SAM Council Members


Mark Holland

Mark was first appointed as  consultant geriatrician at University Hospital of South Manchester 1999 and commenced as a consultant acute physician in 2004. He was SAM Secretary from 2010 to 2013.
Mark’s main achievements for SAM include working with national encephalitis working group (guideline published 2012), working with NICE on neutropenic sepsis guideline (2012) and acute medicine CPD advisor with the Royal College of Physicians.
He has played pivotal role in setting-up the acute medicine training programme in the North Western Deanery and ran the programme from 2007 to 2012.

President Elect

Nick Scriven

Nick Scriven has been a consultant in acute medicine at Halifax Hospital since 2001 and was appointed non-medical trainee representative on SAM’s council in April 2012. Nick was born and educated in Norwich and completed his studies at Leicester University. He then started working for the Nottingham registrar rotation for respiratory and general internal medicine. Nick is a keen Norwich City Football Club supporter and has a growing family with teenage children.

Immediate Past President

Alistair Douglas

Alistair is Consultant Physician (Acute Medicine and Nephrology) at Ninewells Hospital and Medical School, NHS Tayside.
He qualified from Queen’s University Belfast in 1986 and undertook postgraduate training in Belfast and Edinburgh before his first Consultant appointment in 1999 at Conwy & Denbighshire NHS Trust, North Wales, prior to moving back to Scotland in 2007.
He has been a member of the Society for Acute Medicine Executive since 2006. He was Chairman of the Royal College of Physicians Report ‘Acute Medicine: Making it Work for Patients’ 2004 and has been involved in two NCEPOD reports.


Hannah Skene

Hannah is an acute physician working at Chelsea and Westminster Hospital, London. Previously a trainee representative for SAM, she is delighted to be back with SAM as Secretary. As well as the daily clinical and service development work within acute and general medicine, Hannah has a MMedSci in medical education and a keen interest in developing and delivering high quality multidisciplinary simulation and clinical skills courses for acute teams.


Susan Crossland

Sue is an Acute Physician working at Calderdale Royal Hospital in Halifax. She has been a Consultant since 2012 and was the previous Treasurer for SAM. Her main interests are Education (she is the Director of Medical Education for her Trust) and Ambulatory Care.

Chair Education and Training Committee

Mike Jones

Mike Jones was appointed as Consultant Nephrologist in Dundee in 1992. Career progression included appointments as Deputy Medical Director, e-health Director and Consultant Acute Physician in NHS Tayside. In 2006 he undertook a new challenge, being appointed as a Consultant Acute Physician in NHS Lothian, based in the Royal Infirmary of Edinburgh. He is a founder member and Past President of the Society, Vice President of the Royal College of Physicians of Edinburgh, RCP representative on the Intercollegiate Acute Care Common Stem Training board and National Clinical Lead for the ACUMEN e learning project in Acute Medicine. Mike has a major interest in promoting better patient care through the development of Acute Medicine and postgraduate medical training.

Chair Research Committee

Louella Vaughan

Louella Vaughan is an active researcher in acute medicine. Previously Senior Lecturer in Acute Medicine with Imperial College London, her interests include the use of novel techniques for the risk stratification of the acutely unwell patient, medication safety and service improvement. She sits on the Society’s Research Committee and is the National Clinical Lead for the Hospital at Night e-learning for Health project.Louella is a consultant physician and honorary senior lecturer at Chelsea and Westminster Hospital.  She was appointment Chair of the Research Committee for the Society for Acute Medicine in October 2012.

Nursing Representatives

Ian Setchfield

Biography coming soon!

Jan Christian

I have 26 years registered nurse experience and I am currently the Lead Nurse for Emergency Medicine at Salford Royal Foundation Trust. I have worked in Acute Medicine for the last 10 years. With 13 years Renal Nursing experience I appreciate the benefits and importance of developing Acute Medicine as a speciality. I am passionate about the care of older people in Acute Medicine and recognise how successful planning and management of long term care needs can be achieved in a busy and complex environment.

I followed my first degree in Rehabilitation (2003) with a Master’s Degree in Business Administration, (2011), and strongly believe that a business approach to caring for patients provides equitable resourceful outcomes. I am published in a number of disciplines including clinical decision making (2002) and end of life care (2002, 2013).

Pharmacy Representative

Henrietta Cresswell

Biography coming soon!

Allied Health Professional Representative

Laura Jennings

Biography coming soon!

Medical Non-trainee Representative

Vincent Connolly

Vincent is a Consultant Physician at The James Cook University Hospital in Middlesbrough; Clinical Director of the Emergency Care Intensive Support Team and Clinical Advisor for the Ambulatory Emergency Care Network.
Vincent passionately believes in the Acute Medicine model of care. The AMU model in Middlesbrough has been in place since 1998 although it has developed considerably in that time. The team also developed an Ambulatory Emergency Care service which has been a great addition to the services. His role with the Emergency Care Intensive Support Team has allowed him to visit many acute sites across England offering advice on how services can be improved. He has contributed to a variety of documents on Urgent & Emergency Care & presented at many meetings. He believes that Acute Medicine will evolve to the point where most in-patients are under the care of an acute physician.
When time allows he enjoys spending time with his family (being a taxi & banker), walking on the North York moors or the local beaches (with the cutest dog ever), fell running (slowly), football (still dreaming) and skiing (after the kids).

Roger Duckitt

Roger was one of the first Acute Medicine trainees from the Wessex programme and now works as Acute Medicine lead for Worthing Hospital. He is the SAM representative on the European Federation of Internal Medicine and has been actively involved with EFIM and the Young Internists since 2007 – building links in Acute and Internal Medicine between the UK and Europe.

Previously on the SAM Council as a Trainee representative he has an active interest in education and organisational structure and is committed to defining the role that Acute Medicine has to play in the plans laid out in the Future Hospitals Commission and Future Shape of Training.


Medical Trainee Representatives

Nick Smallwood

Nick is an ST5 in Acute Internal Medicine in KSS having previously trained in Severn Deanery. He is keen on developing ultrasound and echocardiography as specialist interests.

Sanjay Krishnamoorthy

Sanjay is a trainee registrar in Acute Medicine in the North West London training scheme, with a special interest in medical leadership and management, and especially the role of junior doctors as current and future leaders with the NHS. He has recently completed a leadership post on the National Clinical Director’s Leadership scheme at the CQC and has since taken up the post of trainee representative.

His upbringing was truly international, having been born in Mumbai and grown up in Dubai before coming to Bristol to read medicine. In his spare time, he is a keen musician and sportsman and a particular cricket and squash enthusiast.



Intensive Care Representative

Simon Fletcher

Simon Fletcher has worked as a Consultant in Anaesthesia and Intensive Care at Norfolk and Norwich University Hospital for 16 years and is the Regional Advisor for Anaesthetics for Anglia as well as the chair of ACCS training committee. He is been active in SAM since inception through a close relationship with development of Acute Medicine in Norwich.  He is the Clinical Director of Acute Medicine in Norwich, currently receiving considerable Trust support for expansion and development of the Acute Medicine service.

Website Lead

Nithin Narayan


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