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I was appointed as Clinical Senior Lecturer in Palliative Medicine in 2009, and am based at the North Wales Centre for Primary Care Research in Wrexham. IÌýam a senior hospice and palliative medicine specialist with an interest in quality improvement, an accomplished educator with experience of working at national level, and a researcher with a track record of securing UK National Institute for Health and Care Research (NIHR) funding. My particular areas of interest are care in the last days of life for home-based people (including in rural areas), and how best to prepare relatives/carers for the dying process. I am a strong advocate for the benefits of roles integrating clinical work, education and research.

• Arall: Postgraduate Certificate in Professional Development in Higher Education
  Glyndwr University, 2011
• Profesiynol: Membership
  Royal College of Physicians, London, 2004
• Profesiynol: MB CHB with distinction
  University of Stellenbosch, 2000

I hold a post-graduate qualification in education (PGCPD in HE, obtained in 2011). In addition to delivering many teaching sessions overÌýthe years on palliative care topics to a range of (postgraduate) healthcare professionals in a rangeÌýof education settings, I have had much involvement in education coordination and design in theÌýregion.

I am an appraiser forÌýfellow consultants (specialists) in the region and aÌýDesignated Supervising Medical Practitioner (for ANP/non-medical prescribing training). Until recently, I was educational supervisor for the palliative medicine specialty trainees inÌýNorth Wales, as well as for a range of other junior doctor clinical and academic training gradeÌýposts. I have experience of mentoring trainees, and dealing with those in difficulty.

I held the national position of Chair of the WalesÌýDeanery Specialty Training Committee for Palliative Medicine for 4 years until my term expired inÌýOctober 2017, and on a UK-wide basis I was a question writer for the Specialty Clinical ExaminationÌýin Palliative Medicine (the knowledge-based exit examination for those sub-specialising in PalliativeÌýMedicine in the UK, and a pre-requisite for completion of specialty training) until 2021.

I am a Fellow of theÌýUK Higher Education Academy.

I was co-Chief InvestigatorÌýon an NIHR-funded study of the feasibility of (unpaid relative/)carer-administered as-neededÌýmedication for symptoms in the last days of life in home-based patients. As co-author on the rapidly developed All-Wales policy in the pandemic context, I have led on clinical implementation since April 2020. I obtained my PhD qualification on the topic in April 2022. Through our work, we have influenced implementation of the intervention across the UK, and I am founding co-chair of the national Community of Practice.

Supported by infrastructure funding from PRIME Centre Wales, our unit's research programme focussing on community palliative care in the last days of life is gaining pace. I am co-lead for the PRIME work package on Supportive and End of Life Care. We have also built strong research links withÌýAustralian partners, where strategies to deliver rural palliative care are of utmost importance.

Between 2013 and 2019 I was a panel member of the NIHR HTA Panel A.

2023

• Cyhoeddwyd
  Poolman, M., 25 Medi 2023
  Allbwn ymchwil: Cyfraniad arall › Cyfraniad Arall

2022

• Heb ei Gyhoeddi
  Poolman, M., 2022, (Heb ei Gyhoeddi)
  Allbwn ymchwil: Cyfraniad arall › Cyfraniad Arall
• Cyhoeddwyd
  Hendry, A., Hiscock, J. & Poolman, M., Rhag 2022, Yn: Palliative Care and Social Practice . 16, 9 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Hendry, A., Hiscock, J., Evans, E., Pottie, J., Wilkinson, C. & Poolman, M., 2 Chwef 2022, Yn: International Journal of Palliative Nursing. 28, 2, t. 72-79 8 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

2020

• Cyhoeddwyd
  Poolman, M. & Shuler, A., 20 Maw 2020, 45 t. NHS Wales Health Collaborative.
  Allbwn ymchwil: Cyfraniad arall › Cyfraniad Arall › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Poolman, M., Roberts, J., Wright, S., Hendry, A., Goulden, N., Holmes, E., Byrne, A., Perkins, P., Hoare, Z., Nelson, A., Hiscock, J., Hughes, D., O'Connor, J., Foster, B., Reymond, L., Healy, S., Lewis, P., Wee, B., Johnstone, R. P., Roberts, R., Parkinson, A., Roberts, S. & Wilkinson, C., 2 Meh 2020, Yn: Health Technology Assessment. 24, 25, 150 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Pottle, J., Hiscock, J., Neal, R. D. & Poolman, M., Maw 2020, Yn: BMJ Supportive and Palliative Care. 10, 1, e6.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  INPIC Group, Rhag 2020, Yn: BMJ Supportive and Palliative Care. 10, 4, t. 429-434 6 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

2019

• Cyhoeddwyd
  Poolman, M., Roberts, J., Byrne, A., Perkins, P., Hoare, Z., Nelson, A., Hiscock, J., Hughes, D., Foster, B., O'Connor, J., Reymond, L., Healy, S., Roberts, R., Wee, B., Lewis, P., Johnstone, R., Roberts, S., Holmes, E., Wright, S., Hendry, A. & Wilkinson, C., 7 Chwef 2019, Yn: Trials. 20, 1, 16 t., 105.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Philips, G., Lifford, K., Edwards, A., Poolman, M. & Joseph-Williams, N., 1 Medi 2019, Yn: Palliative Medicine. 33, 8, t. 985-1002
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Singh Curry, R., Evans, E., Raftery, A.-M., Hiscock, J. & Poolman, M., 3 Rhag 2019, Yn: BMJ Supportive and Palliative Care. 9, 4, t. 381-388
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

2017

• Cyhoeddwyd
  Johnstone, R. P., Poolman, M., Ryan, K., Schofield, P. & Watt, B., 27 Medi 2017, Yn: Palliative Medicine and Hospice Care. 3, 2, t. 32-38 7 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Johnstone, R., Mitchell, H. & Poolman, M., Mai 2017.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Wilkinson, C., Poolman, M., Roberts, J., Wee, B., Hiscock, J., Hughes, D., Nelson, A., Perkins, P., Johnstone, R. P., Reymond, E., Foster, B., O'Connor, J., Jones, S., Hoare, Z., Roberts, R., Byrne, A., Healy, S. & Lewis, P., 1 Medi 2017.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Watt, B., Hiscock, J., Poolman, M. & Livingstone, T., 1 Medi 2017.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Johnstone, R. P., Poolman, M. & Mitchell, H. E., 28 Awst 2017, Yn: Palliative Medicine and Hospice Care. 3, 2, 7 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Singh Curry, R., Evans, E., Poolman, M. & Hiscock, J., Mai 2017.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Arall › adolygiad gan gymheiriaid

2016

• Cyhoeddwyd
  Johnstone, R. P., Ryan, K., Poolman, M., Richards, T. & Usborne, C., 1 Ebr 2016.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Mitchell, H. E., Poolman, M., Johnstone, R. P. & Rawlinson, F., 1 Ebr 2016.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid

2015

• Cyhoeddwyd
  Welstand, J., Poolman, M. & George, J., Mai 2015.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Poolman, M., Mayland, C., Byers, J., Campkin, N., Antrobus, H. & Sharma, M., Mai 2015.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Johnstone, R., Mitchell, H. & Poolman, M., Mai 2015.
  Allbwn ymchwil: Cyfraniad at gynhadledd › Murlen › adolygiad gan gymheiriaid

2014

• Cyhoeddwyd
  France, B. D., Lewis, R. A., Sharma, M. L. & Poolman, M., 1 Maw 2014, Yn: BMJ Supportive and Palliative Care. 4, 1, t. 19-29
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

2009

• Cyhoeddwyd
  Philp, R., Poolman, M., Martin, N. & Makin, M., 2009, Yn: European Journal of Palliative Care. 16, 3, t. 110 115 t.
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

2006

• Cyhoeddwyd
  Poolman, M. & Makin, M., 1 Ebr 2006, Yn: Palliative Medicine. 20, 3
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Crynodeb Cyfarfod › adolygiad gan gymheiriaid
• Cyhoeddwyd
  Makin, M., Poolman, M., Philp, R. & Martin, N., 1 Ebr 2006, Yn: Palliative Medicine. 20, 3, t. 307
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Crynodeb Cyfarfod › adolygiad gan gymheiriaid

2003

• Cyhoeddwyd
  Poolman, M. & Hough, S., 2003, Yn: Journal of Endocrinology, Metabolism and Diabetes of South Africa. 8, 2, t. 52-59
  Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid

2024

• Attending SPC/hospice colleagues in support of the Palliate package (derived from CARiAD) to be rolled out to the whole region. Agreement in principle sought, and obtained, from the group.

  18 Ebr 2024

  Gweithgaredd: Arall (Cynghorydd)

• 10 Ebr 2024

  Gweithgaredd: Sgwrs wadd (Siaradwr)

• 10 Ebr 2024

  Gweithgaredd: Sgwrs wadd (Siaradwr)

2023

• CARiAD presentation as part of ‘We’re here, this is what we do. Developing creative opportunities in rural communities’ workshop.

  Tach 2023 →

  Gweithgaredd: Cymryd rhan mewn gweithdy, seminar, cwrs Academaidd (Siaradwr)

• Highest-scoring abstract, invited to present the annual Andy Fowell Memorial Lecture

  Hyd 2023 →

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

• Oral presentation, international conference

  16 Meh 2023

  Cysylltau:

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

2022

• The aim of the activities outlined in this proposal is to accelerate the impact of the intervention as studied in the NIHR- funded CARIAD feasibility trial and subsequently implemented in clinical practice. The acceleration of the impact of carer-administration supported by this funding will be strengthened by the established external partnerships with BCUHB, Helix Centre (Imperial College London) and the national (UK) Community of Practice (CoP) (co-facilitated by MP). It will support the building of new collaborations and partnerships, including with patients and carers, policy makers, health care organisations and academic institutions. Activities will focus on IT support for the already established CoP (national network of HCPs), creating a social media presence for the intervention and working towards a national database/registry of important outcomes.

  Funding awarded through the Ïã¸ÛÁùºÏ²Ê¹ÒÅÆ×ÊÁÏ Innovation and Impact Award (Research Wales Innovation Funding). Value = £50,000

  1 Ebr 2022 – 31 Maw 2023

  Gweithgaredd: Arall (Cyfrannwr)

• Presentation of North Wales CARiAD implementation and clinical outcomes. Introduction by Alison MacRobbie.

  9 Maw 2022

  Gweithgaredd: Sgwrs wadd (Siaradwr gwadd)

2021

• 7 Gorff 2021

  Gweithgaredd: Cyflwyniad llafar (Siaradwr gwadd)

• I am founding co-facilitator of the national community of practice for the intervention studied as part of the CARiAD feasibility RCT.

  2021 →

  Gweithgaredd: Mathau o waith ymgysylltu academaidd allanol - Cyfraniad at waith pwyllgorau a gweithgorau cenedlaethol neu ryngwladol (Cadeirydd)

2020

• Oral presentation of CARiAD feasibility RCT results

  2020

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

2019

• Oral presentation by Annie Hendry on behalf of CARiAD team.

  In this paper we discuss accounts of lay carers who have cared for a dying person at home during the last days of life. Many people nearing the end of life express a wish to die at home; the fulfilment of this wish often depends on the ability of a lay carer to support them at home during this difficult and emotional time. Relationships between carers and those they care for may experience change as the needs of an individual evolve, boundaries between the medical and the non-medical world shift, and end of life becomes increasingly closer.

  Healthcare professionals support those having a home death by visiting to administer medications. This can mean long waiting times which may contribute to distress and discomfort for patient and carer.

  In this study, lay carers were trained to give under the skin medications when needed. In depth interviews were conducted with carers and analysed using Interpretive Phenomenological Analysis.

  The rich and detailed accounts of carers in this study reveal the complexity of caring relationships during the last days of life and are intrinsically bound with the desire to fulfil wishes, alleviate pain and suffering and to contribute actively towards care. However, these factors are further intertwined with concerns regarding lay/ professional boundaries, carer burden and the potential for hastening death. This paper will shed light on the lived experiences of those caring for a dying person and the ways in which they navigate their way through this challenging time.

  5 Rhag 2019

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

• Oral presentation by Jess Richards on behalf of the CARiAD team

  27 Tach 2019

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

• Oral presentation of CARiAD feasibility RCT results

  21 Tach 2019

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

• Oral presentation of CARiAD results, poster presentation of protocol. Poster presentation was highly commended.

  24 Hyd 2019

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

• Joint oral presentation by CARiAD team and public contributor. CARIAD results poster also presented; won first prize.

  18 Hyd 2019

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

• Oral presentation of qualitative findings from the CARiAD project by Annie Hendry on behalf of the CARiAD team.

  11 Medi 2019

  Gweithgaredd: Cyflwyniad llafar (Siaradwr)

2017

• Conversation article authored by Professor Clare Wilkinson.

  15 Maw 2017

  Cysylltau:

  Gweithgaredd: Mathau o waith ymgysylltu â'r cyhoedd a gwaith maes - Erthygl neu gyfranogiad yn y cyfryngau (Cyfrannwr)

• 01/10/2016 – 15/08/2018 (Wedi gorffen)

  Disgrifiad

  Preparatory work towards NIHR HTA commissioning brief 16/102

  Qualitative study (interviews with, and self-recorded brief accounts of primary and palliative care clinicians)

In January 2022 I took up the post of co-Clinical Director of Palliative Care for Betsi Cadwaladr University Health Board (BCUHB).

Since February 2009, as part of my clinical sessions, I have had joint hospice and community care appointments across several localities in the large geography of North Wales, giving me a clear understanding of the functioning of both National Health Service (NHS) and independent (charity) sectors. Hospice care includes leading ward rounds of hospice inpatients, providing senior managerial input to the medical/Advance Nurse Practitioner team and supporting the Clinical Effectiveness programme. Community specialist palliative care support is provided by integrated medical and nursing teams, and we work in concert with primary care teams (general practitioners and district nurses) to support people with palliative care needs at home. Both clinical roles come with the associated supporting professional activities including support for colleagues involved in quality improvement projects. In terms of non-malignant palliative care, my interest lies in heart failure palliative care, and I have had much involvement in regional service development for this patient group. I provide cross-cover for clinical colleagues in the hospital specialist palliative care team, as well as out-of-hours telephone advice to clinicians across North Wales as part of a regional on call rota.

On a national (all-Wales) level I am academic lead for the Care Decisions for the Last Days of Life project, a well-established project providing dedicated guidance to support last days of life care irrespective of setting, with a national feedback system providing outcomes on care.

I am a Fellow of the Royal College of Physicians, London and have been trained in Quality Improvement (IQT Silver, NHS Wales).

Originally from Namibia, I studied Medicine at the University of Stellenbosch (Cape Town, South Africa), obtaining my primary degree cum laude in December 2000. In 2001, I moved to the United Kingdom. I concluded junior doctor training in November 2004 after achieving membership of the Royal College of Physicians, London by completing general internal medicine specialty examinations. I sub-specialised in Palliative Medicine (Completion of Specialty Training, October 2008) and was offered a full-time permanent senior clinical academic appointment (50% clinical, 50% academic, North Wales campus of Cardiff University, then Ïã¸ÛÁùºÏ²Ê¹ÒÅÆ×ÊÁÏ) which commenced February 2009.