GMEC SCNs were established in April 2016, following a reorganisation of the former Greater Manchester, Lancashire, South Cumbria and Cheshire & Merseyside SCNs, to provide clinical leadership and advice to improve health and care services in GM.

The clinical leads listed below play an important role in providing this clinical leadership.

The establishment of the GMHSCP provided an opportunity for the SCNs to play their part in supporting and delivering the “Taking Charge” plan. The SCNs are supported by the GMHSCP within its quality directorate.

Led by an associate director and a clinical director, with strong involvement from patients, carers and members of the public, the SCNs connect commissioners, providers, professionals, patients and the public across condition/disease pathways of care to develop best practice and innovation, measure and benchmark quality and outcomes and drive quality improvement.

GMEC SCNs focus on key condition/disease areas of national and local priority.

In 2017/18 these were centred around cardiovascular disease, maternity, children and young people, perinatal mental health, children and young people mental health, adult mental health, dementia, frailty, diabetes, palliative and end of life care, as well as patients’, carers’ and public engagement: they provided strategic direction, enabling clinical leadership, and brought the voice of the service users, carers and the public to shape evidence-based pathways and models of integrated care .

  Peter Elton 

Dr Peter Elton - clinical director

Peter is a member of the Joint Committee of Vaccination and Immunisation (JCVI) and has been in public health for 36 years and Director of Public Health for 18 years. He was the lead for the North West Regional Offender Health Team for 12 years and has had a long-standing interest in smoking, having set up a smoking cessation service in North Manchester in 1984 and was the Greater Manchester public health lead on smoking. He has had management experience having been director of community services in North Manchester for seven years. He has chaired Outreach Community and Residential Services (for people with learning disability or chronic mental health) for the last 32 years. He has had more than 40 papers published in peer-reviewed journals.

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Dr Farzin Fath-Ordoubadi - cardiac clinical lead

Faz is a Consultant Interventional Cardiologist, based at CMFT, who did his medical school training at St. Mary's Hospital, London and Cambridge university, qualifying in 1988 and his cardiology training at Hammersmith, St. Marys and Brompton Hospital. The SCNs Clinical Lead role adds to existing roles of Clinical Director of Manchester Heart Centre (CMFT) and British Cardiac Society/Royal College of Physicians Network advisor.


Khalil Kawafi


Dr Khalil Kawafi - stroke clinical lead

Khalil has been working as Consultant Physician with an interest in care of the elderly and stroke, at Pennine Acute Hospital Trust. He is the stroke lead at Pennine and has overseen the development of its centre (based at Fairfield site) which became one of the 3 Hyperacute Stroke centres, as part of Greater Manchester's innovative hub and spoke hyperacute stroke model (which commenced in April 2010).


Dr Naresh Kanumilli - diabetes clinical lead 

A GP in Northenden Group Practice and Clinical Lead for Diabetes in the SCN. Naresh is involved in a number of pieces of work that include a Diabetes Prevention Programme aiming to address prevention on three levels: onset; progression and complications. Specific outputs to achieve this ambition will be the formulation of Care Plans for Clinical Commissioning Groups (CCGs) and also the development of a Patient Care Plan that can be adapted and personalised.

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Dr Emma Vardy - dementia clinical lead

Dr Emma Vardy is a Consultant Geriatrician and Clinical Dementia and Delirium Lead at Salford Royal NHS Foundation Trust. She was appointed Strategic Clinical Network Greater Manchester and Eastern Cheshire Dementia Lead in early 2017. In her role as Clinical lead for dementia and delirium at Salford she chairs the dementia steering group and has also been involved from an early stage in the work of Dementia United. She was awarded Fellowship of the Royal College of Physicians of London in 2016.

Dr Jeffrey Schryer - dementia GP primary care lead

Jeff Schryer has been a GP for over 25 years and is a partner at Whittaker Lane Medical Centre in Prestwich, near Heaton Park. He qualified from Manchester university in 1986. He has had a long history of an interest in medical education including undergraduate training, GP training and primary care and team development. Jeff was appointed Chair of the NHS Bury Clinical Commissioning Group in 2018.


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Professor Paul French - mental health clinical lead

Paul is currentrly the Clinical Lead for Early Intervention in Psycosis services across Greater Manchester, Mental Health Clinical Lead for Greater Manchester and Eastern Cheshire SCN, NHSE North Clinical Lead for Early Intervention in Psychosis for the North West and Honorary Professor at Liverpool University. His research interests are on the development of novel interventions for people with psychosis and preventative interventions for young people with emerging mental health conditions. He continues to look for ways to embed research into practice and ensure that services deliver evidence based interventions.


Dr Paul Campbell - adult IAPT clinical lead

Paul was born and raised in Belfast, Northern Ireland during "The Troubles". In his early career he worked as a researcher carrying out research into the psychological trauma caused by The Troubles. He moved to England in 2003 to train as a Clinical Psychologist and since qualifying has been working for the 5 Boroughs Partnership (now NorthWest Boroughs Healthcare) NHS Foundation Trust in Primary Care Mental Health Services. He is currently the Clinical Lead for all Adult IAPT Services provided by this Trust. He runs a private clinical psychology business providing assessments and treatment for mental health problems as well as consulting for various organisations.

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Miss Karen Bancroft - maternity clinical lead

Karen is the Clinical Champion for the maternity and gynaecology work streams in the Healthier Together programme. Karen has been a Consultant Obstetrician and Gynaecologist at the Royal Bolton Hospital for fourteen years. She has undertaken leadership roles within the Trust, which have included Clinical Lead for Maternity and Gynaecology and Associate Medical Director for the Women's and Children's Division. She is currently Associate Medical Director and Head of Division for the Family Care Division of Bolton Foundation Trust.

Eileen Stringer 

Eileen Stringer - midwifery clinical lead

Eileen is a registered nurse and midwife with 35 years’ experience working in the NHS and has held a variety of senior clinical and managerial midwifery roles. Eileen has been a consultant midwife at Pennine Acute hospitals Trust since 2003, leading on all aspects of public health within the maternity service.

Eileen’s work has focused on improving outcomes in many aspects of maternity care for all families, including access to care, antenatal care and screening, perinatal mental health, smoking cessation, infant feeding, care of younger parents and the implementation of the NHSE Saving Babies’ Lives Care Bundle. She is an honorary senior lecturer at the University of Manchester and has published nationally and internationally about the challenges midwives face in improving health and outcomes for vulnerable families.

Jim Bruce

 James Bruce  - children's clinical lead

James is Consultant Paediatric and Neonatal Surgeon at The Royal Manchester Children's Hospital, Clinical Head of the Children's Division and acting Medical Director till 2018. He was appointed to his consultant post in 1992. Since 1992 he has been a Consultant Surgeon at the Royal Manchester Children's Hospital and has been Clinical Director of Surgical Services since 1995 to 2000. He was Clinical Lead for Surgery up to November 2004 and again from September 2006 to 2009. He has been involved in strategic planning for Greater Manchester and the Northwest Region from the inception of planning for the new Children’s Hospital, through Making it Better, Healthier Together and other projects.

Dr Carol Ewing, children's health and wellbeing clinical lead

Carol is currently a clinical adviser to the Greater Manchester and Eastern Cheshire Strategic Clinical Network and a co–contributor to the Greater Manchester Child Health and Wellbeing Framework, published in 2018.

From 2013 – 2104, Carol was clinical lead for children’s services for Greater Manchester, Lancashire and South Cumbria Strategic Clinical Network (SCN), NHS England. From 2004 – 2012, Carol led on strategic workforce development for Making it Better, a large scale reconfiguration of Greater Manchester’s children’s and maternity services.

Carol has worked as a Consultant Paediatrician at the Royal Manchester Children’s Hospital (previously at Booth Hall) for 25 years. Special interests are paediatric allergy/atopic eczema. She is also the Royal College of Paediatrics and Child Health Vice President for Health Policy and took up her post in 2014.


Julie Flaherty  




Julie Flaherty MBE, children's unscheduled care clinical lead

Julie started her career in 1973 at the Children's Hospitals in Manchester and during the first 10 years she worked at the children's regional burns unit. In 1988, she went into emergency medicine, clinically caring for children in emergency departments. Having gained a consultant post in 2000, she is currently the clinical lead for children's unscheduled care at Salford Royal Foundation Trust. More recently she has worked for both the Strategic Clinical Network and as the 'Nursing Champion' for GM. Julie was awarded the MBD for her services to paediatrics within Greater Manchester by Her Majesty the Queen in the New Year's Honours list in 2016.

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Dr Sandeep Ranote - CAMHS clinical lead

Sandeep is a Consultant Child and Adolescent Psychiatrist leading young people's eating disorder services, Associate Medical Director and Director of Clinical Networks at 5BP NHSFT. She developed the award winning medical skin camouflage service for mental health in partnership with Changing Faces charity and is now collaborating with The University of Manchester on a Research for Patient Benefit Grant to study this intervention further. She was appointed Strategic Clinical Network Lead for CAMHS (NHS England) and part of the ministerial taskforce (Future in Mind, 2015). She was awarded a fellowship to The Royal College of Psychiatrists in 2014.


Dr Paul Wallis - THRIVE associate clinical lead

Paul is a Consultant Child & Adolescent Clinical Psychologist, Director of Psychological Services – CAMHS, CMUH NHS FT. He qualified from University College London as a Clinical Psychologist in 1997. For the past six years he has been Director of Psychological Services for CAMHS at Central Manchester Foundation NHS Trust, with professional, clinical and strategic leadership for all Child Clinical Psychology, Child Psychotherapy and Family Therapy provision across the cities of Manchester and Salford. Over the past decade Paul has been involved in a range of regional and national CAMHS innovations in research and service development.

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Dr Micheal Kurkar - Perinatal mental health clinical lead

Micheal is a consultant psychiatrist in general adult and perinatal psychiatry based at the Pennine Care Trust, as well as honorary consultant at the Pennine Acute Trust (PAT). He developed the One-Stop perinatal mental health clinics in Pennine, providing perinatal psychiatric services to patients from all four PAT hospitals. Micheal trained in Obstetrics and Gynaecology before becoming a psychiatrist. He is interested in psychopharmacology and safety of psychotropic medication in pregnancy. He was appointed Perinatal Mental Health Clinical Lead for the SCN in April 2018.

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Dr Dave Waterman - Palliative and end of life care clinical lead

Dr Dave Waterman is the SCN Clinical Lead for Greater Manchester and Eastern Cheshire. He is a Consultant Physician in Palliative Medicine working within Stockport NHS Foundation Trust, Stockport Community and St Ann's Hospice since 2005. He graduated at Newcastle University in 1995 and undertook specialist training in Palliative Medicine in the North West Deanery.

His clinical role allows the delivery of specialist palliative care to patients and their families in their own homes, as well as within an out-patient environment or an in-patients setting, either within Stockport NHS Foundation Trust or St. Ann's Hospice.


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Dr Liam Hosie - Palliative and end of life care GP primary care lead 

Dr Hosie graduated from Manchester University in 2000, and has been a GP partner in Wigan since 2004, and is also Wigan’s clinical lead for cancer and End of Life care, and joined the SCN in 2018.  His interest in palliative care has developed from being lead GP in his own surgery for palliative care, to then becoming involved in a variety of local projects.  

His practice covers an area of considerable deprivation, and also has a large number of nursing and care homes, and as a result is often involved in day to day management of palliative cases.

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Jennifer Hoyle - Respiratory clinical lead

Dr Jennifer Hoyle is a Consultant Respiratory Physician and Occupational Lung Disease Lead at Pennine Acute NHS Trust, based at North Manchester General Hospital. She has run a busy Occupational Lung Disease department there since 2004, is a member of GORDS UK (Group of Occupational Respiratory Disease Specialists) and the British Thoracic Society SAG. Dr Hoyle is an Honorary Lecturer at Manchester University and is a member of the SWORD Committee there. Dr Hoyle has numerous publications in Occupational Lung Disease including Interstitial Occupational Diseases. Jennifer has been the Clinical Lead for Respiratory at the Greater Manchester and Eastern Cheshire Strategic Clinical Network since June 2018.

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Murugesan Raja - Respiratory clinical advisor for primary care 

Dr Murugesan Raja became our clinical advisor in June 2018. He is a General Practitioner with a special interest in respiratory medicine. Dr Raja works as the Lead GP for Hope Citadel at John Street Medical Practice, and Hawthorne Medical Centre. He has been the Clinical Lead for Respiratory Medicine for Central Manchester CCG since 2014 and in 2017 the role became citywide. He is currently also Clinical Lead for Quality and Performance and a GP Governing Board Member (Central) for Manchester Health and Care Commissioning. His other roles include GP Trainer, Speaker, Member of Health and Wellbeing Board for Manchester and on the GP Reference Panel for National Institute of Clinical Excellence. 


Dr Sally Briggs - Frailty clinical lead