From data to impact: the power of clinical audit in the NHS

Danny Keenan is Honorary Professor of Cardiothoracic Surgery to the University of Manchester and works as Associate Medical Director at the Manchester University NHS Foundation Trust. He is the Medical Director to the Healthcare Quality Improvement Partnership in London and consults in Greater Manchester, London and Edinburgh.

He is Associate Medical Director to the Manchester University NHS Foundation Trust, dealing with appraisal and revalidation and has experience in dealing with doctors in difficulty. He is Medical Director of the Healthcare Quality Improvement Partnership and Chairs, for NICE, the Indicator Advisory Committee.

His experience in dealing with medico-legal works spans his surgical career. He has been involved in this area of practice, working both in the areas of personal injury but, also, in the areas of malpractice and negligence. He represents both claimants and defendants has worked for individual practitioners and Trusts and has appeared as an Expert Witness.

Mary qualified from University College Cork, Ireland in 1988. She trained and worked in palliative medicine in Ireland, Sweden and the UK before starting as a consultant in palliative medicine in Oxford in 1998.

Mary has a strong interest in education; she completed a Diploma in Learning and Teaching at Oxford University in 2005, was Training Programme Director and Regional Specialty Advisor (2002 – 2008) and has led the Oxford Advanced Courses in Pain and Symptom Management since 2005. Since the inception of OxCERPC in 2017, Mary and the team are focusing on building an exciting portfolio of courses, building research readiness and reaching out to practitioners across the globe.

Mary was Clinical Lead at Sobell House between 2009 and 2016. Now she leads the end-of-life care project across OUH. This Quality Improvement project is the largest in her portfolio of QIPs.

Michael is a consultant Respiratory physician within the Respiratory Support and Sleep Centre and is the Divisional Clinical Director for Thoracic and Ambulatory Services and the clinical lead for the British Thoracic Society's (BTS) acute NIV audit programme.

He specialises in the treatment of respiratory failure, including the weaning of patients from invasive ventilation, the provision of home mechanical ventilation, and in the treatment of respiratory and non-respiratory sleep disorders. 

He undertakes sleep disturbance clinics, general respiratory clinics. He has a sub-specialty interest in respiratory problems in neuromuscular disorders, contributing to Royal Papworth Hospital’s dedicated MND service and Duchenne Muscular Dystrophy service.

Sunil Nedungayil is the Senior Clinical Lead for the Falls and Fragility Fracture Audit Programme at the Royal College of Physicians and the Clinical Director & GP with Special Interest in Musculoskeletal Medicine at East Lancashire Hospital NHS Trust since 2019. With a background as an Orthopaedic Surgeon and over 25 years of experience across Primary, Community, and Secondary care, Sunil has developed expertise in holistic management of chronic disease conditions.

Sunil has a particular interest in Osteoporosis and Bone Health, leading research projects and Quality Improvement programmes to enhance the detection and management of fragility fractures in Primary Care. As the Medical Director for the Northern Health Science Alliance and a Clinical Advisor at the Royal Osteoporosis Society, Sunil's work has been disseminated nationally.

Additionally, Sunil serves as a GP Educator & Appraiser, Honorary Clinical Senior Lecturer at the University of Central Lancashire, and clinical supervisor for GP trainees and Specialist Registrars. Sunil is proud to have influenced many trainees to pursue careers in Musculoskeletal Medicine.

Kassim is Professor of Metabolic Bone Disease at the University of Oxford and a Consultant in Metabolic Bone Disease at Oxford University Hospitals NHS Foundation Trust. He is a leading authority on the use of audit and quality improvement in metabolic bone health, particularly in the context of secondary fracture prevention and rare bone diseases.

As co-chair of the International Osteoporosis Foundation’s Capture the Fracture programme, he has played a pivotal role in developing global standards for fracture liaison services. His work integrates clinical practice, research, and audit to drive improvements in patient outcomes.