Tony Jewell (doctor)

Last updated

John Anthony ("Tony") Jewell MA FRCGP FFPH (born 6 May 1950) is a former Chief Medical Officer for Wales. He took up this post in April 2006 and retired in August 2012.

Contents

Background

Jewell trained in medicine at Christ's College, Cambridge and The London Hospital Medical College. After qualifying he undertook vocational training in general practice in East London going on to become a GP in inner London for 10 years. During this time he helped develop a teaching and research focussed group practice by merging single-handed practices and designed a new purpose-built health centre in Chrisp Street, Poplar. During his time in East London he served on Tower Hamlets Area Health Authority for 6 years as the trades union representative and chaired the multiagency Joint Consultative Committee. While in Tower Hamlets he lobbied for investment in inner city general practice, commissioned Prof Brian Jarman to lead the Tower Hamlets Health Inquiry helping the development of Under Privileged Area (UPA) scores, published on the workload associated with out of hours care and was Secretary to the Wendy Savage Support Campaign.

Dr Tony Jewell at a meeting of the Socialist Health Association Dr Tony Jewell.JPG
Dr Tony Jewell at a meeting of the Socialist Health Association

In response to the 1988 Acheson report "Public Health in England" he applied to undertake public health training in East Anglia and was based in Cambridge Health Authority where he undertook an evaluation of counselling in general practice. He worked at the Department of Health during his training helping to produce the first Executive letter on Improving Clinical Effectiveness. (EL(93) 115). When he completed his accreditation he was appointed as a consultant in public health medicine in Peterborough, the most disadvantaged district in East Anglia. His professional interests have included the link between public health and primary care, health inequalities and preventing road traffic crashes. He investigated the high mortality ratio from Road Traffic Accidents in Fenland and helped sponsor research at the University of East Anglia on comparative rates across England and Wales and the specific environmental risks such as "road bendiness". He helped manage several important inquiries while serving as a Director of Public Health such as a fatality from Methotrexate toxicity, the David "Rocky" Bennett inquiry into restraint and a fatal case of neonatal MRSA in Ipswich. During his time as Clinical Director and DPH in East Anglia he advocated for improving clinical quality by the strengthening of managed clinical networks. Between 2002–2004 he was elected and served as President of the UK Association of Directors of Public Health ensuring the organisation was an effective influence in NHS reforms such as Shifting the Balance.

In 1984 he published, with Sheila Hillier, a book Healthcare and Traditional Medicine in China 1800–1982 (RKP). To learn about traditional Chinese medicine (TCM) he undertook acupuncture training in Beijing in 1980 obtaining a DipAc from the Academy of Traditional Chinese Medicine.Yorkshire TV produced a documentary on his work in China and London titled "From Peking to Poplar". He was an active council member of the Socialist Health Association for many years being committed to the NHS but resigned on being appointed CMO. He is Treasurer of the Charity "Womanschoice" developed after the Wendy Savage affair and of the Stark Murray Trust.

He has held the following senior posts in public health:

Chief Medical Office for Wales

Jewell, as Chief Medical Officer (CMO) for Wales, provided independent professional advice and guidance to the First Minister and other Welsh Government ministers on public health and healthcare matters. [ citation needed ]

During his time as CMO, Jewell produced six CMO annual reports which identified the health needs and priorities for Wales. He advocated smoke-free legislation bringing in the "smoke-free public spaces, pubs and restaurants" legislation, and promoted the policy of banning smoking in cars with children present. He led the creation of an integrated public health system, using the model of the three domains of public health practice, creating Public Health Wales and Director of Public Health posts in the Health Boards. During his time the resources for life science research and development increased significantly and he led the creation of the National Institute for Social Care and Health Research (NISCHR) for Wales. He championed cascade testing for familial hypercholesterolaemia with the British Heart Foundation so that Wales became the first UK country to introduce it successfully. He was a strong advocate for government to use legislation to support health improvement measures such as healthy food vending machines in schools and hospitals, smoke-free NHS buildings and grounds, sunbed use legislation, food hygiene scores "on the doors", alcohol pricing and supporting cycling and physical activity initiatives. He consistently urged the Welsh Government to address the embedded health inequities in South Wales through long-term investments in housing, education and jobs. He intervened to defuse the Bridgend suicide cluster media response ensuring an all Wales strategic response to suicide prevention. He also advocated the need to increase MMR vaccine uptake given the relatively low rates and during his time there was a steady increase toward target levels. He received the Faculty of Public Health's Alwyn Smith Prize for his leadership as CMO during the 2009 pandemic flu response and received an honorary doctorate from the University of Glamorgan and an Honorary Fellowship from Cardiff Metropolitan University. He gave the Aneurin Bevan Foundation Annual Lecture in 2006 on his priorities as CMO for Wales and this included the need to recognise the contribution of Archie Cochrane in Wales and Dr Julian Tudor-Hart's inverse care law. He is on the Advisory Board of the Welsh International Health Co-ordinating Centre and the Wales for Africa Health Links Network.

He was appointed as a Fellow of both the Royal College of GPs and Faculty of Public Health having been a member of both through examination. He has published in peer reviewed journals on inner-city general practice, out-of-hours cover, counselling, road traffic injuries, prevention, the three domains of public health practice and public health governance. He delivered a lecture on "From Primary Care to Public Health and Government Policy – reflections of CMO Wales" in July 2012 ( http://vimeo.com/channels/socsitv/49232858 ). He was also interviewed in 2013 on his experience as a medical leader drawing out some key points on values, context and vision to action. ( http://www.academicdermatology.co.uk/adh4e.htm%5B%5D )

Publications

Related Research Articles

Archibald Leman Cochrane CBE was a Scottish doctor noted for his book Effectiveness and Efficiency: Random Reflections on Health Services. This book advocated the use of randomized control trials to make medicine more effective and efficient. His advocacy of randomized controlled trials eventually led to the development of the Cochrane Library database of systematic reviews, the establishment of the UK Cochrane Centre in Oxford and the international organisation Cochrane. He is known as one of the fathers of modern clinical epidemiology and evidence-based medicine and is considered to be the originator of the idea of evidence-based medicine in the current era.

Andrew Lansley British Conservative politician

Andrew David Lansley, Baron Lansley, is a British Conservative politician who previously served as Secretary of State for Health and Leader of the House of Commons. He was Member of Parliament (MP) for South Cambridgeshire from 1997 to 2015.

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

Gordon Guyatt

Gordon Henry Guyatt, MD, MSc, FRCP, OC born November 11, 1953) is a Canadian physician and Distinguished University Professor in the Departments of Health Research Methods, Evidence and Impact and Medicine at McMaster University in Hamilton, Ontario. He is known for his leadership in evidence-based medicine, a term that first appeared in a single-author paper he published in 1991. Subsequently, a 1992 JAMA article that Guyatt led proved instrumental in bringing the concept of evidence-based medicine to the world's attention.[2] In 2007, The BMJ launched an international election for the most important contributions to healthcare. Evidence-based medicine came 7th, ahead of the computer and medical imaging. [3][4] Guyatt's concerns with the role of the medical system, social justice, and medical reform remain central issues that he promoted in tandem with his medical work. On October 9, 2015, he was named to the Canadian Medical Hall of Fame.

Ara Darzi, Baron Darzi of Denham

Ara Warkes Darzi, Baron Darzi of Denham, is an Iraqi-British surgeon, academic, and politician.

David Lawrence Sackett was an American-Canadian physician and a pioneer in evidence-based medicine. He is known as one of the fathers of Evidence-Based Medicine. He founded the first department of clinical epidemiology in Canada at McMaster University, and the Oxford Centre for Evidence-Based Medicine. He is well known for his textbooks Clinical Epidemiology and Evidence-Based Medicine.

Health care in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences now exist between these systems.

Unwarranted variation in health care service delivery refers to medical practice pattern variation that cannot be explained by illness, medical need, or the dictates of evidence-based medicine. It is one of the causes of low value care often ignored by health systems.

The Dartmouth Institute for Health Policy and Clinical Practice (TDI) is an organization within Dartmouth College "dedicated to improving health care through education, research, policy reform, leadership improvement, and communication with patients and the public." It was founded in 1988 by John Wennberg as the Center for the Evaluative Clinical Sciences (CECS); a reorganization in 2007 led to TDI's current structure.

Karol Sikora is a British physician specialising in oncology, who has been described as a leading world authority on cancer. He is a founder and medical director of Rutherford Health, a company providing proton therapy services, and Director of Medical Oncology at the Bahamas Cancer Centre.

Muir Gray British physician

Sir John Armstrong Muir Gray is a British physician, who has held senior positions in screening, public health, information management. and value in healthcare. He is currently the Chief Knowledge Officer for EXi, a digital health therapeutic prescribing exercise to people with or at risk of up to 23 long-term health conditions.

Andrew Haines

Sir Andrew Paul Haines, is a British epidemiologist and academic. He was the Director of the London School of Hygiene & Tropical Medicine from 2001 to 2010.

George Lewith was a professor at the University of Southampton researching alternative medicine and a practitioner of complementary medicine. He was a prominent and sometimes controversial advocate of complementary medicine in the UK.

Martin McKee

Clifford Martin McKee, CBE, is professor of European public health at the London School of Hygiene and Tropical Medicine.

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 recently elected as Clinical Vice President of the Royal College of Physicians, London.

Nick Harding

Professor Nick Harding OBE BSc FRCGP FRCP HonMFPH DRCOG DOccMed PGDIP(Cardiology) SFFLM, born 21 December 1969, is a British general practitioner and Chief Medical Officer at Operose Health.

Chris Whitty British physician and epidemiologist

Christopher John MacRae Whitty is a British physician and epidemiologist who serves as the Chief Medical Officer for England (CMO), Chief Medical Adviser to the UK Government, Chief Scientific Adviser (CSA) to the Department of Health and Social Care, Head of the National Institute for Health Research (NIHR) and Gresham Professor of Physic.

Willie Hamilton (academic)

William Trevor Hamilton CBE is an expert in cancer diagnosis. He is professor of primary care diagnostics at the University of Exeter.

Professor Richard M. Leach FRCP is a British Consultant Physician and Professor at Guy's and St Thomas’ NHS Trust, who is accredited in general, respiratory and critical care medicine. He has pioneered multiple respiratory care techniques and been instrumental in the development of numerous NICE guidelines relating to acute medicine. It has been reported that he is leading the care of British prime minister Boris Johnson during the 2020 COVID-19 pandemic.

References