Prof Niro Siriwardena

    Professor of Primary & Pre-Hospital Health Care

    School of Health and Social Care
    College of Social Science

    About Niro Siriwardena

    Niroshan is an academic general practitioner and director of the Community and Health Research Unit, the research centre for the School of Health and Social Care which he founded. After studying at the City of London School as Corporation of London music scholar, he completed medical training at St. Bartholomew’s Hospital, London, where he was awarded the Kirke’s scholarship in Clinical Medicine. After house jobs at ‘Bart’s’ and Hackney Hospitals, and general medical training at Hillingdon Hospital, he undertook his general practitioner training in Lincolnshire.

    He has been a GP since 1990 and continued in practice until 2015. Since embarking on an academic career he has continued providing clinical and academic leadership in primary and prehospital care.

    His work is supported and funded by the National Institute for Health Research (Programme Grant for Applied Research, Health Technology Assessment, Health Services and Delivery Research, and Policy Research Programmes), Research Councils UK (EPSRC, MRC), European Commission (FP7 and Horizon 2020), and major charities (British Heart Foundation, Wellcome Trust, Health Foundation, Burdett Trust). He has published in leading journals including the BMJ, Vaccine, Stroke, Sleep, Canadian Medical Association Journal, Annals of Family Medicine and Annals of Emergency Medicine. He is coauthor of Quality Improvement in Primary Care: the Essential Guide.

    Key publications (orcid.org/0000-0003-2484-8201):

    1. Siriwardena AN, Shaw D, Essam N, Togher F, Davy Z, Spaight A, Dewey M. The effect of the Ambulance Services Cardiovascular Quality Initiative on prehospital care for acute myocardial infarction and stroke in England.  Implementation Science 2014; 9:17.

    2. Huedo-Medina T, Kirsch I, Middlemass J, Klonizakis M, Siriwardena AN.  Effectiveness of non-benzodiazepine hypnotics in treatment of adult insomnia: meta-analysis of data submitted to the Food and Drug Administration. British Medical Journal 2012; 345: e8343.

    3. Siriwardena AN, Asghar Z, Coupland C. Influenza and pneumococcal vaccination and risk of stroke or transient ischaemic attack—Matched case control study. Vaccine 2014; 32: 1354-1361.

    4. Siriwardena AN, Gwini S, Coupland C. Influenza vaccination, pneumococcal vaccination, and the risk of acute myocardial infarction: matched case-control study. Canadian Medical Association Journal 2010; 182 (15): 1617- 1623.

    5. Gwini SM, Coupland C, Siriwardena AN. The effect of influenza vaccination on risk of acute myocardial infarction: self-controlled case-series study. Vaccine 2011; 29: 1145-1149.

    6. Ankolekar S, Fuller M, Cross I, Renton C, Cox P, Sprigg N, Siriwardena AN, Bath P. Feasibility of an ambulance-based trial, and safety of glyceryl trinitrate, in patients with ultra-acute stroke: the ‘Rapid Intervention with Glyceryl trinitrate in Hypertensive stroke Trial’ (RIGHT, ISRCTN66434824). Stroke 2013; 44: 3120-3128.

    7. Gillam SG, Siriwardena AN, Steel N. Pay-for-performance in the UK: the impact of the Quality and Outcomes framework – systematic review. Annals of Family Medicine 2012; 10: 461-468.

    Department Responsibilities

    Director, Community and Health Research Unit (www.cahru@org.uk)
    Deputy Head, School of Health and Social Care
    REF 2014 Coordinator for Unit of Assessment: Allied Health
    Member, Lincoln Institute for Health (http://lih.lincoln.ac.uk)
    PhD supervision: Hannah Henderson (improving use of exercise referral schemes), Mohammad Iqbal (development of a patient reported outcome for management of pain), Fiona Togher (development of a prehospital patient reported experience measure), Jolien Vos (improving care navigation for older people with multimorbidity), Joseph Akanuwe (implementing cancer risk assessment tools), Nadya Essam (implementation and effects of prehospital early warning scores), Viet-Hai Phung (improving prehospital care for recent EU migrants).

    Subject Specialism

    Quality improvement and implementation science in primary and prehospital health care

    Qualifications

    • AFHEA — Higher Education Academy, 2016
    • PhD — De Montfort University, 2003
    • FRCGP (by assessment) — Royal College of General Practitioners, 1999
    • MMedSci — University of Nottingham, 1996
    • MRCGP — Royal College of General Practitioners, 1990
    • DCH — Royal College of Physicians, 1989
    • DRCOG — Royal College of Obstetricians and Gynaecologists, 1988
    • MBBS — St. Bartholomew’s Hospital Medical College, University of London, 1984
    • ALCM — London College of Music, 1980

    Awards

    • Kirke’s Scholarship in Clinical Medicine — St Bartholomew’s Hospital Medical College, University of London, 1982
    • For research grants see Research Projects — European Commission, MRC, NIHR, EPSRC, Burdett Trust, Health Foundation, BHF, Wellcome Trust etc., 1

    Professional Affiliations

    Research Interests

    Research Group Memberships

    Research Projects

    • Exploring factors increasing Paramedics’ likelihood of administering Analgesia in prehospital pain: cross sectional study (ExPLAIN) [chief investigator] — Awarded £24,411 by Falck Foundation in 2016
    • Electronic Records in Ambulances to support the shift to out of hospital care: challenges, opportunities and workforce implications (ERA) [co-applicant] — Awarded £380,318 by NIHR Health Services and Delivery Research Programme in 2016
    • Improving the response of ambulance services in England: Second stage pilots — Awarded £7,550 by Department of Health in 2016
    • Network exploring Ethics of Ambulance Trials [chief investigator] — Awarded £49,681 by Wellcome Trust in 2016
    • Regional funding for engaging the improvement community and Q network [co-applicant] — Awarded £23,595 by Health Foundation and East Midlands Academic Health Science Network in 2015
    • Improving prescribing safety in general practices in the East Midlands through the PINCER intervention [co-lead] — Awarded £499,466 by Health Foundation in 2015
    • Improving Cardiac Arrest Recognition and Effectiveness (ICARE) [co-applicant] — Awarded £595,408 by NIHR: Policy Research Programme in 2015
    • HEI challenge for patient supported quality improvement in education and health care [project lead] — Awarded £249,971 by East Midlands Academic Health Science Network in 2015
    • Rapid Intervention with Glyceryl trinitrate in Hypertensive stroke Trial-2 (RIGHT-2) [co-applicant] — Awarded £1,370,708 by British Heart Foundation in 2015
    • Understanding variation in rates of ambulance service non-conveyance of patients to an emergency department (VAN) [co-applicant] — Awarded £328,706 by NIHR: Health Services and Delivery Research Programme in 2015
    • Improving Prehospital and Ambulance Care and Treatment following the Ambulance Services Cardiovascular Quality Initiative (ImPACT-ASCQI) [project lead] — Awarded £29,572 by Health Foundation in 2014
    • Development and feasibility testing of an interactive, educational programme to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk) [co-applicant] — Awarded £149,995 by Medical Research Council in 2014
    • Innovative hypoglycaemia pathway for self-care at home and admission avoidance: a partnership approach with a regional ambulance trust (The Ambulance-Hypo Study) [co-applicant] — Awarded £291,952 by NIHR Collaboration for Applied Leadership in Health and Care East Midlands in 2013
    • Creating the infrastructure for the development of non-medical clinical academic careers in prehospital and ambulance services research [co-lead] — Awarded £26,476 by East Midlands Health Innovation and Education Cluster (EM HIEC) in 2012
    • Development of a guideline for health visitors to use with parents at risk of developing childhood obesity [co-applicant] — Awarded £49,966 by Burdett Trust for Nursing in 2012
    • Quality and costs of primary care in Europe (QUALICOPC) [UK coordinator] — Awarded £51,297 by European Commission Framework 7 Programme in 2012
    • Clinical tRials fOr elderly patients with MultiplE Disease (CHROMED) [co-applicant] — Awarded £2,121,012 by European Commission Framework 7 Programme in 2012
    • Understanding and improving seasonal influenza vaccination practices in primary care [co-applicant] — Awarded £88,346 by NIHR: Policy Research Programme in 2011
    • Improving Primary Care Resources for Effective Sleep Treatment (IPCREST) [chief investigator] — Awarded £39,833 by East Midlands Health Innovation and Education Cluster (EM HIEC) in 2011
    • Decision making and safety in emergency care transitions [co-applicant] — Awarded £168,690 by NIHR: Service Delivery and Organisation Programme in 2011
    • Objective impact on sleep and daytime functioning of sleep restriction therapy: a brief behavioural intervention for persistent insomnia [co-applicant] — Awarded £49,505 by CSO Scotland in 2010
    • Exploring social Networks to Augment Cognitive behavioural Therapy (ENACT) [co-applicant] — Awarded £463,840 by EPSRC: Healthcare Partnerships in 2010
    • Systematic review of clinical outcome and cost effectiveness comparing a policy of triage and direct transfer to specialist care centres with delivery to the nearest local hospital [co-applicant] — Awarded £135,928 by NIHR: Service Delivery and Organisation Programme in 2010
    • Developing new ways of measuring the impact of ambulance service care: Pre-Hospital Outcomes for Evidence Based Evaluation (PhOEBE) [chief investigator] — Awarded £2,035,954 by NIHR: Programme Grant for Applied Health Research in 2010
    • Rapid Intervention with GTN in Hypertensive stroke Trial (RIGHT) [co-applicant] — Awarded £9,038 by NUH Charity in 2010
    • Case-control of potential for influenza and/or pneumococcal vaccination in prevention of stroke and transient ischaemic attack (IPVASTIA) [chief investigator] — Awarded £103,000 by NIHR: Research for Patient Benefit Programme in 2009
    • Ambulance Services Cardiovascular Quality Improvement Initiative (ASCQI) [chief investigator] — Awarded £475,000 by Health Foundation: Closing the Gap in Clinical Communities in 2009
    • Investigating the diagnostic accuracy and characteristics of common emergency medical dispatch codes [chief investigator] — Awarded £52,400 by Department of Health in 2008
    • Support and assessment for fall emergency referrals (SAFER 2): cluster randomised trial of clinical and cost effectiveness of new protocols for emergency paramedics to assess and refer [co-applicant] — Awarded £1,139,038 by NIHR: Health Technology Assessment Programme in 2008
    • Case-control of potential for influenza and/or pneumococcal vaccination in prevention of acute myocardial infarction (IPVAMI) [chief investigator] — Awarded £55,322 by NIHR: Research for Patient Benefit Programme in 2007
    • Resources for Effective Sleep Treatment (REST) [chief investigator] — Awarded £396,650 by The Health Foundation: Engaging with Quality in Primary Care in 2007
    • Early Prediction and Prevention of Obesity during Childhood (EPPOC) [co-applicant] — Awarded £51,359 by Burdett Trust for Nursing in 2007
    • Dogs as detectors of diabetes: a pilot study [co-applicant] — Awarded £10,000 by Diabetes UK in 2007

    Research in the Lincoln Repository

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