Staff Directory

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. He research focusses on quality improvement and implementation science using a range of methods (systematic reviews, observational and qualitative studies, experimental methods and clinical trials)  to identify and address important gaps in primary and prehospital (ambulance) healthcare provision. His work has been supported by the National Institute for Health Research (NIHR: 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, Annals of Emergency Medicine and Resuscitation. He is coauthor of Quality Improvement in Primary Care: the Essential Guide. Key publications (orcid.org/0000-0003-2484-8201) include: 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 of School of Health and Social Care Member, Lincoln Institute for Health (http://lih.lincoln.ac.uk) PhD supervision: Jolien Vos: Navigating the care system (awarded 2017); Hannah Henderson: Intended actions, unintended outcomes: towards a processual understanding of exercise referral schemes; Joseph Akanuwe: Cancer risk assessment tools in primary care; Fiona Togher: Development of an ambulance patient reported experience measure; Mohammad Iqbal: Development of a patient reported outcome measure for pain treatment; Nadya Essam: National Early Warning Scores to support paramedics’ decisions; Laura Simmons: Stress as a cause of sickness absence in the ambulance service; Viet-Hai Phung: Delivering ambulance service care that meets the needs of Eastern European migrants; Greg Whitley: Paediatric pain management in the ambulance service.

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

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

Consultancy

Chair, National Ambulance Research Steering Group, 2007 -. Chair, Regional Management Board, Research Design Service NIHR East Midlands, 2012 -. Chair, PRIME Centre Wales (Wales Centre for Primary and Emergency Care Research) External Advisory Board (Funding: Health and Care Research Wales), 2016 -. Chair, Prehospital critical care and out-of-hospital cardiac arrest steering group (Funding: NIHR doctoral fellowship), 2016 -. Chair, Out of Hospital Cardiac Arrest Outcomes (OHCAO) Project Academic Committee (Funding: British Heart Foundation), 2016 -. Member, 999 EMS Research Forum, 2008 -. Member, Governance Board and Faculty, NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) East Midlands, 2016 -. Member, Australian Family Physician Editorial Advisory Board, 2017 -.

Orcid ID

0000-0003-2484-8201

Research Interests

  • Ambulance Clinical Trials

  • Quality Improvement Science

  • Implementation science

  • Influenza and Cardiovascular Disease

  • Influenza and Pneumococcal Vaccination

  • Innovation Diffusion

  • Prehospital Health Care

  • Primary Care for Insomnia

  • Health Quality Indicators

  • Telecare and Telehealth Application to Primary Care

Research Projects

  • Predictors and outcomes of ambulance calls to diabetic emergencies in care homes – retrospective observational database study [chief investigator] — awarded £23851 by NIHR CLAHRC East Midlands in 2017
  • Pragmatic cluster randomised controlled trial to evaluate the effectiveness and cost effectiveness of inhaled methoxyflurane (Penthrox) versus usual analgesia for prehospital injury and trauma [chief investigator] — awarded £30000 by Galen Ltd. in 2017
  • Using MonitorMe for a clinical validation study in COPD [co-applicant] — awarded £50000 by Med Tech Trials Innovation Support Grant (European Regional Development Fund) in 2017
  • A pragmatic, multicentre, randomised controlled trial comparing nurse-delivered sleep restriction therapy for insomnia disorder to sleep hygiene in primary care [co-applicant] — awarded £1823976 by NIHR Health Technology Assessment Programme in 2017
  • Evaluating effectiveness, safety, patient experience and system implications of different models of using GPs in or alongside Emergency Departments [co-applicant] — awarded £752360 by NIHR Health Services and Delivery Research Programme in 2017
  • What are the predictors, barriers and facilitators to effective management of acute pain in injured children by ambulance services? Doctoral fellowship awarded to Greg Whitley [director of studies] — awarded £56244 by Health Education East Midlands/CLAHRC East Midlands in 2017
  • Measuring and improving the health and quality of healthcare for offenders on community sentences: developing recommendations for commissioners and practitioners [co-applicant] — awarded £150000 by NIHR Research for Patient Benefit Programme in 2017
  • Network exploring Ethics of Ambulance Trials [chief investigator] — awarded £49681 by Wellcome Trust in 2016
  • Improving the response of ambulance services in England: Second stage pilots — awarded £7550 by Department of Health in 2016
  • Electronic Records in Ambulances to support the shift to out of hospital care: challenges, opportunities and workforce implications (ERA) [co-applicant] — awarded £380318 by NIHR Health Services and Delivery Research Programme in 2016
  • Exploring factors increasing Paramedics’ likelihood of administering Analgesia in prehospital pain: cross sectional study (ExPLAIN) [chief investigator] — awarded £24411 by Falck Foundation in 2016
  • Regional funding for engaging the improvement community and Q network [co-applicant] — awarded £23595 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 £499466 by Health Foundation in 2015
  • Improving Cardiac Arrest Recognition and Effectiveness (ICARE) [co-applicant] — awarded £595408 by NIHR: Policy Research Programme in 2015
  • HEI challenge for patient supported quality improvement in education and health care [project lead] — awarded £249971 by East Midlands Academic Health Science Network in 2015
  • Rapid Intervention with Glyceryl trinitrate in Hypertensive stroke Trial-2 (RIGHT-2) [co-applicant] — awarded £1370708 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 £328706 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 £29572 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 £149995 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 £291952 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 £26476 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 £49966 by Burdett Trust for Nursing in 2012
  • Quality and costs of primary care in Europe (QUALICOPC) [UK coordinator] — awarded £51297 by European Commission Framework 7 Programme in 2012
  • Clinical tRials fOr elderly patients with MultiplE Disease (CHROMED) [co-applicant] — awarded £2121012 by European Commission Framework 7 Programme in 2012
  • Understanding and improving seasonal influenza vaccination practices in primary care [co-applicant] — awarded £88346 by NIHR: Policy Research Programme in 2011
  • Improving Primary Care Resources for Effective Sleep Treatment (IPCREST) [chief investigator] — awarded £39833 by East Midlands Health Innovation and Education Cluster (EM HIEC) in 2011
  • Decision making and safety in emergency care transitions [co-applicant] — awarded £168690 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 £49505 by CSO Scotland in 2010
  • Exploring social Networks to Augment Cognitive behavioural Therapy (ENACT) [co-applicant] — awarded £463840 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 £135928 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 £2035954 by NIHR: Programme Grant for Applied Health Research in 2010
  • NIHR Research Design Service East Midlands (NIHR-RDSEM) [co-applicant] — awarded £5137500 by NIHR in 2010
  • Rapid Intervention with GTN in Hypertensive stroke Trial (RIGHT) [co-applicant] — awarded £9038 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 £103000 by NIHR: Research for Patient Benefit Programme in 2009
  • Ambulance Services Cardiovascular Quality Improvement Initiative (ASCQI) [chief investigator] — awarded £475000 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 £52400 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 £1139038 by NIHR: Health Technology Assessment Programme in 2008
  • Early Prediction and Prevention of Obesity during Childhood (EPPOC) [co-applicant] — awarded £51359 by Burdett Trust for Nursing in 2007
  • Dogs as detectors of diabetes: a pilot study [co-applicant] — awarded £10000 by Diabetes UK in 2007
  • Case-control of potential for influenza and/or pneumococcal vaccination in prevention of acute myocardial infarction (IPVAMI) [chief investigator] — awarded £55322 by NIHR: Research for Patient Benefit Programme in 2007
  • Resources for Effective Sleep Treatment (REST) [chief investigator] — awarded £396650 by The Health Foundation: Engaging with Quality in Primary Care in 2007

Research in the Lincoln Repository


Professional Affiliations