Hepatology Nursing Team
The Hepatology Specialist Nursing team, based at Derriford Hospital currently comprises of:
Anthony Moffat - Hepatology Consultant Nurse
Anthony graduated as a RN from Edge Hill University in 2000; working in MAU, ITU, HDU, Hepatology and palliative care he has held clinical, operational and leadership positions. He progressed to become an Advanced Nurse Practitioner (ANP) In 2007 and graduated with his Masters in Advanced Practice and specialised in the area of Hepatology. In 2009 he completed his Non-Medical Prescribing and in 2016 completed his second Masters in Professional Practice; he is currently undertaking his professional doctorate.
Anthony joined University Hospitals Plymouth Hepatology Team in 2015 to lead the Hepatology Specialist Nursing team.
Anthony’s specialist interests are paracentesis and advanced care planning in end of life in liver cirrhosis.
Qualifications: MSc Professional Practice, MSc Advanced Practice, NMP, Dip HE.
Amanda Clements - (Community) Hepatology Advanced Nurse Practitioner
Amanda qualified as a RN from Plymouth Hospitals NHS Trust, School of Nursing, in 1986. She gained experience in medical and surgical nursing both in the UK and Hong Kong. On her return to the UK she specialised in addiction nursing before joining the Hepatology department at Derriford Hospital in 2001. Amanda has undertaken the RCN accredited advanced nurse practitioner course, MSc in advanced healthcare practice and has been an independent non-medical prescriber for over 8 years. In 2004 she completed her post graduate certificate in education (PGCE). Amanda also has experience of advanced practice within primary care and the emergency department.
Amanda has an interest in developing community based hepatology services in order to improve patient experience, reduce outpatient attendances, length of hospital stay and readmissions.
Qualifications: BSc (Hons) MSc, NMP, PGCE
Percy Hendry - Hepatology Trainee Advanced Clinical Practitioner
Percy graduated from Plymouth University with Dip HE Nursing in 2000. Her first staff nurse post on the Gastroenterology / Hepatology ward ignited her passion for the speciality. Enjoying ward work Percy continued to gain experience alongside studying at degree level and successfully achieved BSc in Health Studies. In 2009 she became Senior Sister of the ward demonstrating excellent leadership skills ensuring the delivery of high quality patient care at all times.
In 2014 Percy fulfilled a six month secondment in clinical site management co-ordinating clinical activity from all disciplines across the hospital. Following this post she returned to direct patient care and trained as a nurse endoscopist and successfully achieved Joint Advisory Group accreditation to provide diagnostic upper gastrointestinal endoscopy.
Percy joined the Hepatology nursing team as a trainee advanced clinical practitioner in November 2017. The 3 year training programme will blend a Masters in advanced Professional Practice with practical experience to enable autonomous practice ensuring the provision of high quality, holistic care to hepatology patients.
Qualifications: BSc, Dip HE.
Nadine Ash - Hepatology Trainee Advanced Clinical Practitioner
Nadine graduated from Wolverhampton University with Dip HE Nursing in 2004. Her first nursing post was on a medical ward at Plymouth Hospitals NHS Trust. After a year of medical nursing Nadine joined the Plymouth renal unit. Enjoying ward work and dialysis Nadine became junior sister on the renal ward in 2010, this developed into Nadine becoming the Lead Chronic Kidney Disease Nurse for 18 months prior to moving back to the renal ward as the Senior Sister in 2014. Nadine continued to study at degree level and successfully achieved BSc in Health Studies.
In 2016 Nadine continued as the Senior Sister on the renal ward while also completing a 6 month secondment as a service improvement lead. This supported her completing the healthcare management, leadership and innovation course.
Nadine joined the Hepatology nursing team as a trainee advanced clinical practitioner in August 2018. The 3 year training programme will blend a Masters in advanced Professional Practice with practical experience to enable autonomous practice ensuring the provision of high quality, holistic care. The Masters programme is scheduled to be completed in August 2020.
Qualifications: BSc (Hons), Dip HE
Katie Ramos - Lead Liver Transplant Coordinator
Katie qualified from St George’s Hospital in 2000. After a year working on a Gastroenterology / Medical ward she started work in the Liver Intensive Care Unit looking after people critically unwell with liver failure or following liver transplant. She gained experience in the process of organ donation and transplant, as part of the liver retrieval team and became a sister on the Liver Intensive Care Unit. Following this she became a liver recipient transplant coordinator at King's College Hospital, coordinating the care of patients throughout the transplant process, including organising the transplant.
Katie took up her post at Derriford Hospital in 2009. Her role has developed and now she coordinates the care of patients throughout the transplant process both pre and post-transplant. She has a key role in assessing patients for liver transplant, educating them about the process, managing their care whilst on the wait list and post-transplant, and continuing the education for a healthy post-transplant lifestyle. She is currently undertaking an MSc in Advanced Clinical Practice.
Qualifications: BSc (Hons), NMP.
Laura Bates - Viral Hepatitis Clinical Nurse Specialist
Laura graduated from Plymouth University with a Diploma in Nursing in 2006. She worked on the planned investigation unit at Derriford Hospital for a few years as a registered Nurse. In 2009 Laura joined the hepatology nursing team as a viral hepatitis clinical nurse specialist. Laura studied at degree level from 2009 and now has her degree in Nursing. Laura facilitates the hepatitis B and C monitoring and treatment programmes available to patients at Derriford Hospital and Viral Hepatitis outreach services within the Plymouth area. Laura provides patients, their families and carers with viral hepatitis support and education about their condition. In 2018 Laura successfully passed her Non-Medical Prescribing course and is now a Non-Medical Prescriber.
Qualifications: BSc (Hons), Dip HE, NMP.
Louise Dunn - Lead Alcohol Liason Nurse
Louise trained as a registered general nurse at Manchester University and graduated in 1999. Relocated to Plymouth in the same year and has worked in Respiratory, Gastroenterology and Hepatology medicine. In 2006 Louise co-facilitated the development of a new short stay ward and subsequent restructure to an assessment unit. During this time Louise studied at degree level ‘specialist management of drugs and alcohol misuse’ before taking up the role of Alcohol Liaison Nurse in 2009. This role specialises in reducing alcohol related health harms and links direct into referral processes for community health, psychological and social therapies. In developing this role further in 2015 Louise successfully gained her Non-Medical Prescribing qualification.
Specialist interests: management of alcohol withdrawal, Wernicke’s – Korsakoffs syndrome, complex case management and reducing health harm education.
Qualifications: BSc (Hons), NMP, Dip HE.
Christina Vinson - Associate Alcohol Liaison Nurse
I started my career as a health care assistant in Somerset, gaining experience on many wards. I found a keen interest in the speciality of Gastroenterology / Hepatology and decided to undertake my adult nurse training in 2011 at Plymouth University, and qualified in 2015. My first post as a staff nurse was on the Gastroenterology / Hepatology ward. My main interest within this speciality was alcohol dependence. I was fortunate to be successful in a new job opportunity to join the alcohol liaison service on a part time basis in 2017, splitting my time / role between the Hepatology ward and my new associate alcohol liaison role.
In 2018, I was successful in gaining a full time post as an alcohol liaison nurse and am currently part of the alcohol assertive outreach service; focusing on providing patients with individualised care / support in the community, instead of in the acute hospital setting.
Qualifications: BSc (Hons)
Vicki Ashton - Nurse Specialist in Hepatocellular Carcinoma
Vicky first started working in the Trust in 1994 as a Health Care Assistant and excelled in this role with a passion to care. In 2003 she then started her adult nurse training, which she successfully completed in 2007. Over the past 10 years she has gained experience in many disciplines covering acute medicine, day case surgery and oncology. In April 2016, she joined Hepatology as the HCC Specialist Nurse and continues to strive in making a difference to the personalised service we provide for this group of patients, their families and carers.
Qualifications: Dip HE.
Lynsey O’Para - Blood Borne Virus Specialist Nurse
Lynsey graduated as a RN from the University of the West of England in 1995 initially working in acute medicine followed by CCU, HDU and anaesthetics and recovery. Lynsey worked as a Clinical Site Manager and Senior Nurse / Hospital at Night Practitioner from 2002 until 2006. She then relocated to Plymouth to take a post as a Custody Nurse Practitioner for Devon and Cornwall Police. This involved Lynsey attending the Forensic Science College in Durham to undertake and complete a certificate in Clinical Forensic Medicine, being one of a small group who were the first nurses in the UK to undertake a physician’s course.
In 2009 Lynsey joined the Hepatology Specialist Nursing Team at Derriford Hospital as the Blood Borne Virus nurse. Lynsey predominantly works with Plymouth’s Drug and Alcohol Services, Homeless teams and Hostels. She engages with a difficult to reach population of patients providing an Outreach service to drug and alcohol users for blood borne virus testing (HIV, Hepatitis B and Hepatitis C), hepatitis B vaccinations and safer injecting advice. She engages with a difficult to reach population of patients and provides a link between community and hospital.
Qualifications: Dip HE.
Robert Maynard - Hepatology Fibroscan Technician
Robert started his career as a healthcare support worker in 1984 gaining valuable experience in the provision of care for Mental Health and Elderly and Mentally Infirm (EMI) client groups. He worked as a senior HCSW for 19 years, gaining his NVQ level 3 in care in 2001. In February 2003 he joined the Prison Service and worked at Her Majesties Prison Dartmoor Health Care Department from 2004 to 2017 as a Band 3 HCA. With this exposure to an environment with such a high prevalence to substance misuse, mental health and challenging behaviour, Robert gained valuable insight and experience from a diverse mix of adult male patients.
From this Robert gained an interest in viral hepatology and joined the Hepatology Team at Derriford hospital in November 2017. On completion of his Fibroscan training, Robert is now assisting patients by holding regular Fibroscan clinics in our outpatient department, in addition to this he is working towards supporting his colleagues by providing a Fibroscan service to patients on the wards.
Robert will soon be undertaking his training to perform Critical Flicker frequency tests. This will enable him to assist colleagues in the detection of hepatic Encephalopathy for patients under our care.
Qualifications: NVQ – level 3.
To Contact the Hepatology nursing service please ring 01752 431320