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First do no harm – An open letter from health professionals and scientists to the UK Prime Minister & First Ministers of the home nations

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An open letter signed by nearly 500 health professionals and scientists has been sent to the Boris Johnson, Nicola Sturgeon and Mark Drakeford. The letter, entitled “First do no harm” – the medical principle that a cure must never be worse than the disease itself – argues that Covid measures are disproportionate and are causing more harm than good. It was organised by “UsForThem”, a campaign group consisting of thousands of parents across the four home nations, who believe that children’s interests should be put first in any decisions impacting them. It was supported by the Covid Recovery Group, a group of MPs who oppose harsh Covid restrictions.

WE THE UNDERSIGNED British health professionals and scientists, wish to express our serious concern about the current situation regarding the outbreak of the SARS-CoV-2 virus. The management of the crisis has become disproportionate and is now causing more harm than good.

We urge policy makers to remember that this pandemic, like all pandemics, will eventually pass but the social and psychological damage that it is causing, risks becoming permanent.

We call for restoration of our normal democratic governance and for politicians to be independently and critically informed in the decision-making process.  After the initial justifiable response to Covid-19, the evidence base now shows a different picture.  We have the knowledge to enable a policy that protects the elderly and vulnerable without increasing all other health and economic harms and which is not at the expense our whole way of life and particularly that of the nation’s children. 

‘First do no harm’ is a basic tenet of medical ethics, understanding that a cure must never be worse than the disease itself.  However, there is increasing evidence that the collateral damage now being caused to the population will have a far greater impact in the short and long term, on all sections of the population, than the number of people now being safeguarded from Covid-19.  In our opinion, the current measures, and the strict penalties for non-compliance, are contrary to the values formulated by Public Health England, which states, ‘We exist to protect and improve the nation’s health and wellbeing, and reduce health inequalities’ [1].

We have somehow reached a situation where the whole of life in Britain, as in many countries, has focused on a single condition and one which is now endemic.  ‘Zero’ Covid is not a realistic option in a global world.   In this letter, we highlight many other areas of health and well-being that are now largely overlooked.  We also look at an alternative strategy which we believe can best protect the vulnerable, whilst allowing most people to return to near normal life and provide references to just some of the many scientific papers which explain why we have reached this conclusion.

Our current knowledge about covid-19

At the beginning of the pandemic, the WHO predicted a disease that if uncontained would spread to maybe 50 per cent of the world’s population claiming 3.4 per cent victims, in other words millions of deaths by a highly contagious novel virus for which no pre-existing immunity or vaccine was available.  Measures were understandable and widely supported, as there was concern that unprecedented pressure would be placed on our hospitals.  Thus, the stated purpose of the initial lockdown was to “flatten the curve” and protect the NHS[2].  Hospitals rose to the occasion, Nightingale Hospitals were built, no one died for lack of intensive care facilities – a huge credit to the staff of the NHS.

Gradually, as our knowledge has accumulated, it has become clear that objective facts show a different reality.  The known global infection rate to date stands at less than 1 per cent of the world population [3].  The true mortality rate is also over-estimated as we now know that many people have very mild or no symptoms and were thus not included in the testing regime at the start of the pandemic in the UK or elsewhere.  We also know that serious disease and indeed death are linked to older age and pre-existing health conditions [4] , so it is on protecting this group that we should be concentrating.

It has also become clearer that the pandemic has not exhibited truly exponential growth; rather, it has been shown to follow a classic Gompertz curve from the very early stages of each outbreak [5].  The Gompertz curve is used as the classic model of population dynamics in conditions where there is some limiting factor to the rate of growth.  In the case of Covid-19 this observation supports the theory that a level of pre-existing immunity was present in the population prior to lockdown, thus limiting the spread of infection.  This pre-existing immunity is probably due to immunity to common cold viruses which, in 40-60 per cent of individuals, is thought to give some protection against Sars-CoV-2.  In addition, we now know that exposure to the virus, even without symptoms, generates robust cellular immunity that is likely to have a long duration [6] [7].  Consequently, measurements of antibody prevalence in populations almost certainly give a serious underestimate of both exposure and immunity. It is vital we build on this immunity that is developing naturally in the population.  Perversely population lockdowns could impede this process. Indeed, new evidence published this week, reports the potential increase in total deaths resulting from school and university closures. [8].  We also know a lot more about effective ways to treat Covid-19, such as early use of anticlotting agents and dexamethasone, plus avoidance of invasive ventilation. Evidence from both Germany and the UK show a significantly lower in-hospital mortality rate in the later stages of the epidemic [9],[10].

Waiting for a vaccine

This would appear to be the government’s main exit plan and is a strategy fraught with risk.  Any vaccine is unlikely to give complete protection against the virus and any protection may only be of short duration.  A vaccine is also unlikely to provide superior protection to immunity that is developing naturally.  Thus, a vaccine is only one tool to help limit viral spread and alone will not eliminate the disease.  We feel these facts have not been made clear to the general public, many of whom view a vaccine as a simple solution to the pandemic [11].

Widely publicised data is exaggerating the current risk 

Widespread population testing using PCR is distorting the current risk.  Use of such a test in a clinical situation (as in pillar 1) was very helpful as a rapid screen but the testing strategy now seems to be driving policy.  The problem of functional false positive rates has still not been addressed and particularly in the context of low prevalence of disease whereby false positives are likely to exceed true positives substantially and moreover correlate poorly with the person being infectious [12], [13].  Alongside this we have the issue that it is normal to see an increase in illness and deaths during the winter months.  This is well known in the case of pneumonia and influenza. Any increase in positive cases and deaths therefore needs to be presented in the context of the normal seasonal illness/death rate.  It is notable that UK death rate is currently sitting around average for this time of year [14].  The use of the term ‘second wave’ is therefore misleading.

Adverse consequences of current measures in adults 

Social isolation has led to an increase in depression, anxiety, suicides, intra-family violence and child abuse [15].  Fear and persistent stress have a proven negative influence on psychological and general health [16].  Yet fear seems to be the main strategy for inducing compliance with government measures, whether fear of contagion, fear of prosecution or indeed calling on neighbours to report transgressors to the police, leading to further societal fracturing.  The way in which Covid-19 has been portrayed by politicians and the media has done little to promote well-being.  Metaphors invoking war and an invisible enemy have been widespread, together with phrases such as ‘care heroes in the front line’ and ‘corona victims’, fueling the idea that we are dealing with a global ‘killer virus’.  Pervasive ‘stay safe’ messages give the impression that normal life has become perilously dangerous.  The relentless daily presentation of the rising death toll was unleashed on the population in March, without interpreting those figures, without comparing them to flu deaths in other years, without comparing them to deaths from other causes.  As death rates fell, the media swapped to highlighting rising ‘cases’.  This coverage has induced unparalleled levels of fear in the population and, in particular, indoctrinates young children with a negative and potentially damaging narrative.  Widespread use of masks may well be adding to fear but this is not being considered, despite limited scientific evidence of benefit [17].

The NHS has been all but shut to non-Covid conditions and delays in diagnosis have been highlighted in general practice [18]and this is beginning to be revealed in rising waiting lists for cancer diagnosis and treatment [19] and excess non-Covid deaths [20]  Moreover, the huge adverse effect on the economy and people’s livelihoods will have its own effect on increasing poverty and the health consequences of that, widening the gap between rich and poor [21], [22], [23].

Adverse effects on children and young people 

As a demographic, children are disproportionately affected by the restrictions.  Effects on children are particularly concerning especially knowing their extremely low likelihood of serious disease and the small part they play in viral transmission [24].  The Royal College of Paediatrics and Child Health has reported delays in referral for diabetes, cancer and child protection issues [25].  Development and growth are also hampered through reduced social and family interaction, exacerbated by the ‘Rule of 6’.  Reduced access to learning in schools, educational groups, extra-curricular activities, sport, nurseries and baby classes, all impact on children’s physical health and on their mental health [26].  Parents at many primary schools are now being asked to wear masks when collecting their children, so despite spending months explaining that this virus is not dangerous to kids or young adults, we are graphically showing them the reverse, adding to levels of fear.

Widespread and excessive testing in educational settings is having an additional impact, exacerbating these issues.  The parent group UsforThem has evidence of wide variation in how self-isolation rules are applied, with some schools sending home children with minor coughs and colds who are then refused re-entry to school without a negative test.  Whole year groups are sometimes being sent home for a single ‘positive’ test but with no knowledge whether the child in question is truly infectious [27].  The emotional, physical and economic impact of such measures on young people and families is unparalleled [28].

Lack of leadership and varied interpretation of guidance by individual educational settings, has resulted in the adoption of disproportionate Covid measures in large numbers of schools, nurseries and other childcare settings.  Many of them raise serious issues of child welfare and safeguarding. The lack of any credible milestones to return to normal, cast-iron, full-time schooling, risks causing irreversible harm to the socio-educational prospects of a generation of children [29].

Another way forward

At present, there appears to be no clear exit strategy, other than waiting for a vaccine.  It is clear that this virus has become endemic, yet current ‘protective’ measures are causing avoidable and likely long-term harm to society as a whole.  People’s health, quality of life and livelihoods are in peril for a disease with a mortality rate comparable to many other diseases that befall us.

We welcome the proposals by many respected medical professionals in recent open letters [30], [31], [32] in this regard and we ask the government to urgently consider the following strategy:

  1. Acceptance that Covid-19 will remain as one of several winter viruses.
  2. Public restrictions should be informed by a broad range of independent scientific and medical views, assessed on a benefit to harm ratio and debated in parliament before implementation.
  3. Urgently address the unreliability of PCR testing, by adhering to a published cycle threshold cut-off.  Discontinue testing of asymptomatic adults and mildly symptomatic children.
  4. Produce a balanced long-term sustainable plan for dealing with NHS winter pressures.
  5. Consider fully the impact on children, young adults and family life in consultation with those who have the welfare of these groups at heart.
  6. Provide factual balanced and contextual advice to the public which allows individuals to manage their own risk.
  7. Concentrate efforts on supporting and protecting the most vulnerable.  For example, urgently identify health or social care facilities where COVID infected patients can convalesce until no longer infectious, thus avoiding early discharge to care homes.
  8. Encourage the return to normal life for the less vulnerable members of society with the understanding that this will help to generate population immunity and thus suppress the spread of the virus in the longer term.

We urge policy makers to remember that this pandemic, like all pandemics, will eventually pass but the social and psychological damage that it is causing, risks becoming permanent.

Dr Rosamond Jones, MBBS, MD, FRCPCH (paediatrician, grandparent, #UsforThem)
Dr Charlotte R Bell, MA, VetMB, PhD, MRCVS (immunologist, veterinary surgeon, parent)
Malcolm Loudon, MB ChB, MD, FRCSEd, FRCS, MIHM (consultant surgeon, parent)
Christine Padgham MSc (medical physicist, parent)

Co-signatories

Professor Ellen Townsend, Professor of psychology, University of Nottingham, Reachwell.org

Professor Anthony Brookes, Department of Genetics & Genome Biology, University of Leicester

Professor Anthony Fryer, Professor of Clinical Biochemistry, University of Keele

Professor David Livermore, Professor of Medical Microbiology, University of East Anglia

Professor David King, Emeritus professor of clinical psychopharmacology

Professor David Paton, Professor of Economics, University of Nottingham

Professor Keith Willison, Professor of Chemical Biology, Imperial College, London

Professor Kenneth Strain, Professor of Physics, Glasgow University

Professor Martin Evison, Emeritus Professor of Pathology

Professor Mike Hulme, Professor of Human Geography, University of Cambridge

Professor Richard Ennos, Professor of Biological Sciences, Edinburgh University

Professor Stephen Cooper, Professor of Psychiatry, retired. Grandparent

And 478 other health professionals and scientists listed below

[1] https://www.gov.uk/government/organisations/public-health-england 

[2] https://metro.co.uk/2020/03/13/must-work-together-stop-coronavirus-deaths-flatten-curve-12391617/

[3] https://www.worldometers.info/coronavirus/

[4] https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsregisteredweeklyinenglandandwalesprovisional/weekending11september2020#deaths-registered-by-age-group

[5] Levitt M, Scaiewicz A, Zonta F. Predicting the Trajectory of Any COVID19 Epidemic From the Best Straight Line. https://www.medrxiv.org/content/10.1101/2020.06.26.20140814v2

[6] Le Bert N, Tan AT, Kunasegaran K et al. SARS-CoV-2-specific T cell immunity in cases of COVID-19 and SARS, and uninfected controls. https://www.nature.com/articles/s41586-020-2550-z

[7] SekineT, Perez-Potti A, Rivera-Ballesteros O etal. Robust Tcell immunity in convalescent individuals with asymptomatic or mild COVID-19. https://www.cell.com/cell/fulltext/S0092-8674(20)31008-4?fbclid=IwAR3OBYZgaaWBCMYbwyM3yCg2-9r_i0HSImp_WaEQuaXaq6Ffy38UK6nL7vU

[8] Rice K, Wynne B, Martin V, Ackland G. Effect of school closures on mortality from coronavirus disease 2019: old and new predictions. https://www.bmj.com/content/371/bmj.m3588

[9] Oke J, Howdon D, Heneghan C. Declining COVID-19 Case Fatality Rates across all ages: analysis of German data.  https://www.cebm.net/covid-19/declining-covid-19-case-fatality-rates-across-all-ages-analysis-of-german-data/

[10] Howdon D, Heneghan C. The Declining Case Fatality Ratio in England. https://www.cebm.net/covid-19/the-declining-case-fatality-ratio-in-england/

[11] The DELVE Initiative. SARS-CoV-2 Vaccine Development & Implementation; Scenarios, Options, Key Decisions. https://rs-delve.github.io/reports/2020/10/01/covid19-vaccination-report.html

[12] Jefferson T & Heneghan C. Viral cultures for COVID-19 infectivity assessment. Systematic review https://www.medrxiv.org/content/10.1101/2020.08.04.20167932v3

[13] Jaafar R, Aherfi S, Wurtz N et al. Correlation between 3790 qPCR positives samples and positive cell cultures including 1941 SARS-CoV-2 isolates. https://doi.org/10.1093/cid/ciaa1491 

[14] Stratton IM. COVID-19 – Florence Nightingale Diagram of UK Deaths.  https://www.cebm.net/covid-19/covid-19-florence-nightingales-daigrams-for-deaths/

[15] Urbina-Garcia A. Young Children’s Mental Health: Impact of Social Isolation During The COVID-19 Lockdown and Effective Strategies. https://psyarxiv.com/g549x/download?format=pdf

[16] American Psychological Association. Stress Weakens the Immune System. https://www.apa.org/research/action/immune

[17] Huber C. Masks Are Neither Effective Nor Safe: A Summary Of The Science. https://www.technocracy.news/masks-are-neither-effective-nor-safe-a-summary-of-the-science/

[18] Williams R, Jenkins DA, Ashcroft DM et al. Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30201-2/fulltext

[19] Sud A, Torr B, Jones ME et al. Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(20)30392-2/fulltext 

[20] Heneghan C, Howdon H, Oke J, Jefferson T. Interpreting excess mortality in England: week ending 9 October 2020.  https://www.cebm.net/covid-19/22268/

[21] Meara ER, Richards S, Cutler DM.  The gap gets bigger: changes in mortality and life expectancy, by education, 1981-2000.   Health Aff (Millwood). 2008;27(2):350-360. https://www.healthaffairs.org/doi/10.1377/hlthaff.27.2.350

[22] Dyson A, Hertzman C, Roberts H, Tunstill J, Vaghri Z. Childhood development, education and health inequalities. http://www.instituteofhealthequity.org/resources-reports/early-years-and-education-task-group-report-/task-group-1-early-years-and-education-full.pdf 

[23] Nabarro D. Covid ‘war’ will not be won by controlling people, WHO envoy warns as lockdown fears surge. https://www.express.co.uk/news/uk/1346246/Coronavirus-news-lockdown-WHO-envoy-David-Nabarro-controlling

[24] Ismail SA, Saliba V, Lopez Bernal J, Ramsay ME, Ladhani SN. SARS-CoV-2 infection and transmission in educational settings: cross-sectional analysis of clusters and outbreaks in England. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/911267/School_Outbreaks_Analysis.pdf 

[25] Ladhani S, Viner RM, Lynn RM, Baawuah F, Saliba V, Ramsay ME. Lockdown measures reduced the risk of Covid-19, but had unintended consequences for children. https://blogs.bmj.com/bmj/2020/08/06/lockdown-measures-reduced-the-risk-of-covid-19-but-had-unintended-consequences-for-children/

[26] Owens M. Undoing the untold harms of COVID-19 on young people: a call to action. https://reachwell.org/2020/09/10/dr-matthew-owens-undoing-the-untold-harms-of-covid-19-on-young-people-a-call-to-action/

[27] Sunil Bhopal. Why send 200 pupils home over one positive Covid test?

https://www.tes.com/news/why-send-200-pupils-home-over-one-positive-covid-test 

[28] Anne Longfield. Children in the time of Covid. https://www.childrenscommissioner.gov.uk/wp-content/uploads/2020/09/cco-childhood-in-the-time-of-covid.pdf

[29] BBC Panorama. ‘Generation Covid’ hit hard by the pandemic, research reveals.  https://www.bbc.co.uk/news/uk-54662485

[30] Gupta S, Heneghan C, Sikora K et al.  Boris must urgently rethink his Covid strategy. https://www.spectator.co.uk/article/boris-needs-to-rethink-his-covid-strategy 

[31] Open letter to Matt Hancock. Cannon E et al. https://twitter.com/Dr_Ellie/status/1312380456147595264

[32] Kulldorff M, Gupta S, Bhattacharya J. The Great Barrington Declaration. https://gbdeclaration.org/

Name 

Role 

Qualifications

Adrian Davis

General Practitioner MB BCh, MRCGP

Adrian Payne

Pharmacologist (retired), BSc(Hons) PhD

Adrian Walley

Dental Surgeon, Bachelor of Dental Surgery 1984 London

Adrienne Betteley

Nurse

RN Adult Specialist Practitioner District Nursing

Alan Browne

Company director, HND, BSc Hons, MPhil, PhD.

Alan Maries

Environmental scientist

MA, PhD, Visiting Professor in Environmental Technology, University of Greenwich

Alan McGhee

Research Scientist and Retired Teacher

MSc. Analytical Chemistry

Alasdair Lennox

General Practitioner (Retired)

MBBS

Alex Jones

Post-doctoral research associate

PhD (Biochemistry), concerned citizen

Alex Tardioli

General Practitioner

MBBCh, MRCGP, MSci

Alexandra Oliver

Dentist

BDS

Alexandra Trevenen

Consultant

PhD analytical chemistry

Ali Menzies

Customer Services/Nurse

RGN, RMN, BSc (commendation)

Alison Elsey

General Practitioner

MRCGP MBBS,  bsc

Alison Young

Staff nurse

BSc nursing

Amanda Bailey

Chiropractor

Master of Chiropractic degree

Amanda Cairns

Occupational Health Nurse

SCPHN MSc (OH)

Amy Mulholland

Speech and Language Therapist

BSc; MSc

Andrea Wood

Nutritional Therapist

DipION

Andres Novo Nunez

Project Manager

MSc Chemical Engineering

Andrew Crisp

Nurse

SRN, RMN

Andrew Hill

Podiatrist

DHealth student; MSc Podiatry; BSc (Hons)

Andrew Kingston

Science graduate

BSc (Hons)

Andrew Magrath

Pharmacist

BSc(Hons) Pharmacy; GPhC Registered.

Andrew Thomas

Psychotherapist

MA Couple and Family Therapy, BACP (Accred)

Angela Collyer

Psychotherapist

Advanced Diploma

Angela Parkinson

Physiotherapist

BSc(Hons) Physiotherapy

Ann Armor

Comunity Mental Health Nurse

Bachelor of Nursing; Registered Mental Health Nurse

Annabelle Thorne

Chiropractor

MChiro, DC

Anne Close

Nurse

E.N Dip Orthopaedic nursing (Hns)

Anthony D Lander

Paediatric Surgeon

PhD FRCS(Paed) DCH

Anthony Hemmings

Psychology graduate

BSc Honours Pychology

Anthony Hinton

Consultant Surgeon

MB ChB, FRCS

Anthony Martin

Science graduate

BSc

Anthony Toovey

General Practitioner (Retired)

MB. ChB, DRCOG, MRCP, MRCGP

Arleen Scholten

Chiropractor

MChiro

Arturo Barnes

Osteopath

MOst

Astrid Sherwood

Chiropractor

BSc, MSC, DC

Audrey Lacey

Doctor

MB, BCh, BAO, DRCOG

Aynoa Lecea

Dentist

BDS Dental Surgery

Beki Price

Senior Nursery Nurse

BTec,  Diploma in Nursery Nursing

Bernard Freudenthal

Physician

MBBS, MRCP

Blair Nimmo

Electronic engineer

BSc Hons

Brenda Hunter

IT Consultant

BSc(Hons) Chemistry, IT and Instrumentation

Bridget le Huray

Health Visitor

SRN; RSCN; HV

Brigitte Mehr

Therapist and parent

BSc(Hons), ITEC, CIBTAC

Bryce Taylor

Doctor

MBChB, DCH, DRCOG, MRCGP

C K Robinson

Scientist

BSc (Hons), DPhil (Oxon), MSc (KCL)

C.Geoffrey Maidment

Consultant Physician

MD, FRCP

Caitlin Teague

Antenatal and Postnatal Practitioner, Parent

Fd Birth & Beyond, BA Hons Integrated Working with Children & Families

Callum Cox

Intensive Care Nurse

BNURS (Hons) degree

Camellia Kojouri

Educational Psychologist

Doctorate in Educational Psychology, PGCE, BSc (Hons)

Cardin Pasturel

Chiropractor

MChiro

Carl V Campbell

Doctor (retired)

MB BCH BAO DRCOG DTM&H DMS Med

Caroline Fagan

Physiotherapy

BSc Physiotherapy

Carolyn Jackson

Dental surgeon

BDS

Cassie Coleman

Consultant community paediatrician

BM, MRCPCH

Catherine Allen

Therapist

MFHT, MBAUK

Catherine Silcock

Chiropractor

MSc DC

Catherine Young

Registered nurse (Retired)

BA (Health Studies)

Catriona McGee

Nurse/Therapist

Dip C.A

Cecile Benezech

Scientist

PhD Immunology

Ceri Willicombe

Nurse & midwife

RGN RM HV

Charlotte Galt

Nurse, journalist

BSc, BA

Chris Collins

Biomedical Scientist

FIBMS

Chris Goodfellow

Emeritus Consultant O&G. Associate Lecturer Medical School

LRCP MRCS MBBS FRCOG

Chris Hall

Chemist

BSc Hons

Christine Jacomb

Registered Nurse

BSc

Christopher Boitz

General Practitioner

MBChB (Dundee 2007) BSc (hons)

Christopher Pickard

Chriopractor

BSc

Christopher Vaz

Doctor

MBBS BSc

Christopher Whitehead

Dental Surgeon

BDS

Claire Bowker

Staff Nurse

DipHE Adult Nurse

Claire Freeland

Project Manager

MSc BSc

Claire Hinton

Community Nurse

BSc

Claire Irvine

Soft Tissue Therapist

BTEC Soft Tissue Therapy

Clare Craig

Doctor

BM BS FRCPath

Clare Pettitt

Chiropractor

MSc (Chiro) 2000

Claudia dickens

Veterinary nurse

DVN

Claudia Wilkinson

General Practitioner (retired)

MB BChir, MA Hons Cantab (Pharmacology)

Colette Hickling

Social worker

BA Social work

Colin Axon

University academic (Engineering)

PhD

Colin Croft

Science graduate

BSc Post graduate corporate and change management

Colin Jennings

Allied Health Professional

MSc, BSc, BSc

Cornelia Libal

Pharmacist

PGClinDip, MRPharmS, MBA

CraigTucker

Sports therapist

BCMA accreditation

D Brassington

Forensic Scientist

MSc

Damian Clayton

Dental hygienist

BSc in Health Science. Diploma in dental hygiene

Daniel Santos

Radiographer

Radiographer diploma

Darius Radley

Radiographer

MSc General MRI radiological reporting

David Belcher

Data Analyst

MSci

David Cudlip

Nurse

BSc (Hons) Adult Nursing

David Green

Consultant Intensivist and Anaesthetist

MB ChB FRCA FFICM MBA

David Hay

General Practitioner

MBChB, MRCGP

David Keatley

Lecturer

PhD

Dean Patterson

Physician

MBChB, FRCP

Debbie Collins

Social worker

MA social work

Debbie Rash

General Practitioner

MBChB MRCP MRCGP DFSRH

Deborah Tattersall

Consultant Radiologist

BSc (Hons), MB ChB (Hons), MRCP, FRCR

Diane Macgregor

Nurse

RGN,Bsc nursing, nurse practioner

Diane Nicholas

Counsellor

BSc

Diane Watson

Physiotherapist

MCSP

Diane Wright

Health Visitor

Registered Midwife Bsc and SCPHN Health Visiting

Donald Wallace

Surgeon

FRCS(Ortho)

Dora Paal

Consultant Anaesthetists

MD, DESA

Dr Brian Goss

General Practitioner

BSc, MBBS, MRCGP

Dr Brian Hands

General Practitioner

MBBS

Dr Darrin M Disley OBE

Scientist / CEO / Educator

BSc, PhD, DSc

Dr David Bramble

Child Psychiatrist

MD MRCPdych MB ChB

Dr David Robins

Retired consultant anaesthetist, intensivist, medicolegal expert

MB BS LRCP MRCS DipobsRCOG FRCA

Dr David Taylor

Environmental & Regulatory Scientist

BSc, PhD, CChem, FRSC, FCIWEM

Dr Ellie Cannon

General Practitioner, author

MA (Cantab) MBBS MRCGP

Dr Emily Fussey

General Practitioner

MBBS MRCGP

Dr Finn Nesbitt

Consultant Anaesthetist

MBChB BSc FRCA

Dr Graham Barker

General Practitioner

LRCP, MRCS, MRCGP

Dr Helen Cathro

Senior medical writer

BSc(Hons), MRes, PhD

Dr Helen McArdle

General Practitioner

MBChB(Hons) BSc(Hons) MRCP MRCGP DRCOG PGDip

Dr Howard Taylor

Veterinary Surgeon as well as Mental Health Facilitator

BVSc (Hons) MRCVS

Dr Jennie Duprey

Clinical Psychologist, parent

BSc(Hons), Doctorate in Clinical Psychology

Dr Jennine Taylor

General Practitioner

BSc Hons Biochemistry. MBChB

Dr John Diggle

Doctor

MB Bch

Dr John Tully

Consultant Psychiatrist

MB BCh MRCPsych

Dr Karen Neil

Pharmacist- Health and Wellbeing Education

PhD MRPharmsGB

Dr Mariana Funes

Chartered Psychologist

BA MSc PhD CPsychol

Dr Mike Yeadon

Biotech consultant

BSc Biochem/Tox; PhD Pharmacology

Dr Niall McCrae

Mental health nursing

PhD RMN MSc

Dr Philip G. Hollywood

Consultant in Anaesthesia and Intensive Care

BSc(Hons), MB BS, FFARCS

Dr Rachel Mahoney

Clinical Psychologist

CPsychol., DClinPsych., PGDip., BSc Hons

Dr Renée Hoenderkamp

General Practitioner

BSc(Hons) MBBS MRCGP

Dr Rhiannon Jones

Clinical Psychologist

ClinPsyD

Dr Ricky Freeman

General Practitioner

BM

Dr Robert Bell

Psychologist. Grandparent.

BSc. PhD.

Dr Ruth Wadman

Research Fellow in Health Sciences

PhD, MRes, BSc

Dr Sara Smith

Psychiatrist

MBChB MRCPsych

Dr Stephen Bentley

Consultant General & Acute Physician

MB FRCP DTM&H

Dr Susan Hardy

Consultant Psychiatrist

Bsc (Hons) MBBS MRCPsych

Dr Susie Coughlan

Veterinary Surgeon

BVSc (Hons) PhD (Immunology) MRCVS

Dr Vivienne Hornby

Consultant Anaesthetist

B.Sc., MB.ChB., MMed (Anaes)

Dr Zenobia Storah

Child and Adolescent Clinical Psychologist

MA, Dip.Psych, DClinPsy, CPsychol.

Duncan White

Hospital manager, international health system consultant

RMN RGN DMS MBA MA PhD MRSPH MIHM MHFMA FCMI

Eileen Buckley

Dentist

BDS NUI Hons

Eleanor Livings

Optometrist

BSc MCOptom

Elena Dix

Radiologist

Elinor Young

General Practitioner

BMBS

Elizabeth Aspinall

Science graduate

BSc

Elizabeth Dibsdale

Nurse

RGN

Elizabeth Scholes

Chiropractor

BSc(Hons) chiropractic

Ellen Dean-Mcshane

Nurse

RGN Diploma

Ellen Wainberg

Occupational Therapist

MSc Occupational Therapy

Emily

Podiatrist

BSc hons Podiatry

Emily Quinn

Microbiologist

BSc Microbiology

Emma campbell

Ex – Biomedical Scientist

BSc biomedical science MSc biomedical science 23 years in a microbiology laboratory

Emma Hall

Occupational Therapist

BSc(Hons) Occupational Therapy

Emma Riggs

Clinical psychologist

D Psych Sv; Dip Clin Neuropsych; Dip Forensic Psych

Emma Smith

Mental Health Social Worker

BA (Hons) in Social Work and Diploma in Social Work and Post Graduate Diploma in Mental Health

Emma Thorpe

Foot Health Practitioner

BA(HONS) DipFHP

Erica Roberts

Dental Nurse

NEBDN

Faye Ferris

Clinical Psychologist

BSc DClinPsy

Fiona Nicol

General Practitioner

MBBS FRCP(Edin) FRCGP

Francis Pilkington

General Practitioner

MBChB MRCGP

Gail Stewart

Clinical Manager

RN

Galina Dimitrova

Registered nurse

RGN

Gary Potter

Consultant

BSc (Quantity Surveying) LLM

Gemma Kemp

Pathologist

MBBS, FRCPath

Georgie Burns

Nurse

DIP HE Nursing & Masters Diploma Advanced Nursing Practice

Gillian Hawke

Nurse

BSc hons

Gillian Jamieson

Psychotherapist

MAHons, PGDip Counselling Psychology, MBACP

Graham Balin

General Practitioner

MBBS DRCOG FRACGP

Graham Clark

Managing Director

BSc DipPS DipPSc

Graham Crawley

Medicinal Chemist

BSc PhD

Graham Holman

Physiotherapist

Bsc(hons) Physiotherapy

Graham Marshall

Psychology

PhD M.Psych B.Psych

Hannah Januszczyk

Mental health Pharmacist

MPharm

Hans Brown

Dentist

BDS MSc

Harriet Timms

Senior Analyst

BA GDL

Harry Delmar

Dentist

BChD (Stell)

Hayley Howard

Occupational Therapist.

BSC honours in Occupational Therapy

Hedley Rees

Author and consultancy owner in life sciences

BEng (Tech) Hons, DMS, Exec MBA (Cranfield), MCIPS.

Heike Burger

General Practitioner

MRCGP DRCOG MED STATE EXAM

Helen Andrewes

General practitioner

MBBS MRCGP DFFP MA

Helen Bloor

Registered Nurse

RN

Helen Braden

Dental surgeon

BDS

Helen Browne

Nurse

SRN

Helen Heaton

General Practitioner

BM BS MRCGP

Helen Kidd

Paediatric nurse

RSCN.RGN

Helen Marshall

Nurse

RGN, BSc

Helen Tinsley

Physiotherapist

MCSP Grad dip phys

Henry Pietkiewicz

Science graduate

BSc (Hons) Sociology

Howard Carter

Therapist

Many

Ian Bridges

General Practitioner

MBBS

Ian Comaish

Eye Surgeon

MA BM BCh FRCOphth

Ian Comaish

Ophthalmologist

MA, BM BCh, FRCOphth

Ian Doble

Chiropractor

Masters degree in Chiropractic

Irene McLean

Laboratories

None

Ivan Lowe

Lecturer

BSc (Human Biology), PGCE, PhD

Jacqueline

Dementia Care

Dementia and Senior Care

Jacqueline Gartside

Nursing

RGN

Jacqueline Lewington

District Nurse

RGN ENB 998 ENB 100

Jade Dorrian

PhD Researcher

MSc Psychology, PhD candidate

James Cook

Registered Nurse

Bachelor of Nursing (Hons), Master in Public Health

James Le Fanu

Doctor of Medicine

BA MB BChir FRCP

James Pearson

General Practitioner

MB BS MRCS LRCP

Jan Delamere

Nurse

BN (Child), BSc (Hons) Biochemistry

Jan Wright

Nurse

RGN

Jane Bolton

Teacher and Examiner

MPhil PGCE

Jane Hutton

Nursery nurse

NNEB

Jane Moore

Masters in Public health

RGN MPH

Jane Nightingale

Substance misuse counsellor

Bachelor Behavioural Sciences

Janine Pommer

Paediatric Physiotherapist

BSc Physiotherapy

Jean denton

Physiotherapist

BSc; MSc

Jen Marsh

Retired health visitor

SRN HV

Jennifer Aspey

Veterinary Surgeon

BVM&S MRVCS

Jennifer Baldwin

Nurse

RN

Jennifer Hikins

Mental health support worker

BA (Hons) Social Work

Jennifer Johnston

Nurse

BSc Adult Nursing

Jennifer MacNab

Nurse (Retired)

BSc Rural Health Studies RGN, ONC

Jeremy English

Chiropractor

Chiropractic Diploma

Jeremy Fletcher

Consultant paediatrician

MBBS MA MD MRCP

Jessie Shaw

General Practitioner (retired)

MB ChB

Jo Molony

General Practitioner

MA; MBBS

Jo North

Speech and Language Therapist

BSc Linguistics & Language Pathology

Jo Rogers

Occupational Therapist

DipCOT, SROT, CMS

Joanna Davis

Senior Biomedical Scientist

Natural Science (Hons) degree and various BMS academic qualifications

Joanne Eldon

Nurse

BSc Hons degree nurse practitioner

Joanne Hynd

Mental Health Nursing

BA (Hons) RN

Joanne Scott

Chiropodist/aesthetician

MAFHP. CIDESCO. iHBC.

Joanne Wise

Registered Chiropractor, functional nutritionist,

MChiro, MSc, BSc

Jocelyn Hammer

Disability Qualified Tribunal Member

MA, PGCE

Joe Farnell

Doctor

PhD MD

John Anderson

Dentist

BDS MSc

John Baker

Science graduate

BSc

John Biggerstaff

Research Immunologist

PhD

John Collis

Nurse Practitioner

PGCert(advanced practice), BSc(Hons) Nursing, BA(Hons)

John Cooke

Physicist, parent

MA, PhD

John Firth

Dental Surgeon

BDS

John Ryan

Clinical Educator

MS Medical Informatics RT(R)

Jon Toward

Chiropractor

BSc(Hons), MSc(Chiro), DC, MRCC, CCEP

Jonathan Aldred

Economist

PhD

Jonathan Eastwood

General Practitioner

BSc MBChB MRCGP

Jonathan Engler

Doctor

MBChB and LlB

Jonathan Furniss

Engineer

PhD

Jonathan McVicar

Laboratory technician

Biomedical engineering

Jonathan Terranova

Mental Health Support Worker

Bachelor of the arts

Jonathan Walczak

Surgeon

MBBS BSC FRCS FRCS (Tr and Orth)

Jude Bradley

Counselling Psychologist

Psychology, MA

Julia Wilkens

Consultant Obstetrician

FRCOG, MD

Julian Keel

Chiropractor

BSc DC

Julie Maxwell

Paediatrician, parent

MBBCh MRCPCH

JWB

Nurse

SRN

Karen Kerr

Nurse , community nursing sister

RNLD ENB806 C&G730 DIP Epilepsy care Counselling centra level 2

Kate

Nutritionist

BSc Dip ION IFMCP

Kate Perham

NHS safeguarding lead

RN child

Katerina Tsokova

Consultant Radiologist

FRCR

Kath Diggle

Nurse

RGN

Katherine Price

Physiotherapist

BSc (Hons) Physiotherapy MCSP.

Kathleen A Freeman

Nursing (retired)

SRN

Kathleen Hurley

Nurse

SEN

Kathryn Cooper

Clinical psychologist

ClinPsyD

Kathryn Foye

Senior Staff Nurse (NICU)

RN part 1 and part 8 of register

Kathryn Haslam

Chiropractor

BSc

Kathryn Hawkins

Nurse

RGN

Kathryn Howard

NHS

Nursing assistant

Katie Dhingra

Associate Professor (Psychology)

PhD

Katie Dighe

Mental health nurse and health practitioner

RMN

Katie Woodland

Psychologist

MSc Applied Child Psychology, BA Criminology and Psychology, MBPsS, SNHS

Katrina Young

General Practitioner

MBChB

Kaya k.

Therapist

Counselling

Keith Rolles

Consultant Surgeon(retired)

MA, MS, FRCS.

Kelly Cheyne

Occupational Health Nurse Advisor

BSc Occupational Health. DIPHEN Nursing

Kelvyn Sheppard

Chief Biomedical Scientist

FIBMS

Khush

Health care

PhD oncology

Kim Broderick

Nurse

Diploma in Nursing

Kim E Wallace

Nursing

RGN, RMN, RM, BSc

Kirsty

Nurse

RGN

Kirsty McLean

Psychologist

Chartered psychologist

Kristian Hudson

Doctor

PhD

Laurence A.

Social Care Professional

Lasantha Wijesinghe

Consultant surgeon

MA MD MB BChir FRCS

Laura Allen

Doctor

MB BChir BSc

Laura Coad

NHS Clinical Effectiveness Lead Specialist

1st class BSc Biochemistry, MSc Advanced Clinical Practice

Laura Raymond

Consultant Clinical Psychologist

DClinPsych, BscHons

Leah

Mental Health Practitioner, Psychotherapist

NLP Trainer, Adv Clinical Hypnotherapist & Psychotherapist

Lesley Johnson

Biomedical Scientist

FIBMS

Lin

Midwife

RM

Linda Tomlin

Nurse

RN

Lis Waller

Children’s Nurse

SRN RSCN

Lisa Avery

Microbiologist

PhD

Lisa Henderson

Nurse

RGN

Lisa Menozzi

General Practitioner

MBBS BSc Immunology MSc Public Health

Lisa Wadd

Speech & Language Therapist

BSc in Clinical Language Sciences

Livia Pontes

Clinical Psychologist

CPsychol AFBPsS

Lorna Ower

Associate Practitioner in Histopathology.

Msc (Science)

Louise Coates

Advanced Clinical Nurse Practitioner

PH Dip Advanced Nursing Practice, BSc Adult Nursing

Louise Katz

Psychologist

BA, MSc, MBPS

Lucy Belgrave

Care co-ordinator

BSc health and well being / NVQ5 leadership and management im health social care

Lucy Hunn

Pharmacist

BPharm (Hons)

Lucy Peat

Scientist

PhD

Lynn Donoghue

Microelectronics Engineer

BSc (Hons) Natural Sciences with Chemistry

Lynn Pantling

Nurse

RGN

Lynne Wilson

Data Scientist

MSc

Malcolm Sadler

General Practitioner

MBBS; DRCOG; FRCGP

Manhal Ali

Research Fellow

PhD

Margaret Allan

State Enrolled Nurse

SEN

Margaret Willoughby

Registered Nurse

BSc in Critical Care; Advanced Diploma in Nursing;

Margret Watson

Community mental health nurse

BA Nursing Studies (Mental Health)

Maria Law

Nurse

LPN

Marie-Christine Dix

Chiropractor

MChiro

Mariusz D. Korycki

Consultant Orthopaedic Surgeon

MD

Mary Ann Dowrick

Family nurse Practitioner (retired)

RN, BSN, MN

Maryellen Stephens

Chiropractor

MSc (Chiro); DC

Marzena Abdulrazak

Nurse

GPN

Matthew Reid

Research Scientist

PhD Chemistry/Computational Chemistry

Melissa Bittner

Former Registered Nurse, A.A.S.

Geriatrics, Orthopedics, Renal Disease

Melissa Mclaggan

Sonographer

Post Graduate Diploma Ultrasound, BSc Homs Radiography

Michael D Bell

General Practitioner

MBChB Edin(1978) MRCGP(1989)

Michael Martin

Medical Microbiologist

MB BS MSc FRCPath

Michelle Davies

Osteopath

BSc Hons Ost

Mirko Cirkovic

Clinical psychologist

HCPC registered Clinical Psychologist

Mohammed Arshad

Registered Clinical Technologist

BSc (Hons)

Mohammed Othman

Oral surgeon

BDS

Mr Csaba Marafko

Consultant Surgeon

MD, MSc, FRCS(Eng)

Mr Sudip Ray

Consultant Surgeon

MA MS FRCS

Mrs K Hooper

Retired Specialist Public Health Nurse, paediatric nurse.

Postgraduate SN (Brunel), BA (Open), RN (Paediatrics), Dio Theology (LBC) Childrens.

Muhammad Raihan

Doctor

MBChB

Myra Forster-van Hijfte

Veterinary surgeon

DVM, CertVR certSAM DipECVIM FRCVS

Name withheld

Allied Health Professional

BSc(hons)

Name withheld

Atmospheric modelling scientist

PhD

Name withheld

Clinical Nurse Specialist

RN

Name withheld

Clinical Psychologist

BSc Hons, D.Clin.Psych

Name withheld

Clinical Psychologist consultant

Doctorate in Clinical Psychology

Name withheld

Consultant Oncologist

BSc, MBBS, MRCP, DPhil

Name withheld

Data scientist, clinical trials

BSc Environmental Science

Name withheld

Dentist

BDS

Name withheld

Doctor

MBBS

Name withheld

Doctor

MBChB, BSc Medical Sciences

Name withheld

Doctor

BSc, MBChB,

Name withheld

Psychiatrist

MBBS

Name withheld

General Practitioner

MBChB DRCOG MRCGP

Name withheld

Health visitor

RGN BA public health nursing

Name withheld

Healthy Family Support Practitioner

CYPWF

Name withheld

IT support

BMedSci

Name withheld

Maxillo- Facial Prosthesetist [Retired]

BA Hons;  HNC

Name withheld

NHS receptionist/administrator

BTec national diploma

Name withheld

Nurse

BA (hons) and nursing diploma

Name withheld

Nurse

Cardiac Specialist Nurse

Name withheld

Nurse

SRN DN

Name withheld

Nurse

RN

Name withheld

Nurse

SSN

Name withheld

Nurse

RMN

Name withheld

Nurse

RN

Name withheld

Nurse

Dip HE Adult Nursing

Name withheld

Nutrition and allergy specialist

Diploma Allergy Therapy and Degree

Name withheld

Occupational Therapist

BSc Occupational Therapy

Name withheld

Pharmacist

MPharm

Name withheld

Physician (retired)

BSc, MB, ChB, MD, FRCP, FFPM

Name withheld

Podiatrist

BSc HCPC

Name withheld

Psychiatrist

MBBS

Name withheld

Psychotherapist

Degrees in Psychology and counselling

Name withheld

Radiographer

PgDip radiotherapy and oncology

Name withheld

Science graduate

Master of Science in biology and engineering

Name withheld

Social worker

BSc Hons Social Work

Name withheld

Specialist Nurse

Diploma of Higher Education in Nursing

Name withheld

Therapist

ACHO

Nancy Gillespie

Nurse

RGN RMN BSc prof Health Studies

Nanette Waring

Nurse & business owner

BA RGN NEBOSH

Naomi Mason

Assistant Director Children’s Services

RN, BSc (hons) MSc,

Naomi Simcock

Clinical Psychologist

BSc DClinPsy

Natalie Robertson

Chiropractor

Mtech SA Chiropractic, OM UK

Neil Frost

Optometrist

MCOptom BSc Hons

Neil Bradbury

Surgeon

MB ChB, FRCS, FRCS Orth

Neil Cox

Chiropractic

BSc (Hons) MSc (Chiropractic)

Nel Anderson

Psychologist

BSc

Nichola Ling

Consultant Obstetrician

MBBS MRCOG

Nicholas Easey

Optician

FBDO SMCtech

Nicola McQuaid

Retired registered nurse

RGN

Nicola Webster

Nurse

BSc (Hons) Nursing Studies

Nicolas Cupper

Doctor

MBBS DRCOG

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