques. £60,000
- AHEAD2: Evaluating adverse outcome amongst patients following head injury who are taking the newer oral anticoagulant medications (NOACs) – A Pilot Study, 2015-2016. Royal College of Emergency Medicine. Principal investigator - S Mason, Other investigators - M Kuczawski, J Humphrey. £10,500
Co-investigator
- CLOSED: Analysis of the impact of closing EDs in the UK, 2014-2016. NIHR HSDR. Principal investigator - E Knowles, Other invetigators - J Nicholl, S Mason, E Hirst. £213,000
- How doctors decide: observation care and clinical decision making in emergency departments in the United States and the United Kingdom, 2015-2017. Faculty Development Grant for Global Public Health Research. Principal investigator - B Wright, Other investigators - J Bannerjee, G Martin, D Roland, A Ahmed, S Mason. $14,908
- An Economic Evaluation of Regional Trauma Networks, 2015-2016. NHS England. Principal investigator - F Lecky, Other investiogators - J Nicholl, T Young, S Mason. £50,000
- ERA – Electronic Records in Ambulances to support the shift to out of hospital care: challenges,opportunities and workforce implications, 2016-2018. NIHR HSDR. Principal investiogator - A Porter, Other investigators - S Mason, N Siriwardena, H Snooks, J Dale, R Lyons. £386,861
- Publications
-
Show: Featured publications All publications
Featured publications
Journal articles
- Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. BMJ Quality & Safety. View this article in WRRO
- The impact of different liaison psychiatry models on the emergency department: A systematic review of the international evidence. Journal of Psychosomatic Research. View this article in WRRO
- Comparison of early and late depression after TBI; (the SHEFBIT study). Brain Injury. View this article in WRRO
- Incidence of intracranial bleeding in anticoagulated patients with minor head injury: a systematic review and meta-analysis of prospective studies. British Journal of Haematology, 183(1), 119-126. View this article in WRRO
- How the Availability of Observation Status Affects Emergency Physician Decisionmaking. Annals of Emergency Medicine, 72(4), 401-409. View this article in WRRO
- Should Adults With Mild Head Injury Who Are Receiving Direct Oral Anticoagulants Undergo Computed Tomography Scanning? A Systematic Review. Annals of Emergency Medicine. View this article in WRRO
- Understanding better how emergency doctors work. Analysis of distribution of time and activities of emergency doctors: A systematic review and critical appraisal of time and motion studies. Emergency Medicine Journal. View this article in WRRO
- Urgent care axis for the older adult: where is best to target interventions?. Emergency medicine journal. View this article in WRRO
- Closing five Emergency Departments in England between 2009 and 2011: the closED controlled interrupted time-series analysis. Health Services and Delivery Research, 6(27). View this article in WRRO
- The incidence of anosmia after traumatic brain injury: the SHEFBIT cohort. Brain Injury, 32(9), 1122-1128. View this article in WRRO
- Senior doctor triage (SDT), a qualitative study of clinicians’ views on senior doctors’ involvement in triage and early assessment of emergency patients. Emergency Medicine Journal, 35(7), 440-446. View this article in WRRO
- 70 The digital ambulance: electronic patient clinical records in prehospital emergency care. BMJ Open, 8(Suppl 1), A26-A27. View this article in WRRO
- Emergency Medicine: great papers from the Summer of Love to 2017. Emergency Medicine Journal, 35(3), 152-155. View this article in WRRO
- Characterising non-urgent users of the emergency department (ED): A retrospective analysis of routine ED data. PLoS ONE, 13(2). View this article in WRRO
- Comparison of Glasgow Admission Prediction Score and Amb Score in predicting need for inpatient care.. Emergency Medicine Journal. View this article in WRRO
- International migrants’ use of emergency departments in Europe compared with non-migrants’ use: a systematic review. European Journal of Public Health, 28(1), 61-73. View this article in WRRO
- Prevalence of depression after TBI in a prospective cohort: The SHEFBIT study. Brain Injury, 32(1), 84-90. View this article in WRRO
- Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal College of Emergency Medicine’s Sentinel Site Survey data. Emergency Medicine Journal. View this article in WRRO
- Paramedic Assessment of Older Adults After Falls, Including Community Care Referral Pathway: Cluster Randomized Trial. Annals of Emergency Medicine, 70(4), 495-505.e28. View this article in WRRO
- Support and assessment for fall emergency referrals (SAFER) 2: A cluster randomised trial and systematic review of clinical effectiveness and cost-effectiveness of new protocols for emergency ambulance paramedics to assess older people following a fall with referral to community-based care when appropriate. Health Technology Assessment, 21(13), 1-218. View this article in WRRO
- Measuring Acceptability of Clinical Decision Rules: Validation of the Ottawa Acceptability of Decision Rules Instrument (OADRI) in Four Countries. MED DECIS MAKING, 30(3), 398-408.
- The development of a clinically useful tool for predicting the development of psychological disorder following injury.. Br J Clin Psychol, 48(Pt 1), 31-45. View this article in WRRO
- A randomised controlled trial of the effectiveness of writing as a self-help intervention for traumatic injury patients at risk of developing post-traumatic stress disorder. BEHAV RES THER, 47(1), 6-12.
- International Survey of Emergency Physicians' Awareness and Use of the Canadian Cervical-Spine Rule and the Canadian Computed Tomography Head Rule. ACAD EMERG MED, 15(12), 1256-1261.
- The impact of government-set time targets on patient care and outcomes: A retrospective analysis of routine data. J EPIDEMIOL COMMUN H, 62, A1-A1.
- Safety of paramedics with extended skills.. Acad Emerg Med, 15(7), 607-612.
- Understanding the management of patients with head injury taking warfarin: who should we scan and when? Lessons from the AHEAD study. Emergency Medicine Journal. View this article in WRRO
Presentations
- Exploring Discordance Between Epilepsy Prevalence and Age-Specific Admission Rates for Seizures. Sheffield.
- Modelling the Flow of Seizure Patients in the Urgent and Emergency Care System. Society for Academic Primary Care, Trent Regional Meeting, Sheffield.
Other
All publications
Journal articles
- Adoption of high-sensitivity cardiac troponin for risk stratification of patients with suspected myocardial infarction: a multicentre cohort study. The Lancet Regional Health - Europe, 43, 100960-100960.
- Frailty screening in the Emergency Department: why does it matter?. Age and Ageing, 53(4).
- Exploring advanced clinical practitioner perspectives on training, role identity and competence: a qualitative study. BMC Nursing, 23(1). View this article in WRRO
- The impact of digital technology in care homes on unplanned secondary care usage and associated costs. Age and Ageing, 53(2).
- ‘Knowledge exchange’ workshops to optimise development of a risk prediction tool to assist conveyance decisions for suspected seizures – Part of the Risk of ADverse Outcomes after a Suspected Seizure (RADOSS) project.. Epilepsy & Behavior, 151. View this article in WRRO
- Delivery of public health interventions by the ambulance sector: a scoping review. BMC Public Health, 23(1). View this article in WRRO
- Navigating data governance associated with real-world data for public benefit: an overview in the UK and future considerations. BMJ Open, 13(10). View this article in WRRO
- Understanding Pre-Hospital Care for Self-Harm: Views and Experiences of Yorkshire Ambulance Service Clinicians. BJPsych Open, 9(S1), S69-S69.
- Use of urgent, emergency and acute care by mental health service users: a record-level cohort study. PLoS ONE, 18(2).
- Examining the effect of interventions in emergency care for older people using a system dynamics decision support tool. Age and Ageing, 52(1).
- What influences decisions to transfer older care-home residents to the emergency department? A synthesis of qualitative reviews. Age and Ageing, 51(11).
- The Safety INdEx of prehospital on scene triage (SINEPOST) study: the development and validation of a risk prediction model to support ambulance clinical transport decisions on-scene. PLOS ONE, 17(11). View this article in WRRO
- Supporting the ambulance service to safely convey fewer patients to hospital by developing a risk prediction tool: Risk of Adverse Outcomes after a Suspected Seizure (RADOSS)—protocol for the mixed-methods observational RADOSS project. BMJ Open, 12(11). View this article in WRRO
- Emergency care for older people living with frailty: patient and carer perspectives. Emergency Medicine Journal, 39(10), 726-732.
- Mixed-methods feasibility cluster randomised controlled trial of a paramedic-administered breathlessness management intervention for acute-on-chronic breathlessness (BREATHE): study findings. ERJ Open Research, 8(4), 00257-2022.
- What are the goals of care for older people living with frailty when they access urgent care? Are those goals attained? A qualitative view of patient and carer perspectives.. Int Emerg Nurs, 63, 101189.
- Factors associated with increased Emergency Department transfer in older long-term care residents: a systematic review. The Lancet Healthy Longevity, 3(6), e437-e447.
- Creating a Real-World Linked Research Platform for Analyzing the Urgent and Emergency Care System.. Med Decis Making, 272989X221098699.
- Salbutamol for analgesia in renal colic : study protocol for a prospective, randomised, placebo-controlled phase II trial (SARC). Trials, 23(1).
- Emergency department presentations in palliative care patients : a retrospective cohort study. BMJ Supportive & Palliative Care. View this article in WRRO
- The Safety INdEx of Prehospital On Scene Triage (SINEPOST) study : the development and validation of a risk prediction model to support ambulance clinical transport decisions on-scene—a protocol. Diagnostic and Prognostic Research, 5(1). View this article in WRRO
- What are the functional consequences after TBI? The SHEFBIT cohort experience. Brain Injury, 35(12-13), 1630-1636. View this article in WRRO
- Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013–2017. PLoS ONE, 16(5). View this article in WRRO
- Vocational Outcomes After Traumatic Brain Injury; Prevalence and Risk Factors After 1 Year in a Multivariable Model.. J Head Trauma Rehabil.
- A feasibility cluster randomised controlled trial of a paramedic-administered breathlessness management intervention for acute-on-chronic breathlessness (BREATHE). ERJ Open Research, 7(1).
- The use of linked routine data to optimise calculation of the Hospital Frailty Risk Score on the basis of previous hospital admissions: a retrospective observational cohort study. The Lancet Healthy Longevity, 2(3), e154-e162. View this article in WRRO
- Sequen-C: A Multilevel Overview of Temporal Event Sequences.. IEEE Trans Vis Comput Graph, PP. View this article in WRRO
- Using machine-learning risk prediction models to triage the acuity of undifferentiated patients entering the emergency care system: a systematic review. Diagnostic and Prognostic Research, 4. View this article in WRRO
- Do children with suspected shunt failure also require a radiographic shunt series if head CT is going to be, or has been, performed?. Archives of Disease in Childhood.
- Monitoring indirect impact of COVID-19 pandemic on services for cardiovascular diseases in the UK. Heart.
- A data-linkage study of suspected seizures in the urgent and emergency care system in the UK. Emergency Medicine Journal. View this article in WRRO
- Paediatric emergency department utilisation rates and maternal migration status in the Born in Bradford cohort: A cross-sectional study. PLOS Medicine, 17(3). View this article in WRRO
- Physician response units: is taking care to the patient the right thing to do?. Emergency Medicine Journal. View this article in WRRO
- Electronic health records in ambulances: the ERA multiple-methods study. Health Services and Delivery Research, 8(10), 1-140. View this article in WRRO
- What does the ideal urgent and emergency care system look like? A qualitative study of service user perspectives. Emergency Medicine Journal. View this article in WRRO
- A longitudinal assessment of occupational stress in emergency department nursing staff. Journal of Nursing Management. View this article in WRRO
- Global outcome after traumatic brain injury in a prospective cohort. Clinical Neurology and Neurosurgery, 186. View this article in WRRO
- The impact of closing emergency departments on mortality in emergencies : an observational study. Emergency Medicine Journal, 36, 645-651. View this article in WRRO
- Exploring the characteristics, acuity and management of adult ED patients at night-time. Emergency Medicine Journal, 36(9), 554-557. View this article in WRRO
- Multicentre, prospective observational study of the correlation between the Glasgow Admission Prediction Score and adverse outcomes. BMJ Open, 9(8). View this article in WRRO
- Women in EM: pushing our heads above the parapet. Emergency Medicine Journal, 36(4), 198-198.
- Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. BMJ Quality & Safety. View this article in WRRO
- The impact of different liaison psychiatry models on the emergency department: A systematic review of the international evidence. Journal of Psychosomatic Research. View this article in WRRO
- Comparison of early and late depression after TBI; (the SHEFBIT study). Brain Injury. View this article in WRRO
- In reply:. Annals of Emergency Medicine, 72(5), 625-626.
- Incidence of intracranial bleeding in anticoagulated patients with minor head injury: a systematic review and meta-analysis of prospective studies. British Journal of Haematology, 183(1), 119-126. View this article in WRRO
- How the Availability of Observation Status Affects Emergency Physician Decisionmaking. Annals of Emergency Medicine, 72(4), 401-409. View this article in WRRO
- Should Adults With Mild Head Injury Who Are Receiving Direct Oral Anticoagulants Undergo Computed Tomography Scanning? A Systematic Review. Annals of Emergency Medicine. View this article in WRRO
- Understanding better how emergency doctors work. Analysis of distribution of time and activities of emergency doctors: A systematic review and critical appraisal of time and motion studies. Emergency Medicine Journal. View this article in WRRO
- Urgent care axis for the older adult: where is best to target interventions?. Emergency medicine journal. View this article in WRRO
- Closing five Emergency Departments in England between 2009 and 2011: the closED controlled interrupted time-series analysis. Health Services and Delivery Research, 6(27). View this article in WRRO
- The incidence of anosmia after traumatic brain injury: the SHEFBIT cohort. Brain Injury, 32(9), 1122-1128. View this article in WRRO
- Senior doctor triage (SDT), a qualitative study of clinicians’ views on senior doctors’ involvement in triage and early assessment of emergency patients. Emergency Medicine Journal, 35(7), 440-446. View this article in WRRO
- 70 The digital ambulance: electronic patient clinical records in prehospital emergency care. BMJ Open, 8(Suppl 1), A26-A27. View this article in WRRO
- Emergency Medicine: great papers from the Summer of Love to 2017. Emergency Medicine Journal, 35(3), 152-155. View this article in WRRO
- Characterising non-urgent users of the emergency department (ED): A retrospective analysis of routine ED data. PLoS ONE, 13(2). View this article in WRRO
- Comparison of Glasgow Admission Prediction Score and Amb Score in predicting need for inpatient care.. Emergency Medicine Journal. View this article in WRRO
- International migrants’ use of emergency departments in Europe compared with non-migrants’ use: a systematic review. European Journal of Public Health, 28(1), 61-73. View this article in WRRO
- Prevalence of depression after TBI in a prospective cohort: The SHEFBIT study. Brain Injury, 32(1), 84-90. View this article in WRRO
- 23 Patient and staff perspectives on the reasons for increasing emergency department attendances. Emergency Medicine Journal, 34(12), A876.2-A876.
- 8 Different approaches needed to manage ED demand among different age-groups. Emergency Medicine Journal, 34(12), A865.2-A866. View this article in WRRO
- 6 Prognostic value of the glasgow admission prediction score: hospital length of stay, mortality and hospital readmission. Emergency Medicine Journal, 34(12), A864.2-A865.
- Calculating the proportion of avoidable attendances at UK emergency departments: analysis of the Royal College of Emergency Medicine’s Sentinel Site Survey data. Emergency Medicine Journal. View this article in WRRO
- Bypassing nearest hospital for more distant neuroscience care in head-injured adults with suspected traumatic brain injury: findings of the head injury transportation straight to neurosurgery (HITS-NS) pilot cluster randomised trial.. BMJ Open, 7(10). View this article in WRRO
- Paramedic Assessment of Older Adults After Falls, Including Community Care Referral Pathway: Cluster Randomized Trial. Annals of Emergency Medicine, 70(4), 495-505.e28. View this article in WRRO
- Emergency Department Diagnostic Codes – Useful Data?. Emergency Medicine Journal, 34(9), 627-627. View this article in WRRO
- Can more appropriate support and services be provided for people who attend the emergency department frequently? National Health Service staff views. Emergency Medicine Journal. View this article in WRRO
- Cross-sectional study of the hospital management of adult patients with a suspected seizure (EPIC2). BMJ Open, 7. View this article in WRRO
- What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis. BMC Health Services Research, 17, 355-355. View this article in WRRO
- Primary care services co-located with Emergency Departments across a UK region: early views on their development. Emergency Medicine Journal. View this article in WRRO
- Support and assessment for fall emergency referrals (SAFER) 2: A cluster randomised trial and systematic review of clinical effectiveness and cost-effectiveness of new protocols for emergency ambulance paramedics to assess older people following a fall with referral to community-based care when appropriate. Health Technology Assessment, 21(13), 1-218. View this article in WRRO
- Multiple triangulation and collaborative research using qualitative methods to explore decision making in pre-hospital emergency care. BMC Medical Research Methodology, 17(1), 11-11. View this article in WRRO
- AHEAD Study: an observational study of the management of anticoagulated patients who suffer head injury. BMJ Open, 7(1). View this article in WRRO
- Should all anticoagulated patients with head injury receive a CT scan? Decision-analysis modelling of an observational cohort. BMJ Open. View this article in WRRO
- Use or Abuse? A Qualitative Study of Emergency Physicians' Views on Use of Observation Stays at Three Hospitals in the United States and England.. Ann Emerg Med. View this article in WRRO
- Examining the sources of occupational stress in an emergency department. Occupational Medicine, 66(9), 737-742. View this article in WRRO
- Exit block in emergency departments: a rapid evidence review.. Emerg Med J. View this article in WRRO
- Occupational stress in the ED: A systematic literature review. Emergency Medicine Journal. View this article in WRRO
- Primary care services located with EDs: a review of effectiveness. Emergency Medicine Journal, 33(7), 496-503. View this article in WRRO
- The value of emergency medicine placements for postgraduate doctors: views of Foundation Year 2 doctors and training leads in the emergency department (ED). Postgraduate Medical Journal, 93, 15-19. View this article in WRRO
- Factors associated with exit block and impact on the emergency department. Emergency Medicine Journal, 34, 61-62.
- A longitudinal study of well-being, confidence and competence in junior doctors and the impact of emergency medicine placements. Emergency Medicine Journal, 33(2), 91-98. View this article in WRRO
- Acute ischaemic stroke patients – direct admission to a specialist centre or initial treatment in a local hospital? A systematic review. Journal of Health Services Research & Policy, 21(1), 51-60.
- The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies. Emergency Medicine Journal, 33(7), 504-513. View this article in WRRO
- Why is it so difficult to recruit patients to research in emergency care? Lessons from the AHEAD study. Emergency Medicine Journal, 33(1), 52-56.
- FACTORS ASSOCIATED WITH EXIT BLOCK, AND IMPACT ON THE EMERGENCY DEPARTMENT: Table 1. Emergency Medicine Journal, 32(12), 980.2-981.
- IDENTIFYING WORKPLACE STRESSORS IN THE EMERGENCY DEPARTMENT—AN EXPLORATORY STUDY. Emergency Medicine Journal, 32(12), 988.2-988.
- ANALYSING VARIATION IN STAFFING LEVELS, ATTENDANCES AND PERFORMANCE AGAINST THE 4-HOUR TARGET USING DATA FROM THE ROYAL COLLEGE OF EMERGENCY MEDICINE'S SENTINEL SITE SURVEY. Emergency Medicine Journal, 32(12), 984.2-984.
- WHAT PROPORTION OF PATIENTS ARE ATTENDING THE ED AVOIDABLY? AN ANALYSIS OF THE ROYAL COLLEGE OF EMERGENCY MEDICINE'S SENTINEL SITE SURVEY. Emergency Medicine Journal, 32(12), 988.3-989.
- WRITTEN FIRST AID INFORMATION FOR PATIENTS IN THE EMERGENCY DEPARTMENT: A CLUSTER RANDOMISED CONTROLLED TRIAL. Emergency Medicine Journal, 32(12), 1000.1-1000.
- 24ARE WE PROVIDING FRAIL-FRIENDLY CARE IN OUR ENGLISH EMERGENCY DEPARTMENTS?. Age and Ageing, 44(suppl 2), ii6.3-ii6.
- ARE WE PROVIDING FRAIL-FRIENDLY CARE IN OUR ENGLISH EMERGENCY DEPARTMENTS?. AGE AND AGEING, 44, 6-6.
- DEVELOPMENT OF COMPLEX INTERVENTION IN EMERGENCY CARE OF FALLS FOR EVALUATION:IMPLEMENTATION OF THE MRC GUIDANCE. Emergency Medicine Journal, 32(5), e10.3-e11.
- Involving older people in a multi-centre randomised trial of a complex intervention in pre-hospital emergency care: implementation of a collaborative model. Trials, 16(1). View this article in WRRO
- A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. Journal of Health Services Research & Policy, 20(1_suppl), 45-53. View this article in WRRO
- Impact of prehospital transfer strategies in major trauma and head injury. Journal of Trauma and Acute Care Surgery, 78(1), 164-177. View this article in WRRO
- What has the 4-hour access standard achieved?. British Journal of Hospital Medicine, 75(11), 620-622.
- An evaluation of the referral process in the emergency department.. Emerg Med J, 31(10), 827-832.
- Innovations to reduce demand and crowding in emergency care; a review study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22(1). View this article in WRRO
- Frequent attendance at the emergency department is a symptom but not a disease. Emergency Medicine Journal.
- A controlled evaluation of comprehensive geriatric assessment in the emergency department: The 'Emergency Frailty Unit'. Age and Ageing, 43(1), 109-114. View this article in WRRO
- Patient experiences of an extended role in healthcare: comparing emergency care practitioners (ECPs) with usual providers in different emergency and urgent care settings.. Emerg Med J, 31(8), 673-674.
- The International Federation for Emergency Medicine framework for quality and safety in the emergency department. Emergency Medicine Journal.
- Out-of-hours care. BRITISH JOURNAL OF GENERAL PRACTICE, 63(615), 546-548.
- How primary and secondary care should work together. British Journal of General Practice, 63(615), 548.
- Correction. Emergency Medicine Journal, 30(1), 84.3-84.
- Clinical networks allow clinicians to "cherry pick" eligible cases.. BMJ, 346, f1055.
- Support and assessment for fall emergency referrals (SAFER 2) research protocol: cluster randomised trial of the clinical and cost effectiveness of new protocols for emergency ambulance paramedics to assess and refer to appropriate community-based care.. BMJ Open, 2(6). View this article in WRRO
- 'I'm going to learn how to run quick': exploring violence directed towards staff in the Emergency Department.. Emerg Med J, 30(11), 926-931.
- An international view of how recent-onset atrial fibrillation is treated in the emergency department. Academic Emergency Medicine, 19(11), 1255-1260.
- Environmental triggers of hospital admissions for school-age children with asthma in two British cities.. Emerg Med J, 29(10), 844-845.
- In reply.. Ann Emerg Med, 60(1), 133-134.
- Quality and safety of care provided by emergency care practitioners.. Emerg Med J, 29(4), 327-332. View this article in WRRO
- Elderly falls: A national survey of UK ambulance services. Emergency Medicine Journal.
- Implications of England's Four-Hour Target for Quality of Care and Resource Use in the Emergency Department. Annals of Emergency Medicine.
- A retrospective case-control study investigating the association between pollutant exposures and childhood asthma. WIT Transactions on Ecology and the Environment, 157, 469-478.
- Time patients spend in the emergency department: England's 4-hour rule - A case of hitting the target but missing the point?. Annals of Emergency Medicine, 59(5), 341-349.
- Time patients spend in the emergency department: England's 4-hour rule-a case of hitting the target but missing the point?. Ann Emerg Med, 59(5), 341-349.
- The use of whole-body CT for trauma patients: survey of UK emergency departments.. Emerg Med J, 29(8), 630-634.
- Why do patients with minor or moderate conditions that could be managed in other settings attend the emergency department?. Emerg Med J, 29(6), 487-491.
- A pragmatic quasi-experimental multi-site community intervention trial evaluating the impact of Emergency Care Practitioners in different UK health settings on patient pathways (NEECaP Trial).. Emerg Med J, 29(1), 47-53. View this article in WRRO
- International perspectives on emergency department crowding.. Acad Emerg Med, 18(12), 1358-1370.
- Keynote address: United Kingdom experiences of evaluating performance and quality in emergency medicine.. Acad Emerg Med, 18(12), 1234-1238.
- 027 Paediatric emergency department attendances between 2000 and 2009: trends in a large UK Children's Hospital. Emergency Medicine Journal, 28(Suppl 1), A12-A12.
- Spontaneous bilateral femoral neck fractures in a young primigravida.. J Obstet Gynaecol, 31(6), 549-551.
- Environmental triggers of hospital admissions for school-age children with asthma in two British cities.. Emerg Med J.
- UK Survey of emergency physicians’ priorities for clinical decision rules. Journal of Paramedic Practice, 3(2), 78-82.
- Emergency management of minor head injury in anticoagulated patients.. Emerg Med J, 28(2), 115-118.
- The use of whole-body CT for trauma patients: Survey of UK emergency departments. Emergency Medicine Journal.
- Pelvic girdle pain during pregnancy and puerperium. Journal of Obstetrics and Gynaecology, 31(7), 572-580.
- A community intervention trial to evaluate emergency care practitioners in the management of children. Archives of Disease in Childhood, 96(7), 658-663.
- Emptying the corridors of shame: Organizational lessons from England's 4-hour emergency throughput target. Annals of Emergency Medicine, 57(2), 79-88.e1.
- Assessing the impact older people from care homes place on the emergency services.. Eur J Emerg Med, 18(2), 81-85.
- An initiative to provide emergency healthcare for older people in the community: the impact on carers.. Emerg Med J, 28(4), 316-319.
- The impact of the 4 h target on patient care and outcomes in the Emergency Department: an analysis of hospital incidence data.. Emerg Med J, 27(12), 921-927.
- Measuring Acceptability of Clinical Decision Rules: Validation of the Ottawa Acceptability of Decision Rules Instrument (OADRI) in Four Countries. MED DECIS MAKING, 30(3), 398-408.
- Editorial boards: where are all the women?. EUR J EMERG MED, 17(2), 61-62.
- Secondary care and changing the face of emergency care. EMERG MED J, 27(3), 189-190.
- Alternative services to deliver urgent care in the community.. Emerg Med J, 27(3), 183-185.
- Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for o/lder people who have fallen: Evaluation of costs and benefits using a pragmatic cluster randomised trial. BMC Emergency Medicine, 10. View this article in WRRO
- How does the management of an emergency department influence performance?. Emergency Medicine Journal, 26(Suppl 1), 29-29.
- Emergency Care Practitioners: shaping a new type of practitioner from existing NHS clinical roles. Emergency Medicine Journal, 26(10), 3-3.
- Emergency care practitioners: shaping a new type of practitioner from existing NHS clinical roles. Emergency Medicine Journal, 26(10), 9-9.
- Providing emergency health care for older people in the community: impact on carers. Emergency Medicine Journal, 26(Suppl 1), 7-7.
- The quality and safety of emergency care practitioner care. Emergency Medicine Journal, 26(10), 7-7.
- Is it cost effective to introduce paramedic practitioners for older people to the ambulance service? Results of a cluster randomised controlled trial.. Emerg Med J, 26(6), 446-451.
- The development of a clinically useful tool for predicting the development of psychological disorder following injury.. Br J Clin Psychol, 48(Pt 1), 31-45. View this article in WRRO
- A randomised controlled trial of the effectiveness of writing as a self-help intervention for traumatic injury patients at risk of developing post-traumatic stress disorder. BEHAV RES THER, 47(1), 6-12.
- International Survey of Emergency Physicians' Awareness and Use of the Canadian Cervical-Spine Rule and the Canadian Computed Tomography Head Rule. ACAD EMERG MED, 15(12), 1256-1261.
- Can emergency medical service staff predict the disposition of patients they are transporting?. Emerg Med J, 25(10), 691-694.
- The impact of government-set time targets on patient care and outcomes: A retrospective analysis of routine data. J EPIDEMIOL COMMUN H, 62, A1-A1.
- Safety of paramedics with extended skills.. Acad Emerg Med, 15(7), 607-612.
- Effectiveness of paramedic practitioners in attending 999 calls from elderly people in the community: cluster randomised controlled trial.. BMJ, 335(7626), 919. View this article in WRRO
- A randomised controlled trial to assess the effectiveness of providing self-help information to people with symptoms of acute stress disorder following a traumatic injury.. Behav Res Ther, 45(11), 2527-2536.
- Are emergency department junior doctors becoming less experienced in performing common practical procedures?. Emerg Med J, 24(9), 657-658.
- Defining frequent use of an urban emergency department.. Emerg Med J, 24(6), 398-401.
- Effectiveness of emergency care practitioners working within existing emergency service models of care.. Emerg Med J, 24(4), 239-243.
- Are today's junior doctors confident in managing patients with minor injury?. Emerg Med J, 23(11), 867-868.
- 175. Annals of Emergency Medicine, 48(4), 55-55.
- 172. Annals of Emergency Medicine, 48(4), 54-54.
- Are these emergency department performance data real?. Emerg Med J, 23(7), 558-559.
- Please don't shoot the messengers!. Emerg Med J, 23(6), 491.
- Risk factors for psychological distress following injury.. Br J Clin Psychol, 45(Pt 2), 217-230.
- The evolution of the emergency care practitioner role in England: experiences and impact.. Emerg Med J, 23(6), 435-439.
- The utility of clinical features in patients presenting with nontraumatic headache: an investigation of adult patients attending an emergency department.. Headache, 46(6), 954-961.
- Emergency care practitioners should not be compared with paramedics. EMERG MED J, 23(4), 325-326.
- Digit preference bias in the recording of emergency department times.. Eur J Emerg Med, 13(2), 99-101.
- Effectiveness of measures to reduce emergency department waiting times: a natural experiment.. Emerg Med J, 23(1), 35-39.
- Has the assessment of isolated ankle injuries altered since 1993?. Emerg Med J, 22(12), 863-866.
- Quantifiable change in functional brain response to empathic and forgivability judgments with resolution of posttraumatic stress disorder.. Psychiatry Res, 140(1), 45-53.
- Targets and moving goal posts: changes in waiting times in a UK emergency department.. Emerg Med J, 22(10), 710-714.
- Effectiveness of providing self-help information following acute traumatic injury: randomised controlled trial.. Br J Psychiatry, 187, 76-82.
- Variation in the diagnostic performance of D-dimer for suspected deep vein thrombosis.. QJM, 98(7), 513-527.
- Analysis of the distribution of time that patients spend in emergency departments.. BMJ, 330(7501), 1188-1189. View this article in WRRO
- Developing assessment of emergency nurse practitioner competence--a pilot study.. J Adv Nurs, 50(4), 425-432.
- VOLUME 5, NUMBER 2. Journal of Agromedicine, 9(2), 265-287.
- Developing alternative ambulance response schemes: analysis of attitudes, barriers, and change.. Emerg Med J, 21(6), 724-727.
- Fractured clavicle in adults: Do all patients need follow up?. Quality in Primary Care, 12(3), 191-194.
- Effect of intravenous corticosteroids on death within 14 days in 10 008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial. The Lancet, 364(9442), 1321-1328.
- Headache management--are we doing enough? An observational study of patients presenting with headache to the emergency department.. Emerg Med J, 21(3), 327-332.
- Can additional experienced staff reduce emergency medical admissions?. Emerg Med J, 21(1), 51-53.
- Measurement of body size and shape perception in eating-disordered and control observers using body-shape software. British Journal of Psychology, 94(4), 501-516.
- Discharge from triage: modelling the potential in different types of emergency department. EMERG MED J, 20(2), 131-133.
- Developing a community paramedic practitioner intermediate care support scheme for older people with minor conditions.. Emerg Med J, 20(2), 196-198.
- Prehospital use of paracetamol among children attending the accident and emergency department.. Emerg Med J, 20(1), 88-89.
- The psychological burden of injury: an 18 month prospective cohort study.. Emerg Med J, 19(5), 400-404.
- Outcomes after injury: a comparison of workplace and nonworkplace injury.. J Trauma, 53(1), 98-103.
- What about patient satisfaction following acute ankle sprains?. EMERG MED J, 19(2), 183-183.
- Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit.. Ann Emerg Med, 38(4), 369-376.
- Empathy and forgiveness judgement fMRI activations - preliminary findings in patients with PTSD symptoms and healthy volunteers.. NEUROIMAGE, 13(6), S396-S396.
- Physician Training in Agricultural Safety and Health. Journal of Agromedicine, 5(2), 49-68.
- Supermodels: stick insects or hourglasses?. The Lancet, 350(9089), 1474-1475.
- Post-traumatic stress disorder.. Emergency Medicine Journal, 14(6), 387-391.
- Post-traumatic stress disorder.. J Accid Emerg Med, 14(6), 387-391.
- Pharyngeal coin removal in children.. J Accid Emerg Med, 14(3), 175-176.
- Psychopharmacology: Part 2 clinical psychopharmacology. Trends in Pharmacological Sciences, 4, 483-484.
- Is emergency doctors’ tolerance of clinical uncertainty on a novel measure associated with doctor well-being, healthcare resource use and patient outcomes?. Emergency Medicine Journal.
- A qualitative study exploring the experiences of advanced clinical practitioner training in emergency care in the South West of England, United Kingdom. Emergency Medicine Journal.
- Changes in depression symptoms over 10 years after TBI; a long-term prospective study. Brain Injury, 1-8.
- Correction: Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013–2017. PLOS ONE, 19(7), e0307203-e0307203.
- Tackling the burden of chronic ill health in emergency medicine. Canadian Journal of Emergency Medicine.
- Understanding health service utilisation patterns for care home residents during the COVID-19 pandemic using routinely collected healthcare data. BMC Geriatrics, 24(1).
- ‘In the shower crying…but we came back in the following day and did it all again’. Distress and resilience in care home staff during the COVID-19 pandemic– A qualitative interview study. BMC Geriatrics, 24(1), 286.
- What impact would reducing low-acuity attendance have on emergency department length of stay? A discrete event simulation modelling study. Emergency Medicine Journal.
- Identifying models of care to improve outcomes for older people with urgent care needs: a mixed methods approach to develop a system dynamics model. Health and Social Care Delivery Research, 1-183.
- Who cares about the money: do health economic evaluation studies published in emergency medicine journals cut the mustard?. Canadian Journal of Emergency Medicine.
- Understanding prehospital care for self-harm: views and experiences of Yorkshire Ambulance Service clinicians. Emergency Medicine Journal.
- Sharing real-world data for public benefit: a qualitative exploration of stakeholder views and perceptions. BMC Public Health, 23(1).
- Factors associated with longer wait times, admission and reattendances in older patients attending emergency departments: an analysis of linked healthcare data. Emergency Medicine Journal.
- Understanding the management of patients with head injury taking warfarin: who should we scan and when? Lessons from the AHEAD study. Emergency Medicine Journal. View this article in WRRO
- A qualitative study of decision-making and safety in ambulance service transitions. Health Services and Delivery Research, 2(56), 1-138. View this article in WRRO
- An evaluation of foundation doctor training: a mixed-methods study of the impact on workforce well-being and patient care [the Evaluating the Impact of Doctors in Training (EDiT) study]. Health Services and Delivery Research, 1(15), 1-208. View this article in WRRO
- The Head Injury Transportation Straight to Neurosurgery (HITS-NS) randomised trial: a feasibility study. Health Technology Assessment, 20(1), 1-198. View this article in WRRO
- Support and Assessment for Fall Emergency Referrals (SAFER 1): Cluster Randomised Trial of Computerised Clinical Decision Support for Paramedics. PLoS ONE, 9(9), e106436-e106436. View this article in WRRO
- Risk of significant traumatic brain injury in adults with minor head injury taking direct oral anticoagulants: a cohort study and updated meta-analysis. Emergency Medicine Journal.
- Improving outcomes for older people in the emergency department: a review of reviews. Emergency Medicine Journal.
- Frequent attendance at the emergency department shows typical features of complex systems: analysis of multicentre linked data. Emergency Medicine Journal.
- Heterogeneity of reasons for attendance in frequent attenders of emergency departments and its relationship to future attendance. Emergency Medicine Journal.
- Non-urgent emergency department attendances in children: a retrospective observational analysis. Emergency Medicine Journal.
Chapters
- How the United Kingdom Responded to the 4-Hour Rule, Value and Quality Innovations in Acute and Emergency Care (pp. 91-99). Cambridge University Press
- International perspectives on emergency care, Emergency Care and the Public's Health (pp. 21-44). John Wiley & Sons, Ltd
Conference proceedings papers
- 103 A Review of Reviews of Emergency Department Interventions for Older People: Outcomes, Costs and Implementation Factors. Age and Ageing, Vol. 49(Supplement_1) (pp i34-i36)
- What Is the Outcome After TBI? The SHEFBIT Cohort Experience. JOURNAL OF HEAD TRAUMA REHABILITATION, Vol. 35(2) (pp E232-E233)
- 043 Should adults with mild head injury taking direct oral anticoagulants undergo CT scanning? A systematic review. Emergency Medicine Journal, Vol. 36(12) (pp 805)
- 047 A review of reviews of emergency department interventions for older people: outcomes, costs and implementation factors. Emergency Medicine Journal, Vol. 36(12) (pp 807)
- 027 The utilisation of urgent emergency care services by older care home residents in the UK and the subsequent impact on emergency departments. Emergency Medicine Journal, Vol. 36(12) (pp 791-791). Sage, Gateshead, UK, 1 October 2019 - 3 October 2019. View this article in WRRO
- CUREd: Creating a research database to improve urgent and emergency care system research. EUSEM Abstracts. Prague, 12 October 2019 - 16 October 2019.
- PP32 Electronic records in ambulances – an observational study (ERA). Emergency Medicine Journal, Vol. 36(10) (pp e14-e14)
- OP5 Closing emergency departments in england (CLOSED): the impact on ambulance services. Emergency Medicine Journal, Vol. 36(10) (pp e4.1-e4)
- The ideal urgent and emergency care system: a qualitative study of public perspectives. Abstract Book. Manchester, UK, 2 July 2019 - 3 July 2019.
- What is the Global Outcome after TBI? Experience with a Large Prospective Cohort. BRAIN INJURY, Vol. 33 (pp 26-26)
- Prevalence of Depression after TBI in a Large Prospective Cohort; The SHEFBIT Study. BRAIN INJURY, Vol. 33 (pp 26-26)
- 59 Ambulance over-conveyance to the emergency department: a large data analysis of ambulance journeys. BMJ Open, Vol. 8(Suppl 1) (pp a22-a23), 16 April 2018 - 18 April 2018. View this article in WRRO
- 17 Exploring ambulance conveyances to the emergency department: a descriptive analysis of non-urgent transports. Emergency Medicine Journal, Vol. 34(12) (pp A872-A873)
- 45URGENT CARE AXIS FOR THE OLDER ADULT: WHERE IS BEST TO TARGET AN INTERVENTION?. Age and Ageing, Vol. 46(suppl_2) (pp ii15-ii16)
- ACCIDENT & EMERGENCY PERFORMANCE AND SENIOR DOCTOR INITIAL ASSESSMENT MODEL; NATIONAL DATA ANALYSIS FOR ENGLISH NHS HOSPITAL TRUSTS. Emergency Medicine Journal, Vol. 33(12) (pp 929.1-929)
- COMPARING THE ABILITIES OF TWO NOVEL TRIAGE TOOLS TO PREDICT HOSPITAL ADMISSION – THE GLASGOW ADMISSION PREDICTION SCORE AND THE AMBULATORY CARE SCORE. Emergency Medicine Journal, Vol. 33(12) (pp 908.2-909)
- Incidence of adverse outcomes in patients with head injuries on new oral anticoagulants. The Royal College of Emergency Medicine Scientific Conference 2016
- Literature review of management and outcomes of patients on new oral anticoagulants who suffer blunt head injury. The Royal College of Emergency Medicine Scientific Conference 2016
- Senior doctor triage in the emergency Department. The Royal College of Emergency Medicine SCientific Conference 2015
- THE AHEAD STUDY: MANAGING ANTICOAGULATED PATIENTS WHO SUFFER HEAD INJURY. Emergency Medicine Journal, Vol. 31(9) (pp 775.1-775)
- ADHERENCE TO THE NICE HEAD INJURY GUIDELINES 2007 AND 2014 IN ANTICOAGULATED PATIENTS. Emergency Medicine Journal, Vol. 31(9) (pp 775.2-775)
- The Head Injury Transportation Straight to Neurosurgery (HITS-NS) Trial: An Introduction to the Study and the Challenges of the Set-Up Phase. BRAIN INJURY, Vol. 26(4-5) (pp 534-535)
- An international study of emergency physicians' practice for acute headache management and the need for a clinical decision rule. CANADIAN JOURNAL OF EMERGENCY MEDICINE, Vol. 11(6) (pp 516-522)
- Self-reported physical and mental functioning up to 15 years after traumatic injury: comparison with population norms. Emergency Medicine Journal, Vol. 26(Suppl 1) (pp 4-4)
- International survey of emergency physicians' priorities for clinical decision rules. ACADEMIC EMERGENCY MEDICINE, Vol. 15(2) (pp 177-182)
- An international survey of emergency physicians' knowledge, use, and attitudes towards the Canadian C-spine rule. ANNALS OF EMERGENCY MEDICINE, Vol. 48(4) (pp S55-S55)
- An international survey of priorities of emergency physicians for future development of clinical decision rules. ANNALS OF EMERGENCY MEDICINE, Vol. 48(4) (pp S54-S54)
Reports
- Unlocking Data to Inform Public Health Policy and Practice: The Whole Collection
- Unlocking Data to Inform Public Health Policy and Practice
- View this article in WRRO Framework for Quality and Safety in the Emergency Departments.
- IFEM Framework for Quality and Safety in the Emergency Department.
Posters
- PP22 Delivery of public health interventions by the ambulance sector.
- Modelling the Flow of Seizure Patients in the Urgent and Emergency Care System. ILAE British Chapter Annual Scientific Meeting.
Presentations
- Exploring Discordance Between Epilepsy Prevalence and Age-Specific Admission Rates for Seizures. Sheffield.
- Modelling the Flow of Seizure Patients in the Urgent and Emergency Care System. Society for Academic Primary Care, Trent Regional Meeting, Sheffield.
Other
- Violence in the emergency department. Is it a curse?. Canadian Journal of Emergency Medicine, 25(1), 5-6.
- Correction: Multicentre, prospective observational study of the correlation between the Glasgow Admission Prediction Score and adverse outcomes. BMJ Open, 9(9), e026599corr1-e026599corr1.
- Return of the "corridors of shame"?. BMJ, 347, f4343.
- Four hour emergency target Targets still lead care in emergency departments. BRIT MED J, 341.
Preprints
- Evaluating the Impact of NHS Strikes on Patient Flow through Emergency Departments, Cold Spring Harbor Laboratory.
- Understanding Health Service Utilisation Patterns for Care Home Residents During the COVID-19 Pandemic using Routinely Collected Healthcare Data, Cold Spring Harbor Laboratory.
- The Impact of Digital Technology in Care Homes on Unplanned Secondary Care Usage and Associated Costs, Cold Spring Harbor Laboratory.
- Use of a digital application to enhance communication and triage between care homes and National Health Service community services in the United Kingdom: a qualitative evaluation, Cold Spring Harbor Laboratory.
- Sequen-C: A Multilevel Overview of Temporal Event Sequences, arXiv.
- Salbutamol for analgesia in renal colic: A prospective, randomised, placebo-controlled Phase II trial (SARC), Research Square Platform LLC.
- High use of the emergency department shows typical features of complex systems: analysis of multicentre linked data.
- The 4C Initiative (Clinical Care for Cardiovascular disease in the COVID-19 pandemic) – monitoring the indirect impact of the coronavirus pandemic on services for cardiovascular diseases in the UK, Cold Spring Harbor Laboratory.
- Teaching interests
-
Undergraduate
- Phase 2B SSC student placement - MBBS
- MBBS - Intercalated BMedSci
Postgraduate
- NIHR Clinical Lecturer and Academic Clinical Fellow posts in Emergency Medicine
- Masters in Advanced Emergency Medicine – Module Lead for Evidence Based Emergency Medicine
- Specialist registrars in emergency medicine - Educational supervisor and small group teaching
- Foundation year doctors in emergency medicine - Educational supervisor and small group teaching
- PhD supervision
- MD supervision
- Teaching activities
-
- Advanced Trauma Life Support Courses - Teaching course material and undertaking assessments
- Emergency medicine CPD courses - Teaching course material
- Professional activities and memberships
-
- 2015- Treasurer, Royal College of Emergency Medicine
- 2012- Member, Royal College of Emergency Medicine Executive Committee
- 2012 - Member, Royal College of Emergency Medicine Council
- 2015- Member, Royal College of Emergency Medicine Corporate Governance Committee
- 2012- Member, EMJ Management Committee
- 2010- EMJ Editorial Board
- 2015- DMEC Member, Paramedic 2 Trial, NIHR HTA
- 2013- Member, Commissioned Panel, NIHR HSDR
- 2013- Founding Member, National Emergency Medicine Clinical Studies Group
- 2016- Member Royal College of Emergency Medicine, Conference Committee
- 2017- Section Editor, BMC Emergency Medicine
- 2017- Chair, Trial Steering Committee, GPED Study, NIHR HSDR 2017-2020.
- 2016 External examiner PhD thesis, Karolinska Institute, Stockholm, October
- Regular peer review of submitted papers for national and international emergency medicine journals and for grant funding bodies.
- Invited speaker presentations:
- Research in pre-hospital care (Pre-hospital care themed review launch) - Sheffield, April 2016
- 'Learning to Love Frailty’ SMACC conference, Dublin, June 2016
- Update from the Royal College of Emergency Medicine - NHS Benchmarking, London, October 2016
Journal Referee work: Regular peer review of submitted papers for: Emergency Medicine Journal, European Journal of Emergency Medicine, Annals of Emergency Medicine, General Hospital Psychiatry, European Psychiatry, BMC Trials, BMJ.
Grant referee work: Peer review of applications for funding from: NIHR HTA. Member of panel of experts for HTA, NIHR Research for patient benefit programme, UK College of emergency medicine, NIHR SDO reviewer, Diabetes UK, EPSRC.