Dr. Marcus Jason Baw – Locum GP & Emergency Physician
- Driving: Full clean UK driving licence
- Immigration Status: British Born, British Citizen
- General Medical Council: Full Registration 2001, proof of ongoing GMC registration may be checked on the GMC online portal
- Professional Indemnity: Medical and Dental Defence Union of Scotland (MDDUS)
- Royal College of General Practitioners: Member, also on Health Informatics Group (Special Interest/Advisory Group)
- The Royal College of Anaesthetists: – Fellow By Examination (From 2012 lapsed member as I am no longer directly involved in clinical Anaesthesia)
- Emergency Medicine
- Secure Environment Medicine
- Pain Management (Acute and Chronic)
- Digital Health – (Health Technology, Computing and Health Informatics)
- Systems and performance improvement
- Locum/Freelance Doctor (2011 - present: multiple roles in GP, ED, Prison, Hospice, and Health IT)
- Provider of private forums platforms for Digital Health Intelligence, eHealth Ireland, openhealthhub, Leigh Hackspace, and BCS PHCSG.
- General Practice with a clinical interest in Dermatology and Pain (Acute and Chronic)
- Clinician Adviser in Health Informatics/GP IT/Computing
- Software Developer (see also my Technical CV)
- CRB checked
- Full NOMS and CTC clearance.
SUMMARY OF EXPERIENCE
Over the past 10 years working as a hospital doctor I have had front-line experience of clinical responsibility in numerous medical disciplines. My further career in General Practice has widened my experience and allowed me to learn a wide range of new skills for consultation and clinical work.
- General Practice: 7 years (ongoing)
- Anaesthesia, Critical Care, and Intensive Care Medicine: 5 years
- Accident & Emergency/Emergency Medicine 5 years (spread over 17 years’ career, and ongoing)
- General Internal Medicine: 1 year
- Dermatology: 6 months
- Paediatrics: 6 months
- Obstetrics & Gynaecology: 6 months
- March 2011 nMRCGP CSA (Clinical Skills Assessment)
- April 2010 nMRCGP AKT (Applied Knowledge Test)
- June 2008 Final FRCA Examination (Fellowship of the Royal College of Anaesthetists)
- December 2006 MCEM Part B (Membership of the College of Emergency Medicine )
- October 2005 Primary FRCA Examination (Fellowship of the Royal College of Anaesthetists)
- February 2004 MFAEM Part A (now Membership of the College of Emergency Medicine)
- 1995 – 2000 University of Liverpool Medical School. MBChB (Hons) – Conferred 6th July 2000. Distinction in Medicine and Surgery
- 1993 – 1995 Selby College, Selby, North Yorkshire. A-Level Studies (A A A B C)
- 1988 – 1993 Selby High School, Selby, North Yorkshire. 9 GCSEs
PREVIOUS MEDICAL POSTS
(all posts immediately sequential without gaps, unless otherwise indicated)
- August 2011 - present: General Practitioner and Emergency Physician full-time professional locum, various posts, including but not limited to:
- Bethany Medical Centre, St Helens
- Seven Brooks Medical Centre, Atherton
- Brookmill Medical Centre, Leigh
- Netherley Health Centre, Liverpool
- Ash Tree Surgery, Liverpool
- Whiston Hospital Foundation Trust Emergency Department
- Salford Royal Hospital Foundation Trust Emergency Department
- Various secure establishments (contact me for details if required)
- August 2008 – July 2011: Specialty Registrar in General Practice – North Western Deanery – Wigan GPVTS
- Dermatology ITP (Prosser White Dermatology Unit, Leigh/Chandler House, Wigan)
- Paediatrics (Wigan Royal Albert Edward Infirmary)
- Obstetrics & Gynaecology (Wigan Royal Albert Edward Infirmary)
- Medicine – MAU and Elderly Care, (Wigan Royal Albert Edward Infirmary)
December 2006 – July 2008: Specialist Registrar in Anaesthesia and Intensive Care Medicine, Mersey Deanery. Full exposure to mixed anaesthetic practice including sub-specialities: Trauma, Emergency, Vascular, Paediatric and ICU/HDU, Cardiothoracic anaesthesia including on- and off-pump CABG, thoracotomy, Neuroanaesthesia and Neuro ICU, Burns/Plastics ICU and Anaesthesia, Ophthalmic, ENT and Obstetric. Based at: Warrington Hospital, The Cardiothoracic Centre Liverpool, Walton Centre for Neurology and Neurosurgery, Royal Liverpool University Hospital, Whiston Hospital
August 2006 – December 2006: Part-time locum in A&E and Anaesthesia. Via Medacs Agency I arranged a 3-month voluntary gap in full-time employment to allow myself to be free from a contract notice period so I would be free to accept an SpR job in Anaesthesia. This time was spent working as a locum in A&E and Anaesthesia.
August 2005 – August 2006: Middle Grade Clinical Fellow in Emergency Medicine, Whiston Hospital, Merseyside Working on the Middle Grade rota alongside the A&E SpRs and carrying the same level of clinical responsibility including being advisory and supervisory to junior doctors and Nurse Practitioners, teaching of students and doctors, active management of the A&E department in liaison with the Coordinating Nurse. Significant involvement in critical care activities, prehospital ‘forward aid’ requests, airway management, resuscitation, and cardiac emergencies.
- August 2001 to July 2005: (summary, details upon request if required):
- Anaesthesia (2 Years)
- Critical Care and Medicine (1 Year)
- Emergency Medicine (1 year)
- August 2000 to July 2001: Preregistration House Officer, Whiston Hospital, Merseyside, UK
OTHER POSTS (INCLUDING PAST POSTS)
January 2015 to present: Founding Director of Leigh Hackspace - a non-profit creative/educational community in Leigh, Lancashire. (voluntary post)
October 2013 to October 2016: Social Media Manager for the Primary Heath Care Specialist Group (PHCSG) of the British Computer Society. This is a voluntary committee post and is held for 3 years.
September 2012 to present: Co-director of openGPSoC (since renamed openhealthhub), a non-profit CIC founded to create and maintain open-source alternatives to current closed-source clinical systems and infrastructure.
April 2012 to present: Member of Royal College of General Practitioners Health Informatics Group. The group meets approximately every 2-3 months to discuss important matters pertaining to current and future General Practice and healthcare IT. Recent topics have included care.data, GOV.UK Verify, open APIs pertaining to GPSoC-R, and others.
July 2009 to July 2011: Elected GP Trainees’ Representative on Joint Local Negotiating Committee (Acting Staff Side Chairman) – Meeting approximately every 2 months, the LNC negotiates Deanery-wide policies used by the Lead Employing Trusts (Pennine Acute Trust, North Lancashire PCT, and Greater Manchester West MHT). My role as a GP trainees’ representative is to work with the representatives of the other specialities and with the BMA’s representative to ensure that trainees’ terms and conditions are not harmed by changes in Deanery and Lead Employer Policy. I stepped down from this post as I was ineligible to hold it once I completed my training.
2005 – 2007: Responsible Medical Officer Haydock Racecourse Jockey Club Certified Racecourse RMO
CONTINUING MEDICAL EDUCATION – COURSES/MEETINGS
(2005 – present, courses prior to 2005 omitted for brevity, details of these on request)
- EHI Live (invited speaker) - November 2016, Birmingham NEC
- NHS Hack Day - October 2016, Newcastle
- NHS Innovation Expo - September 2016, Manchester Central
- Digital Health Leadership Summit - February 2016, Midlands
- CCIO Summer School (invited speaker) - July 2016, Leeds University
- EHI Live (invited speaker) - November 2016, Birmingham NEC
- NHS Innovation Expo (invited speaker - prize winner)- September 2015, Manchester Central
- EHI Live (speaker) - November 2014, Birmingham NEC
- Advanced Paediatric Life Support (Recertification)
- Advanced Life Support and Advanced Trauma Life Support (as Instructor)
- The GP Update Course, 1 day, Manchester
- NHS Healthcare Innovation Expo, 1 day, Manchester
- Advanced Trauma Life Support Instructor Training, 2 days
- Advanced Life Support (Recertification)
- Primary Health Care Specialist Group AGM and Conference, 2 days
- Advanced Trauma Life Support (Recertification), Whiston Hospital, 3 days
- Primary Health Care Specialist Group AGM and Conference, 2 days
- Primary Care Dermatology Society – Dermoscopy Course Liverpool, 1 day
- Dermatology Teach and Treat Leigh Infirmary, 2 evenings
- ‘Pain In Practice’ educational event Wigan, 1 evening
- Health and Work in GP (RCGP) Bolton Stadium, ½ day
- Ophthalmology for General Practitioners LACE Conference Centre, 2 days
- Advanced Life Support Update Wigan Infirmary, ½ day
- Minor Surgery for GP Woodlands Centre, Chorley, 2 day
- Palliative Care for the GP Curriculum Woodlands Centre, Chorley, 1 day
- Level 2 Child Protection Training Seminar Wigan Infirmary, ½ day
- Advanced Life Support (recertification) Wigan Cricket Club, 2 days
- RCGP Course: ENT for GPs in Training Woodlands Centre, Chorley, 1 day
- Royal College of Physicians Acute Medicine Update Liverpool Medical Institute, 1 day
- Advanced Paediatric Life Support (recertification) Alder Hey Children’s Hospital, 3 days
- Major Incident Medical Management and Support (MIMMS) ALSG, 3 days
- Equestrian Event Medical Officer Course (Jockey Club) Chorley Hospital, 2 days
- Radiology For Anaesthetists University Hospital Aintree, 2 days
- In addition to course-based CME/CPD, I am a committed reader and continuously update myself from a range of sources, including clinical audit, local meetings, other colleagues, journals, online eLearning and the popular press. I subscribe to the BMJ, BJGP and BJA, and have contributed medical information to Wikipedia, as well as using it as an excellent information source.
MANAGEMENT & CLINICAL GOVERNANCE
During my time as a trainee in a range of hospital specialities and later in Primary Care, I have gradually developed a strong interest in management, and in particular in the style of implementation employed when aiming to make organisational changes. I have always maintained that ease of use and practicality in new systems are the key to harmonious adoption of a new system. Put simply:
“make it easier to do it right than do it wrong, and people will probably do it right.”
Unfortunately this simple principle is often ignored and that is why we see cumbersome, clunky, unfit-for-purpose, committee-designed computer systems being rolled out by a distant hierarchy, to a staff who rapidly find themselves mired in extra work. By and large, people are not inherently opposed to new technology, when it is designed well, and it helps them. Many people happily use email and Facebook at home but hate the computer system at work.
Below are some examples of my previous work in the area of safety, clinical governance, management and implementation style.
Changes to Documents Scanning Procedure: (2013, A Secure Environment) Upon arrival at the secure environment a summary of medical record is requested from the patient’s usual GP – usually this arrives within 48hrs, however due to delays in GP processing of the faxes, the information would often not be available for clinical use for up to 4 weeks. I was instrumental in resolving this issue in order to provide a system that allowed the documents to be available on our EHR immediately on arrival, and for checking of the faxes to be done electronically, with the advantage that it could be done from any terminal in the healthcare unit, and as a result the checking process could be parallelized and done faster.
‘A-Z Referral Map’: February 2010 – ongoing. In response to my own organisational needs I began to collect electronic and scanned referral forms, and referral pathway information, when I started working in General Practice. Initially this was because I knew what service I wanted to refer to, but not how to do it. Over time the document became larger and attracted the interest of other doctors, since it gradually came to form a digital repository of all relevant referral information, including scanned or electronic forms of the referral documents/forms. This not only streamlined and sped up the process of referral, but also obviated the need for keeping a store of paper referral forms in the practice, since all forms can now simply be printed on demand. I await the day that the need for all this would be obviated by Choose & Book (now rebranded e-RS:‘e-Referral System’ – 2013)
‘Wigan Paediatrics Guidelines for iPhone’ Project: December 2009 – February 2010
Pocket O&G Drug Guide: May 2009
Emergency Floor Doctors’ Guide: November 2008
Wigan RAEI SMR (Standardised Mortality Rate) Taskforce: 2008 – 2009
Unscheduled Care Improvements: October 2008
I am an advocate of the use of good clinical audit to support systems change and improvement. Some of my recent audits include:
- QOF QP1-5 criteria, rapid audit to challenge quality of the PCT’s data, June 2011
- Osteoporosis treatment and prescribing, Seven Brooks Medical Centre, 2011
- Fumaderm® in Psoriasis: July 2010 (Proposer: Dr D Ramlogan, Cons Derm)
- Paediatric Ward Neonatal Admissions: January 2010 (Proposer: Dr V Sharma, Cons NNU/Paeds)
- Hyperemesis Gravidarum: March 2009 (Proposer: Dr C McGettigan, SpR O&G)
PUBLICATIONS and PRESS
‘Turning doctors into coders’, BMJ feature 2013 by Jon Hoeksma, the editor of eHealth Insider for which I was interviewed.
RCGP ‘Patient Online‘ Roadmap document (I was a principal author of the Defining The Offering section)
- ‘Open source GP project takes off’, eHealth Insider, 18 October 2012 – Interview about openGPSoC.
BMJ Rapid responses, 19th May 2005 – Letter to Editor about severely flawed reporting in the BMJ of the findings of the NCEPOD report ‘An Acute Problem’.
- Journal of the Intensive Care Society, June 2004 – Letter to Editor refuting some assertions made regarding the format of JICS.
Digital Health – including maximising use of free and open source software, development of robust and efficient web-based clinician tools, speech recognition, and use of hand-held devices such as smartphones in decision support.
Dermatology – During my GP VTS Training I completed a 6 months Dermatology post which allowed me to gain valuable knowledge in the recognition and management of most common skin conditions. I remain a member of the Primary Care Dermatology Society, which allows me to access their CPD resources, meetings, conferences and publications.
Pain Management – with previous experience including 5 years in Anaesthesia, I have additional skills in the assessment and management of pain conditions including acute and chronic pains, pain syndromes, some injection techniques, and improved understanding of and liaison with the available secondary care/referral pain services.
Emergency Medicine – this is an area of medicine I spent a long time practicing in prior to becoming a GP, and I continue to do regular work in this area, which maintains my knowledge and skills in the acute environment, and also complements and enhances my primary care skills.
HOBBIES AND INTERESTS
I am married and have two children. We live on and ‘hobby-farm’ a one-acre smallholding and enjoy growing fruit and vegetables and breeding ducks and hens. I follow realistic sustainable and organic principles and strongly support recycling, bio-fuels, and Permaculture. I also like all kinds of traditional manual crafts and primitive skills such as brewing, candle making, woodwork and wood boat building, cooking and preserving, and I am a member of the International Guild of Knot Tyers.
I am an avid musician and have been playing guitar in bands and musical productions for 17 years. I have a widely varied taste in music encompassing jazz, swing and folk, and regularly play in informal acoustic sessions.
I also enjoy outdoor hobbies such as canoeing, hill walking, mountain biking, and photography. I am a voluntary helper with local Scouts and teach Bushcraft and Knotwork to the scouts.
I am a fluent computer user and have been into computing since my parents bought me and my brother our first computer (an Acorn Electron) in about 1983. I am an experienced advanced user of Windows XP and 7, and a few years ago began to use Linux as my main operating system. I currently mainly use Ruby, Ruby on Rails, HTML/CSS/JS, as well as the Windows automation language AutoHotKey, and the similar framework for Linux AutoKey. OS-wise I currently use Linux Mint 17.3 Cinnamon.
For obvious reasons I do not publish my referee’s names here on the website, but I can provide referees on request.