Dr Jonathan Fuld

Jonathan Fuld

National Clinical Director for Respiratory Disease, NHS England

Chair of the Adult Specialised Respiratory Clinical Reference Group, NHS England Specialised Commissioning

Principle Investigator, HLRI

Email: jonathan.fuld1@nhs.net

PA Name: Vincenza Ruggiero

PA Email: Vincenza.ruggiero@nhs.net

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Biography

Research Approach:

Jonathan is an applied clinical health researcher. His research focuses on understanding the lived experience of people who have chronic lung disease and how this impacts their abilities to gain benefits from health care services and treatments. His research approach is the use of mixed methods, integrating insights from quantitative and qualitative data to enrich our understanding of patients’ lives and how health care services can meet their needs.  He is an actively involved in COVID and COPD related clinical trials. He has an active research interest in exercise physiology and resuscitation decision making.

Current projects:

Co-design and evaluation of an intervention to increase UPTake of pUlmonary RehabilitatioN for people living with chronic obstructive pulmonary disease: the UPTURN study. NIHR Programme Grant.

Selected publications

1. Jha A, Chen F, Mann S, Shah R, Abu-Youssef R, Pavey H, Lin-Jia-Qi H, Cara J, Cunningham D, Fitzpatrick K, Goh C, Ma R, Mookerjee S, Nageshwaran V, Old T, Oxley C, Jordon L, Selvan, M, Wood A, Ying A, Zhang C, Wozniak D, Goodhart I, Early F, Fisk M, Fuld J. Physiological effects and subjective tolerability of prone positioning in COVID-19 and healthy hypoxic challenge. ERJ Open Research 2021; DOI: 10.1183/23120541.00524-2021 
2. Ionescu MF, Mani-Babu S, Degani-Costa LH, Johnson M, Paramasivan C, Sylvester K, Fuld J.  Cardiopulmonary Exercise Testing in the Assessment of Dysfunctional Breathing. Front Physiol. 2021 Jan 27;11:620955. 
3. Early F, Wilson PM, Deaton C, Wellwood I, Haque HW, Fox SE, Yousaf A, Meysner OD, Ward JR, Singh SJ, Fuld JP. Pulmonary rehabilitation referral and uptake from primary care for people living with COPD: a mixed-methods study. ERJ Open Res. 2020 Feb 17;6(1):00219-2019. 
4. Early F, Lettis M, Winders SJ, Fuld J. What matters to people with COPD: outputs from Working Together for Change. NPJ Prim Care Respir Med. 2019 Apr 12;29(1):11.
5. Fritz Z, Malyon A , Frankau J, Parker R, Cohn S, Laroche C, Palmer C, Fuld J. The Universal Form of Treatment Options (UFTO) as an Alternative to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Orders: A Mixed Methods Evaluation of the Effects on Clinical Practice and Patient Care. PLOS ONE. 2013 Sep 4;8(9):e70977.

Research collaborators

Frances Early

Email: f.early@nhs.net

Biography

Frances is a qualitative applied health researcher with a background in health psychology. She has expertise in a range of methods including thematic analysis, Framework analysis, grounded theory and mixed methods research and extensive experience in research design, data collection and analysis through interviews, focus groups and questionnaires with patients, families and clinicians. She has conducted research across secondary, primary and community care settings with a particular focus on patient experience, support and treatment access needs of people living with COPD. 

She is currently involved in three NIHR funded studies. The UPTURN study aims to develop and evaluate in an RCT a behavioural intervention to improve uptake to pulmonary rehabilitation by people living with COPD; Frances will co-lead an impact evaluation of the Equality, Diversity and Inclusion workstream in the study. The OPACE study is an RCT to optimize azithromycin prevention treatment in COPD; Frances leads on the qualitative elements of the pilot acceptability study. The BEARS study is conducting an RCT to evaluate a set of virtual reality video games to maximize the hearing abilities of children using bilateral cochlear implants; Frances leads on the qualitative aspects of the process evaluation within a mixed methods framework.

Selected Publication

1. Frances Early, Patricia Mary Wilson, Christi Deaton, Ian Wellwood, Hena Wali Haque, Sarah Emma Fox, Azka Yousaf, Oliver D. Meysner, James R. Ward, Sally J. Singh, Jonathan Paul Fuld. Pulmonary rehabilitation referral and uptake from primary care for people living with COPD: a mixed-methods study. ERJ Open Research Jan 2020, 6 (1) 00219-2019; DOI: 10.1183/23120541.00219-2019
2. Early F, Lettis M, Winders S-J, Fuld J. What matters to people with COPD: outputs from Working Together for Change. Npj Primary Care Respiratory Medicine. 2019. 29:11  https://doi.org/10.1038/s41533-019-0124-z  (first published 12/4/19 online)
3. Early F, Wellwood I, Kuhn I, Deaton C, Fuld J. “Interventions to increase referral and uptake to pulmonary rehabilitation in people with COPD: a systematic review” International Journal of COPD 2018:13 3571–3586. DOI https://doi.org/10.2147/COPD.S172239 (Published 29 October 2018) PMID: 30464439
4. Early F, Young JS, Robinshaw E, Mi Emma Z, Mi Ella Z, Fuld JP. A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD. International Journal of COPD. 2017; 217(12): 2955—2967
5. Early F, Winders S-J, Reddy SM, Ralphs JE, Fuld JP. Co-production to inform clinical commissioning in COPD: an evaluation of Working Together for Change.  European Journal for Person Centered Healthcare 2017; 5(1): 111-119.

Marie Fisk

Catherine Moffatt

Viviana Orena-Chavez