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Quality Improvement Advisory Board
There are currently 13 members who make up the Quality Improvement Advisory Board (QIAB). They represent the broad scope of veterinary care, as well as human care.
Members of the QIAB were selected by RCVS Knowledge for their drive and commitment to good clinical practice and quality improvement.
Pam Mosedale BVetMed MRCVS, Chair of QIAB
Pam qualified from the RVC in 1979 and worked in mixed practice for the first part of her career, then was a partner in a small animal hospital for 17 years.
Pam joins the RCVS Knowledge QIAB as the Chair of the Board, having had extensive involvement with the college. She was a Practice Standards Inspector from the beginning of the BSAVA practice standards scheme and continued with the RCVS scheme, becoming Senior Inspector before moving on to become an independent veterinary investigator.
Pam has been Lead Assessor for the Practice Standards Scheme since April 2015. She has been involved in assessor training, with particular focus on the consistency of assessment and welcomed the increased emphasis on quality improvement and clinical governance, clinical effectiveness and audit in the new scheme.
She has been a member of BSAVA committees and, as a BSAVA representative on the Practice Standards Group for the last few years, she is always keen to encourage feedback from members.
Pam is editor of the BSAVA Guide to the Use of Veterinary Medicines, an SQP assessor for AMTRA and still does some locum work in her spare time.
Pam first got involved in clinical governance when on BVHA council when she started to look into whether clinical audit could be applied to veterinary practices. She wrote the first article published in the UK on clinical audit in veterinary practices in 1999.
Pam has spoken at BSAVA Congress, BVNA congress, SPVS Congress, BEVA clinical audit workshops, CAW TP conference and on RCVS webinars about Clinical governance and clinical audit.
Dr Laura Playforth BVM&S MSc Adv HCP (Open) MRCVS, Vice-Chair of QIAB
Laura qualified from the University of Edinburgh in 1999. After working in a variety of small animal practices in Yorkshire for eight years, she moved into Emergency and Critical Care as a Senior Veterinary Surgeon at Vets Now.
In the early part of her career at Vets Now, Laura successfully led three different out-of-hours emergency clinics, before being promoted to the role of District Vet and then on to the Head of Veterinary Standards role. Today, she is Vets Now’s Professional Standards Director and is responsible for driving clinical and professional standards. She has extensive experience in utilising clinical benchmarking, governance and guidelines in order to embed best practice across the company's network.
More recent developments Laura and her team have led have focused on patient safety, the use of checklists and significant event review reporting. Laura also works closely with the Vets Now marketing department on a wide variety of digital content, media and PR work.
Laura has recently completed studying for an MSc in advancing healthcare practice with the Open University, which aims to develop skills in evidence-based practice, policy development and innovation to facilitate sustainable improvements in care quality. She hopes to bring a fresh and open mind to the QIAB, drawing on more than a decade of experience of clinical leadership in a nationwide provider of first-opinion emergency and critical care.
Alan Radford BSc BVSc PhD MRCVS
Alan qualified from Liverpool Veterinary School in 1993 having also obtained a BSc in molecular biology. After a short locum in Newcastle, he completed an internship in Dublin in Small Animal Medicine. He then returned to the UK to do his PhD on the mechanisms of feline calicivirus persistence. He is currently appointed as Professor of Veterinary Health Informatics at the University of Liverpool.
Alan is a member of the European Advisory Board of Cat Disease and, since 2008, has been heading up SAVSNET, the Small Animal Veterinary Surveillance Network. SAVSNET collects large volumes of companion animal electronic health data from UK veterinary practitioners and diagnostic laboratories. These are collated centrally, and used for research and surveillance. These data can also be used to describe practice variation in a range of different measures, offering exciting opportunities for clinical audit through real-time benchmarking.
Alan was the recipient of the RCVS Knowledge Golden Jubilee Grant. The funding was used to establish VETseq, a collaboration between the Veterinary School and the Centre for Genomic Research at the University of Liverpool. Visit our grants page to learn more about this exciting project.
Angela Rayner PgCertPSCHF MRCVS
Angela began her veterinary career as a registered veterinary technician in the U.S., working in small animal general and referral practice for several years before attending The Royal (Dick) School of Veterinary Studies at the University of Edinburgh. After that, she worked in general practice in Newcastle and Fife, before she was promoted to the role of Clinical Director of a practice in Edinburgh. In 2017, she became Clinical Services Manager for CVS, working alongside then Director of Clinical Services Richard Killen.
Over the past two and a half years, Angela has overseen many improvements and milestones, including the attainment of more than 100 RCVS Practice Standard Scheme Awards, the establishment and training of Heads of Quality Improvement within every practice, and the first veterinary QI report published in the UK. Angela also received an RCVS Knowledge Champion Award for her role in improving the group’s controlled drugs auditing. In 2018, Angela began an MSc in Patient Safety and Clinical Human Factors at the University of Edinburgh, with a view to completing in 2021. In August 2019, she advanced to the role of Director of Quality Improvement for CVS.
Angela is passionate about promoting and developing QI to benefit animal welfare and staff wellbeing, through collaboration with veterinary and human healthcare colleagues. She has an interest in a human factors and systems thinking approach and is excited about the future of QI within the industry.
Dr Dan O'Neill MVB BSc(hons) GPCert(SAP) GPCert(FelP) GPCert(Derm) GPCert(B&PS) PGCertVetEd FHEA MSc(VetEpi) PhD FRCVS
Dan graduated in veterinary from Dublin in 1987. After 22 years in industry as well as large and small animal general practice, he gained an MSc in epidemiology in 2009. He was awarded a PhD in 2014 at the Royal Veterinary College (RVC) for developing the VetCompass™ Programme to evaluate breed effects on the health of dogs and cats. He is now Senior Lecturer in Companion Animal Epidemiology at the RVC.
Dan has authored over 70 VetCompass™ papers since 2012 that provide welfare evidence and benchmarks relevant to UK companion animals. He has co-authored the 3rd edition of the book ‘Breed Predispositions to Disease in Dogs and Cats’ as well as a book on hamster health ‘Hamsters; in sickness and in health’. He was awarded a fellowship by RCVS in 2018 and the Blaine Award by BSAVA in 2019. His current research programme focusses on breed-related health in dogs and cats based on applying VetCompass clinical data shared from over 30% of UK vet practices.
Prof Debra Archer BVMS PhD CertES(Soft Tissue) DipECVS FRCVS FHEA
Debbie graduated from the University of Glasgow in 1996 and worked in mixed and equine practice before undertaking an equine surgical residency at the University of Liverpool in 2000. During this time Debbie gained the RCVS Certificate in Equine Surgery (soft tissue) and subsequently gained the ECVS Diploma in Equine Surgery in 2004. She completed a PhD between 2003-2006 investigating the Epidemiology of colic at the University of Liverpool. Debbie was appointed as Senior Lecturer in Equine Soft Tissue Surgery in 2006 and subsequently as Professor of equine surgery in 2013. She divides her time between performing equine clinical work and teaching at the Philip Leverhulme Equine Hospital and performing research within the Department of Epidemiology and Population Health (Institute of Global Health, University of Liverpool). Her clinical interest include all aspects of abdominal surgery, upper respiratory tract and urogenital conditions including laser surgery and laparoscopic surgery and management of traumatic injuries. She is head of Equine Surgery at The University of Liverpool and is leading an International Colic Audit (INCISE project) and randomised controlled trial investigating lidocaine in horses following small intestinal surgery (CHARIOT study).
Elizabeth Cox RVN
Liz works for IVC Evidensia as their Group Nursing Advisor. Liz is an elected member of RCVS VN council and RCVS council. Liz was VNC Chairman from 2015-2018 and works on various committees and working groups including VN Futures, and chairing the Schedule 3 review working party.
Liz has a wide range of experience having worked for single handed practice to large veterinary hospitals, working for both private and corporate groups and Bristol University. She is passionate about the Veterinary Nursing profession, and its future. She has a particular interest in the utilisation and development of veterinary nurse's skills and knowledge in practice, and is keen to encourage nurses to drive and develop their own profession.
As a Registered Veterinary Nurse and PSS Advocate, Liz is keen for audits to become more commonplace in veterinary practice. She believes that the development and understanding of the importance and relevance of clinical governance is long overdue in general practice and that nurse engagement will be the key to its success.
Liz hopes that her passion for the Veterinary Nursing profession and her desire to make clinical governance and audit accessible to all will make her an invaluable member of the QIAB.
Huw Stacey BVetMed DipAS(CABC) MRCVS
Having graduated from The Royal Veterinary College in 2000, Huw spent ten years in first opinion veterinary practice, beginning in rural North Devon, where he performed a mix of small animal, farm, equine and zoo work. During the Foot and Mouth outbreak of 2001, he was seconded to MAFF in a TVI role.
After four years he transitioned into small animal practice, concurrently undertaking a three-year postgraduate diploma in companion animal behaviour counselling at the University of Southampton.
In 2011, after a short time in industry, he joined what would become the Pets at Home Vet Group as Commercial Manager. He now holds the position of Director of Clinical Services for the group and is responsible for clinical governance and standards across its 450 first opinion veterinary practices.
Liz Branscombe DipAVN(Surgical) RVN, Board of Trustees Representative
Liz qualified as a Veterinary Nurse in 1986, initially working in small animal and mixed practice until she joined a private referral practice in 1989, subsequently, she worked at the Royal Veterinary College as a Senior Surgery Nurse between 1993 and 1997. Liz has been employed at Davies Veterinary Specialists since its inception in 1998 undertaking a variety of clinical nursing roles. Liz is currently the Training Manager with responsibility for the development of induction training programmes for all new employees and the planning and implementation of in-house and external training for team members. Liz is proud to have been an elected member of RCVS VN Council from 2006 to 2015 (Chairman 2009-2012), during which time significant milestones for the Veterinary Nursing profession were achieved culminating in Statutory Regulation.
Lizzy Whiting BVSc Cert AVP MRCVS
Lizzy graduated with commendation from Liverpool University in 2001. Her first job was in a rural mixed practice in Staffordshire before she moved to Cornwall in 2007, where she attained the Royal College of Veterinary Surgeons Certificate of Advanced Veterinary Practice with modules in anaesthesia and pain relief, surgery and medicine. Lizzy is currently taking 2 further C modules in Small animal orthopaedics to aim for her Cert SAS.
Her interests in practice revolves around surgery, including orthopaedic procedures, feline medicine, behaviour in both cats and dogs and osteoarthritis management. Lizzy was the first vet in Cornwall to use stem cell therapy to help an arthritic dog, and includes it as part of the management options for this debilitating disease. Lizzy was elected President of the Cornwall Veterinary Association and initiated the annual day of lectures for vets and nurses across the county. More recently, she has become involved in a national support group for veterinary professionals, which is proving to be both challenging and rewarding.
Lizzy has been an active supporter of QI in practice, leading regular meetings and finding solutions to implement improvements across many areas; including anaesthesia, analgesia, geriatric medicine and compiling clinical guidelines. She was delighted to recently be awarded Highly Commended runner up for our 2020 Knowledge Awards. She is looking forward to being involved in supporting QI in a more formal position and to be able to share her enthusiasm with other members of the profession.
Margaret Mary Devaney BA RGN
Margaret was invited to join the Quality Improvement Advisory Board in 2018. She brings with her the unique experience and perspective of an NHS improver. As well as being a registered nurse, she is the Head of Patient Safety at the Royal Free London NHS Foundation Trust.
Since qualifying in 1994, Margaret Mary has worked within the NHS, predominantly in high risk critical coronary care and resuscitation care systems. It was here that she found her passion for system-based approaches to improving quality and safety.
In 2013-15 Margaret Mary undertook a Quality Improvement Advisor post with the Academic Health Science Network UCL Partners, to facilitate building improvement capabilities across several formats. Through completion of the Improvement Advisor Programme in 2017 with the Institute for Healthcare Improvement (IHI), she has continued to develop her in-depth understanding of improvement science theory and the application of improvement tools.
In her current role at the Royal Free, Margaret Mary leads a team of improvement facilitators delivering a three-year patient safety programme. The programme aims to reduce avoidable harm by 50% by 2020.
Outside of work, Margaret Mary has volunteered with a local RSPCA centre; and more recently adopted two energetic kitten siblings, Alice & Hector, from the RSPCA centre in Bedfordshire.
Dr Marnie Brennan BVMS DipECVPH BSc MRCVS
Marnie Brennan is Assistant Professor in Epidemiology at the School of Veterinary Medicine and Science, University of Nottingham. She is a veterinary science graduate from Murdoch University in Perth, Australia. After practising in Australia and the UK, she worked with the Department for Environment, Food & Rural Affairs (DEFRA) for a short time before completing a PhD in veterinary epidemiology at the University of Liverpool. She joined the University of Nottingham in 2009.
Marnie is the Deputy Director of the Centre for Evidence-based Veterinary Medicine, where she is involved in a number of projects working directly with practitioners and owners. The Centre aims to enhance the research that is used in clinical decision making by facilitating veterinary surgeons and veterinary nurses becoming involved in research prioritisation and enhancing their role as consumers of research. This includes the creation of BestBETs for Vets, an online evidence resource, and the use of clinical audit, and other quality improvement methods in clinical practice.
Marnie is also the creator & coordinator of a postgraduate modular training course for veterinary surgeons and veterinary nurses on how to integrate the principles of evidence-based veterinary medicine into practice. She is particularly interested in helping the profession to overcome the challenges associated with conducting clinical audit in ambulatory practice, and the additional benefits that can be gained as a result of undertaking these activities such as job satisfaction and enhanced clinical decision making.
Marnie hopes to bring a realistic and pragmatic approach to the QI board, including helping to design strategies that enable all types of practice to be able to regularly undertake quality improvement activities.
Paul Pollard MVB CertAVP(VC) MRCVS
Paul graduated from the University College Dublin in 1990 and has mainly worked in first opinion practice since. He was the clinical director of a large veterinary hospital in the Isle of Wight before moving to London in 2015 to work for the RVC.
Paul is the head veterinary surgeon at the RVC's first opinion teaching hospital in Camden and has responsibility for the students education while on rotation. Paul's main clinical interest is cardiology.
Clinical audits are completed monthly within the hospital to ensure their work is based on current evidence and best practice. Paul hopes to bring to the QI board a realistic expectation of what is capable within a busy practice environment.
Paul has a post graduate certificate in veterinary cardiology and diploma in veterinary education. Paul has twice been awarded the Jim Bee Educator prize. This is awarded to recognise RVC staff who excel in providing an excellent student learning experience..
In his spare time he regularly visits a charity, Animalaid Unlimited, in India which looks after street dogs, cows and a variety of other animals, where he acts as an advisor to the team who run the shelter.
Participation in the QIAB
Quality improvement is an inclusive initiative and we encourage all members of the veterinary profession to share their knowledge to help provide the best possible care.
If you would like to raise a specific issue for consideration, please contact us firstname.lastname@example.org
Terms of Reference
The Terms of Reference for the QIAB are available to view and download from the 'Related documents' box.