A qualitative study of micro, meso and macro level interactions

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VOCAL people

Professor Trisha Greenhalgh, OBE
Professor of Primary Health Care - University of Oxford
Role in Research: Chief Investigator, responsible for Conceptualising and coordinating research aspects of the study; overseeing the work of junior research staff; leading methodological design and analysis of data; writing papers; disseminating findings

Trish Greenhalgh is Professor of Primary Care Health Sciences and Fellow of Green Templeton College at the University of Oxford. She studied Medical, Social and Political Sciences at Cambridge and Clinical Medicine at Oxford before training as an academic GP. She has previously worked at University College London (1986-2010) and Barts and the London School of Medicine and Dentistry (2010-2014).

Trish leads a programme of research at the interface between the social sciences and medicine. Her work seeks to celebrate and retain the traditional and the humanistic aspects of medicine and healthcare while also embracing the unparalleled opportunities of contemporary science and technology to improve health outcomes and relieve suffering. Three particular interests are the health needs and illness narratives of minority and disadvantaged groups; the introduction of technology-based innovations in healthcare; and the complex links (philosophical and empirical) between research, policy and practice. She is the author of 250 peer-reviewed publications and 8 textbooks. She was awarded the OBE for Services to Medicine by Her Majesty the Queen in 2001 and made a Fellow of the Academy of Medical Sciences in 2014.

Email trish.greenhalgh@phc.ox.ac.uk
Mr Satya Bhattacharya
Consultant Surgeon - Barts Health NHS Trust
Role in Research: Leading the work with cancer patients.
Mr Bhattacharya's special interests are liver surgery, pancreatic surgery, gallstone and biliary surgery and hernia surgery. His medical training was at Grant Medical College, Mumbai, theRoyal Free Hospital School of Medicine, University College Hospitals, London.

Mr Bhattacharya is a member of the Court of Examiners, Royal College of Surgeons of England and an adviser (referee) for the NIHR Health Technology Assessment (HTA) Programme.

He is an author of chapters in six multi-author medical textbooks and author of over 50 scientific papers in medical journals (including Nature Clinical Practice, Hepatology, British Journal of Surgery and British Journal of Cancer).

Email satya.bhattacharya@bartshealth.nhs.uk
Dr Emma Byrne
Researcher in Health Technology - Centre for Primary Care and Public Health, Queen Mary, University of London
Role in the research: to oversee the technical issues and to provide insights from the fields of HCI, affective computing, and virtual environments, and to assist with video-ethnography fieldwork.

Emma has a PhD in artificial intelligence and an MRes in visualisation, imaging and virtual environments from UCL and has spent the last ten years researching technologies for the improvement of biomedical research, neuroscience, and health care. She was involved in the precursor projects to VOCAL: DAWN and DREAMS where she used her understanding of technological systems and human-computer interaction to analyse how non-co-located consultations can be used in a way that is safe and effective. She is an author on papers in journals that include Science, The BMJ, and Neurocomputing.

Email ebyrne.uk@gmail.com
Dr Anna Collard
Independent consultant
Role in research: Social anthropologist leading the patient engagement work.
Anna Collard has worked in Community Development, focusing on health & social care, for over 20 years. Most of her work has been carried out with BAME, refugee and/or immigrant communities in East London. Her work has included the development of participatory & community-led approaches, including the use of stories, sharing experiences and narrative. More recently, she has been involved in promoting more effective community engagement on a number of levels within GP commissioning arrangements and project manages a number of community initiatives involving patients with long-term conditions.

Email apcollard@btinternet.com
Dr Charles Gutteridge
Chief Clinical Information Officer - Barts Health NHS Trust
Role in Research: Supporting the steering group and advising on information governance and patient confidentiality.

Dr. Charles Gutteridge was Medical Director at Barts and the London Trust from 2002 until 2010. He is a consultant hematologist at Barts Hospital and at Newham General Hospital. As a member of the London Review Acute Group, he provided clinical advice to Lord Darzi’s review of health provision in London. Dr. Gutteridge chaired the Association of U.K. University Hospitals Medical Directors and has been strongly involved in patient safety, confidentiality and informatics issues at Barts, leading the Safer Patients Initiative 2006-2008 and chairing the Clinical Informatics Design Authority. As National Clinical Director for Informatics since January 2010, he is responsible for delivering informatics to improve patient care and facilitating dialogue between clinicians, patients and informatics providers.

Email Charles.Gutteridge@bartshealth.nhs.uk
Dr Philippa Hanson
Consultant Physician - Barts Health NHS Trust
Role in Research: Leading work in the post-natal group.

Dr Hanson trained at Barts and The London and is currently a consultant in Endocrinology and Diabetes at Newham University Hospital. She is the author for the Endocrine chapters in Kumar and Clark’s Medical Therapeutics and a member of the writing group for guidelines relating to the management of HHS for the Joint British Diabetes Societies. She has taught extensively on undergraduate and postgraduate courses at BL.

Email philippa.hanson@bartshealth.nhs.uk

Dr Isabel Hodkinson
GP Principal, Tower Hamlets Clinical Commissioning Group, RCGP Clinical Champion for Person-centred Care and Support Planning
Role in Research: Supporting the steering group and providing a link with commissioners; contributing to the understanding of organisational level barriers with a focus on tariffs.
Isabel has been a GP principal in Tower Hamlets for 24 years and was the diabetes lead between 1993-2011 during which time she worked on the diabetes Year of Care pilot and the setup of the GP networks and their delivery of the diabetes care package based on care and support planning. Currently she is Tower Hamlets CCG board lead for informatics and is Clinical Champion for Care and Support Planning for the RCGP- these might sound like quite disparate roles but both speak to her passion for developing better services for people living with long term conditions- we need a human face for industrial scale population health.

Email isabel.hodkinson@nhs.net
Dr Joanne Morris
Research manager / researcher - Barts Health NHS Trust
Role in Research: Supporting Professor Greenhalgh in management and governance of the study, supporting researchers and assisting research activities.
Joanne is a research manager and health services researcher with 12 years NHS experience. In depth knowledge of applied health research methods, both qualitative and quantitative. Prince 2 practitioner, MSc in Social Research Methods and Statistics, and a PhD in Biomedical Engineering.

Email joanne.morris@bartshealth.nhs.uk
Dr Sara Shaw
Senior Lecturer in Health Policy Research - Centre for Primary Care and Public Health, Queen Mary, University of London
Role in Research: Leading research activities in the macro work stream.
Sara Shaw is Senior Lecturer in Health Policy Research in the Global Health, Policy and Innovation Unit. She has a background in medical sociology and policy studies and her interests focus on health policy and healthcare practices. Sara has extensive experience of developing and applying qualitative approaches to studying health policy. She has a particular interest in discourse analysis and exploring how organisational processes, routines and decision-making are created through language/social interaction and shape healthcare. She has undertaken work on topics including NHS commissioning, integrated care, patient experience, health research policy, research governance and European research policy.

Email s.shaw@qmul.ac.uk
Dr Shanti Vijayaraghavan
Consultant Physician with special interest in Diabetes - Barts Health NHS Trust
Role in Research: To provide overall clinical leadership and heading up recruitment of Diabetes patients.

Shanti Vijayaraghavan is Consultant Physician with special interest in Diabetes and Endocrinology at Barts Health (Newham), where she leads the Young Adult Diabetes service. Her research interests include access to care, particularly among minority ethnic groups. She has led two recently-completed projects funded by the Health Foundation exploring the role of online care in diabetes, and is clinical lead for an NIHR project looking at the clinician-patient dynamics of non face-face care. She sits on the NIHR HS & DR Priority Areas Panel. She is the clinical lead for the Diabetes work-stream of the Newham CCG and UCLPartners academic collaboration.

Email shanti.vijayaraghavan@bartshealth.nhs.uk
Dr Joseph Wherton
Research Fellow - Queen Mary University of London
Role in Research: Supporting Professor Greenhalgh to oversee research activities. Leading activities in the micro and meso level workstreams.

Joe Wherton is a Senior Research Fellow at the Centre for Primary Care and Public Health at Queen Mary University of London. His research includes interdisciplinary collaborations with academic, industry and healthcare organisations to support the user-centered design of assisted living technologies. He uses qualitative and participatory design methods to inform the development of useful and useable solutions that meet the real needs of service users. He obtained his Psychology BSc at University of Bath (2004) and his Psychology PhD at University of York (2008). He has previously worked at Trinity College Dublin (2008-2011) where he led the social and mental health strand of the Technology Research for Independent Living Center in collaboration with Intel, GE Healthcare and the Health Service Executive.

Email j.wherton@qmul.ac.uk

The VOCAL project is the result of a true academic - service partnership.
Prof Trisha Greenhalgh, the principal investigator, is an academic GP who developed this study in partnership with Dr Shanti Vijayaraghavan, a diabetologist with a commitment to improving services for disadvantaged groups. Dr Vijayaraghavan conceptualised and developed video-consulting as an NHS service at Newham about 5 years ago and collaborated with Prof Greenhalgh on some preliminary research funded by the Health Foundation.
Professor Greenhalgh, Dr Vijayaraghavan and several other members of the VOCAL team have worked together on diabetes projects in Newham for some 10 - 15 years and have mobilised additional new partners to bring key skills and networks to this project.