Staffordshire and Stoke‑on‑Trent
Victoria Campbell - Respiratory Nurse Consultant
Biography
Victoria is an experienced respiratory nurse consultant with more than 25 years of clinical and leadership experience across acute and community respiratory services. She specialises in pathway development, workforce capability building and strengthening system‑wide governance.
Outcomes
- Delivered workforce education to more than 1,500 clinicians
- Aligned asthma and COPD pathways to the ICS respiratory strategy
- Supported adoption of the Sentinel Plus sustainable prescribing programme
- Significant decline in SABA prescribing – 18% reduction in 12 months
- Strengthened secondary/community communication via the Respiratory Clinical Improvement Group
- Exploring adaptation of the COMET diagnostic approach developed in Cheshire and Merseyside.
Birmingham and Solihull
Dr Matthew Swallow - General Practitioner with Extended Role in Respiratory Medicine
Biography
Matthew is a general practitioner with extended responsibilities in respiratory medicine. He specialises in pathway transformation, diagnostics and neighbourhood level respiratory care. He is widely recognised for developing high‑quality respiratory business cases that support commissioning decisions and strategic investment.
Outcomes
- Developed unified ICS asthma guidance aligned with national standards
- Provided education and training for a wide range of health care professionals on the asthma guidelines
- Supported a paediatric asthma pathway for East Birmingham
- Led transformation of community spirometry and diagnostics
- Developed and led a community respiratory review service which has resulted in a 23-30% reduction in respiratory outpatient referrals.
- Implemented a COPD risk‑stratification model reviewing 683 high‑risk patients since it commenced in December 2025 (3 months), aiming to reach 2,500 in 12 months.
- Led on the design of a multi-neighbourhood respiratory health strategy for Birmingham and Solihull which when implemented will improve respiratory outcomes by allowing patients to access diagnostics and specialist management at a community level.
Cheshire and Merseyside
Sam Hayes - Consultant Respiratory Physiotherapist
Biography
Sam is a consultant respiratory physiotherapist specialising in respiratory diagnostics, pulmonary rehabilitation, complex respiratory assessment and workforce education. She supports large‑scale diagnostic transformation, multidisciplinary development and has led the ICB wide COPD pathway transformation work.
Outcomes
- Support to the COMET project, The COMET project addresses the issue of undiagnosed COPD by integrating targeted diagnostics, early intervention and treatment into primary care, leveraging the NHS Lung Cancer Screening programme. Through the COMET project, high-risk individuals are proactively identified for timely spirometry, clinical assessment, and holistic interventions through community-based, dedicated nurse led services. This project aims to improve the patient experience, positively impact health outcomes, and reduce the pressure on GP Primary Care capacity
- Reduced Short‑Acting Beta Agonist (SABA) use through targeted clinics, with early figure this year (Jan, 2026) alone showing 40 out of 50 patients moved to Maintenance and Reliever Therapy (MART)
- Mapped ICS‑wide respiratory training needs and initiated a structured education pathway
- Her COPD pathway has been successfully lifted and shifted into Lancashire and South Cumbria
- Her Pulmonary Rehabilitation (PR) case‑finding approach is being explored by Birmingham and Solihull
- Her COMET model is being explored by Staffordshire and Stoke‑on‑Trent as a blueprint for community diagnostics
Lancashire and South Cumbria
Donna Peat - Advanced Clinical Practitioner
Biography
Donna is an advanced clinical practitioner with extensive experience across emergency care, respiratory medicine and pathway development. She brings strong cross system leadership, developing networks and embedding evidence based models that improve asthma and COPD care across Lancashire and South Cumbria.
Outcomes
- Adapted the Cheshire & Merseyside COPD pathway for system‑wide implementation in LSC, with active engagement from primary care, secondary care and palliative care teams
- Launched a region‑wide Emergency Department SABA‑reduction programme across all four acute Trusts, supported by baseline data showing 746 SABA inhalers vs 127 ICS/LABA dispensed in 2025, thus creating a clear case for change
- Developed and delivered ED education including a 5‑minute SABA‑reduction training video, quick‑reference materials and three face‑to‑face teaching sessions at LTH, plus nursing and primary‑care‑focused training.
- Established a 27‑member Emergency Department asthma network and produced supporting resources including posters, mini‑teaching tools and discharge guidance
- Strengthened inhaler governance by supporting Trusts to align ED-prescribing formularies and develop prototype exacerbation packs.
- Building a respiratory network across acute and primary care to support consistent leadership and spread of best practice.
* Donna has only been with us since September 2025 and builds on the significant Year One foundations laid by Sharada Gudur, who helped establish early respiratory priorities and governance.
South Yorkshire
Deborah Leese - Lead Respiratory Pharmacist
Biography
Deborah is a senior respiratory pharmacist specialising in safe, sustainable prescribing and asthma and COPD pathway transformation. She has extensive experience supporting general practice and improving prescribing behaviours.
Outcomes
- Implemented ICB wide asthma guidance aligned with NICE/BTS/SIGN, reducing SABA monotherapy and increasing AIR (Anti-inflammatory Reliever Therapy) and MART (Maintenance and Reliever Therapy) uptake
- Reduced the proportion of patients prescribed 6+ SABA inhalers from 21.58% to 14.2% ICB‑wide, exceeding the South Yorkshire stretch target of <15%.
- Since the start of the A+LUK programme, 6,820 fewer patients across South Yorkshire are now receiving 6+ SABA inhalers within 12 months.
- Led the DAISY asthma improvement programme, engaging 45 practices and reviewing 2,784 patients, with MART uptake increasing from 8.1% to 80% and 202 patients stepped up from SABA‑only treatment.
- DAISY now acts as a model of best practice which other Champions can use, aiming to reduce SABA overuse and improve MART adoption.
- Workforce education: trained 700+ healthcare professionals in year one and a further 673 in year two across asthma and COPD.
- Delivered 11 leadership and learning sessions through the South Yorkshire Respiratory Champions Network, developing respiratory leaders across the system.
- Updated the COPD treatment pathway for all South Yorkshire inclusive of the SCOPES tool
Hampshire and Isle of Wight
Maria Eurton - Respiratory Nurse Specialist
Biography
Maria is a senior respiratory nurse specialist with expertise in COPD, asthma, diagnostics and urgent‑care pathway transformation. She is experienced in embedding new tools and scaling successful interventions.
Outcomes
- Piloted the SCOPES post‑COPD‑exacerbation tool and supported local upscaling through Ardens integration and work with the Health Innovation Network – Respiratory Transformation Project.
- Reached more than 700 healthcare professionals through TARGET training, conferences and webinars since July 2024.
- Developed the Primary Care Respiratory Champions (PCRC) network similar to SY ‘mini-RC’s’, with educational sessions and newsletters regularly delivered.
- Developed and actively delivering asthma teaching for urgent care practitioners (e.g. Emergency Departments and Urgent Treatment Centres) aligned with national guidelines.
- Contributed to a 24% system-wide reduction in Short‑Acting Beta Agonist (SABA) prescribing since July 2024.
- The SCOPES tool is now being adopted by South Yorkshire, Cheshire & Merseyside, and Staffordshire & Stoke on Trent.
