Professor Robert Freeman (Chair):

Professor Robert Freeman (Chair):
Bob is a Consultant in Urogynaecology and Obstetrics at Derriford Hospital, Plymouth and Hon Professor to the Peninsula Medical School.  Bob has been a Consultant Obstetrician and Gynaecologist at Plymouth Hospitals NHS Trust since 1988, having been an SR for three years before that both here and at Bristol.  He trained in Dundee and qualified in 1977. Bob set up a Urogynaecology Clinical and Research Unit in the early nineties which has resulted in a good clinical service for patients with bladder problems, such as urinary incontinence and prolapse and bowel dysfunction, for which patients are seen in conjunction with Colorectal Surgeon Chris Oppong.  The team works closely with other disciplines including Urology, Continence Advisors and Physiotherapy.

The team have received several grants for research projects, the most recent being in collaboration with the Aberdeen Health Services Research Unit for a trial of prolapse surgery.  This has been granted by the Health Technology Assessment for £2.6million. 

Session 5: Clinical Cases

Professor Robert Freeman (Chair):

Mark Slack:
Mark Slack is currently head of Urogynaecology at Addenbrooke’s Hospital, University of Cambridge Teaching Hospitals Trust, Cambridge. He is also a fellow of the Royal College of Obstetricians and Gynaecologists. He qualified in Johannesburg at the University of the Witwatersrand. He then completed his postgraduate training at the University of Cape Town and Groote Schuur hospital. He graduated from the College of Medicine of South Africa, winning the Daubenton Gold Medal as the most successful candidate for the Fellowship in Obstetrics and Gynaecology.

His research interests include the use of alloplastic materials in surgery, innovations in pharmacology, urodynamic testing and surgery for pelvic organ prolapse. More recently he has developed a new testing system for the measurement of urethral pressure, and has just published the results of a novel treatment for pelvic organ prolapse.

He was appointed the Ethicon travelling Professor in 2004 as well as the Sims Black Professorship of the Royal College of Obstetricians and Gynaecologists for 2005/6. In 2006 he was awarded a travelling Professorship to the Royal Australian and New Zealand College of Obstetrics and Gynaecology.

Session 1: Future Quality Challenges
Session 4: Focus on the patient

Julian Spinks

Julian Spinks:    
Julian is a full-time General Practitioner with an interest in the primary care management of continence. He was a member of the guideline development groups for both the Female Urinary Incontinence and Male Lower Urinary Tract Symptoms guidelines published by NICE. He writes for a number of GP publications and also broadcasts on health matters.

Session 1: Future Quality Challenges

Angela Billington

Angela Billington:
Angela is at present working as an independent Nurse Consultant in Continence Care, but held the post of Director of Continence Services Bournemouth PCT covering the Continence Service for East Dorset (pop. 400,000, 25% over 60) until June 2010.

She previously worked in Hertfordshire as a clinical nurse specialist and managing continence service, and has worked in continence care for a total of 25 years.

Angela has recently worked on various working parties such as NICE guidance for Prostate Cancer and LUTS in Men and also on the RCP Audit for Assessment of the Elderly.

Session 1: Future Quality Challenges

Karen Logan

Karen Logan:
Karen is a Nurse Consultant in Continence Care at Gwent Healthcare NHS Trust and heads up a Trust wide integrated MDT continence service, professionally leading a team of 5 continence advisors. 

She has worked within the specialist field of Urology for nearly 10 years before becoming a Continence Advisor in 1992.  Following her appointment as Continence Advisor, she continued to develop special interests in continence care and undertook a master’s degree at the University of Wales, Cardiff.

Session 1: Future Quality Challenges

Marcus Drake

Professor Marcus Drake:
Marcus is a Professor of Urology at the Bristol Urological Institute.  He is an expert in diagnosis and management of all forms of bladder problems, including incontinence, lower urinary tract symptoms, urinary retention and neurological diseases. Marcus is in regular demand for state-of-the-art lectures on these subjects world-wide. Marcus’s subspecialist interests are female and reconstructive Urology, Neurourology and Urodynamics.

Session 2: The Good, the bad and the ugly of service development

James Balmforth

James Balmforth:
James is the Clinical Lead for Urogynaecology at The Royal Bournemouth Hospital working with a second subspecialist urogynaecologist, a urogynaecology nurse consultant, pelvic floor radiologist and a team of dedicated pelvic floor physiotherapists.

The unit works closely with regional colorectal surgeons and urologists as an integrated Southern Pelvic Floor Group. Areas of particular clinical interest include female lower urinary tract disorders, pelvic organ prolapse, sexual dysfunction, pelvic floor damage following childbirth and laparoscopic surgery.

James originally trained at St. Bartholomew’s Hospital Medical School in London, and subsequently spent fifteen years working as a Gynaecologist in Hospitals across London, including Queen Charlotte’s and Chelsea Hospital and University College London Hospital.  Having developed a strong interest in pelvic reconstructive surgery, he spent five years engaged in clinical research and subspecialist surgical training with Professor Linda Cardozo at Kings College Hospital.James is a Consultant Obstetrician and Gynaecologist, Subspecialist in Urogynaecology at Royal Bournemouth Hospital.

Session 4: Focus on the patient

Derek McLaughlin

Dr Derek McLaughlin:
Dr Derek McLaughlin has been a Mental Health Nurse for over 27 years.  He is presently employed by The University of Ulster as a Lecturer in Mental Health Nursing; as well as his teaching and research activities, he continues to practise clinically.  

Derek has extensive experience in delivering clinically the approach of Motivational Interviewing; he has also taught this approach for many years to a wide variety of professional groups from the health care arena, as well as education.

Session 4: Focus on the patient

Professor Adrian Wagg

Professor Adrian Wagg:
Adrian is Chair in Healthy Ageing, Alberta, Canada.  He qualified from the London Hospital Medical College in 1988.  Adrian trained in General and Geriatric Medicine in and around London and was appointed as a Senior Lecturer and Consultant in General Internal and Geriatric Medicine to University College London in 1997.  Adrian was appointed as Professor of Healthy Ageing and Director of Geriatric Medicine at the University of Alberta in 2010. He has an academic and clinical interest in Urinary Incontinence.  He has published many peer reviewed publications, chapters and reviews on the subject and participated in NICE guideline development.  He ran the National Continence Audit programme and currently chairs the Frail elderly group for the 5th ICI.   

Session 4: Focus on the patient

Debbie Rigby

Debbie Rigby:
Debbie has a clinical, managerial and operational background in the NHS.  She was a continence nurse specialist for over 20 years and Nursing lead at the Biomed Catheter Research unit at Southmead Hospital, Bristol. She is currently working as Quality Development and Performance Manager for NHS Wiltshire and has been in this post for 2 years.  Prior to this she was Programme Manager for Elective Care commissioning in NHS Bristol.

Debbie has written many articles on her specialist subject of continence care. She also won the nurse of the year award in 2003 for her work on post prostatectomy urinary incontinence.

Session 4: Focus on the patient

Simon Hill

Simon Hill:
Simon is a Consultant in Urogynaecology at Blackburn.  He qualified from Charing Cross Hospital Medical School, University of London in 1983 and gained considerable experience in the Obstetrics, Gynaecology and Urogynaecology fields, mainly in London, before joining the Royal Blackburn Hospital in 1998 as a Consultant in Obstetrics and Gynaecology with a subspecialty interest in Urogynaecology. Simon continues his clinical research into the field of Urogynaecology and has written over 35 publications.

Session 5: Clinical Cases

Dudley  Robinson

Dudley Robinson:
Dudley is a Consultant Obstetrician and Urogynaecologist at King's College Hospital, London.  He trained at the Royal London Hospital and qualified in 1991. Dudley completed a two-year sub-specialty training programme in Urogynaecology at King’s College Hospital and was appointed as a Consultant Obstetrician and Gynaecologist with a sub-specialty interest in Urogynaecology in 2005.

Session 5: Clinical Cases

Chris Fry

Chris Fry:
Chris is Professor of Physiology, Institute of Biosciences and Medicine, University of Surrey.  He has expertise in the pathophysiology of the lower urinary tract, in particular to investigate the fundamental causes of the human overactive bladder.  Chris obtained his PhD at Leicester University and DSc Physiology from the University of London.  At the University of Surrey, he is Director of the Institute of Biosciences and Medicine.

Session 5: Clinical Cases

Clare Fowler

Professor Clare Fowler:
Clare developed the clinical field of Uro-Neurology and established a department of that name at the National Hospital in 1987. She is concerned primarily with the neural control of the bladder and how it is affected in neurological disease.  Her particular clinical interest has been in treatments and methods of improving continence in patients with neurological problems. The majority of patients seen in the department have multiple sclerosis, but she has had a particular interest also in multiple system atrophy and urinary retention in young women.  Clare’s research has been carried out in the Institute of Neurology and has included clinical trials, studies of how treatments work, and investigation of better methods of management.  In 2010 she was awarded the St Peter’s Medal by the British Association of Urological Surgeons.

Session 5: Clinical Cases