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Oxford Healthcare Improvement

Supporting Oxford Health to provide safe, better quality care to its patients and improve the working lives of its staff.

Quality Improvers

Leading Quality Improvers

Cohort 1: 2018-2019

Romaine Dekker



Dr Romanie Dekker is a psychiatrist who works in Oxfordshire with people with intellectual disabilities.

She completed her medical degree and graduated in 2011 as a medical doctor in Amsterdam, the Netherlands. at the VU Vrije Universiteit Medical Centre.

She has since worked in child and adolescent psychiatry at the Bascule in Amsterdam (both inpatient and outpatient), and at Inforsa, a psychiatric intensive care unit for patients with severely disturbed behaviour in Amsterdam.

She has continued to work in psychiatry in Oxfordshire since moving to the United Kingdom in 2013, including in general adult psychiatry, older adult psychiatry, psychotherapy and group psychotherapy, intellectual disabilities psychiatry and the early intervention psychosis programme.

She became a Psychiatrist and member of the Royal College of Psychiatrists in 2016, and is specialising in working with people with intellectual disabilities.

Her special interests include autism and psychotherapy.

Nic Waddington

Service Manager


Nic has held various roles within health and social care and has experience working across the private, public and charitable sectors. Having gained a BSc (Hons) Psychology degree in 1996 from Warwick University, her focus since then has predominantly been in supporting individuals with learning disabilities and autism.

As an advocate in person centred planning, she is driven to ensure that the person is at the centre of their care, and in making reasonable adjustments to support inclusion. In the past, she has been involved in setting up new social care services, working closely with individuals, their circles of support and stakeholders across the wider system. Nic has also been a domiciliary care CQC registered manager and a team manager for specialist health learning disability community teams.

Nic has previous experience working for a business psychology consultancy, where the focus has been on playing to people’s strengths and in bringing the best out of people in the workplace. She is also a qualified psychotherapeutic counsellor.

Nic currently works as a service change manager within the Oxford Health Learning Disabilities Transformation Team, and is involved in a variety of projects with service improvement and development very much at the heart.

In her spare time, she loves to travel and spend quality time with family and friends.

Stephen Marcus

Preceptorship Lead

BSc (Hons) Emergency Care DipHE RN(A)

Stephen has recently joined Oxford Health NHS Foundation Trust after twenty years in the Royal Air Force. During his service, he has worked in various medical roles both in the UK and on operations. He is an emergency care nurse and specialised in battlefield casualty evacuation (leading teams in delivering advanced trauma in austere environments).

Stephen has also held roles with the army medical headquarters, where he planned and delivered large scale macro/meso simulation for defence healthcare validation and assurance, most notably the UK response to the Ebola outbreak in Sierra Leone (2015), and the UN mission to South Sudan (2017-2018). He has also held the senior training manager position with the Royal Air Force medical services – designing and delivering general and specialist aeromedical training to the RAF and defence.

Before 2015, Stephen worked in NHS Trauma Centres in the UK as an RAF Nursing Officer; undertook multiple deployments to Iraq and Afghanistan; and was seconded to the NHS Staff College, London, developing leadership within the NHS.

Stephen now works as the Preceptorship Lead within Learning and Development for Oxford Health.

Angus McLellan

Psychiatrist in training


Dr Angus McLellan is a psychiatrist in training, currently working in Buckinghamshire who will be working with Oxford Healthcare Improvement for one year as part of the scholars’ programme. Angus graduated from the University of Glasgow in 2013 and then worked for two years as a foundation doctor across several specialties in Glasgow and then in Oxford. Over the last three years, Angus has worked as a psychiatrist in Oxfordshire and Buckinghamshire and has worked with adults of working age, young people and older adults in both inpatient and outpatient settings.

Angus has worked on a number of quality improvement projects around antipsychotic prescribing, episodes of seclusion and physical health monitoring. Angus has a particular interest in the interactions between physical and mental health care and the impact these interactions can have on wellbeing. Angus is looking forward to learning more about quality improvement and its implementation, and hopes that programmes such as this will drive ongoing improvement throughout healthcare services now and in the future.

Beatrice Anastasiou

Joint Clinical Lead for Speech and Language Therapy


Beatrice began working as a speech and language Therapist in the Oxfordshire Adult Learning Disability Team in 2015 and now works as joint clinical lead for speech and language therapy within this team. She welcomes opportunities to continue her professional development and has completed the Oxford Health Leadership Development Programme over the past year, completing a quality improvement project as part of this which aimed to improve inclusion for people with learning disabilities within a community setting.

She enjoys attending professional conferences, including the ‘Communication Matters’ roadshow and UK Swallowing Research Group conference. She also attended the RCSLT/NIHR dysphagia priority setting workshop, where she strongly promoted the research of dysphagia in mental health and learning disabilities. She also previously researched and promoted the role a speech and language therapist has in a mental health setting, presenting this at the 2015 University of St Mark and St John’s student speech and language therapy conference.

She is involved in several projects within the trust, including the ‘look at me’ project, working with the Patient Safety Agency, (which aims to reduce deaths from aspiration and choking in adults with learning disabilities). She is also involved in work around improving transition from children’s to adult services.

Soo Yeo


BSc (Hons) Physiotherapy, Chartered Physiotherapist

Soo trained as a physiotherapist in University of Birmingham in 1998. She is passionate, committed and driven to deliver improvement, quality and safety for patients. She has special interests in rehabilitation, ambulatory care, community services and older people care.

She us also equally interested in leadership, operations and management. She is currently the operational manager for a group of four ambulatory units (Emergency Multidisciplinary Units, Hospital at Home and Rapid Access Care Unit) at the Oxford Health NHS Foundation Trust.

Soo continually seeks to understand strategy, cultivate authentic leadership and find ways to apply this to day to day operational activity and clinical leadership. She motivates and challenges herself and team members to think ‘outside the box’ and be broad thinkers and pioneers in identifying new initiatives and improvement opportunities. She has an inquiring mind and enjoys analysing and synthesising ideas and information. She is well-known for being the go-to person for change and improvement.

Soo believes in creating the capacity for dialogue, engagement, diversity and inclusion. She strives to build an environment of empowerment for the patients, staff and teams. She enjoys coaching conversations and encourages critical reflective thinking to engage all levels of the team to work together for the benefit of patient.

She is currently completing a leadership programme for senior leaders with NHS Leadership Academy.

Katie Cleaver

Emergency Planning Lead


Katie holds a first degree in business studies and a Masters degree in building technology, with a specialism in indoor air quality and sick building syndrome.  During the completion of her Masters, Katie also worked as an assistant lecturer at Massey University in New Zealand.

Following completion of her Masters, Katie moved from New Zealand to Ottawa, Canada to work for the federal government (Public Works and Government Services Canada), undertaking indoor air quality investigations of government buildings and managing remediation projects.

Katie moved to Oxford in 2003 and has worked for the NHS for 14 years in various roles including complaints, clinical governance and public health (health improvement and emergency preparedness, resilience and response).  Katie is the emergency planning lead for Oxford Health NHS Foundation Trust and has held this role for five years.  During this time Katie has also managed various projects and is a PRINCE2 practitioner and change management practitioner.  Most recently, Katie has been part of several working groups, formed by NHS England to review and develop national emergency preparedness, resilience and response guidance.

Priti Naik

Lead for Quality


Priti qualified as a registered physiotherapist in 2000 and completed her post graduate studies in 2002, specialising in orthopaedics with special interest in women’s health. She has worked in many clinical areas of physiotherapy since 2003, including acute and community inpatients, ITUs and community settings.

Priti gained team management and leadership experience in community hospitals and community services including reablement and community physiotherapy teams. She has led the integrated community services in Buckinghamshire NHS Trust, and has been a clinical educator for Oxford Brookes and Coventry University for four years.

In order to broaden her leadership and management skills, she completed a MBA from Henley Business School in 2012. As a part of the MBA course, Priti undertook consulting assignments in China and South Africa working for non-profit organisations. For her final MBA dissertation, she undertook a six month consultancy project with Pentax Lifecare Ltd, leveraging relationship marketing.

Following the management degree, she worked for the CQC’s hospital directorate in a regulatory role as a compliance inspector where she participated and led different core services in approximately 20 inspections, including acute and community NHS trusts, ambulance trusts and independent healthcare providers.

Priti now works as the Lead for Quality and CQC Standards for Oxford Health NHS Foundation Trust since May 2016 and also manages the Trust-wide clinical audit team.

Preeteema Gungah



Preeteema qualified as registered mental health nurse in 2004 and has since worked in the NHS in various mental health settings, including acute adult ward, community team and forensic wards. She joined the forensic service in 2007 and spent seven years working as a charge nurse in an inpatient forensic setting as part of front line clinical staff. During this time, she also undertook a B.Sc in psychosocial interventions for psychosis with the Thames Valley university. The focus of her service improvement as part of the B.Sc programme was on symptoms management group.

Preeteema went on to work as a ward manager for a standalone inpatient unit from 2013  to consolidate her management and leadership skills. She is currently working as a matron for two low secure units and has done so for last three years, a role which enables her to influence practice as well maintain clinical contact with patients and families.

Jessica Deguara

Clinical Lead for the Community Therapy Service


Jessica is currently the clinical lead for the community therapy service in south west Oxfordshire. She is very pleased to be part of the Oxford Healthcare Improvement team on the allied health professional scholarship programme, and relishes the opportunity to contribute to improving community care.

Jessica trained as a physiotherapist at the Middlesex Hospital, qualifying in 1989. It was there that she discovered her love of community work while completing her assignment for her degree. She then worked at the Central Middlesex Hospital in London and at St Luke’s Hospital in Headington, gaining experience of a general hospital in acute wards, outpatients musculoskeletal and geriatrics as well as running her own domiciliary practice for ten years.

She joined Oxford Health in 2001 as a community physiotherapist and has had a wealth of experience in this area including working in community, day hospital, intermediate care beds, hub beds, being a student educator and clinical coordinator.

Jessica completed a post graduate certificate in Innovations in health care settings in 2017 at Bucks New University. She is involved in the community therapy service review and uses her knowledge of improvement science to make positive changes to the service.

Jessica is a steward for the Chartered Society of Physiotherapy and is coaching on the Oxford Health leadership course.

Linda Scott

Customer Relationship Manager


Linda worked for South Central Ambulance Service (SCAS) for 24 years before joining Oxford Health in May 2015.

She is a qualified paramedic and has held a number of operational management roles. Linda spent many years running the Trust’s scheduling department which dealt with rostering, leave allocation, training for frontline operational staff and the Emergency Control Centre. In her last 2 years with the Trust she worked as the Emergency Services Manager for Oxfordshire which involved operationally managing 250 staff over 4 stations, as well as managing relationships with other NHS organisations and the CCG. She was the Mental Health lead for the area, regularly attending PIP meetings with Oxford Health and TVP and joined the project group introducing Street Triage into the area. She also met regularly with the Emergency Department team at the OUH.

In 2015 she joined Oxford Health as Staffing Solutions Manager, during her 3 years in the Trust she introduced agency frameworks, ensured the Trust was compliant with NHS Improvements agency rules, introduced the centralised bank and helped teams with their temporary staffing needs. The Staffing Solutions Team is currently undergoing a restructure and her job title has now changed to Customer Relationship Manager.

Sibongile (Sib) Nyathi

Modern Matron


Sib has worked in the NHS for the last 13 years, starting as a healthcare assistant prior to qualifying as an RMN. She has worked in male and female adult acute wards since 2010.

Sib worked as ward manager for a 26 bedded male acute ward for East London NHS FT prior to her recent appointment in Oxford Health (June 2018) as Modern Matron for Ruby Ward at the Whiteleaf Centre. She is very excited to be part of the Oxford Healthcare Improvement Scholars to improve her clinical and leadership skills in improving the quality of care for service users.

Sandra Parker

Quality & Clinical Standards Facilitator


Sandra began her career at the Nuffield Orthopaedic Centre as a Clinical Effectiveness Facilitator. This role entailed: undertaking clinical audit projects, teaching and training on clinical audit for all staff and collecting, analysing and disseminating audit results.

In 2008 Sandra joined Oxford Health as a Quality & Audit Officer with her role focusing on both national and trustwide audit projects. She has extensive experience in using a number of different electronic patient care records as well as being confident in using excel features such as pivot tables and graphs to illustrate key findings.

Most recently Sandra joined the Trust’s Older People’s Directorate as a Quality & Clinical Standards Facilitator. Her prime focus in this role is patient safety, managing risks and supports the clinical teams in driving a quality culture through continuous improvement.

In 2018 she joined the OHI’s first Improvement Scholarship cohort.

Clare McGivern



Dr Clare McGivern is a psychiatrist based in Oxford at Cotswold House Adult Eating Disorders Service. A medical graduate of National University of Ireland Galway, she commenced her psychiatry training on the Saint John of God, St. Vincent’s University Hospital, UCD Basic Specialist Training Scheme in Psychiatry, Dublin in 2013.

In 2016, she became a member of the Royal College of Psychiatrists. As a higher specialty trainee in psychiatry in Northern Ireland, she further developed an interest in eating disorders through working in liaison, community and inpatient psychiatry.

Clare holds a higher diploma in psychotherapy studies and is interested in the psychological management of eating disorders. With experience in leading change, she has collaborated with colleagues in service development and she has led on a number of quality improvement initiatives that have enhanced patient experience and contributed to improved patient outcomes. Throughout her training, Clare has been involved in teaching and she holds a masters degree in leadership in health professions education.

Chris Swindale



Biographical information coming soon.

Leading Quality Improvers

Cohort 2: 2019-2020​

Angela Brown

Team Manager


Biographical information coming soon.

Ann De Vita

Clinical Lead Physiotherapist


Biographical information coming soon.

Beris Cumming

Performance and Administration Manager

Beris Cumming is the Performance and Administration Manager for Thames Valley Tier 4 CAMHS Single Point of Access (SPA)

Beris was inspired to work for the NHS when told that her uncle was 11 years old before he was “paid for” having been a premature baby born before the NHS was formed. Unfortunately, not having a strong stomach for bodily fluids, a move towards administration was the obvious choice.

Having held various roles working directly with clinicians and indirectly through their information systems it has always been a passion to free up admin time for clinicians to given them more clinical time. Without realising it this was the beginning of the continuous improvement work and the passion for change.

Beris has worked in the NHS for 24 years, with Oxford Health for 5 years and with Thames Valley Tier 4 CAMHS SPA for 6 months. Her current role is at the start of the New Models of Care for Tier 4 CAMHS, a programme which is itself focused on improvement and the importance of getting the young person into the right bed as close to home as possible. Setting up the systems and reporting requirements for this new adventure has kept working for the NHS fresh, exciting and still inspiring.

Outside of the NHS life is all about grandchildren and spaniels.

Charlotte Forder

Information Analyst


Charlotte joined Oxford Health in 2016 as a data analyst in the Quality and Risk team. She originally trained and worked as an ecologist, before working for 10 years in a variety of roles with Baxter Healthcare, most recently being responsible for the service delivery of intravenous nutrition to Oxford hospitals. A key part of her work was to ensure all processes were subject to continuous improvement to meet with customer, quality and efficiency requirements.

Within the Quality & Risk Team Charlotte’s focus has been on the collection, analysis and presentation of incident data, alongside development of the Ulysses reporting system. Charlotte is currently seconded part time in the Business Intelligence team, where she has developed skills in the programming techniques required to manipulate the huge volume of information gathered in the Trust. A current priority for the BI team is to bring data together in a way that makes it accessible for all staff to explore and gain insights, while also ensuring it meets operational needs.

As a balance to her work Charlotte volunteers with the mental health charity Restore, visiting patients on adult acute wards to provide information about opportunities available following discharge. When younger Charlotte experienced various episodes of psychosis that resulted in inpatient and outpatient mental health care; this lived-experience drives her interest in healthcare and strengthens her commitment to use her role to support staff with improvement.

Claire Murray

Patient and Public Involvement Manager


Claire Murray is Patient and Public Involvement Manager for Oxford Health Biomedical Research Centre. She joined Oxford Health in 2018, having previously worked in the voluntary sector, leading programmes on improving health information and service user involvement. She has a Master’s Degree in Understanding and Securing Human Rights, and is a judge for the BMA Patient Information Awards.

Diane Statham

Patient Experience and involvement Lead


Biographical information coming soon.

Jessie Hosking

Office Manager


Jess is an Office Manager working in the North Learning Disability Team based in Banbury. The Learning Disability Team offer specialist health support to those who cannot access mainstream services due to their Learning Disability.

She first joined Community Learning Disability Services as a Team Administrator in 2011, when the team were a joint team with Adult Social Care, encompassing both health and social care.  The team became s health only team in 2016.

Prior to this she worked within Older Adults Services working in a Dementia Care home and then in an Adult Learning Disability Respite Service in Bristol.

Jess is passionate about harnessing and developing the skills of administrative staff, and in particular in ensuring the processes the team follow are the most efficient for the clinical team, the administration team and most importantly for the people with a learning disability that the team support.

During her time with the North Learning Disability Team Jess has been involved in numerous service changes and projects and is excited about bringing Quality Improvement methodologies to future projects.

Jonathan Nolan

Quality and Clinical Standards Manager


Biographical information coming soon.

Joshua Ige

Clinical Lead Occupational Therapist


Biographical information coming soon.

Julie Timbrell

HR Business Partner


Biographical information coming soon.

Kelly Bark

Clinical Practice Lead


Kelly worked for seven years in social care as a care & assessment officer and unit manager for people with Alzheimer disease and dementia before qualifying as a mental health nurse in January 2002.

Since then, Kelly has worked in Devon as a mental health nurse in a variety of settings, includingacute in-patient services, psychiatric intensive care settings, forensic settings, drug and alcohol services, home treatment team, assertive outreach service, and community mental health.

In 2005 Kelly left Devon and started with Oxford health NHS Foundation Trust in January of that year: she has continued to build her experience across services both clinically, within project management and service improvement.

Kelly also has a Masters degree in strategic management and leadership, for which she researched leadership in crisis situations. All of this experience led to her current post of clinical practice lead, and she hopes that this scholars programme will support her continued development.

Khadj Rouf

Consultant Clinical Psychologist


Biographical information coming soon.

Michelle Fisher

Clinical Lead Physiotherapist


Michelle is a senior physiotherapist who currently works as the clinical lead physiotherapist for the Oxford Health learning disability service, which is part of the specialist services division.

She has nearly 20 years of clinical experience working in the NHS across acute and community services, neurological rehabilitation and working in wheelchair services.

Michelle is especially interested in posture management for complex neurological presentations and has completed a post grad certificate in this specialist area. Within Oxford Health Michelle is involved with governance for medical devices, supporting transition between children’s therapy to adult learning disability services and leads on the development of the learning disability service’s physical health clinical area of practice.

A year ago Michelle completed the Oxford Health leadership programme and is now enjoying developing her skills in quality improvement.

Paula Stevens

Support Time Recovery Worker


Paula has been a mental health healthcare assistant since leaving school in 1989 and started her career at Fairmile hospital in Cholsey near Wallingford, where her Father was an engineer. As a teenager she would often go with him to work when he was on call and became familiar with the hospital environment and patients, and this is what inspired her to work in Mental health.

After eight enjoyable years at Fairmile Hospital working on the Acute wards, Elderly Care, rehabilitation and a Mother and baby unit, sadly the hospital closed in 1997. In the July of that year, a month after getting married Paula took up a senior HCA post on Wenric Ward, a low secure forensic ward at Littlemore Hospital.
Six years later in 2003 and after the birth of two children Paula moved to The Runis Picu at the Warneford Site, which then moved to a larger building in 2007 to accommodate more beds, which is now Ashurst Ward PICU located at the Littlemore Site.

Paula continue to work on Ashurst Ward in a senior HCA post and this year achieved 30 years’ service with the NHS, which is something she is very proud of.

Last year Paula co led a quality improvement project on Ashurst ward introducing ‘Nursing observation huddles’ to the team. The success of this project and seeing the improvement it has made to the way in which we review our patients on enhanced observations, is what has inspired her to become a leading quality improver.

Samantha Bateman

Clinical Lead Pharmacist


Sam Bateman has worked as a pharmacist with the trust since 2003.

Completing a four-year pharmacy degree, she graduated from Robert Gordons University, Aberdeen in 1993. Her pre-registration year took her to Whipps Cross Hospital, London, subsequently registering with the Royal Pharmaceutical Society in 1994. During her 2-year residency at Guy’s Hospital she gained a post-graduate certificate from the London School of Pharmacy.

Her first specialist post, and introduction to mental health, was as a pharmacist at the South London & Maudsley Trust. After a move to Oxfordshire in 1998, Sam worked at both the Oxford University Hospitals Trust and the Berkshire Mental Health Trust (where she completed a post-graduate Psychiatric Pharmacy certificate from Aston University) before starting work as a Senior Clinical Pharmacist at the Warneford Hospital in 2003.

Developing an interest in patient safety, specifically relating to medicines, Sam became the Lead Clinical Pharmacist for Medicines Safety & Governance in 2010, expanding this role to include Trust Medicines Safety Officer (a post she has held jointly with a colleague since the national Patient Safety Alert in 2014).

Sam is passionate about patient safety and has become increasingly interested in Quality Improvement and Human Factors of the past few years. With a number of less than successful QI projects under her belt, she hopes this course will lead to many successful QI projects and improvements in patient safety.

Samantha Saunders

Quality and Clinical Standards Manager


Biographical information coming soon.

Toni-Jayne Waknell

Occupational Therapist


Biographical information coming soon.

Frontline Improvers

Wiltshire Cohort 1: 2019-2020

Terry Gibbs

Senior Mental Health Practitioner


Biographical information coming soon.

Emily Morgan

Staff Nurse


Biographical information coming soon.

Lyn Ashton

Office Manager


Biographical information coming soon.

Rebecca Hobbs

Nurse Consultant


Biographical information coming soon.

Rosie Bradwell

Senior Mental Health Practitioner

Biographical information coming soon.

Sally Hill

Staff Nurse


Biographical information coming soon.

Susannah Lock



Biographical information coming soon.

Jane Kibblewhite

Senior Mental Health Practitioner


Biographical information coming soon.

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Important notice

Visiting restrictions at Oxford Health inpatient wards

There is currently no visiting to any of our community hospitals and mental health inpatient wards.

This is a prescribed app. It should only be used alongside a face to face intervention provided by a mental health worker. Check with your local service to see if they subscribe to the app.