Professor Stephen Scott

Consultant Physician in Respiratory and General (internal) Medicine

Consultant Physician in Respiratory and General (internal) Medicine Countess of Chester Hospital: Specialist interest Asthma. (Appointed 2008). Visiting Professor: University of Chester. Honorary Lecturer: University of Liverpool.

Qualifications

BM; FRCP; PhD; PGCert (Meded)

Overview

I am a Respiratory Consultant with a specialist interest in Asthma at the Countess of Chester Hospital, (Honorary) Clinical Lecturer with the University of Liverpool Medical School and Visiting Professor status with the University of Chester. I have developed and provide a comprehensive service for asthma patients locally. Patients have access to research trials and I have developed and lead the Chester Respiratory Research Unit. I lead an asthma task and finish group working with Western Cheshire CCG to improve and provide multidisciplinary asthma care across primary and secondary care moving from a position of respiratory medicine not being included in the CCG priorities to one of the main working areas.

I was involved in the formation and development of the North West Severe Asthma Service which forms a network of care for severe asthma patients.

I have a keen interest in asthma. I am currently the chair of the British Thoracic Society (BTS) specialist advisory group for asthma appointed in Dec 2014 and have been an active member of the group since 2012. This has involved input and comment on BTS Position Statements on the value of specialist respiratory care, Department of Health and Central Commissioning for severe asthma services in England and Wales, NICE Quality standards for Asthma, NICE MTA for Omalizumab, NICE consultation on the Commissioning Outcomes Framework, NICE Osteoporosis Guideline, NICE Thermoplasty Registry - being held with the BTS Difficult Asthma Registry and NICE guidance on exhaled nitric oxide. More recently I provided comment representing the BTS as a stakeholder on the NICE scoping meeting for the Asthma Management Guidelines.

I have been involved in the BTS / SIGN Asthma Guideline since 2013 formerly as a member of the Evidence Review Group for the “Organisation and Delivery of Care” and currently as joint chair of the “Management of Acute Asthma” Evidence Review Group and therefore a member of the steering committee.

I am a member of the Guideline Development Group for the NICE guideline on the management of asthma. I am also secretary of the North West Thoracic Society.

Teaching

I have a Level 3 qualification in postgraduate medical education.

I regularly teach undergraduate and postgraduate doctors as part of my role as a Consultant. I am both a foundation clinical and educational supervisor for foundation doctors and physician educational supervisor for CT / ST Doctors. This involves supervision, appraisal and mentorship in respiratory / general medicine. I also supervise and teach undergraduate medical students from the University of Liverpool medical school, in clinical settings, lectures plus one to one and hold an honorary clinical lecturer post in recognition of this.

I act as an examiner in local mock PACES exam held yearly in the hospital and also examine on medical student OSCE's.

I have also written questions for the medical student fourth year exams and have contributed to updating the University of Liverpool medical school curriculum.

Prior to my appointment as a Consultant I acted as a problem based learning facilitator for medical students at the University of Liverpool and also provided plenary lectures for the students on respiratory medicine.

I have been invited to speak at national meetings.

I am an Advanced Cardiac Life Support instructor and teach on the faculty of ALS courses locally.

I teach and lecture to hospital doctors, GP's, dental students, nursing staff and pharmacists and regularly teach on the trust grand rounds, medical division meetings and respiratory educational meetings which I also help organise.

Research

I undertook my research in Liverpool supervised by Professor

Peter Calverley and Professor John Wilding completing my PhD Thesis: Benefits of

weight loss in obese patients with asthma: mechanical or immunological mechanisms?

During this time I developed knowledge and interests in clinical trial methodology, physiology testing, inflammometry, quality of life measurement and laboratory techniques. On appointment at the Countess of Chester Hospital I have developed and lead the Chester Respiratory Research Unit that undertakes respiratory portfolio research work and also original research currently setting up links with the University of Chester for MSc and PhD projects. I am a PI on a number of ongoing and past trials and am also a member of a Data Monitoring Committee on a large multicentre trial in the UK.

Published work

Selected Relevant Publications:

Scott S, Currie J, Albert P, Calverley PMA, Wilding PH. Risk of mis-diagnosis, Health related Quality of Life and Body Mass Index in Overweight Patients with doctor diagnosed asthma. Chest. 2012: 14(3):616-624

Jones G, Scott S.Continuous Infusions of Terbutaline in Asthma - a Review.Journal of Asthma. 2011 Oct;48(8):753-6

Scott S, Walker P, Calverley PM. COPD exacerbations. 4: Prevention.

Thorax. 2006 May;61(5):440-7.

Corne JM, Lau L, Scott SJ, Davies R, Johnston SL, Howarth PH. The relationship between atopic status and IL-10 nasal lavage levels in the acute and persistent inflammatory response to upper respiratory tract infection.

Am J Respir Crit Care Med. 2001 Apr;163(5):1101-7.

Other activities:

Invited speaker at National conferences including the British Thoracic Society Summer meeting and the society for obesity and bariatric anaesthesia.

Peer reviewer for numerous journals including Respiratory Medicine, International Journal of Obesity, Thorax, Health and Quality of Life outcomes, BMJ learning modules and Lung.

Various educational roles at trust level and also STEC representative for the Countess of Chester Hospital.

I sit on a number of committees at a local level including divisional lead for audit, trust representative on the area prescribing committee, research and innovation committee and lead for asthma care amongst other role within the trust.

Referee for abstracts for BTS Winter Meeting.

Chair of BTS Asthma Specialist Advisory Group

Chair of Acute Management of Asthma ERG and a member of steering committee for BTS/ SIGN Asthma Guideline

Member of the Guideline Development Group NICE guidelines on asthma management

Secretary: North West Respiratory Society