Contributors
The group is led by:
Claire Fullbrook-Scanlon – Course Leader
Claire Fullbrook-Scanlon – Course Leader
Nurse Consultant in Stroke Care
Royal United Hospital Bath NHS Trust
Claire's nursing career has been predominantly spent within the speciality of care of the elderly. She qualified as an Enrolled Nurse from Guy's Hospital in London in 1985 and then undertook the conversion course to become a registered general nurse at Frenchay Hospital, Bristol and qualified in 1989.
Claire worked as a staff nurse in acute psychiatry of old age, and as a ward manager in an acute care of the elderly ward, before undertaking a research study in health promotion for Bristol University, and as the local coordinator for the PROGRESS study at Frenchay Hospital. In 1998 Claire and Dr. Lindsey Dow started the Bristol Stroke Education Programme and Claire has led the Stroke Education Programme since its inception. She qualified as a Registered Health Visitor in 2000. However, Claire preferred working with patients with stroke and became a stroke co-ordinator at Frenchay Hospital. In 2003 Claire became a Consultant Nurse in Stroke Care at the Royal United Hospital in Bath. Claire also works as a Senior Lecturer in the Faculty of Health & Social Care, University of the West of England for two sessions per week.
Her qualifications include, BSc(Hons) in Community Nursing, MSc Public Health, Post Graduate Certificate in Teaching and Learning in Higher Education. She is also a Supplementary and Independent Nurse Prescriber. Her professional interests are embedded within all aspects of stroke care, and more recently with nurse prescribing.
She has four children and her outside interests include caravanning, going to the gym, and vegetarian cooking.
Other contributors are:
Claire Andrews
Claire Andrews
Stroke Services Manager
Somerset Community Health
Pauline Baker
Pauline Baker
Stroke Coordinator
United Bristol Healthcare Trust
Dr Neil Baldwin
Dr Neil Baldwin
Consultant Physician in Stroke Medicine
North Bristol NHS Trust
Neil Baldwin (NB) qualified from the University of Nottingham in 1981. After House Officer posts at the University Hospital in Nottingham, he worked at the Queen’s Medical Centre as an SHO in General Internal Medicine. Having gained the MRCP examination, he moved to Liverpool as a Registrar in Medicine at the Royal Liverpool Hospital, followed by a year as a Registrar in Neurology at the Mersey Regional Neurological Unit.
In 1985, NB moved to Oxford to work as a Research Fellow at the Sheikh Rashid Diabetes Unit at the Radcliffe Infirmary. His interest in hypertension began at this time, when he studied the effects of hypertension and its treatment on the microvascular complications of diabetes and in particular the progression of diabetic retinopathy. He also published papers on genetic risk factors for the progression of diabetic retinopathy.
In 1986, he moved as a Senior Registrar in General and Geriatric Medicine to Merseyside, where he held appointments at the Royal Liverpool Hospital and Clatterbridge Hospital. In the latter hospital he worked at the hypertension unit. NB was appointed as Consultant Physician in Gloucester in 1990. Since then he has developed his interests in Stroke Medicine and began in 1993 a series of studies, looking at the process and outcome of stroke care which led to the development of an integrated care pathway. He also undertook with colleagues, a randomised study of hospital at home service.
He was appointed to his current post in July 2001 and with the team at North Bristol has developed a comprehensive stroke service including acute stroke thrombolysis and a 26-bed acute stroke unit and a 24-bed stroke rehabilitation unit and a weekly Neurovascular clinic. Other clinical interests include stroke spasticity.
Neil is a member of the British Association of Stroke Physicians and the British Geriatric Society.
Liz Britton
Liz Britton
Specialist Physiotherapist in Stroke
North Bristol NHS Trust
Dr Sarah Caine
Dr Sarah Caine
Consultant Physician
United Bristol Healthcare Trust
Alex Davies
Alex Davies
Speech and Language Therapist
North Bristol NHS Trust
Colin Domaille
Colin Domaille
Specialist Physiotherapist in Neurorehabilitation
North Somerset CCG
Dr Lindsey Dow MB, BS, DM, FRCP
Dr Lindsey Dow MB, BS, DM, FRCP
Consultant Physician
Royal United Hospital Bath NHS Trust
Lindsey Dow (LD) developed an interest in stroke medicine during senior registrar training in geriatric and general medicine in Oxford. As a Consultant Senior Lecturer in General Internal Medicine and Geriatric Medicine at Bristol University and North Bristol Hospital from 1992-2004, she worked with nursing and therapy colleagues in developing the acute and rehabilitative services for stroke and ensuring that these changes were underpinned by education and training opportunities for all relevant staff.
One of the collaborative educational successes has been the interprofessional learning program for nursing and medical students much of which relates to rehabilitation and ethical aspects of stroke medicine. The learning material and opportunity for medical and nursing students to learn together was complimented by the Commission for Health Improvement. LD worked with Claire Fullbrook-Scanlon in successfully obtaining the Health Authority funding and initiating the multi-disciplinary stroke course.
The course has flourished under Claire's leadership and is recognised as filling an unmet need particularly for staff who are new to stroke and previously came largely unprepared in terms of knowledge and skills. In 2004, LD was appointed as a consultant geriatrician at the Royal United Hospital, Bath and LD has continued with an interest in stroke medicine through acute work at this hospital and at the stroke rehabilitation unit at Shepton Mallet Hospital. LD has a Diploma in Medical Education from Bristol University and is currently studying for the Masters in Medical Education.
Her thesis is on the educational challenges nurses face caring for older patients in surgical settings.
Dr Nigel Jones
Dr Nigel Jones
Consultant Physician
North Bristol NHS Trust
Sally Lockwood
Sally Lockwood
Manager
Bristol Area Stroke Physician
Pro Reg Morris BA, PhD, DipPsych
Pro Reg Morris BA, PhD, DipPsych
Programme Director
South Wales Clinical Psychology Training Programme
His interests include clinical practice, teaching, training and research.
Reg has worked in clinical psychology training in various capacities since 1982, and has contributed to stroke rehabilitation services since 1996. Initially he was based in Plymouth, Devon, but has been based in Bristol since 2001 when he was appointed as the first Director for the new Bristol Clinical psychology training programme.
In 2002 he founded a National Group of Psychologists interested in stroke research, (PSRIS).
He contributes to a small local research group that is exploring the experiences of patients and carers who have used stroke rehabilitation services. The aim of this group is to develop outcome measures for the quality of psychosocial care in stroke rehabilitation and to use these measures with a view to improving staff training and staff development in this important aspect of care.
His teaching interests cover psychological aspects of stroke, professional and legal aspects of clinical psychology and research methods.
He has two teenage children and his interests include kayaking, climbing, gardening, running and walking.
Dr Peter Murphy
Dr Peter Murphy
Consultant Physician
United Bristol Healthcare Trust
Liz Negus
Liz Negus
Senior Dietitian
West Wiltshire Primary Care Trust
Liz qualified in 1972 and worked in several locations including The Hospital for Tropical Diseases. She took some time out to work as a Home Help Organizer, which improved her insight into the plight of the frail elderly person living in the community.
Between 1990 and 2000 Liz specialized in Care of the Elderly and in particular dysphagia. She helped to set up dysphagia training programmes for dietitians, the Bristol and Bath Stroke Education Programme, and also helped to develop the National Descriptors for Texture Modification in Adults.
Her interest in the frail elderly person has developed over the years and has included research into the role played by polypharmacy and vitamins and minerals.
Liz now works as a community dietitian with a specialist role in the Chippenham Stroke Unit.
Kelly O'Leary
Kelly O'Leary
Specialist Occupational Therapist in Stroke
United Bristol Healthcare Trust
Christina Ring
Christina Ring
Occupational Therapist
BANES CCG
Dr Louise Shaw
Dr Louise Shaw
Consultant Physician
Royal United Hospital Bath
Alison Sykes
Alison Sykes
Speech and Language Therapist
Richard Thomas
Richard Thomas
Senior Lecturer
The University of The West of England, Bristol
Richard is married with 2 children aged 15 and 17. Having qualified as a General Nurse at the Hammersmith Hospital in West London Richard went on to specialise in Intensive Care Nursing in Hospitals in London. After a period Richard changed to Elderly Care and became a charge nurse on a rehabilitation ward.
The next move was into education and as a clinical teacher Richard gained experience of teaching pre and post registration students.
Moving to Gloucestershire in 1990 Richard completed a degree in education and then specialised in teaching Law within Gloucestershire School of Nursing. In 1995 Richard completed a masters degree in Law at Cardiff University and from 1996 has worked as a Senior Lecturer at The University of The West of England, Bristol.
At the University, Richard services Faculty of Health and Social Care faculty Programmes and works within the Law Faculty.
The approach taken to teaching is a universal one that encompasses all professional groups within healthcare and work within the University of Bristol means access to medical Practitioners. Richard's approach to facilitating and supporting professionals in their clinical decision making processes is one of clarifying rules of evidence and outlining what a practitioner can rely upon when evidencing their reasonable judgements.
Teaching on this programme is designed to enable structured reflection upon legal principles that support therapeutic risk taking and working within the patient's and clients best interests. Negligence, consent, confidentiality and duty of care are considered as principles and guidance for practitioners. Via a case study, students are encouraged to reflect upon and discuss areas that are common for shared learning. It is hoped that students will gain confidence and assurance relating to the legal aspects of their practice and are encouraged to read further and develop their insights into challenging and interesting aspects of rewarding patient care.
Dr Ailie Turton
Dr Ailie Turton
Occupational Therapist/ Senior Research Fellow
North Somerset CCG
Ailie Turton qualified as an Occupational Therapist in 1979. She developed an interest in stroke rehabilitation while working at Addenbrookes Hospital in Cambridge, (1979-1996). Over this time Ailie worked clinically in care of the elderly wards, a young person's rehabilitation unit and with stroke outpatients. She also started her research career and has since completed many stroke rehabilitation studies concerning assessment and treatment of hand function. In Cambridge she organised a motor control interest group, The Eastern Motor Group and completed an MSc in Rehabilitation Studies and a PhD. Her thesis was an investigation of recovery of hand function following stroke and correlated reorganisation of descending motor pathways
In 1996 she moved to Bristol and worked at the Burden Neurological Institute. There she continued her research with two studies both funded by The Stroke Association. The first was a single case series experiment examining behavioural and neural effects of a hand function training programme. The second, with Physiotherapist, Liz Britton, was a trial of stretch positions to prevent contractures following stroke.
Ailie's involvement with the Stroke Education Programme began in 1999, when she took on coordination of the courses for a year. As well as developing the programme this opportunity enabled her to get to know many of the local stroke clinicians and subsequently many have collaborated with AT in research projects. These include two current pilot randomised controlled trials. These are described on website http://eis.bris.ac.uk/~psajt/
In 2004, Ailie moved to the Department of Experimental Psychology, University of Bristol to begin studies on unilateral neglect. She continues to be an enthusiastic member of the Stroke Education Programme's working party and contributes to the course session on the more invisible effects of stroke - the cognitive impairments, particularly concerning attention, perception and action.
Jane Wroath
Jane Wroath
Stroke Coordinator
North Bristol NHS Trust
