VENTILATION

 Led by Richard Iles at the Evelina Hospital in London.

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Get in touch with us if you have projects or expertise that could assist Richard or Children’s Ventilation tech development.

About Richard…

Dr Richard Iles is a Consultant in Respiratory Pediatrics at the Evelina Children’s Hospital, Guys and St Thomas’s NHS FT, London, UK. He qualified from St Thomas’s Hospital, and trained in Paediatrics at St Thomas’s, The Royal London, UCL and Alder Hey Hospitals. He held research fellowships in the RHSC in Edinburgh and Toronto Sick Children’s Hospital. He was a consultant and associate lecturer in in Respiratory Paediatrics at Addenbrookes Hospital Cambridge from 1997 until his move to London in 2015.

He has held an Honorary Lecturer post in health economics at the School of Medicine, Health Policy and Practice, UEA. He was a member of Clinical Senate Council, East of England, and the Cambridge Centre for Science and Policy. He has also held posts on the Specialist Paediatric Medicine Clinical Reference Group, as Innovation and Respiratory lead, as well as the British Thoracic Society / BPRS R&D and ERS Paediatric Infection and Immunology committees. He was the paediatric Innovation lead for the NIHR Brain Injury MIC and is now a respiratory / LTV lead for the NIHR CYP MedTech MIC (see attached).

He was chair of the National Paediatric Asthma Collaborative from 2013 to 2017 a national quality improvement program for NHS England and the Strategic Clinical Networks Collaboration. In 2016 he became the Paediatric Asthma Advisor to the Healthy London Partnership. In these roles he has helped develop the London Paediatric Asthma toolkit, has developed a template for the early interrogation of an asthma death. He has contributed to the design RCP National Asthma audit, the development of a National CQUIN and Best Practice Tariff. He is currently working on a CSQMS project for asthma with NHS England. He has sat on NHS pricing and commissioning committees for NHS England representing paediatric asthma as a “long term condition”.

About Ventilation…

Children with long term respiratory conditions require long-term ventilation. Recent clinical advances in Neonatal and Paediatric Intensive Care have increased the incidence of survival of children with life threatening or life limiting conditions. Over the same period technological advances have produced a range of portable, easy to maintain, reliable and efficient mechanical ventilators. Children who have long-term breathing difficulties needing temporary or permanent ventilator assistance have an increased potential for survival. Thus, management of these patients often requires prolonged periods of admission onto specialist paediatric units, most commonly Paediatric Intensive Care Units (PICU). This has led to a significant reduction in urgent PICU beds and the diversion of patients requiring PICU over to distant units. Novel approaches are required to manage patients on long term ventilation at home, reducing the need for hospitalisation.