The Clinical Division is designed to strengthen clinical authority within the NHS national IT infrastructure, by ensuring that all national services and applications have the appropriate clinical input, are fit for purpose, and deliver real benefits for both the NHS and patients.
The Clinical Division:
- works to ensure that risk management and patient safety is embedded in every national services and applications
- co-ordinates clinical and appropriate external input into activities and decisions related to national services and applications
- ensures that NHS digital services and applications have suitable and adequate clinical input and provide a support mechanism for the continued professional development of the clinicians within the Clinical Division
- has overall responsibility for managing clinical risk
- develops and maintain relationships with key clinical, patient and public stakeholders
The Clinical Division leadership
Dr Charles Gutteridge – National Clinical Director for Informatics
Charles has been the medical director at Barts and the London Trust since 2002 and a consultant haematologist there and at Newham General Hospital. He is a fellow of the Royal College of Physicians and the Royal College of Pathologists.
As a member of the London review acute group, Charles was involved in providing clinical advice to Lord Darzi's review of health provision in London. He also chaired the Association of UK University Hospitals Medical Directors.
Charles has been strongly involved in patient safety, confidentiality and informatics issues at Barts. He was the Caldicott Guardian for Barts, led the Safer Patients Initiative 2006-8 and chaired the Clinical Informatics Design Authority which gave clinical advice about improving the use of Cerner Millenium at the Trust.
Charles took up this appointment in January 2010. He said: "This is an exciting time to be at the cutting edge of delivering informatics to improve patient care.
"As recent events have shown, there is a sea change in clinical attitudes to informatics and the NHS IT Infrastructure. My colleagues know that good, accessible information enormously raises the quality of treatment and diagnosis we can provide to the public.
"My work with medical under-graduates confirms that these expectations are strong amongst the next generation of doctors. I hope to contribute to encouraging those attitudes and enabling dialogue between clinical staff, patients and informatics providers."
Dr Simon Eccles - Medical Director
Dr Simon Eccles is a Consultant in Emergency Medicine at Homerton Hospital, London.
Simon's current and previous roles include:
- clinical advisor to the NHS National Workforce Project, tackling the impact of the European Working Time Directive;
- clinical advisor to the Health Insight Unit of the Department of Health;
- past chairman of the BMA Junior Doctors Committee and secondment to the Modernisation Agency, as the medical advisor to the Hospital at Night project which is now being implemented nationally.
Simon has interests in plain-speaking communication; making sure clinicians, managers and planners are all using the same routine information to improve care for patients and in helping clinicians have ownership of improvements brought about by better health informatics.
Dr Susan Hamer – Director of Nursing, Midwifery and Allied Health Professionals
Susan graduated in nursing in 1980 working as a district nurse in London before moving to the University of Hull as a lecturer. Since then she has held a variety of academic and practice based posts and in 2004, became Director of Enterprise and Knowledge Transfer for the Faculty of Medicine and Health at the University of Leeds.
Susan has published widely, and is the co author of two books: Achieving Evidence Based Practice and Leadership and Management: A three-dimensional approach. She is also co editor of Practice Development in Health Care, a journal which aims to promote scholarly debate in the field of Practice Development. She has been involved in the establishment of over 150 practice development units and continues to be an active coach and mentor. Her doctoral studies were in the field of post compulsory education. She is a fellow of the Queens Nursing Institute.
Susan is passionate about the possibilities for technology to enhanced practice and to support innovation in the development of patient led services. As a member of the Clinical team Susan is keen to ensure that new and effective models of professional practice are shared rapidly across the health system.
Dr Maureen Baker CBE – Clinical Director for Patient Safety
Maureen's role focuses on risk management and the running and developing of a training programme called 'Awareness Training in Human Factors and Risk Assessment'.
This training programme will explore the principles of safety and risk within the NHS national IT infrastructure.
In addition, her role looks at the potential of IT to help address known patient safety problems in the NHS.
Maureen's main research interests have been in postgraduate medical education and medical workforce and careers and she was awarded her DM from Nottingham for her thesis on the medical workforce in primary care. Other interests are emerging care, clinical governance and quality issues, and medical education.
Maureen is currently involved with the NHS CFH 'clinical safety' function.
Toto Gronlund Interim Head of Patient and Public Partnerships
Toto Gronlund is responsible for patient and public involvement in informatics. Toto began her new role within the Clinical Division after previously working in benefits management at NHS CFH with local health communities.
Toto brings over 25 years of experience in a variety of roles in health, social care and the voluntary sector. Her previous roles have been in patient and public involvement for the NHS Information Authority and the Research Capability Programme. Toto was also non-executive director for a third sector organisation in the substance misuse rehabilitation sector and a hospital medical physicist and researcher. Additionally, Toto was a mentor for the participative evaluation in a project on social inclusion in mental health and completed a diploma in International Primary Care Research at UCL, specialising in the use of the narrative in research, health care and education.
"I believe patient and public involvement and informatics are a win-win scenario for health and social care,
"Patient and public involvement is essential to improving the provision and use of information, and to ensure transparency of our services in the eyes of the patients, public and staff", Toto says.
Other areas of special interest include valuation of non-market outcomes of informatics enabled improvements in the NHS, including patient and public benefit.
Dr Raj Kumar - National Clinical Director - NHS Clinical Leaders Network
Dr Raj Kumar is passionate about clinician-led reform, entrepreneurship and innovation within the NHS and frontline organisations of change.
Raj in his current and past roles has been involved actively with NHS reform and clinical leadership projects centrally, at NHS Connecting for Health and the Department of Health; regionally with the SHAs; as well as locally with his health communities.
In the past, as part of the NHS Modernisation Agency National Clinical Leads team, he pioneered changes to patient access, booking and choice along with electronic booking processes.
He has developed successful service redesign pathways and projects and has received national acknowledgement and awards for the same.
Raj also continues to practice as a part time GP in Cheshire.
Dr Nick Booth - Director for Clinical Data Standards
Nick has been a General Practitioner in Northumberland since the 1980s. His practice was computerised in 1987 and this resulted in a career long passion to harness the power of information technology to improve patient care.
His initial focus moved from the practice to include comparative audit across General Practices in Northumberland in the MEDICS project, and he obtained a grant from the Northern Region and the NHS Executive in 1992 to develop MIQUEST. He subsequently became involved in developing Clinical Terms version three, and later SNOMED-CT, and also became involved in the design of advanced decision support software at Newcastle University from 1996 until 2002. Before leaving Newcastle he led a significant Electronic Record Development & Implementation Project (ERDIP) programme in Durham and Darlington, looking at large scale architecture of health record systems.
Subsequent to his time in academia, Nick then moved into the commercial sector where he worked on implementations of Electronic Health Records initially in the UK and subsequently in other countries. At this time he became interested in data and clinical data standards as a way of simplifying the task of sharing comparable data for clinical audit.
Since joining the Clinical Division, Nick has focused on the importance and governance of clinical record standards, including user (professional) assurance, design and discourse with technologists. His team collaborates closely with Professional Colleges and NHS organisations to ensure user involvement in real systems designed around national record standards. An example of this is the Discharge Summary Implementation Project.
National Clinical Leads
A team of National Clinical Leads have been appointed across various specialities to help ensure that the NHS is kept updated with the latest developments.
To find out more information on how the Clinical Division is engaging across these specialities visit:
- Connecting with hospital doctors
- Connecting with GPs
- Connecting with nurses
- Connecting with midwives
- Connecting with allied health professionals
We also have National Clinical Leads with specific interests in various medical specialities. These include:
Programme-specific clinical and medical directors
In addition to the Clinical Division, where clinicians tend to have an overarching view of the national services and applications, there are some clinicians whose particular experience and skill base lend them to work on particular national services and applications, including:
- Summary Care Record and Healthspace
- Choose and Book
- Picture Archiving and Communication System (PACS)
- Electronic Prescription Service (EPS)