Download Dr Simon Nadel Consultant Paediatric Intensivist Department of

Dr Simon Nadel
Consultant Paediatric Intensivist
Department of Paediatrics
St Mary's Hospital
Praed Street
London W2 1NY
Rt. Hon. Jeremy Hunt MP
Secretary of State for Health
Department of Health
Richmond House
79 Whitehall
LONDON SW1A 2NS
9 January 2014
Dear Secretary of State,
Meningitis and meningococcal disease are not only a parent’s greatest fear, but also a
clinician’s. This is due to the difficulty in diagnosis, the speed with which the disease strikes
and its severity.
The three meningitis vaccinations already in the Childhood Immunisation Programme (Hib,
meningococcal C and pneumococcal) have been successful in addressing what used to be
major causes of meningitis and septicaemia in the UK. Even before these vaccines were
introduced, the leading cause of bacterial meningitis was meningococcal group B (MenB)
infection, which affects on average over 1000 people a year, primarily children.
A MenB vaccine is now licensed. While data regarding efficacy and effectiveness are not yet
available due to the fact that it has not been introduced widely, the vaccine is estimated to
cover 88% of MenB disease in the UK (JCVI minutes 02 October 2013).
We read with interest the Joint Committee on Vaccination & Immunisation (JCVI)’s interim
position statement in July regarding the licensed MenB vaccine, in which there was a call for
further submissions from stakeholders.
It is vital the JCVI’s interim conclusions are re-evaluated because of the following:
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The health burden associated with MenB disease is far reaching and has not been
adequately reflected in the cost effectiveness analysis (CEA) considered by the JCVI.
The proportion of survivors with after effects was underestimated.
Quality of life impact on carers was not included, although it is legitimate to consider this
within NICE Cost Effectiveness Analysis guidelines.
The method used to measure quality of life impact cannot identify impacts in young
children who represent the majority of MenB cases.
Discounting health benefits of the vaccine at 3.5% dramatically reduces health benefits
that extend into the future. Other public health interventions, including CEA for previous
vaccines have been discounted at 1.5% to compensate for this.
The costs of MenB disease to the NHS have been underestimated. The analysis did not
take into account the millions of pounds paid out every year by the NHS Litigation
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Authority in legal costs for clinical negligence claims relating to meningitis. The
extensive costs of ongoing treatment for some serious after effects were also not
included.
There has been no consideration of the wider benefits beyond the scope of the CEA.
For example many survivors of meningitis and septicaemia will need ongoing
educational and financial support as a result of this disease, resulting in a burden to
other government departments beyond the NHS.
We urge that the JCVI employs a flexible approach, and still considers the vaccine if it
exceeds the cost effectiveness threshold through the application of “special
circumstances” (Rawlins M, Barnett D, Stevens A. Pharmacoeconomics: NICE’s
approach to decision making. British Journal of Clinical Pharmacology 2009; 70(3): 346349), if there are sufficient justifications.
The issue of cost-effectiveness must be fully and properly understood so that a viable basis
for the pricing and purchase of the vaccine can be established.
We are aware that the JCVI met on 2 October to consider stakeholder responses. We
welcome their subsequent statement that new and recently-published evidence received in
these submissions will be considered and analysed. We support the need for more data on
this new vaccine regarding its effectiveness, duration of protection and impact on
meningococcal carriage and transmission.
It is a cause for concern to us that after years of research, a vaccine which could prevent a
significant proportion of cases of this dreadful disease might simply be shelved. It is hard to
see how this could do anything other than discourage further research into other novel
vaccines. If the UK does not take the lead and give a clear message that it genuinely
supports innovative vaccine development, the negative impact on both disease prevention
and future vaccine research could have very wide and unwanted implications.
The UK has amongst the worst child health outcomes in Western Europe (Wolfe et al: Health
services for children in Western Europe. Lancet 2013; 381: 1224–34), and you have the
opportunity to make an immediate and positive impact on this through the introduction of this
new vaccine.
As Secretary of State for Health, we urge you to make the right decision for children in
the UK. We encourage you to:
1. Ensure that the further deliberations of the JCVI are concluded as swiftly as possible.
2. Introduce this MenB vaccine for infants and adolescents outright, or at least in a UK wide
population-based evaluation, as soon as possible. In the initial JCVI interim position
statement, it is suggested that a population-based evaluation could be the way forward.
This will not only save lives and prevent disability, but will enable the collection of
important data and allow continued investment in vaccine development, if appropriate.
3. Ensure that the Section 7a discussions between NHS England and the Department of
Health to make arrangements for the introduction of the new vaccine are concluded
quickly to avoid any delay to subsequent availability.
We look forward to hearing from you.
Yours sincerely,
Dr Simon Nadel, Consultant in Paediatric Intensive Care, St Mary’s Hospital, London
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Professor Dlawer Ala'Aldeen, Professor of Clinical Microbiology, University of Nottingham
Dr Tom Allport, Senior Paediatrician, North Bristol NHS Trust
Dr Lorraine Als, Research Associate, Imperial College London
Dr Ed Bache, Consultant Orthopaedic Surgeon, Birmingham Children's Hospital
Dr Paul Baines, PICU Consultant, Alder Hey Children's Hospital
Dr Nick Beeching, Senior Lecturer in Infectious Diseases and Clinical Director, Liverpool
School of Tropical Medicine
Dr Sumit Bokhandi, Consultant Paediatrician and Specialty Tutor in Paediatrics, Poole
Hospital NHS Foundation Trust
Dr Jennie Borg, Research Psychologist, University College London
Dr Emma Bould, Consultant Paediatric Intensivist, Royal London Hospital
Professor Philip Butcher, Professor of Molecular Medical Microbiology, St George's
University of London
Professor Enitan Carrol, Chair in Paediatric Infection, University of Liverpool
Dr Paul Carter, Retired Consultant Paediatrician, Walsall Community Trust
Dr Bambos Charalambous, Senior Lecturer in Clinical Microbiology, Royal Free & University
College Medical School
Dr Beth Cheesebrough, Research Fellow in Paediatric Infectious Diseases, Imperial College
London
Dr Deborah Christie, Consultant Clinical Psychologist, University College London Hospitals
NHS Foundation Trust
Dr Stuart Clarke, Reader in Infectious Disease Epidemiology, University of Southampton
Professor Jonathan Cohen, Emeritus Professor, Brighton and Sussex Medical School
Dr Mehrengise Cooper, Consultant Paediatric Intensivist and Paediatric Tutor, Imperial
College London
Dr Sian Cooper, Consultant Paediatric Intensivist, Leeds General Infirmary
Dr Aubrey Cunningham, Senior Lecturer in Paediatric Infectious Diseases, Imperial College
London
Dr Andrew Curran, Consultant Paediatric Neurologist, Alder Hey Children's Hospital
Dr Ffion Davies, Consultant in Emergency Medicine, Leicester Royal Infirmary
Dr Patrick Davies, Clinical Lead, Paediatric Intensive Care Unit, Nottingham Children's
Hospital
Dr Naomi Davis, Consultant in Paediatric Orthopaedic Surgery, Royal Manchester Children’s
Hospital
Dr Mathew Diggle, Clinical Lead for Molecular Diagnostics, Nottingham University Hospitals
NHS Trust
Dr Garth Dixon, Consultant Paediatric Microbiologist, Great Ormond Street Hospital
Dr Liam Dorris, Paediatric Neuropsychologist, Royal Hospital for Sick Children (Yorkhill)
Dr Nicholas Embleton, Consultant Neonatal Paediatrician, Newcastle Hospitals NHS
Foundation Trust
Ms Sian Falder, Consultant Plastic Surgeon, Alder Hey Children's Hospital
3
Dr Helen Fardy, Consultant Paediatrician, University Hospital of Wales
Professor Saul Faust, Honorary Consultant Paediatrician and Director, NIHR Wellcome
Trust Clinical Research Facility, University of Southampton
Dr Eva Galiza, Research Fellow, Paediatric Infectious Diseases, St Georges University of
London
Professor Elena Garralda, Emeritus Professor of Child and Adolescent Psychiatry, Imperial
College London
Dr Stephen Granier, General Practitioner, Whiteladies Medical Group Bristol
Dr Jim Gray, Consultant Microbiologist, Birmingham Children's Hospital
Dr Martin Gray, Director PICU, St George's Hospital London
Professor George Griffin, Professor of Infectious Diseases and Medicine / Honorary
Consultant Physician, St George's University of London/ St George's Hospital
Dr Scott Hackett, Consultant in Paediatric Infectious Diseases and Immunology, Birmingham
Heartlands Hospital
Dr Rosie Hague, Consultant in Paediatric Infectious Diseases and Immunology, NHS
Greater Glasgow and Clyde
Ms Caroline Haines, Consultant Nurse PICU/HDU, Bristol Royal Hospital for Children
Dr Steven Hancock, Lead Consultant (Paediatrics), Embrace Yorkshire & Humber Infant &
Children's Transport Service
Mr Andrew Harvey, Research Nurse, Bristol Royal Infirmary
Professor Paul Heath, Professor in Paediatric Infectious Diseases /Honorary Consultant in
Paediatric Infectious Diseases, St George's University of London/ St George's Hospital
Dr Jethro Herberg, Senior Lecturer in Paediatric Infectious Diseases, Imperial College
London
Dr Lee Hudson, Consultant Paediatrician, Great Ormond Street Hospital
Dr Mike Hudson, Honorary Senior Lecturer in the Department of Paediatrics, Imperial
College London
Dr Warren Hyer, Consultant Paediatrician and Consultant Paediatric Gastroenterologist, St
Mark’s Hospital and Chelsea and Westminster Hospital, London
Dr David Inwald, Consultant in Paediatric Critical Care Medicine, St Mary's Hospital
Dr Hannah Jones, Post Doctoral Researcher, Institute of Child Health, University College
London
Dr Laura Jones, Consultant in Paediatric Diseases, Royal Hospital for Sick Children
Edinburgh
Professor Beate Kampmann, Professor of Paediatric Infection & Immunity, Imperial College
London
Dr George Kassianos, Immunisation Lead, Royal College of General Practitioners
Dr Dominic Kelly, Consultant in Paediatrics and Paediatric Infectious Disease, Oxford
University Hospitals NHS Trust
Dr Julia Kenny, Senior Clinical Research Fellow, Institute of Child Health, University College
London
Dr Steve Kerr, Consultant in Paediatric Intensive Care Medicine, Alder Hey Children's
Hospital
4
Professor Nigel Klein, Consultant in Paediatric Infectious Diseases and Immunology, Great
Ormond Street Hospital
Professor Simon Kroll, Professor of Paediatrics and Infectious Diseases, Imperial College
London
Professor Jai Kulkarni, Consultant in Rehabilitation Medicine, University Hospital of South
Manchester
Professor Harold Lambert, Emeritus Professor of Microbial Diseases, St George's Hospital
London
Dr Nick Lessof, Consultant Paediatrician, Great Ormond Street Hospital
Dr Paula Lister, Paediatric and Neonatal Intensivist, Great Ormond Street Hospital
Dr Hermione Lyall, Consultant in Paediatric Infectious Diseases, Imperial College London
Dr Nathalie MacDermott, Paediatric Speciality Trainee, Cwm Taf NHS Trust and Honorary
Clinical Research Fellow at Imperial College London
Dr Roderick MacFaul, Consultant Paediatrician, Pinderfields General Hospital
Dr Iain MacIntosh, Consultant Paediatric Intensivist & Director PICU, Southampton General
Hospital
Mrs Chris Mackerness, Senior Sister, PICU, Great North Children's Hospital Newcastle
Dr Ian Maconochie, Lead Consultant in Paediatric Emergency Medicine, Imperial College
Healthcare NHS Trust
Dr Robin Marlow, Research Fellow, University of Bristol
Dr Nuria Martinez-Alier, Paediatric Consultant in Infectious Diseases and Immunology,
Evelina London Children’s Hospital
Dr Georgios Mavrogeorgos, Paediatric SHO, St George's Hospital London
Dr Antoinette McAulay, Consultant Paediatrician, Poole Hospital NHS Foundation Trust
Dr Jillian McFadzean, Clinical Lead for PICU, Royal Hospital for Sick Children, Edinburgh
Dr Fiona McGill, Clinical Research Fellow, University of Liverpool
Dr Michael McIntyre, Consultant Microbiologist, Wexham Park Hospital
Dr Alison McKendrick, Consultant in Rehabilitation Medicine, University Hospital of South
Manchester
Ms Sheila McQueen, Head of Health, Community and Education Department, Northumbria
University
Dr Esse Menson, Consultant in Paediatric Infectious Diseases and Immunology, Evelina
London Children’s Hospital
Dr Benedict Michael, NIHR Doctoral Research Fellow, University of Liverpool
Dr Siraj Misbah, Consultant Clinical Immunologist, Oxford Radcliffe Hospitals NHS Trust
Dr Fergal Monsell, Consultant Paediatric Orthopaedic Surgeon, Bristol Royal Hospital for
Children
Professor Richard Moxon, Emeritus Professor Paediatrics, University of Oxford
Dr Linda Murdoch, Consultant in Paediatric Intensive Care, St George's Hospital London
Dr Fiona Neely, Consultant in Health Protection/Public Health
Dr Nelly Ninis, Consultant Paediatrician, St Mary’s Hospital, London
5
Dr Vas Novelli, Consultant in Paediatric Infectious Diseases, Great Ormond Street Hospital
Dr Ifeanyichukwu Okike, Clinical Research Fellow, St George’s University of London
Professor Mark Pallen, Head of the Division of Microbiology and Infection, Warwick Medical
School
Dr Kamal Patel, Consultant Paediatrician in Critical & Emergency Care, Royal Alexandra
Children's Hospital Brighton
Dr Nazima Pathan, University Lecturer and Consultant in Paediatric Intensive Care,
University of Cambridge and Addenbrooke’s Hospital
Dr Mark Peters, Consultant Paediatric Intensivist, Great Ormond Street Hospital
Dr Stephen Playfor, Consultant Paediatric Intensivist, Royal Manchester Children’s Hospital
Dr Jane Ratcliffe, Consultant in Paediatric Intensive Care, Alder Hey Children’s Hospital
Dr Martin Richardson, Consultant Paediatrician, Peterborough Hospital
Dr Anna Riddell, Paediatric Service Director, Royal London Hospital
Dr Christine Rollier, Post Doctoral Research Associate, University of Oxford
Ms Gael Rolls, Senior Charge Nurse/Critical Care Co-ordinator, Yorkhill Hospital
Dr Robert Ross-Russell, Consultant Paediatrician, Addenbrooke’s Hospital
Dr Manish Sadarangani, Clinical Lecturer in Paediatric Infectious Diseases and Immunology,
University of Oxford
Dr Tina Sajjanhar, Consultant in Paediatric Emergency Medicine, University Hospital
Lewisham
Dr Julian Sandell, Consultant in Paediatric Emergency Medicine, Poole Hospital NHS
Foundation Trust
Dr Martin Schweiger, Trustee, Thackray Medical Research Trust
Dr Andrew Seaton, Consultant in Infectious Diseases, NHS Greater Glasgow and Clyde
Dr Tim Sell, Clinical Research Fellow, Oxford Vaccine Group
Professor Michael Shields, Professor of Child Health & Consultant Paediatrician, Queen's
University of Belfast & Royal Belfast Hospital for Sick Children
Dr Delaine Shingadia, Consultant in Paediatric Infectious Diseases, Great Ormond Street
Hospital
Dr Matthew Snape, Consultant in General Paediatrics and Vaccinology, Oxford University
Hospitals NHS Trust
Dr Yogi Thakker, Consultant Paediatrician, Milton Keynes Community Health Services
Dr Alistair Thomson, Consultant Paediatrician, Leighton Hospital
Dr Kent Thorburn, Consultant in Paediatric Intensive Care Medicine, Alder Hey Children’s
Hospital
Dr Guy Thwaites, Clinical Reader in Infectious Diseases, King's College London
Dr Mark Tighe, Consultant Paediatrician, Poole Hospital NHS Foundation Trust
Dr David Turner, Clinical Associate Professor and Honorary Consultant Microbiologist,
University of Nottingham and Nottingham University Hospitals NHS Trust
Dr Sam Walters, Consultant in Paediatric Infectious Diseases, Imperial College London
6
Dr Gabriel Whitlingum, Consultant Paediatrician - Neurodisability, Royal Hampshire County
Hospital
Dr Tim Whittington, Consultant Paediatric Intensivist, John Radcliffe Hospital
Dr Ed Wilkins, Clinical Director of Infectious Diseases, North Manchester General Hospital
Dr Andrew Winrow, Consultant Paediatrician, Kingston Hospital
Dr Katie Yallop, Paediatric Registrar, Winchester Hospital
Dr Robert Yates, Consultant in Paediatric Intensive Care, Royal Manchester Children's
Hospital
Additional names since 13 January 2014
Dr Rachel Agbeko, Consultant Paediatric Intensivist, Newcastle Hospitals NHS Foundation
Trust
Dr John Alexander, Consultant in Paediatric Intensive Care, University Hospital of North
Staffordshire
Dr Tariq Ali, Director Paediatric Critical Care, John Radcliffe Hospital, Oxford
Dr Rim Al-Samsam, Consultant Paediatric Intensive Care, Cardiff and Vale University Health
Board
Dr Jacky Anderson, GP, Camberley, Surrey
Professor Peter Andrew, Professor of Microbial Pathogenesis, University of Leicester
Professor Jonathan Austyn, Professor of Immunobiology, John Radcliffe Hospital Oxford
Ms Helen Avila, Senior Sister PICU, St Mary's Hospital
Dr Jay Bannerjee, Consultant in Emergency Medicine & Associate Medical Director for
Clinical Quality & Improvement, University Hospitals of Leicester NHS Trust
Dr Chris Bayliss, Lecturer in Bacterial Genetics, University of Leicester
Dr Jane Bayreuther, Consultant in Paediatrics and Paediatric Emergency Medicine,
Lewisham and Greenwich NHS Trust
Dr Colin Begg, Consultant Paediatric Intensivist, Royal Hospital for Sick Children Yorkhill
Ms Toni Berry- Brown, Sister, PICU, Royal Manchester Children’s Hospital
Professor Mitch Blair, Officer for Health Promotion, RCPCH
Ms Nicola Booth, RGN, Northern Lincolnshire and Goole Hospital's NHS Foundation Trust
Ms Daniella Boyle, Student Paediatric Nurse, Darent Valley Hospital
Dr Charlotte Briar, Fellow in Extracorporeal Membrane Oxygenation, Great Ormond Street
Hospital
Dr Penelope Brock, Consultant Oncologist, Great Ormond Street Hospital
Ms Jayne Brown, Specialist Community Public Health Nurse, Norfolk and Norwich University
Hospital Trust
Dr Angela Brueggemann, University Research Lecturer and Wellcome Trust Career
Development Fellow, University of Oxford
Mr David Burford, Advanced Nurse Practitioner, PICU, Birmingham Children's Hospital
7
Dr Margarita Burmester, Consultant and Honorary Senior Lecturer/Clinical Lead Paediatric
Intensive Care/ Director SPRinT Programme, Royal Brompton Hospital
Dr Fiona Burton, Consultant in Emergency Medicine, Hairmyres Hospital
Ms Emma Bushell, Senior Sister PICU, St Mary's Hospital
Professor Gary Butler, Professor and Consultant in Paediatric & Adolescent Medicine and
Endocrinology, University College London Hospital & UCL Institute of Child Health
Ms Tracy Caiger, ENA Emergency Nurse Assistant, Winey Minor Injury Unit, Oxfordshire
Ms Cheryl Chainey, Advance Nurse Practitioner in Paediatric Emergency Care, Royal
Bournemouth Hospital
Ms Lesley Chandler, Health Protection Nurse, Wessex Centre
Dr Emily Chesshyre, Registrar in Paediatric Infectious Diseases, Bristol Children's Hospital
Dr Myron Christodoulides, Chairman of Scientific and Medical Advisory Panel, MenNow and
University of Southampton
Dr Matthew Christopherson, Consultant Paediatric Intensivist, Bristol Royal Hospital for
Children
Dr Angela Clayton, Lead Biomedical Scientist Neuropathology Dept., Royal Preston Hospital
Ms Nicola Clissold, Staff Nurse, Paediatric Intensive Care Unit, Birmingham Children's
Hospital
Dr Jane Connell, Consultant Paediatrician, Stepping Hill Hospital, Stockport NHS
Foundation Trust
Ms Joanne Connolly, Matron for Children and Young People, Furness General Hospital
Ms Lisa Cooke, Senior Staff Nurse, PICU, Great Ormond Street Hospital
Ms Wendy Dadson, Senior Sister PICU, St Mary's Hospital, London
Ms Linda Daniel, Programme Manager Clinical Strategy (South Yorkshire and Bassetlaw),
NHS England
Dr Jonathan Davis, Consultant in Neonatal Medicine and NICU Infection Lead, St Michaels
Hospital
Dr Peter Davis, Consultant Paediatric Intensivist, Bristol Royal Hospital for Children
Ms Leigh De Souza, Advanced Nurse Practitioner, Orchard Practice, Chessington, Surrey
Dr Winnie Dhaliwal, Teaching Fellow in Infectious Diseases, University of St Andrews
Dr Nigel Dickson, GP, St Denys Surgery, Southampton
Professor David Dockrell, Consultant in Communicable Diseases, Royal Hallamshire
Hospital, Sheffield
Professor Gordon Dougan, Head of Microbial Pathogenesis Group, Wellcome Trust Sanger
Institute, Cambridge
Dr Pam D'Silva, PICU Consultant, King's College Hospital
Dr Heather Duncan, Consultant in Paediatric Intensive Care, Birmingham Children's Hospital
Ms Janet Edmunds, Lead Nurse Looked After Children Hywel DDa Health Board, Glangwili
Hospital, Carmarthen
Ms Sam Ellis, Lecturer Practitioner PICU, Alder Hey NHS Foundation Trust
8
Dr Marieke Emonts, Consultant in Paediatric Infectious Diseases and Immunology, Royal
Victoria Infirmary, Newcastle upon Tyne
Dr Peter M B English, Consultant in Public Health/ Health Protection
Professor Tom Evans, Professor of Molecular Microbiology, University of Glasgow
Ms Margaret Farley, Lead Nurse Extracorporeal Life Support, PICU, Birmingham Children's
Hospital NHS Foundation Trust
Dr Mark Farrington, Honorary Consultant Microbiologist, Cambridge University Hospitals
Ms Calandra Feather, Staff Nurse PICU, St Mary's Hospital
Dr Michael Fernando, Consultant Paediatrician, Yeovil District Hospital
Dr Katy Fidler, Consultant in Paediatric Infectious Diseases, Royal Alexandra Children's
Hospital, Brighton
Dr Caroline Finlayson, Consultant Histopathologist, St George's Hospital
Professor Peter Fleming, Consultant Paediatrician, University Hospitals Bristol
Dr Peter-Marc Fortune, Consultant Paediatric Intensivist / Associate Clinical Head, Royal
Manchester Children’s Hospital
Dr James Fraser, Consultant in Paediatric Intensive Care, Bristol Royal Hospital for Children
Ms Hannah Frederick, PICU Staff Nurse, Alder Hey Children's Hospital
Professor Neil French, Chair of Infectious Diseases & Global Health & Hon Consultant
Infectious Diseases, Royal Liverpool & Broadgreen University Hospital Trust & University of
Liverpool
Dr Malcolm Gajraj, Consultant Paediatric Intensivist, University Hospital of Wales, Cardiff
Dr Sandra Gala-Peralta, Royal Brompton Hospital
Dr Darren Gates, Paediatric Registrar, Alder Hey Children's Hospital
Dr Judith Gilchrist, Consultant Paediatric Emergency Medicine, Sheffield Children's NHS
Foundation Trust
Dr Diane Gindner, Consultant Paediatrician, Milton Keynes Community Health Services
Dr Ardiana Gjini, Consultant in Public Health, University of Bristol
Dr Effrossyni Gkrania-Klotsas, Consultant in Infectious Diseases, Addenbrooke’s Hospital,
Cambridge
Dr Mo Gnanalingham, Consultant in Paediatric Intensive Care, Royal Manchester Children's
Hospital
Dr Lucy Grain, Consultant Paediatrician, Great Western Hospital, Swindon
Miss Joanne Greaves, Practice Nurse, St Mary's Surgery, Cambridgeshire
Mr Steve Grimbleby, Paediatric Nurse, Heatherwood and Wexham Park NHS Foundation
Trust
Dr Anil Gupta, Consultant Paediatrician, North Tees and Hartlepool NHS Foundation Trust
Dr Rajeev Gupta, Consultant Paediatrician & Hon Senior Clinical Lecturer, Barnsley
Foundation Hospital & University of Sheffield
Ms Juliette Hall, Staff Nurse, Emergency Department, Lister Hospital Stevenage
Ms Rachel Hancock, Junior Sister PICU, Birmingham Children’s Hospital
Miss Rosie Hanna, Senior Staff Nurse, Northern Ireland Children's Hospice
9
Dr Sara Hanna, Clinical Director and Consultant in Intensive Care, Evelina London
Children's Hospital
Dr Tim Haywood, Lead Clinician Paediatric ICU, Leeds General infirmary
Professor Andrew Heath, Chair of Cellular Immunology, University of Sheffield Medical
School
Dr Paul Heaton, Consultant Paediatrician, Yeovil District Hospital
Mrs Janet Herald, Practice Nurse, Woodlands Surgery, Banbury
Ms Yvonne Heward, Lead Nurse for Education and Workforce Development, PICU,
Birmingham Children's Hospital
Professor Adrian Hill, Director, The Jenner Institute, University of Oxford
Dr Sara-Louise Hulme, Consultant Paediatric Intensivist, Bristol Royal Hospital for Children
Ms Amelia Jackson, Birmingham Children's Hospital
Ms Sue Jarvis, Consultant Pharmacist (PICU), Bristol Royal Hospital for Children
Dr Ashok Jethwa, Victoria Park Health Centre, Leicester, GP
Dr Jolly John, Senior Clinical Medical Officer, The David Lewis Centre, Warford, Cheshire
Mr Gareth Jones, Consultant in Paediatric Intensive Care, Southampton General Hospital
Dr Hilary Jones, GP, Patron Meningitis Research Foundation, Health Editor ITV Breakfast, &
BMI Health Care, The Hampshire Clinic Basingstoke
Miss Carly Joyce, Staff nurse PICU, Birmingham Children's Hospital
Dr Angray Kang, Reader Molecular Cell Biology, Barts & The London School of Medicine
and Dentistry
Dr Jason Kendall, Consultant in Emergency Medicine, North Bristol NHS Trust
Ms Carol Kennelly, Matron, PICU & Paediatrics, St George's Hospital
Dr Daniel Khew, GP principal, Derrygonnelly Surgery, Co Fermanagh, N. Ireland
Ms Emma King, Senior Staff Nurse PICU, St Mary's Hospital
Dr Naga Kishore Puppala, Paediatric Intensive Care Trainee, Alder Hey Children's Hospital
Dr Rachel Kneen, Consultant Paediatric Neurologist, Alder Hey Children's NHS Foundation
Trust
Dr Dinakantha Kumararatne, Consultant Immunologist, Addenbrooke's Hospital, Cambridge
Professor Monica Lakhanpaul, Professor of Integrated Community Child Health, University
College London
Professor Paul Langford, Professor of Paediatric Infectious Diseases, Imperial College
London
Dr Martin Laqué, Locum Consultant Paediatric A&E, St Thomas' Hospital, London
Dr Paul Leonard, Consultant in Emergency Medicine and Paediatric Emergency Medicine,
Royal Hospital for Sick Children Edinburgh
Professor David Lewis, Professor of Clinical Vaccine Immunology, University of Surrey
Ms Nikki Lloyd, Sister NICU
Dr Joanna Longstaffe, Private GP, The Independent General Practice, Cardiff
Dr Jo Lumsden, Paediatric Intensive Care Consultant, Leeds General Infirmary
10
Dr Karen Luyt, Consultant Senior Lecturer in Neonatal Medicine, St Michael’s Hospital,
Bristol
Dr Jenny MacLennan, Clinical Researcher, University of Oxford
Dr Nick Makwana, Consultant Paediatrician, Sandwell and West Birmingham Hospitals NHS
Trust
Dr Cliff Mann, President of the College of Emergency Medicine and Consultant in Accident
and Emergency Medicine, Musgrove Park Hospital
Dr Will Marriage, Consultant in Paediatric Intensive Care, University Hospitals Bristol NHS
Foundation Trust
Ms Debbie Martin, Community Nurse, East Lothian Dementia Team
Dr Natalie Martin, Clinical Research Fellow, Oxford Vaccine Group
Dr Rosamund Marvin, ST4 in Palliative Care, Bedford Hospital
Ms Corinna Mason, Clinical Nurse Specialist, PICU, Birmingham Children’s Hospital
Ms Jane Maund, Senior Specialist Nurse, Wessex Centre
Ms Emmeline McArdle, RGN, Advantage Healthcare
Ms Juliette McArdle, Community Mental Health Nurse, Early Intervention Team, Southeast
Kent
Professor Johnjoe McFadden, Professor of Molecular Genetics, University of Surrey
Mr Nicholas Mills, Charge Nurse, Paediatric Critical Care Unit, Sheffield Children's NHS
Foundation Trust Hospital
Dr Henry Mintz, GP, Lisson Grove Health Centre
Dr James Moir, Reader, Dept of Biology, University of York
Dr Quen Mok, Consultant Paediatric and Neonatal Intensivist, Great Ormond Street Hospital
Dr Mary Montgomery, Clinical Lead, Kids Intensive Care and Decision Support, Birmingham
Children's Hospital
Dr Kevin Morris, Consultant in Paediatric Intensive Care, Birmingham Children's Hospital
Ms Rachael Morrison Advanced Nurse Practitioner, Paediatric Intensive Care, Birmingham
Children's Hospital
Dr Richard Neal, Consultant Paediatric Intensivist, Birmingham Children’s Hospital
Ms Clare Nelson, Family Nurse, Ealing Family Nurse Partnership
Dr Jane Newcombe, Research Fellow, University of Surrey
Ms Lucy Nicholson, Registered Children's Nurse and Student Health Visitor, East London
NHS Foundation Trust
Dr Tamsyn Nicole, Designated Doctor for Child Death for Somerset, Local Safeguarding
Children Board
Ms Sue Novakovic, Junior Sister PICU, Birmingham Children’s Hospital
Dr Katherine Oakley, Consultant in Palliative Medicine, St Helena Hospice, Colchester
Dr Deirdre O'Donnell, Paediatric Emergency Medicine Consultant, Sheffield Children's
Hospital NHS Foundation Trust
Dr Roddy O'Donnell, Consultant in Paediatric Intensive Care, Addenbrooke’s Hospital,
Cambridge
11
Professor Gerard O'Donoghue, Consultant ENT Surgeon, Queens Medical Centre,
Nottingham
Dr Benedicta Ogeah, Consultant Community Paediatrician, Epsom and St Helier University
Teaching Hospital
Dr Neil Oldfield, Senior Research Fellow, University of Nottingham
Dr Deirdre O'Shea, Specialist Registrar Paediatric Intensive Care, Great Ormond Street
Hospital
Mr Tim Overton, Consultant in Fetal Medicine and Obstetrics, St Michaels Hospital
Dr John Pappachan, Consultant and Honorary Senior Lecturer in Paediatric Intensive Care
Medicine, Southampton General Hospital
Dr Kate Parkins, Lead Consultant, North West and North Wales Paediatric Transport Service
Dr Stéphane Paulus, Consultant in Infectious Diseases, Alder Hey Children's NHS
Foundation Trust
Dr Lesley Peers, Consultant General Paediatrician, Sheffield Children's NHS Foundation
Trust
Dr Barbara Phillips, Retired Emergency Paediatric Consultant, Alder Hey Children's
Hospital, Liverpool
Dr Germaine Pierre, Paediatric Metabolic Consultant, Bristol Royal Hospital for Children
Dr Colin Powell, Honorary Consultant Paediatrician, Children's Hospital for Wales
Dr Umesh Prabhu, Medical Director, Wrightington, Wigan and Leigh NHS Foundation Trust
Dr Katherine Price, Consultant Paediatrician, Sheffield Children's Hospital
Mr Edicen Quintos, Staff Nurse, Critical Care Unit, UHCW NHS Trust
Dr Padmanabhan Ramnarayan, Consultant in Paediatric Intensive Care and Retrieval, Great
Ormond Street Hospital
Dr Samiran Ray, Locum Consultant, Children's Acute Transport Service London
Ms Nicola Reilly, Senior Clinical Pharmacist, Intensive Care, Alder Hey Children’s NHS
Foundation Trust
Ms Sharon Rice, Registered Adult Nurse, Kettering General Hospital, Northamptonshire
Dr Julie Richardson, Consultant Paediatric Intensivist, Royal Belfast Hospital for Sick
Children
Dr Shelley Riphagen, PICU & STRS Consultant, Evelina London Children’s Hospital
Professor Ian Roberts, Professor of Molecular Microbiology, University of Manchester
Dr Simon Robinson, Paediatric Intensivist & ECMO Consultant, Glenfield and Leicester
Royal Infirmary Hospitals
Dr Susan Robinson, Clinical Director of the Emergency Department (ED), Addenbrooke’s
Hospital, Cambridge
Dr Joan Robson, Retired Consultant in Emergency Care, Alder Hey Children's Hospital
Dr Marion Roderick, Specialist Registrar Paediatrics, Bristol Royal Hospital for Children
Ms Meg Rodgers, Treatment Room Locality Sister, Northern Trust, Northern Ireland
Dr Helen Rowlands, Paediatric Intensivist, University Hospital Southampton
12
Dr David Rowney, Consultant Anaesthesia and Intensive Care (Retrieval), Royal Hospital for
Sick Children, Edinburgh
Dr Penny Salt, Consultant Paediatrician, University College London Hospitals
Ms Gerri Sefton, Advanced Nurse Practitioner PICU, Alder Hey Children’s NHS Foundation
Trust
Ms Aileen Sharp, Neonatal Transport Nurse, West Midlands Neonatal Transfer Service
Miss Jessica Sherratt, Student Nurse, University of Greenwich
Dr Victoria Sheward, PICU Senior Registrar, Evelina London Children's Hospital
Ms Lynn Shields, Advanced Nurse Practitioner, Children's Acute Transport Service, London
Dr Dorothea Sidaras, Associate Specialist in PICU, Alder Hey Hospital, Liverpool
Professor Mervyn Singer, Professor of Intensive Care Medicine, University College London
Ms Laura Snow, Sister PICU, Evelina London Children's Hospital
Ms Linda Somner, Staff Nurse, Appleby Court Nursing Home (ex Burns Unit Royal
Manchester Children’s Hospital)
Professor David Southall, Honorary Medical Director, Maternal and Child Health Advocacy
International (MCAI)
Dr Charles Stack, Consultant Paediatric Anaesthetist and Intensivist, Sheffield Children's
NHS Foundation Trust
Ms Andrea Stanley, Paediatric Sister, Broomfield Hospital Chelmsford Essex
Ms Holly Starling-Cass, Specialist Community Public Health Nurse (Health Visiting),
Beechwood House, Whitfield
Ms Alexis Stevens, Health Protection Nurse, Wessex Centre
Dr David Stewart, Consultant Paediatric Intensivist, Royal Manchester Children's Hospital
Dr Shoeb Suryani, General Practitioner Principal, Suryani Surgery, Bilston
Ms Alison Taberner-Stokes, PICU Nursing Sister, Great Ormond Street Hospital
Dr Brent Taylor, Emeritus Professor of Community Child Health, University College London
Dr Matthew Taylor, Consultant Intensivist/Anaesthetist, Sheffield Children's Hospital
Dr Prakash Thiagarajan, Consultant General & Neonatal Paediatrician, Noble's Hospital
Dr Yamuna Thiru, Consultant Paediatric Intensivist, Newcastle Upon Tyne Hospitals NHS
Trust
Dr Matthew Thompson, Reader in Primary Care, University of Oxford Department of Primary
Care Health Sciences
Ms Amanda Tomlinson, Paediatric Nurse, Isabel Healthcare
Dr Jeremy Tong, Specialist Trainee in Paediatric Intensive Care Medicine, Birmingham
Children's Hospital
Dr Lance Turtle, NIHR Clinical Lecturer in Infectious Diseases, University of Liverpool
Dr Mamta Vaidya, Consultant, Barts Health NHS Trust
Dr Nadja van Ginneken, Research Fellow, London School of Hygiene and Tropical Medicine
Dr Tushar Vince, Consultant Paediatric Intensivist, Kings College Hospital
Dr Stephen Wadams, Consultant Paediatrician, Poole Hospital NHS Foundation Trust
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Ms Julia Waddon, Advanced Nurse Practitioner, PICU, Alder Hey Children’s Hospital
Ms Nicola Walmsley, Clinical Supervisor, Yorkshire Ambulance Service
Dr Allan Wardhaugh, Consultant Paediatric Intensivist & Clinical Director, Child Health,
University Hospital of Wales
Dr Steven Welch, Consultant in Paediatric Infectious Diseases, Heartlands Hospital,
Birmingham
Ms Wendy Wells, Health Visitor, Stafford and Stoke on Trent Partnership Trust
Ms Debbie White, Clinical Research Nurse, PICU, Addenbrooke’s Hospital, Cambridge
Mr Stephen-Andrew Whyte, Lead Clinical Pharmacist, The Portland Hospital for Women &
Children
Professor Peter Williams, Emeritus Professor of Microbiology, University of Leicester
Dr Grace Williamson, Consultant Paediatric Intensivist, Great North Children's Hospital
Dr Karl Wooldridge, Associate Professor of Microbiology, University of Nottingham
Dr Victoria Wright, Senior Research Fellow, Paediatric Infectious Diseases, Imperial College
London
Dr Paul Younge, Consultant in Emergency Medicine, North Bristol NHS Trust
Dr Deborah Zeitlin, PICU Registrar, Evelina London Children's Hospital
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