Improvement Leader Fellowship 2016

Affy Sepahzad

Affy is an ST3 Paediatric Trainee currently based at St Mary’s Hospital. She has recently been awarded a Fellowship in Integrated Child Health at Imperial College Healthcare Trust. Since graduating from Imperial College in 2011, Affy has dedicated time outside her clinical work to quality improvement and other educational activities. She received the RSM Patient Safety Prize in November 2012 for QIP work in improving the transport of urgent microbiology specimens at St Mary’s Hospital. She was awarded an Excellence in Leadership Award, Health Education North-west London 2011/12 and a London Deanery Trainee Leadership Merit Award 2011/12. As London School of Paediatrics Trainee Committee Vice Chair for NWL and Curriculum sub-group member she has carried out numerous projects to improve curriculum and training for Paediatric trainees.  Particularly passionate about understanding the patient experience and the role of patients/parents as educators she developed a regional teaching programme for Paediatric trainees in NWL, the ‘Case Exchange’, which integrates parents/patients in monthly teaching sessions for trainees. Presented nationally, the programme is now implemented in other sectors in London. Her current ICH Fellowship and CLAHRC NWL Fellowship will be dedicated to developing a ‘Patient Academy’, which is a large scale project focused around patients/parents as educators and will involve using co-design and co-production to implement educational interventions with the aim of improving, patient experience, health outcomes and the way in which the healthcare service is utilised.

Beatrice Liddell

Practice Champion Manager for Connecting Care for Children, an integrated Paediatric model that operates across the tri-borough, and soon to be in Ealing. The aim is to build professional and patient relationships spanning Acute, Primary and Community care. As part of the programme I lead on patient and public engagement, co-designing services within the community. I am also a patient of the Royal Brompton Hospital, with a long term condition. I have an understanding of what it is like to transition to adult services.  I feel very fortunate that my experience was positive, however I know that is, unfortunately not very common. Therefore, I want to ask patients that are and have transitioned to adult services what they would have liked. Is education and better communication the answer? I would also like to focus on understand how a patients GP could be more involved in this process. 

Emily Ward

Emily is a senior pharmacist at Chelsea and Westminster hospital who has been practicing in general and acute medicine for more than 10 years. She developed a strong interest in research while undertaking an Msc in Advanced Pharmacy Practice at UCL and has since completed a secondment with the Royal Pharmaceutical Society research team. Most recently, Emily took on the role of Project Manager for Medicines Optimisation (ReMAC), jointly funded by Chelsea & Westminster Healthcare Trust and the CLAHRC NWL. The ReMAC interventions improve resilience through review and rationalisation of medicines in older patients at acute hospitals across Northwest London. She plans to use the fellowship program to close the healthcare gap through improved communication of information about medicines between secondary and primary care providers and patients.

Neena Garnavos

Neena graduated with a degree in Psychology from Nottingham Trent University in 2010, and since then has held several assistant psychologist posts in a range of different settings, including community mental health teams, a medium secure psychiatric unit and for a short time a psychiatric unit in Cuzco, Peru. On returning to the UK, Neena did a short stint in North Norfolk District Council and now works for a carer’s charity in Harrow, North West London, leading the Carers Health and Wellbeing services there.  Neena’s passion and 2016 fellowship project is to improve the way that carer needs are assessed and how Harrow Carers evidences that they are meeting those needs. A focus will also be on the way Health and Social Care services coordinate with the voluntary sector to support carers, to improve the way that services are commissioned for carers whilst embedding an ethos of coproduction in the development of these services. She will be looking at how local authorities are interpreting the recommendations made by the Care Act 2014 and hopes to develop an ideal service specification to meet these. Neena would also like to develop education packs to teach trainees in Health and Social Care the importance of engaging with carers and how to do so in a meaningful way. Headway has already been made in this area with Neena having taught trainee mental health nurses in CNWL and trainee OT’s at Brunel University.

Jennifer Banks-Smith

Jennifer works at the Heart of Hounslow Centre for Health as a Health Promotion Manager. Jennifer has worked in the NHS either directly or indirectly since graduating in 1995, in an academic capacity and as manager of Health Improvement and Health and Wellbeing Services. In her current role she leads in the development, implementation and evaluation of a range of co-ordinated health promotion services and community development projects in Hounslow.  In her fellowship project Jennifer will aim to explore the improvement and co-ordination of public health services. There has been a decline of forums whereby NHS providers of public health services may share good practice. With more commissioners open to Any Qualified Provider (AQP) NHS health improvement services are at risk of losing their established contracts to other providers, unless they can demonstrate innovative and efficient ways of working. Her fellowship project will explore these issues.

Jean Straus

Somehow I’ve managed to live my life going from one place and career to another.  Raised in Minnesota (alongside Bob Dylan), I was first an English teacher in New York City, followed by teaching literacy in Jerusalem and Paris.  Settling thereafter in London I became the lucky mother of two great daughters.  I then developed a new career, teaching teenagers with behaviour problems, which led on to my working with young people referred to me by CAMHS.  When I retired, suddenly I had a disability (sudden hearing loss) and a new life as a campaigner/volunteer trying to raise awareness and effect change.  I have been a patient representative on the Steering Group of the James Lind Alliance Priority Setting Partnerships coming up with ten research questions to do with Mild to Moderate Hearing Loss and I write book and other reviews for the Action on Hearing Loss Magazine.  I started a charity walk, Ramble Round Richmond, now in its fourth year.  Now with CLAHRC I will be trying to combine all the above, by zeroing in on an area, Northwest London, and a worrying situation, how hearing loss is lived with by residents in care homes, and what improvements can be made to their capacity to communicate. 

Mateen Jiwani

Dr Mateen Jiwani is a graduate from St Georges Hospital Medical School, London and continues to be a Clinical Tutor and Examiner at the institution. He is Clinical lead for Wholes Systems Mental Health in West London CCG. He is a faculty Board member for North West London Royal College of General Practitioners. He currently Works in General Practice in West London. His interests lie in Medical Education and eHealth and eConsulting.  His CLAHRC project is based on eConsultation in General Practice.



Nikhil Pawa

Nikhil is a Registrar in colorectal surgery at West Middlesex Hospital, Chelsea and Westminster Hospitals Foundation NHS Trust. Nikhil’s fellowship project aims to identify a chronological analysis of the compliance of various ethnic minorities with the NHS bowel cancer screening programme in London. The primary output will be to develop a service report that could be the basis of further qualitative studies, with the assistance of patient involvement, to further understand the beliefs, attitudes and understanding towards bowel cancer screening of various ethnic minorities, to tailor further specific health promotion strategies at various levels.

Priscillar Batana

Priscillar is a Clinical Nurse Specialist with over 10years clinical experience in secondary care surgery, urology and continence care gained whilst working at the Royal Free London NHS Trust before transitioning to take up a role in primary and community care with London North West Healthcare (LNWH) NHS Trust. She is an MSc Leadership graduate from University of West London, has BSc (Hons) degree in Health Studies and Dip (HE) Nursing from Middlesex University. During her time with LNWH and whilst undertaking her master’s degree programme, she developed understanding of corporate governance as well as managing quality and change within the NHS and has valuable insight into project management which has led to the development of her role within the community; developing new pathways for the group of patients she specialised in and was instrumental in developing and launching the urinary catheter passport across all of LNWH NHS Trust. She is passionate about leading change and enhancing specialist input in primary and community care and as CLAHRC NWL fellow her project aims to establish a Nurse-Led clinic for Trial Without Catheters (TWOCs) / Catheter Drop-In Service; providing a flagship service for the management and removal of short and long term catheters in primary and community care. This is to tackle the ongoing challenges in managing risks of Catheter-associated Urinary Tract Infections (CAUTIs); improving quality and reduction of incidences and readmissions for minor catheter-related problems. Priscillar plans to build integration, collaboration and partnership working with both service users and colleagues from the wider health economy, including local secondary care providers and hopes to produce an academic publication related to the process and outcomes of the project that would support a wider rollout of the service.

Radhika Haworth

Radhika is an independent behaviour change, equalities and engagement consultant. Her background is in health advocacy, qualitative research and community development. She has particular experience in the area of patient public engagement and in the use of participatory and peer led approaches. She specialises in research and engagement work with BME communities and has undertaken several projects to reduce health inequalities for people from deprived communities. She led the engagement and patient education work for Hillingdon CCG 2013-2015 and was responsible for implementing the Hillingdon CCG’s Empowered Patient programme (EPP). The engagement work of the HCCGs Communication and Engagement team was awarded an ‘outstanding’ by NHS England as part of their assessment of the Annual Statutory Obligations review earlier this year. Radhika’s fellowship project aims to improve and widen the participation of patients and carers in GP practices. Her project will look at the role of Patient Participation Groups (PPG) in practices to see how these groups can be strengthened and supported to enable effective engagement at practice level with a view to improve health outcomes for patients. It will also explore the role of PPGs in the commissioning of local health services.

Sandrasagary Jayacodi

Sandra is a qualified solicitor, with a law degree from University of Westminster and a post graduate diploma in law from Bournemouth University. Since 2014 Sandra has been involved in the SHINE project at Central and North West London NHS Foundation Trust.  The SHINE projected, funded by The Health Foundation and supported by CLAHRC Northwest London, aims to improve the physical health for people with severe mental illness admitted to St Charles Mental Health Unit. Sandra has been involved in the co-design of a patient held physical healthcare record, with healthcare professionals, which has been a major output of the project. She has also contributed to other aspects of the project including developing project aims and deliverables; process mapping and designing health education materials. Throughout the project Sandra has demonstrated a growing confidence as a presenter and speaker, and has presented amongst other at the Trust board, to senior members of the NIHR, visiting students of Masters in Healthcare Administration from George Washington University USA and Health Foundation Shine programme showcase event. Sandra's CLAHRC Fellowship research project will explore the role of the patient held physical health record in engaging patients with serious mental illness in decisions about their physical health. 

Tai Frater

Tai is an occupational therapist who specialises in work with children, young people and families.  In 2011 she was awarded the Elizabeth Casson Memorial Scholarship to study for her MSc in Occupational Therapy at Tufts University in Boston, USA.  On her return she joined Brunel University London as an Academic (Education) Lecturer in the College of Health and Life Sciences.  At Brunel Tai is involved in a range of innovative educational projects particularly championing the use of technology and blended learning approaches and involving service users in delivery of education on evidence-based practice.  She is actively involved in research on outcome measurement for children with brain injuries and inclusive education in Pakistan.  Since 2014 Tai has been a trustee for the Elizabeth Casson Trust which aims to further the occupational therapy profession in the UK.  Tai is passionate about promoting the use of evidence based practice by allied health professionals and in facilitating the participation of children and families in home and community life.  Her CLAHRC NWL fellowship project will combine these interests by exploring the use of shared decision making training and motivational interviewing by professionals to help children and families participate fully in decisions about their health, education and well-being. 

Charity Gondwe

Post 16 Lecturer and QTS Mentor, Parent /Carer for a Child/children/young people with Sickle Cell Disorders and other with long term conditions.  I have worked in the education sector for over 16 years, both in a teaching role and pastoral role. My passion has always been inclusivity in education, work and society for those with additional needs either due to learning disabilities or health related disabilities, as well as provision of a holistic approach for those children and young people with Long term condition in order to improve their quality of life. I am a parent carer for a child with Sickle Cell Disorder Phenotype severe and also short term private foster / respite carer for children with different long term conditions. I have been involved in projects involving children and young people with additional needs (health) and their carers to improve quality of life and to help them to lead independent and successful lives in the communities. One of the project was a pilot on developing transition programme and developing an app for adolescent St Mary`s with Talk Lab both delivery and evaluating the project and funding raising for health related non NHS funded projects or equipment. I am currently on a career break/sabbatical to help my son through his GCSE and have taken up volunteering with Care for the Family as a befriender of parents with children with addition needs, Telephone helpline, fund raising for Imperial Health care charity and research. I have MSc Development Studies and PGCE /PCET (Greenwich University) and a qualified mentor for New Qualified Teacher Status.