TRUST 2010 workshop

Improving Quality and Safety in Emergency and Unscheduled Healthcare: Raising the Stakes


Gill Lewis

gill_davies.jpgGill Lewis was born in Leeds, later attending Howells School in Cardiff. Continuing her education in the City, Gill gained a degree in Economics from Cardiff University in 1974 before pursuing a career in Health management.

Gill joined South Glamorgan Health Authority, studying for a further three years on a fast track scheme building towards a role in senior health service management. During this time Gill also gained qualification with CIPFA before going on to occupy various roles with both Accountancy and Internal Audit with the
Mid Glamorgan Health Authority.

Gill started work with the Audit Commission in 1988 and held a series of management positions including Appointed Auditor since 1996.

Gill has been the Appointed Auditor or Engagement Partner for a variety of public bodies in Wales and has been on the senior Partnership Board for many years. Prior to the merger of the Audit Commission in Wales and the National Audit Office to form the Wales Audit Office, Gill was Head of Audit for the Audit Commission in Wales.

Gill has also held a variety of roles in the Wales Audit Office, particularly on Governance and Fraud matters. She has led numerous complex value for money studies, including the Public Inquiry into the Welsh Ambulance Services NHS Trust, Delayed Transfers of Care, Unscheduled Care and General Medical Services.

Away from work Gill enjoys squash, tennis, running and cooking. She also has a passion for travel with a particular interest in New Zealand.

Stephen Lisle

stephen_lisle.jpgStephen Lisle was born in Utrecht in the Netherlands before moving to South Wales in the early 1980s. He read Natural Sciences (Physiology) at Queens’ College, Cambridge. Stephen also has a post graduate diploma in Journalism Studies awarded by Cardiff University.

Stephen joined the Wales Audit Office in 2005 after a career on the news desk of a daily newspaper. Since then he has become involved in a wide range of health and social care related studies including Minimising healthcare associated infections in NHS trusts in Wales, Making better use of day surgery in Wales, Tackling delayed transfers of care across the whole system, Maternity Services in Wales and Unscheduled Care.


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Dr Iain Robertson-Steel

Dr Iain Robertson-Steel, qualified in Birmingham 30 years ago, trained as a GP in RAF, subsequently became Director of A&E services in Wolverhampton and Consultant in Primary Care.

Iain has also been Medical Director of NHS Direct in the West Midlands and consultant Medical Director of West Midlands Ambulance Service.

Iain moved to Wales in 2006 and is currently Associate Medical Director (Unscheduled Care) for Hywel Dda Health Board responsible for Emergency, OOH and Unscheduled Care and has worked as a Consultant for NLIAH across Wales on projects relating to Unscheduled Care.  

Iain is originally from Scotland, and lives in Solva, where he goes sailing and rows in a Celtic Longboat.  He sits on the Pembrokeshire Bench as a JP.

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Dr Alison Porter

alison_porter.jpgAlison Porter joined the Nuffield Trust in February 2010 from Swansea University’s Centre for Health Research, Information and Evaluation.  Her research interests are primarily qualitative and applied, with recent work covering health inequalities, disability, older people, long term conditions and the interface between health and social care.  She has a particular interest in the way organisations interact with the people who use them, through the processes of consultation, participation and communication. In addition to her academic background, she has experience of both local government and the voluntary sector, through her work in social care and in community development.

At the Nuffield Trust, Alison is working on an action research study looking at commissioning of high quality care for people with long term conditions.  This two year project, funded by the National Institute for Health Research Service Delivery and Organisation (NIHR SDO) programme, explores how services for people living with long term conditions (such as diabetes asthma or high blood pressure) can be planned, funded and put in place so that the quality of those services is as high as possible.

Professor Steve Goodacre

steve_goodacre.jpgSteve Goodacre is Professor of Emergency Medicine at the University of Sheffield, UK and Consultant at the Northern General Hospital. His research interests include organisation of emergency care, economic analysis, clinical trials in emergency medicine and developing evaluation methods for emergency care. His current major research projects include the RATPAC trial of point-of-care cardiac markers, the 3Mg trial of magnesium sulphate in acute asthma and the DAVROS study. He is also a Deputy Editor for the Emergency Medicine Journal and Consulting Editor for Annals of Emergency Medicine.

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Prof Chris Salisbury

chris_salisbury.jpgProf Chris Salisbury is Professor of Primary Health Care at the University of Bristol. Over the last 15 years he has conducted a number of studies on access to unscheduled care, including evaluations of GP out of hours co-operatives, NHS walk-in centres, and the Advanced Access initiative. He has recently been awarded an NIHR programme grant to undertake research with NHS Direct, and is also involved in a range of other research projects on out of hours primary care. His underlying interest is in the impact of different models of organisation on core values for primary care such as access, co-ordination and continuity of care, and the doctor patient relationship.

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Carl James

Carl is head of the of performance management policy, waiting times and unscheduled care  branch of the Directorate of Operations, Department of Health and Social Services.   He is responsible for a range of work programmes which includes the development of the Annual Operating Framework, National Efficiency and Productivity Programme; performance improvement framework for NHS Wales; and the management of operational performance.  He is currently working on a number of new programmes including the development of a national; programme for unscheduled care; the development of a primary care improvement framework; development of a range of quality metrics; and the implementation of a range of intelligent targets.

He joined the civil service in August 2005 from his role as Head of Strategy, Performance and Communications for South Wales Fire and Rescue Service where he introduced a performance improvement framework and led the organisational change programme.  Prior to this, he worked in an internal consultancy role at Bridgend County Borough Council, one of the 22 unitary authorities within Wales.  

He is a graduate of York University and has since gone on to gain an MSc in Environmental Policy and Law, a Masters Degree in Strategic Human Resource Management; a Master of Business Administration degree and is a Corporate Member of the Chartered Institute of Personnel and Development.  

Carl has a strong interest in organisational performance, change and complex adaptive systems and is currently about to publish a number of academic papers on the barriers to sharing knowledge and social capital.  He is addicted to sport, both participating and the social element, eating and travelling.

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Workshop Presenters

Dr Sharon Hopkins

Sharon has recently been appointed Executive Director of Public Health to Cardiff and Vale ULB. She has previously held appointments as Direcotr of Public Health for Bro Taf Health Authority, Regional Director of Public Health SE Wales (NPHS) and more recently worked as a Medical Director for the former Vale LHB. She has worked as a Commissioner for the Health Care Commission (England and Wales), Clinical Adivsor to NLIAH and CMO Wales.  
With respect to Unscheduled Care (USC) , she worked as an adivsor to USC reviews within Wales during 2007/08 and held the executive lead for USC for the Cardiff and Vale community during  2009. She has a keen interest in outcome based public health.

Professor Helen Snooks

helen_snooks.jpgCurrently holding a chair in Health Services Research at Swansea University’s School of Medicine, Helen has worked both in the academic sector and in the health service, in the areas of information management and clinical effectiveness.  She leads the Welsh Assembly Government funded Thematic Research network for emergency and UnScheduled Treatment (TRUST: and chairs the Department of Health funded 999 EMS Research Forum. .  Helen is currently leading a randomised controlled trial of computerised decision support for paramedics in the care of older people who fall (SAFER 1 trial) and managing a further trial to assess the effectiveness of a public health intervention to support parents in deprived areas of Wales (Family Links Nurturing Programme).  

Her main research interests and expertise lie in the fields of Emergency Pre-hospital and Unscheduled Care, Clinical Audit and Effectiveness, and research support.

Dr Daniel Warm

daniel_warm.jpgDaniel has a wide range of experience in both the academic and health service sectors. He is currently the Research and Evaluation Manager at Informing Healthcare, the Welsh Assembly Government programme set up to improve health services in Wales by introducing new ways of accessing, using and storing information, a position he has held for the last 6 years. He is also is a Visiting Research Fellow in the School of Human and Health Science, Swansea University. Previous to that he was a Senior Research Specialist at the Health Development Agency, the National English NHS Programme responsible for the assessment of the effectiveness of Public Health Interventions, and worked at a number of Universities including Southampton and the Karolinksa Institutuet (Stockholm).

Professor Jonathan Gray

jonathan_gray.jpgProfessor Jonathon Gray has more than twenty years experience in the field of health and is an expert in healthcare improvement and innovative service development. As a joint Director of the 1000 Lives Campaign, he is responsible for a two-year programme aimed at improving patient safety and healthcare quality throughout the NHS in Wales.
In January 2009, he was appointed Cardiff University’s first designated chair responsible for driving forward research in healthcare improvement and patient care.
Since 2006, he has held the position of Director of Healthcare Improvement at the Wales Centre for Health. He is also an Honorary Senior Lecturer in Medical Genetics at the University of Wales, Cardiff.
In 2005, he completed a fellowship at The Institute of Healthcare Improvement in the USA, focusing on quality improvement and patient safety. He also gained an Advanced Medical Leader Award (BAMM) and a Masters in Public Health from Harvard.
He graduated in Medicine from Dundee University in 1988, following with a PhD in Clinical and Molecular Genetics. He was a senior registrar, senior lecturer and consultant in genetics. He then took the post of Clinical Director for the All Wales Medical Genetics Service for four years, where he developed a specialist cancer genetics service for Wales.