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Peter Ross

Thesis Topic

How do theories of diffusion of innovation and medical engagement inform understanding of the factors which influence successful adoption and assimilation of healthcare reform? A mixed methods study of medical engagement and learning from clinical audit feedback.

Abstract

The research is centred on the processes surrounding the implementation and assimilation of the National NHS England Positron Emission Tomography-Computed Tomography [PET-CT] Clinical Audit Programme, which was first implemented in 2008 as part of a wider government initiative to increase access of cancer patients to PET-CT imaging in England. The literature, indicates that clinical audit is unlikely to be effectively implemented unless healthcare professionals are fully engaged with the process. Building on the findings of a pilot study, the research question seeks to identify and explore the key contextual factors to influence the level and quality of doctors’ engagement and performance on the National NHS England PET-CT Clinical Audit Programme.

Research Methods

  • Qualitative research: semi-structured interviews.
  • Quantitative research: longitudinal attitudinal survey of consultant doctors currently participating in the clinical audit programme.
  • Statistical analysis of anonymised performance data.

Research Interests

Implementation and assimilation of process innovation, organisational learning, medical engagement with current NHS England healthcare reform including procurement policy.

Biograph

Peter Ross BSc (hons), BA (hons), MSc. He undertook his MSc studies at Birkbeck School of Management London University where he graduated with distinction. The nature of his research means that he regularly collaborates with healthcare managers, doctors and other allied healthcare professionals. His research is focused on how best to implement and assimilate current healthcare initiatives. In particular, Peter is interested in the impact of blame cultures on organisational learning and performance and the processes surrounding decision making within healthcare organisations. The context for his research is the current programme of NHS healthcare reform and procurement of services. Peter’s research has been cited in joint guidance documents of the Royal College of Radiologists and Royal College of Physicians. He has also contributed to the debate on improving patient safety through publication of his research findings in the Westminster Health Forum. Recently, Peter acted as methodology advisor to NHS England with regard to the design and development of the national NHS England core patient experience survey questionnaire questions. His current research projects include: 1) an evaluation of the factors to influence doctors’ engagement and performance with the National NHS England PET-CT Clinical Audit Programme and 2) research into the factors to influence patient and clinician engagement with new clinical pathways.

Peter regularly presents his findings at national and international meetings and has published on medical engagement, blame culture and clinical guideline adoption in the academic literature. His initial research into medical engagement with clinical audit was first presented at the European Congress of Radiology in Vienna 2013 and subsequently published in Nuclear Medicine Communications 2014 [official journal of The British Nuclear Medicine Society]. More recently his research findings from a national survey into doctors’ attitudes to clinical audit were presented at the European Association of Nuclear Medicine Congress 2015 and the European Association of Nuclear Medicine Congress 2017 and have been published in the Journal of the Royal Society of Medicine 2017.

Peter is a reviewer for the Journal of the Royal Society of Medicine and the European Journal of Radiology. He teaches research methods on the postgraduate management programme at Birkbeck University of London.

Publications

  • Ross, P. Hubert, J. Saunders, M.Vivian, G. Beadsmoore, C. Acosta, M. Webster, P. Wong, W. (2013) ‘An Evaluation of User Perspectives toward Engagement with the NHS National PET-CT Audit Programme’ (poster presentation), European Congress of Radiology Vienna - Electronic Presentation Online System, DOI: 10.1594/ecr2013/C-1113.
  • Wong, W. Ross, P. Corcoran, M. (2013) ‘Evidence-based Guideline Recommendations on the use of Positron Emission Tomography Imaging in Head and Neck Cancer from Ontario and Guidelines in General – Some Observations’ Clinical Oncology. 25: 242-245.
  • Ross, P. Hubert, J. Saunders, M. Wong, W. (2014) ‘The Importance of a Supportive Environment in Clinical Audit – a Pilot Study of Doctors’ Engagement with the NHS National PET-CT Audit Programme’ Nuclear Medicine Communications. 35: 1052-1057.
  • Wong, W. Ross, P. (2015) ‘Advances in PET-CT’ in Recent Advances in Otolaryngology vol. 9. Sudhoff, H. Bhutta, M. (eds.) JP Medical Publishers. ISBN 9781907816895.
  • Ross, P. Wong, W. (2017) ‘Priorities for Improving Patient Safety in the NHS: transparency, safeguards and developing a patient-centred culture.’ Westminster Health Forum Publication.
  • Ross, P. (2017) ‘Applying Clinical Guidelines: A Synthesis of Evidence and Practice’ in A Clinicians’ Guide to Radionuclide Hybrid Imaging: PET-CT in Head and Neck Cancer ed. W. L.Wong. Springer International Publications AG.
  • Ross, P. Hubert, J. Wong, W. (2017) ‘Reducing the Blame Culture through Clinical Audit in Nuclear Medicine: A Mixed Methods Study’ Journal of the Royal Society of Medicine Open,8 (2) 1-11.
  • Ross, P. Wong, W. (2017) ‘The Value of Implementing Clinical Audit: The Experience of the National NHS England PET-CT Clinical Audit Programme’, European Congress of Radiology Vienna - Electronic Presentation Online System, ECR 2017/C-0569.
  • Ross, P. Armstrong, J. Albon, S. Wong, W.L. (2017) ‘The Value of Clinical Audit beyond Monitoring and Measuring: Evidence from the National NHS England PET-CT Clinical Audit Programme’ European Association of Nuclear Medicine, Vienna - Electronic Presentation Online System, presentation EP-1017)

Presentations

  • ‘A Survey of Reporter Perspectives to the National NHS PET-CT Audit Programme’ 17th Annual PET-CT Meeting: PET-CT in the Practice of Oncology, Royal Society of Medicine London March 2014. Invited speaker.
  • Contributed to: ‘The National NHS PET-CT Audit Programme: A Process of Learning’ The Clinical Radiology Audit Committee’s Audit Forum. From audit to quality improvement: broader perspectives The Royal College of Radiologists, London. May 2014.
  • ‘Patient and Public Voice Assurance Group Conference’ Birmingham 4th December 2014. Invited Speaker.
  • Reporters’ Engagement Workshop, Alliance Medical in collaboration with NHS England, 2015 London. Invited speaker.
  • ‘Barriers and Facilitators to Doctors’ Engagement with the National NHS PET-CT Clinical Audit Programme’ (poster presentation) European Association of Nuclear Medicine, Hamburg 2015.
  • ‘The Value of Clinical Audit’ The National NHS PET-CT Reporters’ Meeting, Royal Society of Medicine 2017. Invited speaker.
  • ‘Changing Patterns of Clinical Error: Implications for Clinical Performance’ NHS England National PET-CT Reporters Meeting, The Christie Hospital Manchester 2017. Invited speaker.

Memberships and Professional Roles

  • Fellow, The Royal Society of Medicine London.
  • Teacher of Research Methods on the Postgraduate Management Programme.
  • Reviewer for the Journal of the Royal Society of Medicine London.
  • Reviewer for the European Journal of Radiology.

Supervisors

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