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Professor Alan J Sinclair (born 1952) is a clinical scientist and diabetes specialist from Newcastle-under-Lyme, England.
He was born in Newcastle-under-Lyme and was a pupil at Newcastle High School where he played rugby and cricket for the school, which he left in 1972
Sinclair was a graduate of the University of London where he completed his Bachelor of Science degree with first class honours in biochemistry at St Bartholomew's Hospital Medical College in 1976 and then obtained MBBS medical degrees at the same institution in 1979. He was later awarded his doctorate (MD) in London in 1992 in and his Master of Medicine degree in 1993 at the University of Sydney, Australia. He became Fellow of the Royal College of Physicians in 1995.
Sinclair has held full/honorary clinical professorial appointments in Birmingham, Warwick, Bedfordshire and Aston. He established the Institute of Diabetes for Older People (IDOP) in 1998 in Bedfordshire, and in 2014, set up Diabetes Frail Ltd. [1] His key research has centred on diabetes in older people, frailty, and sarcopaenia.
In 2001, Sinclair became Chair of the European Diabetes Working Party for Older People (EDWPOP), which later published the first European guidelines in diabetes care for older people. [2] Between 2010 and 2013, Sinclair was National Clinical Lead for Diabetes in Older People at NHS Diabetes (Department of Health). [3]
Sinclair launched the first-ever, England-wide Care Home Diabetes Audit in 2012 in gain evidence in order to improve the quality of care for people with diabetes living in care homes. The results were published in 2014. [4]
In 2013, he was awarded the International Association of Gerontology and Geriatrics (IAGG) Presidential Medal for services to diabetes and older people. [5] In 2014, he co-chaired the International Diabetes Federation (IDF) Working Party that later produced the first international diabetes guidance in those who are frail or demented. [6]
He was appointed to the WHO Expert Group on Frailty in 2015 and later provided peer review support to a World Report on Ageing and Health by the WHO. [7]
Also in 2015, Sinclair contributed to Care Quality Commission (CQC) guidelines to help improve the quality of care for people with diabetes living in care homes. [8]
In autumn 2018, Sinclair was named 11th in a list of the UK's leading experts into diabetes based on the impact of research. The list is put together by Expertscape, a website that enables people to find the medical professionals and institutions who have the greatest knowledge about a particular medical problem. [9]
Old age is the range of ages for people nearing and surpassing life expectancy. People of old age are also referred to as: old people, elderly, elders, seniors, senior citizens, or older adults. Old age is not a definite biological stage: the chronological age denoted as "old age" varies culturally and historically. Some disciplines and domains focus on the aging and the aged, such as the organic processes of aging (senescence), medical studies of the aging process (gerontology), diseases that afflict older adults (geriatrics), technology to support the aging society (gerontechnology), and leisure and sport activities adapted to older people.
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care, that publishes guidelines in four areas:
Geriatrics, or geriatric medicine, is a medical specialty focused on providing care for the unique health needs of the elderly. The term geriatrics originates from the Greek γέρων geron meaning "old man", and ιατρός iatros meaning "healer". It aims to promote health by preventing, diagnosing and treating disease in older adults. There is no defined age at which patients may be under the care of a geriatrician, or geriatric physician, a physician who specializes in the care of older people. Rather, this decision is guided by individual patient need and the caregiving structures available to them. This care may benefit those who are managing multiple chronic conditions or experiencing significant age-related complications that threaten quality of daily life. Geriatric care may be indicated if caregiving responsibilities become increasingly stressful or medically complex for family and caregivers to manage independently.
A medical guideline is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine. However, in contrast to previous approaches, which were often based on tradition or authority, modern medical guidelines are based on an examination of current evidence within the paradigm of evidence-based medicine. They usually include summarized consensus statements on best practice in healthcare. A healthcare provider is obliged to know the medical guidelines of their profession, and has to decide whether to follow the recommendations of a guideline for an individual treatment.
Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin, exposed the high mortality rate for paediatric cardiac surgery at the Bristol Royal Infirmary. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:
A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.
Clinical audit is a process that has been defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change
Professor Sir Bruce Edward Keogh, KBE, FMedSci, FRCS, FRCP is a Rhodesian-born British surgeon who specialises in cardiac surgery. He was medical director of the National Health Service in England from 2007 and national medical director of the NHS Commissioning Board from 2013 until his retirement early in 2018. He is chair of Birmingham Women's and Children's NHS Foundation Trust and chairman of The Scar Free Foundation.
Warwick Medical School is the medical school of the University of Warwick and is located in Coventry, United Kingdom. It was opened in 2000 in partnership with Leicester Medical School, and was granted independent degree-awarding status in 2007.
Sir Kurt George Matthew Mayer Alberti, is a British doctor. His long-standing special interest is diabetes mellitus, in connection with which he has published many research papers and served on many national and international committees. He was President of the European Association for the Study of Diabetes (EASD) and President of the International Diabetes Federation (IDF). In the 1970s, Alberti published recommendations for the management of diabetic ketoacidosis, a serious metabolic emergency which affects people suffering from severe insulin deficiency. This 'Alberti regime' rationalised the use of insulin and fluid therapy in this condition to the undoubted benefit of many patients.
Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing, and it has been recognized for centuries. It is a marker of a more widespread syndrome of frailty, with associated weakness, slowing, decreased energy, lower activity, and, when severe, unintended weight loss. As a frequent clinical syndrome in the elderly, various health risks are linked to health deterioration and frailty in older age, such as falls, disability, hospitalization, and mortality. Generally, frailty refers to older adults who lose independence. It also links to the experiences of losing dignity due to social and emotional isolation risk. Frailty has been identified as a risk factor for the development of dementia.
SystmOne is a centrally hosted clinical computer system developed by Horsforth-based The Phoenix Partnership (TPP). It is used by healthcare professionals in the UK predominantly in primary care. The system is being deployed as one of the accredited systems in the government's programme of modernising IT in the NHS.
The British Geriatrics Society (BGS) is the professional body of specialists in the healthcare of older people in the United Kingdom. Membership is drawn from doctors, nurses, allied health professionals, researchers and others working in the field of geriatric medicine with a particular interest in improving healthcare for older people. It has over 4,000 members worldwide and is the only Society in the UK which draws together experts from all the relevant disciplines in the field. The current President is Professor Adam Gordon.
The Healthcare Quality Improvement Partnership (HQIP) was established in April 2008 to promote improvement in health services, by increasing the impact that clinical audit has on healthcare quality in England and Wales and, in some cases other devolved nations. It is led by a consortium of the Academy of Medical Royal Colleges, Royal College of Nursing and National Voices.
John Eric Deanfield is a British professor of cardiology and past Olympic fencer.
June Andrews,, is a Scottish nurse who is an expert in dementia studies and aged care. She was the professor of dementia studies at the Dementia Services Development Centre at the University of Stirling. She is now Professor Emeritus. She has written many publications on the topics of dementia, care homes and geriatric care.
Michael Alexander Leary Pringle CBE is a British physician and academic. He is the emeritus professor of general practice (GP) at the University of Nottingham, a past president of the Royal College of General Practitioners (RCGP), best known for his primary care research on clinical audit, significant event audit, revalidation, quality improvement programmes and his contributions to health informatics services and health politics. He is a writer of medicine and fiction, with a number of publications including articles, books, chapters, forewords and guidelines.
David Oliver is a British physician specialising in the geriatric medicine and acute general internal medicine. He was President of the British Geriatrics Society from 2014 to 2016. He is Visiting Professor of Medicine for Older People in the School of Community and Health Sciences at City University London and a King's Fund Senior Visiting Fellow. He was formerly the UK Department of Health National Clinical Director for Older People's Services from 2009 to 2013. He is a researcher, writer, teacher and lecturer on services for older people and a regular blogger, columnist and media commentator. He was elected as Clinical Vice President of the Royal College of Physicians, London. In April 2022 he was elected as president of the Royal College of Physicians but withdrew in July 2022 after he had contracted Covid 19 and "no longer felt able to do it justice".
Comprehensive geriatric assessment (CGA) is a process used by healthcare practitioners to assess the status of people who are frail and older in order to optimize their subsequent management. These people often have complex, multiple and interdependent problems (multimorbidity) which make their care more challenging than in younger people, or those with just one medical problem. CGA is the core work of specialists in the care of older people, although many other health care practitioners either have not heard of it, or are not aware of what it actually is. It is also called "multidimensional geriatric assessment."
Azeem Majeed is a Professor and Head of the Department of Primary Care & Public Health at Imperial College, London, as well as a general practitioner in South London and a consultant in public health. In the most recent UK University Research Excellence Framework results, Imperial College London was the highest ranked university in the UK for the quality of research in the “Public Health, Health Services and Primary Care” unit of assessment.
Brian M. Frier is a Scottish physician, diabetologist, clinical scientist, and an Honorary Professor of Diabetes at the University of Edinburgh. He is best known for his many scientific contributions to the pathophysiological understanding of hypoglycemia, a common adverse effect of insulin therapy in diabetic patients whose societal impact has deserved increasing media attention worldwide. His honors include the R.D. Lawrence Lecture of the British Diabetic Association in 1986, the Banting Memorial Lecture at Diabetes UK in 2009, the Camillo Golgi Prize and lecture at the 53rd annual EASD conference in 2017, and the Michael Somogyi Award from the Hungarian Diabetes Association in 2004. Frier is a science book author and editor, and a science journal Chief editor. He is also regarded as an authority on the field of driving and diabetes. In 2023, Frier was accorded Honorary Life Membership by the European Association of Diabetes.
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