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Quality Improvement Advisory Board
There are currently ten 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.
Elizabeth Cox RVN
Liz, Chair of VN Council, is a registered veterinary nurse and is employed by Independent Vetcare as Veterinary Project Co-ordinator.
Since qualifying in 1991, Liz has gained a wide range of experience of veterinary nursing roles from single-handed practices to large veterinary hospitals, working for both private and corporate veterinary surgeries, and as a locum for Bristol University.
Since joining VN Council in 2011, Liz has worked on numerous working parties and sat on the Standards Committee and Practice Standards Group.
Whilst enjoying all aspects of the nursing role, her main interest within practice is with VN training, mentoring and supporting all staff. Liz is an experienced clinical coach and has been an RCVS nursing examiner since 2000. She is passionate about the veterinary nursing profession, and its future. She co-chairs the RCVS/BVNA VN Futures project and welcomes the change and challenges that are ahead for VNs.
As a practising nurse and a PSS advocate, Liz is keen for audits to become more common place 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.
VN Council Member category
- Elected: 2011 - 2019
- Veterinary Nurses Council (Chair)
- Operational Board
Margaret Mary Devaney BA RCN
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 aim of the programme is 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.
Simon Godsall BVSc cert SAO MSc (VetGP) DMS PDGSM MRCVS
Simon graduated from Liverpool Veterinary School in 1986. After spending some time at Cambridge University he gained a certificate in small animal orthopaedics in 1989. Following this he has worked in both referral and first opinion practices and then for the PDSA where he was involved with staff training and management as well as clinical work. Simon is currently at Damson House Vets, a small animal practice in Solihull.
Simon is a member of the VeNom Management Group. The VeNom Coding Group is a multi-institution group that includes veterinary and IT specialist members from the Royal Veterinary College, University of Glasgow Faculty of Veterinary Medicine (UGFVM), the PDSA, Cambridge Veterinary School, the University of Nottingham School of Veterinary Medicine and Science, and VetsNow. The management group guides the overall direction of the group and deals with technical and IT issues.
Karlien Heyrman BVM&S MRCVS
Karlien qualified from The University of Edinburgh in 2010 and has worked in practice in Gloucestershire, and more recently as the Clinical Services Manager at Vets4Pets and Companion Care.
After 6 years in small animal practice she joined Vets4Pets Support Office as Clinical Services Manager in April 2016 where developing a system of clinical governance for the veterinary care. This programme involves setting up the first clinical audits across 400 practices.
Karlien is also involved in creating checklists and best practice guidelines to promote a higher standard of clinical care. She has recently developed a resource toolkit to assist practices in their accreditation process with Practice Standards Scheme, including templates for standard operating procedures (SOPs), and instruction on how to hold, record, and resolve, significant event meetings and audits on a local level.
Karlien hopes to bring a different perspective to the QIAB with her experience working on large scale practice management systems (PMS), clinical audit, and reporting. Being part of the clinical and strategy team from one of the biggest veterinary groups in the UK, Karlien intends to use her network to pilot the resources developed by the QIAB. She is very keen to have more primary practice research carried out, to provide more evidence-based knowledge, relevant to first opinion practices.
Pam Mosedale BVetMed MRCVS
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 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 appointed Acting Lead Assessor and Veterinary Advisor since April 2015. She has been involved in assessor training, with particular focus on the consistency of assessment and welcomed the increased emphasis on 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.
Laura Playforth BVM&S MRCVS
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. Today, she is Vets Now’s Head of Veterinary Standards 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 clinic 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 is currently 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.
Paul Pollard MVB CertAVP(VC) MRCVS
Paul qualified from the University College Dublin in 1990. After spending some time in mixed practice in Ireland and had a role at Greenmount College where he taught Agriculture and Veterinary Nursing. His special interest areas are in ultrasound, and veterinary cardiology.
He is past Chairman of the Northern Ireland branch of the British Small Animal Veterinary Association, a term he held for three years. Having most recently come from a Hospital on the Isle of Wight where he was a Clinical Director, he is now the Head Veterinary Surgeon at the Beaumont Sainsbury Animal Hospital, the practice for the RVC.
At the Beaumont Sainsbury Animal Hospital audits are completed on a monthly basis, to ensure and promote more work based on current evidence and best practice. Paul hopes to bring to the QI Board a realistic expectation of what is capable in practice, and the drive and resources to ensure that this happens within veterinary hospitals.
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 Reader in Infection Biology 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.
Imran Rafi BSc MRCGP FRCP MSc PhD DFMS
Imran Rafi qualified as a general practitioner from Newcastle University in 1988. He also holds a bachelor’s degree in computer science and a PhD in medical oncology. Imran became member of the Royal College of General Practitioners (RCGP) in 2000 and shortly afterwards completed a Master’s degree at St George’s in Public Health Medicine. He is a Fellow of the Royal College of Physicians and obtained a Diploma in Forensic Medicine Sciences in 2009.
Dr Rafi is a GP Principal and Senior Lecturer in Primary Care Education at St George’s, University of London. He is Chair of the RCGP Clinical Innovation and Research Centre (CIRC), which oversees the clinical priority programmes and quality improvement initiatives for the College, as well has facilitating research through the RCGP Scientific Foundation board and the Research Ready scheme.
The QI work that the CIRC covers has ranged from developing QI framework in practice, work on national audits including for Cancer in Primary Care and the National Review of Asthma Deaths. The RCGP has also produced extensive educational resources, creating toolkits for implementing QI in everyday practice.
Dr Rafi has a particular interest in genetics and has been a member of the Health Education England Genome Advisory Board and the Human Genome Strategy Group Service working group. He is currently funded by Health Education England on the Masters Medical Genomics course at the University of Cambridge.
Bradley Viner BVetMed MSc(VetGP) DProf FRCVS, Chair of QIAB
Bradley Viner qualified from the Royal Veterinary College in 1978 and after a year working as an assistant established his own small animal practice in Pinner, Middlesex. This has now grown to a group of five practices in North West London, employing approximately 40 support staff and nine veterinary surgeons, including his son, Oliver.
Bradley joins the QIAB as Chair. He is also currently a Trustee for RCVS Knowledge and is Senior Vice President of the RCVS.
Bradley has been involved in a wide variety of media and PR work on radio, television, books, and the press. He has authored a range of materials and articles on clinical governance including his book Success in Veterinary Practice: Maximising Clinical Outcomes and Personal Wellbeing (Wiley, 2010).
He is best known within the veterinary profession for his regular 'Reflections' column in the Veterinary Times.
Bradley is an advocate for the recognition of the skills required to become an advanced general practitioner, having completed a MSc and Professional Doctorate with Middlesex University, concentrating on the application of clinical auditing to the veterinary profession.
Council Member category
- Elected 2005 - 2017
- Operational Board
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 email@example.com
Terms of Reference
The Terms of Reference for the QIAB are available to view and download from the 'Related documents' box.