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Bruce Keogh

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higher than might be expected for their practice. Keogh was also concerned that one consultant surgeon was suspended from operating, that the senior consultant was on holiday and that the remaining surgeons were locums. The hospital could not contradict the mortality figures, so he suggested suspending surgery till the full facts could be verified. It subsequently turned out that Leeds had submitted poor data, 20 times more missing data than any other unit in the country, despite the fact that one of their cardiologists ran the national registry. After Leeds had submitted accurate and complete data, analysis showed that although they still had the highest mortality in the country they were within normal statistical boundaries. His intervention was widely regarded as sensible and preemptory given the evidence, but some thought it precipitous. Keogh remained unrepentant, arguing he would rather be remembered for preventing an avoidable disaster and embedding the "precautionary principle" in NHS safety culture, than responsible for not acting on reasonable doubt. He cited examples of "prevarication" at Bristol in the 1990s and Mid Stafforshire in the 2000s when some people argued over data while other people were harmed.
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should stop you dying prematurely from things they could influence through treatment or prevention through immunisations e.g. stroke, heart attacks, measles. Secondly, the NHS should look after you well if you have a long-term medical condition such as diabetes, asthma, arthritis. Thirdly, the NHS should treat you effectively if you need a short episode of care e.g. broken leg, an operation or infection. Fourthly, the NHS should treat you well. The experience should be as positive as possible, ranging from participation in decisions about your treatment to decent customer service. Finally, the NHS should treat you safely. All of these are measurable at different levels. They also dovetail with the definition of quality in the three domains of effectiveness, safety, and experience.
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recommended the development of essential functionality that would create a pull effect from clinicians by ensuring NHS IT was useful in conducting day-to-day business. The idea was to create a create a ‘tipping point’ in the acceptability and demand for strategic IT systems. The five key elements (the ‘Clinical 5’) for secondary care were: a Patient Administration System (PAS) with integration with other systems and sophisticated reporting; Order Communications and Diagnostics Reporting (including all pathology and radiology tests and tests ordered in primary care; letters with coding (discharge summaries, clinic and Accident and Emergency letters); scheduling (for beds, tests, theatres etc.); e-Prescribing. This set the NHS on a path to electronic health records.
645:) and included in Darzi's review. The principles were simple: Define what is meant by quality, measure it, publish it for everyone to see, reward those who do well, regulate for minimum standards, promote and develop leadership for quality within the NHS and promote research and innovation within the NHS, by drawing on and linking with the best British universities and biotechnology companies in to form academic science networks. The resultant definition of healthcare quality based on the provision of effective care, safe care and a positive experience became widely accepted and was subsequently enshrined in the Health and Social Care Act (2012). 764:, Secretary of State for Health, to reassure him that there had been adequate clinical consultation on proposals to reconfigure services in south London. In a letter to Hunt Keogh concluded that there had been adequate clinical consultation, but he also included a warning about closing Lewisham A&E. His advice was seen by some as an intervention to protect and prevent the closure of Lewisham A&E and by others as the opposite. Much debate centred around a projection regarding the number of lives that might be saved, a calculation of unknown origin – attributed by some to Keogh and by others to work conducted by the London Clinical Senate. 678:. He put clinicians at the heart of NHS England through the Chief Pharmaceutical, Dental, Scientific and Allied Health Professions officers, a primary care deputy, a medical director for specialised commissioning, regional medical directors and pharmacists, area medical directors, over 20 expert national clinical directors and junior doctors, pharmacists and dentists through the National Medical Director's Clinical Fellowship Scheme. In 2015 he established and chaired the NHS National Innovation Acelerator to help innovators and promote innovation in the NHS. 799:. The Independent article stated: "In one email, sent the day before the strike was declared, Sir Bruce was told by a DoH official that the risk of a “major incident” would be “pressed quite hard in the media once the strike is formally announced” and he was advised that “the more hard-edged you can be on this, the better”. The leak also revealed that Hunt agreed Sir Bruce would not be asked to speak to the media on the day the strike was declared “so long as” his letter reiterated his opposition to strike action. A 2430: 943: 27: 701:
clinical metrics that improve quality, in the context of patient safety, patient experience and patient outcomes. The lack of a national set of clinical outcome and quality measures has slowed progress towards a culture of continuous quality improvement. It has prevented meaningful institutional comparisons and deprived the public of essential information...".
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One on how to improve safety in the cosmetic intervention industry through a review of regulation with hard hitting recommendations. An independent review of the related ethical issues by The Nuffield Council on Bioethics concluded that, "all recommendations in the 2013 Keogh review of the regulation
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As medical director of the NHS (2007–13) he was a director general in the Department of Health where he led the Medical Directorate, which had oversight for clinical policy and strategy in the NHS. This included the work of the National Clinical Directors and their associated strategies such as those
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In 2013, 2014 and 2015 he was ranked by the Health Service Journal as the most influential clinician in the English NHS. He is consistently ranked as one of the most powerful people in the NHS and in 2014 he was included in the Sunday Times and Debretts list of Britain's 500 most influential people.
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In 2012 Keogh ordered a review of the national quality assurance frameworks and governance for pathology services with the aim of making the process more robust and transparent. This was prompted by a series of misdiagnoses at Kingsmill Hospital, which had negatively affected the care of a number of
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on gut blood flow and function, myocardial protection during surgery, surgery for patients with poor left ventricular function and the effects of social deprivation on cardiac surgical outcomes. He has co-authored a book on the Evidence for Cardiothoracic Surgery (2005) and another on Normal Surface
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In 2013 Keogh provoked the suspension of children's heart surgery in Leeds just before the Easter weekend, based on evidence from Professor Roger Boyle, the former national heart czar and director of the National Institute for Cardiovascular Outcomes Research, that the mortality rate was 2.75 times
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On handing over to his successor, Christine Connelly, Keogh emphasised 3 priorities for NHS IT. The first was the need to focus on the £12.4 billion worth of contracts within the National Programme for IT in the NHS. The second was the need to get the technology right for clinicians who use it. The
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Keogh has been active on many medical and professional committees. He has been secretary and president of the Society for Cardiothoracic Surgery in Great Britain and Ireland, Secretary General of the European Association for Cardio-Thoracic Surgery and president of the Cardiothoracic Section of the
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in people with heart failure in the mid 1990s helped transform surgery for heart failure worldwide. He performed the first successful transabdominal, off pump gastroepiploic artery bypass graft to the heart in the UK and was among the first to adopt minimally invasive, direct coronary artery bypass
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Junior Research Fellow which led to the award of the MD higher degree in 1989 for research into laser coronary angioplasty. He was appointed as senior registrar on the West London training rotation where he spent time at St George's Hospital and the Harefield Hospital training in cardiac, pulmonary
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In 2017 he wrote to Jeremy Hunt the Secretary of State for Health recommending changes to the way ambulance response times were monitored in order to ensure the sickest patients received the quickest response. The recommendations based on a rigorous review of 14 million 999 calls were accepted and
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Following the election of a coalition Government in 2010, he was tasked with making clinical outcomes the currency of NHS business. In response, his team developed the NHS Outcomes Framework which was based on the observation that all healthcare systems should do five things well: Firstly, the NHS
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In 2008, Keogh succeeded Matthew Swindells as Interim Director General for Informatics in the Department of Health. During this time he set out a vision for NHS IT and Informatics that would learn from successful GP systems and inform future direction for the National Programme for IT. This review
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In 2008, while interim Director General for Informatics in the Department of Health, Keogh undertook a National Health Informatics review. He argued for a Chief Information Officer for Health and the development of associated career structures in the NHS. He also highlighted the need to "focus on
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As Medical Director he opposed the establishment of the Cancer Drugs Fund which he believed would undermine NICE and the quest for an evidence based NHS. He was subsequently responsible for drawing together NICE, cancer charities and the pharmaceutical industry to lay the groundwork for a revised
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In 2012 he was asked by the Secretary of State for Health to investigate the safety of PIP breast implants, a product of fraudulent quality, but concluded that although they were more likely to rupture than other implants they did not pose significant health risk to women a finding endorsed by a
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under the jurisdiction of the Medical Royal Colleges in order to ensure access to all doctors, not just those in leadership or management positions. He subsequently asked the Faculty to administer the National Medical Director's Clinical Fellows Scheme which had grown out of the Clinical Advisor
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In 1994 he established the National Adult Cardiac Surgical Database and as a consequence, he is perhaps best known for his work promoting the measurement, analysis and public disclosure of clinical outcomes. But he has also published numerous peer-reviewed scientific articles on coronary artery
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The five domains of the NHS Outcomes Framework have formed the basis of the Government's Mandate to NHS England and NHS England's planning guidance for the NHS where they give clarity of purpose and direction to the NHS in a way that was previously undefined. He has argued that the role of NHS
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Prior to becoming medical director of the National Health Service, he served on the National Coronary Heart Disease Taskforce, the NHS Standing Medical Advisory Committee, and was chairman of the NHS Information Taskforce on Clinical Outcomes for the Department of Health. He has also served as
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would be used for the benefit of NHS patients. He expressed concern that it would "be used for filling in potholes" as local councils grappled with their priorities and funding cuts. The remark attracted opprobrium from local government and support in equal measure from NHS commentators.
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Following the Lansley reforms of the NHS, he was appointed National Medical Director in NHS England from 2013, where he is responsible for promoting a focus on quality, clinical leadership and innovation. To facilitate these aims he was responsible for overseeing the establishment of
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Medical Advisory Panel, and on the trustee board for the National Confidential Enquiry into Patient Outcome and Death and the Board of the Picker Institute. He has sat on the editorial boards of Heart and the Journal of the Royal Society of Medicine. He has been a
791:. The letter sought reassurance regarding the impact of the proposed strike, including clarification that the BMA would call off the strike in the event of a terrorist attack. On 7 January 2016, The Independent newspaper revealed details of involvement from the 894:, the British Society of Interventional Radiology and the British Association of Aesthetic and Plastic Surgeons. He has been a visiting professor at universities in Japan, China and North America. Closer to home he has been King James IV Professor of the 601:
Keogh's role also included oversight of the medicines supply chain into the UK, policy relating to the pharmaceutical industry, drug pricing, prescriptions and the role of pharmacy in England and sponsorship of the work programmes of the
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spokesperson has since openly condemned these actions by saying: "This level of political interference is extremely concerning and will only serve to worsen junior doctor’s lack of trust in the Government’s handling of negotiations".
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Anatomy (1984). While at UCL he brought the national registries on adult and pediatric cardiac surgery, myocardial infarction, coronary angioplasty and pacemakers into a new National Institute for Cardiovascular Outcomes Research
641:'s review of the NHS "High Quality Care for All" published in 2008. This review has been credited with refocusing the NHS on quality of care. Keogh's team also developed the Quality Framework for the NHS (based on the work of 684:
In November 2014 Keogh oversaw the publication of around 5,000 consultant surgeons' mortality and procedure related-complication rates. He warned that a further 2,500 who did not share this information would face penalties.
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third was the need to focus on the patient, saying “Most importantly, we must not lose sight that the technology is about underpinning the interaction between citizens of this country and health and social care services.”
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On World Thrombosis Day in 2016 he received an Outstanding Achievement Award in Parliament from Thrombosis UK for establishing and overseeing a national strategy for reducing venous thromboembolism in hospitals in England
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He also recommended a National Quality Framework based on clinical metrics. The lack of a national set of clinical outcome and quality measures had impeded progress towards a culture of continuous quality improvement.
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In 2014 he told the Parliamentary Health Select Committee that there was "extreme skepticism" in the NHS that the £1.6 billion of NHS money being transferred to local government as the
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in establishing a new health website, "NHS Choices". Keogh's role was to ensure credible clinical content. He chaired the clinical advisory group and subsequently went on to chair the
429:, Zimbabwe), the son of Gerald and Marjorie Beatrice Keogh (née Craig). His father held a senior position in the Civil service, having been Chief Inspector of Public Services for the 2489: 653:
Scheme in the Department of Health, thereby ensuring a long-term home for the programme. The following year, he helped to establish a shadowing period for new Foundation Trainees.
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As of 2015, Keogh was paid a salary of between £190,000 and £194,999 by NHS England, making him one of the 328 most highly paid people in the British public sector at that time.
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in 1985. He then opted for a career in cardiac surgery, returning to the Hammersmith Hospital as a registrar. During this time he spent a year as a laboratory-based
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In 2019 he led a review for the Independent Healthcare Providers Network aimed at improving clinical governance in independent healthcare providers in the UK.
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He was a demonstrator in anatomy at Charing Cross Hospital Medical School before training in general surgery in London and Sheffield and gaining his
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for coronary heart disease, stroke, cancer, respiratory disease, renal disease, liver disease, trauma, and transplantation. He established the
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In April 2017, Keogh announced that he would be stepping down at the end of the year and in January 2018, left NHS England to become chair of
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Given his long-standing interest in measuring and publishing clinical outcomes as a driver for improving quality, in 2007 he was asked by
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Marinho, Norma V. S.; Keogh, Bruce E.; Costa, Durval C.; Lammerstma, Adriaan A.; Ell, Peter J.; Camici, Paolo G. (15 February 1996).
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on the 14 Trusts with the highest mortality rates in England. The way these were conducted formed the basis for the subsequent
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where he became the clinical service lead for cardiothoracic surgery and Associate Medical Director for Clinical Governance at
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A fourth proposing the provision of better NHS weekend services. which was approved by the NHS England Board in December 2013.
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He holds honorary medical doctorates from the universities of Birmingham and Sheffield and Doctorates of Science from the
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and oesophageal surgery. He was subsequently appointed a university Senior Lecturer in cardiothoracic surgery at the
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Medical Director in November 2007, Keogh practised as a cardiac surgeon with a special interest in reconstructive
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With the advent of medical revalidation, he became the senior responsible officer for doctors in England.
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Keogh and wife, Ann Keogh, have been married since they met in medical school. The couple has four sons.
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Oration. In 2014 he delivered the inaugural John Snow Oration for the Royal College of Anaesthetists.
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junior research fellow, senior lecturer, member of the Research Grants Committee and Council member.
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surgery, thoracoscopic mitral valve surgery and warm blood cardioplegia for myocardial protection.
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In 2011, after the collapse of the British Association of Medical Managers, he established the
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A third, presenting a vision for the future of urgent and emergency care services in England.
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Keogh's team was responsible for implementing the majority of the recommendations from
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National Medical Director (and interim Chief Executive of NHS Improvement): Professor
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on 11 June 2005, his knighthood became substantive (back dated to 5 February 2004).
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https://www.digitalhealth.net/2008/09/keogh-outlines-priorities-for-new-head-of-it/
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in England from 2007 and national medical director of the NHS Commissioning Board (
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and the Vascular Society of Great Britain and Ireland. In 2009 he delivered the
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https://data.parliament.uk/DepositedPapers/Files/DEP2009-0347/DEP2009-0347.pdf
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In 2012 he co-chaired a review of medical and dental school intakes, with Sir
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https://www.publicfinance.co.uk/news/2008/04/heart-surgeon-take-charge-it-nhs
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National Director, Transformation and Corporate Development: Timothy Ferris
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Chair, Birmingham Women’s and Children’s Hospital NHS Foundation Trust
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an AIM listed clinical AI biotechnology company and is a director of
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In 2009 Keogh led a national taskforce to improve neonatal services.
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reporter in parliament. He attended the private Catholic boys school
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England is to "turn taxpayers money into good clinical outcomes".
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between 1991 and 1995. He then took an NHS consultant position in
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Thomson, Chris Smyth, Rachel Sylvester and Alice (25 June 2023).
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from the article and its talk page, especially if potentially
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promoting advanced medicinal therapy development in the UK.
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No successor. Post transferred to NHS England in April 2013.
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National Director, Specialised Commissioning: John Stewart
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https://www.hsj.co.uk/news/sir-bruce-keogh/1920157.article
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His work with Paolo Camici using PET scanning to identify
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of cosmetic interventions should be implemented in full".
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National Director, Chief Financial Officer: Julian Kelly
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British Heart Foundation Clinical Research Collaborative
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evidence driven CDF which went live under NICE in 2017.
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women with breast cancer. The review reported in 2014.
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before being appointed Professor of cardiac surgery at
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Birmingham Women's and Children's NHS Foundation Trust
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National Director, Strategy and Innovation: Ian Dodge
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National Institute for Health and Clinical Excellence
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Knights Commander of the Order of the British Empire
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Fellows of the Royal College of Surgeons of England
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Knight Commander of the Order of the British Empire
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Salisbury, Southern Rhodesia (Now Harare, Zimbabwe)
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Potential Industrial Action by BMA" 1306:: CS1 maint: multiple names: authors list ( 650:Faculty of Medical Leadership and Management 460:He earned a Bachelor of Science degree and 2460:Naturalised citizens of the United Kingdom 2234: 2220: 2212: 1515:Toolkit for High-Quality Neonatal Services 596:Healthcare Quality Improvement Partnership 541:in the US. He is an elected member of the 140: 58:about living persons that is unsourced or 1841:"Jeremy Hunt. Ambulance Response Program" 1448:"Tributes to the 'nicest man in the NHS'" 1034:Learn how and when to remove this message 543:American Association for Thoracic Surgery 397:-born British surgeon who specialises in 242:12 November 2007 – 31 March 2013 129:Learn how and when to remove this message 855:(KBE) in 2003. He subsequently became a 2075:(Supplement). 11 June 2005. p. 26. 1054: 843:supporting his old school in Zimbabwe. 795:and the Secretary of State for Health, 488:and honorary consultant surgeon at the 202:1 April 2013 – 28 January 2018 2505:Alumni of Charing Cross Medical School 2500:Alumni of St. George's College, Harare 1994:: CS1 maint: archived copy as title ( 1987: 1500:: CS1 maint: archived copy as title ( 1493: 1450:. Health Service Journal. 6 April 2017 1299: 896:Royal College of Surgeons of Edinburgh 872:Royal College of General Practitioners 1365:"NHS Outcomes Framework 2013 to 2014" 868:Royal College of Physicians of London 831:He chairs a medical research charity 781:proposed industrial action in England 466:Charing Cross Hospital Medical School 319:Charing Cross Hospital Medical School 7: 2495:21st-century British medical doctors 1628:"Pathology Quality Assurance Review" 1482:from the original on 24 January 2013 1224:"About us | Picker Institute Europe" 1198:Society of Thoracic Surgeons website 904:Royal College of Surgeons of England 900:Royal College of Surgeons of England 884:Royal College of Surgeons in Ireland 715:subsequent European report in 2013. 535:Royal College of Surgeons of England 431:Federation of Rhodesia and Nyasaland 2515:Rhodesian people of British descent 866:Keogh is an honorary Fellow of the 851:Keogh was appointed as an honorary 445:Clinical medical career (1980–2007) 2510:Zimbabwean people of Irish descent 2087:"List of King James IV Professors" 2038:Cooper, Charlie (7 January 2016). 674:, Strategic Clinical Networks and 537:and the board of directors of the 14: 1686:The Nuffield Council on Bioethics 564:Commission for Health Improvement 533:and served on the Council of the 486:Royal Postgraduate Medical School 401:. He was medical director of the 2429: 2428: 941: 824:and the UK Government sponsored 672:Academic Health Science Networks 589:NHS Medical Director (2007–2013) 364: 344:Professor Sir Bruce Edward Keogh 25: 2455:NHS Chief Professional Officers 1296:– via www.thetimes.co.uk. 472:in 1977 and 1980 respectively. 876:Royal College of Anaesthetists 826:Cell and Gene Therapy Catapult 730:A second, widely known as the 612:National Patient Safety Agency 606:(NICE), the NHS regulator the 547:European Society of Cardiology 512:vasomotor tone, the effect of 498:University Hospital Birmingham 393:; born 24 November 1954) is a 188:National Medical Director for 1: 2279:Clinical commissioning groups 892:American Surgical Association 2322:hospital trusts/acute trusts 952:biography of a living person 888:American College of Surgeons 539:Society of Thoracic Surgeons 449:Prior to becoming full-time 314:St. George's College, Harare 36:biography of a living person 2284:Health and wellbeing boards 1939:"Log in or sign up to view" 1418:https://nhsaccelerator.com/ 1066:"Prof Sir Bruce Keogh, KBE" 972:must be removed immediately 801:British Medical Association 789:November 2015 Paris attacks 760:In 2012 Keogh was asked by 504:and director of surgery at 439:St George's College, Harare 63:must be removed immediately 2536: 2426: 2369:Chief Operating Officer: 2249: 1606:publishing.service.gov.uk 1343:publishing.service.gov.uk 531:Royal Society of Medicine 502:University College London 337: 270: 235: 195: 175: 164: 155: 2475:British cardiac surgeons 2414:Chief Scientific Officer 2294:Local HealthWatch groups 1903:savelewishamhospital.com 1848:healthcareleadernews.com 1758:26 November 2013 at the 861:Queen's Birthday Honours 616:Health Education England 556:British Heart Foundation 551:Civil Aviation Authority 481:British Heart Foundation 411:The Scar Free Foundation 2332:community health trusts 1134:10.1161/01.CIR.93.4.737 833:The Scarfree Foundation 736:Care Quality Commission 433:while his mother was a 403:National Health Service 16:British Cardiac surgeon 2359:Lord Prior of Brampton 2289:Integrated care system 2151:Health Service Journal 966:Please help by adding 522:hibernating myocardium 514:cardiopulmonary bypass 253:No previous incumbents 213:No previous incumbents 50:Please help by adding 2405:Chief Nursing Officer 2299:NHS Property Services 1682:"Cosmetic procedures" 1230:on 16 September 2012. 1174:"EACTS - Association" 961:references or sources 859:, and as part of the 841:Ex Fide Fiducia Trust 738:hospital inspections. 657:NHS England (2013–18) 608:Healthcare Commission 568:Healthcare Commission 333:Physician and surgeon 2392:Professional leaders 2342:mental health trusts 2264:Maple Street, London 1876:on 24 September 2020 1777:18 June 2018 at the 1599:"Bruce Keogh Letter" 1162:on 17 November 1999. 915:University of Toledo 793:Department of Health 562:Commissioner on the 545:and a Fellow of the 490:Hammersmith Hospital 470:University of London 324:University of London 303:British / Zimbabwean 231:NHS Medical Director 56:Contentious material 2179:on 4 February 2014. 2119:"John Snow Oration" 2099:on 11 December 2013 1436:. 16 November 2014. 919:Coventry University 2520:People from Harare 2317:List of NHS trusts 2197:. 17 December 2015 2153:. 11 December 2013 2072:The London Gazette 2019:. 19 November 2015 1927:. 4 February 2013. 1608:. 20 December 2012 1399:. 20 December 2013 950:This section of a 506:The Heart Hospital 2442: 2441: 2363:Chief Executive: 2337:foundation trusts 1905:. 30 January 2013 1156:"SCTS on the Web" 1044: 1043: 1036: 1018: 908:Hunterian Society 643:Sheila Leatherman 341: 340: 139: 138: 131: 113: 39:needs additional 2527: 2432: 2431: 2365:Amanda Pritchard 2327:ambulance trusts 2236: 2229: 2222: 2213: 2207: 2206: 2204: 2202: 2187: 2181: 2180: 2175:. 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January 2014 1619: 1590: 1561: 1547: 1518: 1507: 1461: 1439: 1421: 1410: 1381: 1356: 1345:. 5 March 2012 1327: 1313: 1277: 1266: 1255: 1244: 1233: 1215: 1201: 1190: 1165: 1147: 1128:(4): 737–744. 1108: 1083: 1053: 1051: 1048: 1042: 1041: 949: 947: 940: 934: 931: 848: 845: 814:Sensyne Health 809: 806: 785:junior doctors 757: 754: 746: 745: 742: 739: 728: 697: 694: 658: 655: 590: 587: 446: 443: 418: 415: 339: 338: 335: 334: 331: 327: 326: 311: 305: 304: 301: 297: 296: 281: 277: 276: 272: 271: 268: 267: 262: 256: 255: 250: 244: 243: 233: 232: 228: 227: 222: 216: 215: 210: 204: 203: 193: 192: 185: 184: 178:Assumed office 173: 172: 165: 162: 161: 157: 156: 153: 152: 147: 144: 137: 136: 60:poorly sourced 33: 31: 24: 15: 13: 10: 9: 6: 4: 3: 2: 2532: 2521: 2518: 2516: 2513: 2511: 2508: 2506: 2503: 2501: 2498: 2496: 2493: 2491: 2488: 2486: 2483: 2481: 2480:Living people 2478: 2476: 2473: 2471: 2468: 2466: 2463: 2461: 2458: 2456: 2453: 2452: 2450: 2437: 2436: 2425: 2419: 2415: 2412: 2410: 2406: 2403: 2401: 2400:Stephen Powis 2397: 2396: 2394: 2390: 2383: 2380: 2377: 2374: 2372: 2368: 2366: 2362: 2360: 2356: 2355: 2353: 2349: 2343: 2340: 2338: 2335: 2333: 2330: 2328: 2325: 2323: 2320: 2318: 2315: 2314: 2312: 2310: 2306: 2300: 2297: 2295: 2292: 2290: 2287: 2285: 2282: 2280: 2277: 2276: 2274: 2272:Commissioning 2270: 2263: 2261: 2260:Skipton House 2258: 2256: 2252: 2251: 2248: 2244: 2237: 2232: 2230: 2225: 2223: 2218: 2217: 2214: 2196: 2192: 2186: 2183: 2178: 2174: 2168: 2165: 2152: 2148: 2142: 2139: 2134: 2128: 2125: 2120: 2114: 2111: 2095: 2088: 2082: 2079: 2074: 2073: 2068: 2062: 2059: 2047: 2046: 2041: 2034: 2031: 2018: 2011: 2005: 2002: 1997: 1991: 1972: 1965: 1959: 1956: 1944: 1940: 1934: 1931: 1926: 1920: 1917: 1904: 1897: 1891: 1888: 1875: 1871: 1865: 1862: 1849: 1842: 1836: 1833: 1828: 1827: 1822: 1815: 1812: 1799: 1792: 1791:"Board paper" 1786: 1783: 1780: 1776: 1772: 1767: 1764: 1761: 1757: 1753: 1748: 1745: 1740: 1734: 1731: 1726: 1722: 1716: 1713: 1708: 1702: 1699: 1687: 1683: 1677: 1674: 1662: 1658: 1652: 1649: 1636: 1629: 1623: 1620: 1607: 1600: 1594: 1591: 1578: 1571: 1565: 1562: 1557: 1551: 1548: 1535: 1528: 1522: 1519: 1516: 1511: 1508: 1503: 1497: 1478: 1471: 1465: 1462: 1449: 1443: 1440: 1435: 1431: 1425: 1422: 1419: 1414: 1411: 1398: 1391: 1385: 1382: 1370: 1366: 1360: 1357: 1344: 1337: 1331: 1328: 1323: 1317: 1314: 1309: 1303: 1288: 1281: 1278: 1275: 1270: 1267: 1264: 1259: 1256: 1253: 1248: 1245: 1242: 1237: 1234: 1229: 1225: 1219: 1216: 1211: 1205: 1202: 1199: 1194: 1191: 1179: 1175: 1169: 1166: 1161: 1157: 1151: 1148: 1143: 1139: 1135: 1131: 1127: 1123: 1119: 1112: 1109: 1097: 1093: 1087: 1084: 1071: 1067: 1061: 1059: 1055: 1049: 1047: 1038: 1035: 1027: 1016: 1013: 1009: 1006: 1002: 999: 995: 992: 988: 985: –  984: 983:"Bruce Keogh" 980: 979:Find sources: 973: 969: 963: 962: 958: 953: 948: 939: 938: 933:Personal life 932: 930: 926: 922: 920: 916: 911: 909: 905: 901: 897: 893: 889: 885: 881: 877: 873: 869: 864: 862: 858: 854: 846: 844: 842: 838: 834: 829: 827: 823: 819: 815: 807: 805: 802: 798: 794: 790: 786: 782: 777: 774: 769: 765: 763: 756:Controversies 755: 753: 750: 749:implemented. 743: 740: 737: 733: 729: 725: 724: 723: 720: 716: 712: 710: 705: 702: 695: 693: 691: 686: 682: 679: 677: 673: 667: 663: 656: 654: 651: 646: 644: 640: 635: 631: 627: 623: 619: 617: 613: 609: 605: 599: 597: 588: 586: 584: 580: 576: 571: 569: 565: 559: 557: 552: 548: 544: 540: 536: 532: 526: 523: 518: 515: 509: 507: 503: 499: 495: 491: 487: 482: 478: 473: 471: 467: 463: 458: 456: 452: 444: 442: 440: 436: 432: 428: 424: 416: 414: 412: 408: 404: 400: 396: 392: 391: 382: 361: 357: 353: 349: 345: 336: 332: 328: 325: 322: 320: 315: 312: 310: 306: 302: 298: 292:(age 69) 282: 278: 273: 269: 266: 263: 257: 254: 251: 245: 239: 234: 229: 226: 225:Stephen Powis 223: 217: 214: 211: 205: 199: 194: 191: 186: 179: 174: 170: 169: 163: 158: 154: 150: 142: 133: 130: 122: 119:February 2019 111: 108: 104: 101: 97: 94: 90: 87: 83: 80: –  79: 78:"Bruce Keogh" 75: 74:Find sources: 68: 64: 61: 57: 53: 47: 46: 42: 37: 32: 23: 22: 19: 2433: 2371:David Sloman 2255:Quarry House 2199:. 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