First Cohort of Fellows 2011

CLAHRC CP welcomed its first cohort of fellows on January 5th 2011.

From left to right:

Dr David Dodwell, Alistair Gaskell, Uju Okereke, Katy Harrison, Dr Mai Wong, Miranda Fyfe, Dr Fergus Gracey, Dr Furhan Iqbal, Dr Chris O’Loughlin, Dr Peter Hadfield, Anna Green, Kim Masson, James Plaistow, Dr Jon Wilson.



Miranda Fyfe

Miranda is End of Life Project Implementation Manager at NHS Cambridgeshire. Miranda started working for the CLAHRC CP end of life theme in November 2009.  Miranda’s interests in her current role are improving services for end of life care across Cambridgeshire. This encompasses better pre-emptive planning of care and education for health professionals,  e.g. around communication with patients approaching end of life; as well as commissioning to ensure that urgent round-the-clock services are available when needed, either in the terminal phase or during health crises that may occur and would otherwise lead to an unwanted hospital admission.

Miranda joined the NHS in 2002 as a general manager at Addenbrooke’s Hospital.  Prior to this she had worked for 12 years in academic book production. Miranda decided to join Addenbrookes as she was keen to put her management and other skills to good use in helping public services run better.

During her fellowship she will be involved with various research projects that are already ongoing with the end of life theme.  She has a particular interest in the studies which look at reasons for acute admissions near the end of life and  how to assess patients who may or may not be suitable to have home support in their terminal phase.

She feels that the CLAHRC fellowship will have a big impact on her role in commissioning services and she says ‘Commissioning according to best evidence is essential if we are to make best use of limited NHS funds, so the experience of working closely with the CLAHRC research team will be very valuable in terms of bringing knowledge of that robust evidence base back into the commissioning organisation’.

Dr Fergus Gracey

Fergus is a Consultant Clinical Neuropsychologist who works with both adults and children following acquired brain injury.  He has worked at the Oliver Zangwill Centre for Neuropsychological Rehabilitation for 10 years and has specialised in understanding and rehabilitating self-regulation, emotional adjustment and social-emotional processing problems.  Fergus has published book chapters and papers in peer reviewed journals on topics relating to his interests in social and emotional aspects of brain injury, especially relating to cognitive behaviour therapy, identity and adjustment.

His research is currently supported by successful grant applications and he works part time as a practitioner researcher within the CLAHRC CP where he is involved in research relating to service improvement and service design for adults and children with brain injury.

His clinical jobs are as consultant clinical neuropsychologist for the Evelyn Community Head Injury Service and Programme Director for the Cambridge Centre for Paediatric Neuropsychological Rehabilitation.  Fergus is also co-founder of a neurological conditions Special Interest Group of the British Association of Behavioural and Cognitive Psychotherapies (BABCP), member of the Board of Associate Editors of Neuropsychological Rehabilitation, and a Clinical Associate of the MRC Cognition and Brain Sciences Unit.

Dr Anna Green: Consultant Clinical Neuropsychologist

Anna Green is a Consultant Clinical Neuropsychologist. She qualified in Clinical Psychology in 1990.  She was initially employed within the Learning Disability field and in 1996 she went on to develop her interest in neuropsychology by taking a post within a Clinical Psychology Physical Health and Rehabilitation service.  Whilst in this role she completed the newly founded post qualification training in Clinical Neuropsychology. Anna wanted to focus on neuropsychology so she took her current post as Consultant Clinical Neuropsychologist within Bedfordshire Acquired Brain Injury Service in 2005. The multidisciplinary team are encouraging her involvement with the CLAHRC Fellowship.

Anna is a member of various professional bodies such as the British Psychological Society Division of Clinical Neuropsychology. She is also involved with the University of Hertfordshire Doctoral Training Coursein Clinical Psychology.

Anna has been able to develop her career whilst working part time which enables her to prioritise her family.

Dr Pete Hadfield

Pete is a GP in Peterborough and the Primary Care Lead for the Primary Care Trust.   He is looking forward to being involved with a research team of this calibre, looking at end of life care, an area he has a keen interest in. The innovative approach to research using collaboration across a number of different fields, the engineering and design centre, the Judge business school and public health, has been very stimulating. The key aspect for Pete is the practical nature of the research with an aim to implement new knowledge and apply findings in practice quickly.

During the fellowship Pete has been involved with a research project evaluating the palliative educational needs of GPs and Community Nurses working in Peterborough and Cambridge. Pete says ‘We did this through a questionnaire study which achieved a reasonable response rate of 60%. We have since written a report to relevant stakeholders prior to submission for publication and are in the process of planning an educational programme for Community Nurses and GPs  in Peterborough and Cambridge based on the research findings. This will be implemented as part of the HIEC project (health innovation and education cluster) this year’.

Pete is also working on a systematic review of end of life discussions with patients suffering from Chronic Obstructive Pulmonary Disease. This is both interesting and educational for him as he is learning about a different research method and critical evaluation of published papers. Pete hopes that from the results that there will be practical recommendations that can be brought into practice.

Katy Harrison

Katy is the End of Life Care Facilitator working in Peterborough. Her background is District Nursing. Katy joined the CLAHRC CP as a research fellow whilst she was participating with Stephen Barclay and his team in developing a questionnaire for GPs and Community nurses looking at how symptoms were managed. Katy is now using the results of this questionnaire to help develop educational workshops for health workers to expand their knowledge and share their ideas. This has promoted her role across Peterborough Katy is now working with Gemma Clarke with a systematic review of papers relating to how decisions are reached when considering artificial nutrition for people who lack the mental capacity to make the decision for themselves i.e. people with dementia, brain injury or acquired through illnesses such as Parkinson’s Disease or Motor Neurone Disease.

Katy says ‘As a CLAHRC fellow I am able to not only learn about the research process and participate in research, but also to use it to directly affect patient care and influence how and what education in End of Life Care is delivered to all community staff across Peterborough’.

Uju Okereke

Uju currently works with NHS Great Yarmouth and Waveney leading on Mental Health and Learning Disabilities as part of the Public Health department. She also covers a number of other projects including the NHS Prevention East of England QIPP pilot programme and the Health Trainers contract. Prior to that she worked as a pharmacist, both in the hospital and community settings.

On the CLAHRC fellowship programme, Uju is working on investigating the impact of dementia on ambulance services and what the impact is on the basis of location (Rural/Urban) and place of residence (Own home/Care home).

Uju says ‘It is hoped that byunderstanding how ambulance services are used by dementia patients for unplanned care episodes we can improve both their care and the impact on secondary services. The project in itself is exploratory in the first instance and the foundations laid will present data which can be used to apply for research grants to investigate this project further or present opportunities for further work by future CLAHRC fellows’.

Dr Jonathan Wilson

Jon is a Consultant Psychiatrist, dual trained as a consultant psychotherapist, who works in a large Early Intervention Service in Central Norfolk. He trained at St Andrews and Manchester as an undergraduate and has worked in many places following this including: Wellington (NZ),Edinburgh, and Cambridge. Jon has lived and worked in Norfolk for 10 years and has slowly expanded his role to include being on the Core team of the medical school for the psychiatry teaching, and leading for research within Norfolk and Waveney Mental Health Foundation Trust. He is also on the executive for the Norfolk and  Suffolk CLRN and helps to facilitate portfolio studies.

‘Over the years I have held managerial roles at various times and at various levels e.g. acting as a Locality manager or assisting the Strategic Health Authority. Latterly I have become very interested in the possibility of expanding the concept of Early Intervention in Psychosis to a broader group of young people who are at risk of developing significant mental health difficulties.

Being a CLAHRC Fellow has given me the opportunity to develop the ideas around youth mental health in a thoughtful, evidence based manner, to link in with other interested practitioners and researchers and to develop the skills necessary to help improve the way individuals at risk of developing major mental health problems access and receive their care’ says Jon.

Dr Mai Luen Wong

Dr Mai Luen Wong is an Associate Specialist for Liaison Psychiatry Services at Addenbrooke’s Hospital.

Her interest in healthcare has always stretched beyond clinical practice.   In particular, she is interested in service development and health policy, specifically, strategies and initiatives for providing equitable distribution of high quality sustainable healthcare.  Her experience outside of the NHS, while working for the Map of Medicine and Bazian, has provided a unique insight into the processes involved in developing tools for use at a level that influences health policy and also clinical decision making in every-day practice.

Her project with the Cambridge Engineering Design Centre will be looking at frequent attenders to the Addenbrooke’s Hospital Emergency Department, in particular, the design of services for patients who may benefit from assessment and early intervention for medically unexplained symptoms and psychological co-morbidity as a consequence of long term conditions.

Dr James Plaistow

James is a clinical psychologist working in the CAMEO first episode psychosis team for Cambridge and Peterborough NHS Foundation Trust.

James graduated from Birmingham University in 1993 and has been working with individuals with psychosis since 1994. He has a longstanding interest in CBT for psychosis and associated comorbidity and has worked in a number of both early intervention and assertive outreach teams. He completed his clinical training at the University of East Anglia. He is a member of the Division of clinical psychology Psychosis and Complex Mental health special interest group. James has researched and published in relation to early intervention in psychosis, relapse prevention approaches, auditory hallucinations, post psychotic depression and social anxiety in first episode psychosis.

James has used the CLAHRC fellowship as a means to further consider what young people want from mental health services and the development of youth focused mental health services.