Meet your Education Team

Clinical Practice and Experience

Keith has over 20-years experience in all aspects of both non-invasive and invasive cardiac diagnostics. He is clinically proficient in providing and interpreting procedures such as resting ECG, ambulatory cardiac monitoring, echocardiography, stress echocardiography, haemodynamic assessments and monitoring during cardiac catheterisation procedures. Keith is currently responsible for the clinical leadership/management of the largest UK cardiac diagnostic services; Manchester Foundation Trust has circa. 120 clinical physiologists/scientists who provide a full spectrum of cardiac diagnostic testing at tertiary level. 

In addition to providing clinical leadership and expertise in all generic areas of diagnostics, Keith actively delivers weekly clinical autonomous diagnostic testing and interpretation in complex areas of cardiac diagnostics, which include specialised assessments in structural valvular heart disease and stress echocardiography for the detection of coronary artery disease and structural valvular heart disease. He also has multiple leadership roles in other tertiary units including Liverpool Heart and Chest Hospital which has enabled him to have exposure to differing healthcare providers and gain knowledge of differing clinical practice between tertiary and secondary care hospital providers.

 With extensive clinical experience and clinical leadership within a hospital setting, Keith has held multiple national leadership roles, including Vice President and recently President of the British Society of Echocardiography. He is also a national elected member of the British Cardiac Society education committee. Keith acts as Clinical lead for NHSE workstream on diagnostics and outpatient services and is an active member of NHSE/I Cardiac Pathway Implementation Programme board. Currently, he is the chair for the British Cardiac Society Cardiac Physiologists/Cardiac scientists Council.

Clinical Interests

Keith has a clinical interest in all areas of cardiac diagnostic testing in both non-invasive and invasive areas. Echocardiography is his specialist area of practice with specialised interests in stress echocardiography, valvular heart disease, and detection of coronary heart disease. 

Research Interests

Keith is actively involved in multiple research projects which include areas such as, the effect of potassium and cardiac arrhythmia post coronary artery bypass surgery. He is involved in the clinical steering committee for the British Society Echocardiography National Stress Echo Practice registry. Keith has successfully run a national core lab for analysis of echo data as part of the UK TAVI research and has been successful in being awarded a grant from the European Society Echocardiography to deliver a core lab function for the 10-year TAVI registry.

Management Experience

Keith currently manages the largest Cardiac Diagnostic Unit in the UK across five sites. He has held the position of Consultant Cardiac Scientist at Manchester University Foundation Trust in 2013, and prior to this he held the role as Lead Cardiac Physiologist at the Liverpool Heart and Chest hospital. Manchester University Foundation Trust has circa .120 cardiac scientists/physiologists who deliver the full spectrum of cardiac diagnostic testing. Keith is clinically and professionally responsible for this group and, whilst there is a cascade system of management, as the head of service he is responsible for ensuring the clinical standards of all services delivered within his unit.

Summary of Publications

2021: Echo Research and Practice, Practical guide to assessment of Aortic Stenosis.

2021: Echo Research and Practice, British society echocardiography clinical triage guidelines.

2021: Echo Research and Practice, British society echocardiography normal reference intervals/ranges. 

2021: Echo research and practice, British society echocardiography follow up guidelines for prosthetic valves and valvular heart disease.

2020: Circulation, cardiovascular imaging, Automated LV dimension assessment using artificial intelligence.

2020: BJC Webinar restoration of cardiac diagnostics following pandemic.

2020: European Heart Journal, Global effect of echocardiography in Covid-19.

2015: British Journal of Cardiology. The effectiveness of a mobile ECG device in identifying AF.

2014: Cardiovascular Endocrinology. A novel application of salivary testosterone in systolic heart failure. Relationship to exercise capacity, quality of life and cardiac mechanics.

2012: Circulation, Images in Cardiovascular medicine: Multiparametric cardiovascular magnetic resonance assessment of pacemaker induced alterations in ventricular activation and function.

2012: Journal of Cardiovascular Ultrasound: (CME Article) Pre-implant Transthoracic echocardiography assessment of continuous flow left ventricular assist device. 

2011: European journal of Echocardiography. Comparison of real-time three-dimensional echocardiography with cardiovascular magnetic resonance for left ventricular volumetric assessment in unselected patients.

2010: European Journal of Echocardiography Left ventricular filling and diastolic myocardial deformation in chronic primary mitral regurgitation.

Teaching and Training

Keith has delivered over 100 lectures in cardiac diagnostic investigations and interpretation at local, regional and national levels. He has supported and advised Higher Education Institutes, such as Manchester Metropolitan University, in design, delivery, implementation and assessment of foundation level degree programmes, undergraduate BSc programs in cardiac science, MSc cardiac science, and PhD doctoral programmes. The cardiology departments which Keith leads currently host >20 trainees across the complete spectrum of cardiac science education. Further, he has been invited to present at both European Echocardiography Meetings and American Society of Echocardiography annual conferences.

Prizes and Awards

2017-2020: President British Society Echocardiography (BSE) 

2020: Lifetime achievement award recipient for commitment to education for patient benefit and national services to echocardiography

2015: Advancing Healthcare Awards Winner: Inspiring the future workforce, NHS Employers

2014: Advancing Healthcare Awards Winner: Clinical Leader of the year + (Overall category Winner)

2012: NHS Healthcare Science Award Winner: Clinical Leader of the year

Memberships of Professional Bodies and Learned Societies

Lifetime accredited membership British Society of Echocardiography

Registration Council for Clinical Physiologists

British Cardiac Society

Prof Martin Stout is a Consultant Cardiac Physiologist and has been practising clinically since 2000. He specialises in cardiac imaging and in particular advanced transthoracic echocardiography and stress echocardiography. Currently he is leading a new initiative providing clinical Cardiology outreach provision to acute medicine. He is the previous Chair for Education of the British Society of Echocardiography, a council member for the last 4 years and current Vice President of the society. He has been awarded fellowships by the British Society of Echocardiography and the European Society of Cardiology. Martin has received national recognition, winning awards for clinical leadership and also influencing the workforce of the future.

Martin previously held a joint clinical and academic position as academic lead for the scientist training programmes in Cardiac Science at both masters and taught doctoral levels with Manchester Metropolitan University and has since gained a visiting professor position due to his continued work with the university in developing novel training programmes across Cardiac Science. He has been teaching on undergraduate and postgraduate programmes for over fifteen years. He is also the lead editor for the new nationally developed curriculum for the scientist training programme in cardiac science. He undertook his PhD in Sheffield, completing in 2011 and investigated the effect of testosterone replacement therapy in males with heart failure. He has published over 30 articles in leading journals and also contributes to national guidelines for the appropriate use of echocardiography. He is an active PhD supervisor in the area of cardiac physiology and has successfully received grant funding to support PhD studentships and his own research interests.

Eleri is Consultant Cardiac Physiologist for Cardiac Rhythm Management at Wythenshawe Hospital, Manchester. She has been a physiologist for 15 years and is involved in the EP lab and with Cardiac Device implantations and follow-up. She enjoys teaching and training in both subjects. She is a current member of the British Heart Rhythm Society (BHRS) Council as a physiologist representative and is the current Honorary Secretary of the Society. She is also a member of the British Cardiac Society Cardiac Physiology / Scientist Council representing BHRS.

Andrea is a Principal Cardiac Physiologist with over 30 years of experience. Andrea manages a large dedicated team of Cardiac Physiologists at Wythenshawe Hospital where she is the manager of Invasive Services and Cardiac Rhythm Management. She trained at Bury District General and is specialised in cardiac rhythm management with her primary focus being electrophysiology and loop recorder implantation. Andrea also has extensive experience in both the private sector and as a Clinical Applications Specialist/Sales for GE Medical systems supporting catheter lab electrophysiology and non-invasive procedures. She began at Wythenshawe in 2004 as Regional Cardiac Clinical Tutor for the undergraduate training program in Healthcare Science in conjunction with Manchester Metropolitan University (MMU) where she has been a Senior Honorary Lecturer for the BSc component for over 10 years.

Andrea is also instrumental in the organisation and delivery of the MSc program in Healthcare Science at MMU.  She is heavily involved in the delivery and placement of Specialist Training at both undergraduate and postgraduate level for cardiac trainees and is dedicated to ensuring that her students gain the right experience in order to succeed as future Cardiac Physiologists.

Cathy began training at Manchester Royal Infirmary, as a Physiological Measurement Technician in Cardiology in 1986, after completing a full time Higher National Diploma in Applied Biology at Manchester Polytechnic, now Manchester Metropolitan University. After gaining experience in all aspects of non-invasive cardiology Cathy continued to advance her career moving to Wythenshawe Hospital gaining experience in all catheter lab work including electrophysiology and ablation techniques. Cathy became involved in teaching and training across Greater Manchester, lecturing at Manchester Metropolitan University, delivering education at both undergraduate and postgraduate level for physiologist and doctors alike and specialising in echocardiography with transthoracic BSE accreditation. After a few years, helping to set up a new catheter lab suite, at Warrington District General Cathy returned to Wythenshawe Hospital as an Expert Cardiac Physiologist. An exciting development was to coordinate what became an annual, Basic Hands-on Echo course held in the Education and Research Centre here at the Wythenshawe site with around 30 international delegates. Cathy attained BSE Transoesophageal echo accreditation and teaches on the annual Hands-on Cardiothoracic Anaesthetic TOE course. Cathy has been involved with the British Society of Echocardiography in both TTE and TOE accreditation for many years as departmental mentor and national examiner and was delighted to have been nominated as a BSE Echo Hero in July 2021!

Hannah is Education Lead for our team and helps to facilitate and run multiple courses throughout cardiology both for internal and external learners. Hannah is a guest lecturer for the PTP and STP Cardiac programmes based at Manchester Metropolitan University and is an active member of the STP organisation and examination marking team. Hannah has also been involved in grading STP applications for Cardiac Science and Medical Ethics Research Question marking of school-age learners as part of the Social Mobility Foundation. As a physiologist Hannah specialises in cardiac rhythm management working in both device and electrophysiology areas. Hannah achieved a first class BSc (Hons) in Physiology with industrial experience in 2010 which included a 13 month pharmaceutical laboratory placement. In 2014 she completed her BHF-funded, predominantly lab-based PhD in Cardiovascular Medicine at the University of Manchester, which also involved working at the University of Oxford as an academic visitor for ~2 years. In 2017 she completed the Scientist Training Programme (STP) in Cardiac Science (MSc, distinction) specialising in cardiac rhythm management and qualified as a HCPC registered Cardiac Clinical Scientist. In 2017 she also completed the IBHRE certified cardiac device specialist (CCDS) exam. Hannah is eager to promote and encourage continuous learning and development to advance practice for the benefit of patients. Her enthusiasm has also led her to be involved in a number of community outreach programmes – hoping to inspire the next generation!

After completing her BSc (Hons) Biological Sciences (2:1) in 2004, Amy trained at Wirral University NHS Teaching Hospitals qualifying with a 1^st Class BSc (Hons) Clinical Physiology (Cardiology) in 2007. Amy obtained her British Heart Rhythm Society (BHRS) Devices qualification in 2009 coinciding with a move to Manchester University NHS Foundation Trust. She followed that up with International Board of Heart Rhythm Examiners (IBHRE) Cardiac Device certification in 2011, IBHRE Electrophysiology and BHRS Electrophysiology in 2014 and European Heart Rhythm Association (EHRA) Cardiac Pacing and ICDs Certification in 2016. Amy was the facilitator and speaker on the original Wythenshawe Device Exam Prep Course between 2011-2016, which later evolved into The Manchester Devices Course on which she has been a speaker and member of the Faculty since 2016. Since 2013 Amy has been the facilitator and lecturer on the Cardiac Rhythm Management clinical education for the Scientist Training Programme at Manchester Metropolitan University. Amy also lectures on the Healthcare Science Practitioner Training program at Manchester Metropolitan University on Catheter Lab and CRM topics. Over the past several years she has been on the STP interview panel and has been involved in the student shortlisting process. Amy has been a faculty member of The Manchester Cath Lab Emergency Medicine Simulation (CLEMS) Course since 2018 most recently providing CLEMS training at British Cardiovascular Society Annual Conference 2019. Amy is experienced at delivering education on Cardiac Rhythm Management and Cardiac Catheter Lab procedures to a multidisciplinary audience, latterly in the form of educational evenings for Cardiac Catheter Lab team members with a diverse range of experience. Amy has a keen interest in clinical leadership and has undertaken several programmes including NHS Leadership Academy Mary Seacole Programme in 2017. In 2021 Amy was successful in gaining Equivalence to the Academy of Healthcare Science (AHCS) Scientist Training Programme (STP) and Healthcare Professions Council (HCPC) registration. 2021 also sees her undertaking IBHRE Cardiac Devices reaccreditation.

Sam was part of the first cohort of healthcare scientist trainees through the BSc (Hons) Healthcare Science Practitioner trainee program in 2010 at Manchester Metropolitan University (MMU). After graduating with first-class honours in 2013, Sam was employed at Manchester Foundation Trust, Wythenshawe hospital.

Soon after this time, Sam was approached by a member of the North West Healthcare Science Network and became the first PTP board member of the new North West Trainees Network Board (NWTNB). The board is a unique network for PTP and STP trainees that is committed to supporting and developing all trainees across the North West. A year later after participating as a board member, Sam became co-chair of the NWTNB and led the board to organise and develop trainee events that invited key speakers such as Professor Sue Hill OBE. Due to her commitment and leadership on the board, Sam achieved the Rising Star Award at the Chief Scientific Officers Healthcare Scientist awards in 2014.

During this time Sam’s clinical focus was specialist training in Cardiac Rhythm Management and she obtained her British Heart Rhythm Society (BHRS) Devices qualification in 2016. Following this, Sam wanted to develop both her clinical and leadership skills further and she applied for the in-service STP programme in 2015. In 2018 she graduated and received a masters with distinction in Cardiac Clinical Sciences and further successfully registered as a Cardiac Clinical Scientist on the Healthcare Professions Council (HCPC) register. Since, Sam has gained a further qualification in Electrophysiology from the International Board of Heart Rhythm Examiners (IBHRE).

Sam is experienced at delivering education as a guest lecturer for the PTP and STP Cardiac programmes based at Manchester Metropolitan University and independent courses related to CRM at a local and national level to a multidisciplinary audience.

Wendy is the Transthoracic Echo Lead at Wythenshawe Hospital; she has a keen interest in Adult Congenital Heart Disease Echocardiography and is one of the only physiologists to practice cardiovascular magnetic resonance imaging.  She holds BSE Adult Transthoracic and Congenital Heart Disease Echocardiography Accreditation.  She sits on the BSE Accreditation Committee and is an elected BSE Council member.

She has taken an active role in the training of junior staff for the last 14 years, becoming an Examiner / Logbook Scrutineer for both the Society of Cardiological Science & Technology and the BSE. She has mentored several successful candidates in BSE Transthoracic Accreditation, becoming a Senior Marker for the BSE and taking the role of National Lead for the Practical Scanning Station on the practical assessment days.

Wendy is a guest lecturer at Manchester Metropolitan University, she organises and facilitates teaching for the “Ultrasound Imaging in Cardiac Disease” module of the Scientist Training Programme.  She delivers teaching on specialist block weeks for both the Scientist and Practitioner Training Programmes, and the PG Certificate Echo Training Programme.  In addition, she regularly delivers teaching on the Manchester Focussed Intensive Care Echocardiography (FICE) course.

Kate is an Expert Cardiac Physiologist and clinical lead in stress echocardiography who has worked in cardiology since 2008. As well as being an active BSE accredited member of the echo team, Kate leads the stress echo service at Wythenshawe hospital, running a weekly stress echo MDT. Kate is an enthusiastic member of the education team and helped organise a nationally attended Stress echo Course in 2019 and is keen to organise more to encourage everyone to learn and share their knowledge. Previously Kate set up and organised the ECG training course run at Wythenshawe hospital which is still run for staff at the hospital to improve ECG standards within the hospital as well as for other NHS trusts. Kate is a guest lecturer for the PTP and STP Cardiac programmes based at Manchester Metropolitan University and is an active member of the STP organisation and examination marking team.

After completing her BSc (Hons) in Physiology at The University of Liverpool Jo trained as a Cardiac Physiologist at Stepping Hill Hospital. Whilst she was there Jo achieved BSE accreditation and MSc with Distinction in Echocardiography from the University of Derby and became head of the Echocardiography service.   In 2012 Jo moved to Manchester University NHS Foundation Trust where she began training in Stress Echocardiography. In 2019 Jo achieved BSE Stress Echocardiography Accreditation. She is the lead Physiologist for IQIPs accreditation for the department who were the first Cardiac Physiology Department in the country to achieve this. She is also the Lead Physiologist for Research in the department and promotes and facilitates the involvement of Cardiac Physiologists in research and development. Jo is also guest lecturer for the PTP and STP Cardiac programmes based at Manchester Metropolitan University.

After graduating from the University of Sheffield with a BSc (Hons) in Physiology, Andrew commenced his cardiac physiology training at Stepping Hill hospital in Stockport.  He gained a further BSC (Hons) degree in Cardiac Physiology from Manchester Metropolitan University in 2005.Andrew specialised in echocardiography and successfully gained British Society of Echocardiography accreditation in 2009.  In 2013 eager for a new challenge Andrew joined the team at Wythenshawe as an advanced specialist Physiologist; here he gained experience in the Catheter lab and stress echocardiography. In 2017 alongside his clinical work, Andrew was appointed to co-ordinate the echo corelab for the multicentre UK TAVI trial, processing and analysing studies from over 30 centres.  This work led invitations to present at the BCS annual meeting and the BSE conference in 2019. Andrew was also the lead physiologist for Wythenshawe’s involvement in the NHS commissioning through evaluation for Mitraclip, one of only 3 UK centres.  Andrew has a keen interest in trans- catheter heart valve interventions and was appointed as the lead for Structural echocardiography in 2019. Andrew is a guest lecturer for the STP and PTP programmes based at Manchester Metropolitan University.

Louise began her career in Biomedical Sciences, achieving a First Class BSc (Hons) degree from the University of Manchester in 2010. She subsequently completed a Masters of Research (MRes) degree investigating the development and treatment of pregnancy complications at the University of Manchester. In 2012, she was employed by the North West Lung Centre, performing research into the underlying mechanisms of chronic cough for two years. She then completed the 3-year Scientist Training Programme (STP) in Cardiac Science (MSc Distinction) in 2017, specialising in cardiac rhythm management and qualifying as a HCPC-registered Clinical Cardiac Scientist. In 2018, she passed the British Heart Rhythm Society (BHRS) specialist cardiac devices examination. Louise is a guest lecturer for both the Practitioner Training Programme (PTP) and STP Cardiac Science Training Programmes based at Manchester Metropolitan University and is responsible for organising the PTP lectures, as well as developing and marking the PTP coursework and examinations. Louise is also a work-based assessor providing support, training and education to the student cardiac physiologists during their placements. She also provides ECG training to other medical professionals and external ECG courses across other NHS establishments.

Iain Campbell – Advanced Specialist Physiologist, EP Training Lead, CRM. BSc, CCDS, CEPS

Iain is an experienced senior member of our Cardiac Rhythm Management team and Electrophysiology Training Lead. Iain Gained his BSc (hons) Clinical Physiology degree in 2007 whilst training and working at Wythenshawe Hospital across all areas of invasive and non-invasive cardiology. Taking a real interest in pacing and electrophysiology he then joined St Jude Medical. Over the next 6 years he became a highly regarded technical specialist in both high voltage devices (ICDs and CRT devices) and electrophysiology (EP). He was one of the few specialists in the country able to offer support across all areas of the SJM portfolio. This included the aforementioned cardiac devices, but also all EP systems, both EP Workmate recording system and Contact / non-Contact 3-D mapping (NaVX and Array). In addition to supporting cases, during this period, Iain frequently provided teaching and training in a multitude of scenarios, from lecture theatres in Teesside and Leicester University, SJM office-based education to local hospital teaching and even patient support group sessions. During his tenure he completed certifications in IBHRE devices and IBHRE EP.

Iain has since worked independently supporting both simple and complex EP procedures for both NHS and private industry. Iain re-joined the Wythenshawe CRM team in 2018 and is keen to share his wealth of experience with the next generation. One of Iain’s current projects is the development of an in-depth training program for new EP Physiologists.

Jessica is an Advanced Specialist Cardiac Physiologist at Wythenshawe Hospital with 11 years continuous experience. She completed her degree in Clinical Physiology, Cardiology at Leeds University in 2014 whilst working full time as a Clincial Physiologist, and has worked at a number of Cardiology departments across the North of England. Jessica achieved BSE accreditation in 2017 and is specialising in Stress Echocardigraphy working towards Stress Echo Accreditation. Jessica has worked at Wythenshawe Hospital for five years and over the past three years within the education team, mentoring PTP students whilst on clinical placement. Jessica also oversees the first year lectures, coursework and exams for the PTP course at Manchester Metropolitan University and leads ECG training for hospital staff and external courses

Amy trained at the Royal Papworth Hospital in Cambridge and achieved her BSc in Clinical Physiology in 2009. Before this she completed a BSc in Psychology and Biology. In 2010, Amy left Papworth to go travelling, whilst away she worked at St. Vincent’s Hospital in Melbourne Australia as a Cardiac Physiologist. This is where she started with her interest in pacing. On returning to the UK she worked as a Locum Physiologist in several centres before taking a permanent post at Wythenshawe in 2015. It is here where she developed her advanced skills in cardiac rhythm management and acquired her IBHRE CCDS certification.  She is now an integral member of our cardiac rhythm management team and joint CRM Training Lead. Amy is heavily involved in CRM education and has developed and delivers our own CRM device Advanced Training Pathway to ensure our trainees get tailored training suited to their specific needs.

After completing her BSc (Hons) Biomedical Sciences, Janet began training as a student Cardiac Physiologist at Lancashire Teaching Hospitals in 2004. Having qualified with BSc (Hons) Clinical Physiology (Cardiology) in 2007, Janet specialised in cath lab and Cardiac Rhythm Management (CRM) devices. She obtained IBHRE CCDS in 2011 and moved into industry in 2017 as territory sales manager and technical support for a CRM medical device company, supporting a range of device implants, follow-up and delivering training for staff and students involved in device management. Janet returned to the NHS in 2019 as an Advanced Specialist Cardiac Physiologist at Manchester University NHS Foundation Trust and is currently involved in delivering the CRM device advanced training pathway, supporting post-graduates to achieve in-house device competency and BHRS/IBHRE device accreditation. Janet passed the BHRS Devices exam in May 2021 as part of her reaccreditation.

After achieving his BSc (Hons) in Biomedical Science, Kent began his cardiology career in cardiovascular research, completing a MRes at Newcastle University in 2014. In 2015, Kent then turned his eye to clinical work and applying research directly to patients by gaining a position on the Scientist Training Programme (STP). Having completed the STP programme and achieving a distinction in 2018 he also went on to complete the International Board of Heart Rhythm Examiners (IBHRE) Cardiac Device certification in the same year. Kent then gained a permanent post at Manchester University Foundation trust. After 12 months he was promoted to Advanced Specialist Cardiac Physiologist and Kent now specialises in advanced pacing, electrophysiology and loop Implantation/ explanation with a strong motivation towards advancing the role of physiologists through advanced practice. With that motivation, Kent is involved in the STP shortlisting process and is a guest lecturer for both the PTP and STP programmes for Manchester Metropolitan University as well as providing training at other events for in-service healthcare professionals. In addition to the above he has a persistent interest in bringing the NHS into the 21^st century, dabbling in all necessary areas in an effort to improve workflow, enhance efficiency and make computers do the (time consuming) work they were designed to do. Recently, this has involved Kent sitting on various committees as part of the harmonisation of the Manchester University Foundation Trust hospitals.

Shaun entered the physiology arena in 2011 completing a BSc in Physiological Science from The University of Bristol, tailoring his studies towards cardiac science in his 3^rd year and writing a dissertation on atrial myocyte calcium handling in the onset of atrial tachyarrhythmias. Following this, Shaun spent several years working in industry, involved with corporate/occupation health where he carried out a range of medical screening and investigations including ECG, CPEX and spirometry. In 2020 Shaun completed the Scientist Training Programme (STP) in Cardiac Science (MSc, distinction) specialising in cardiac rhythm management and qualified as a HCPC registered Cardiac Clinical Scientist. In 2020 he also completed the IBHRE certified cardiac device specialist (CCDS) exam. Shaun is actively involved with teaching on the PTP and STP programmes based at Manchester Metropolitan University and also delivers lectures to other medical professionals across the NHS.

 

After undertaking placements as part of the Practitioner Training Programme (PTP) with Manchester Metropolitan University and training under many of the Cardiac physiology team at Wythenshawe hospital, Charlie joined Wythenshawe Hospital in 2019, graduating with a BSc (Hons) in Healthcare Science (Cardiac Physiology) shortly thereafter. Since then, he has begun specialist training in cardiac rhythm management and joined the education team, becoming involved in providing education and support to placement students as well as delivering teaching on the PTP programme at Manchester Metropolitan University as well as to various other disciplines within the NHS.