Previous position held

Consultant Obstetrician and Gynaecologist at The Royal Oldham Hospital until May 2002.

Clinical interests

I provide clinical services in general obstetrics and gynaecology in a tertiary hospital. My areas of special interest are vaginal surgery, out-patient hysteroscopy and risk management.  My clinical practice is underpinned by a biopsychosocial approach to medicine, and this is reflected in my clinical consultations, research interests and teaching of junior colleagues.

Awards/Honours

Medical students’  “Exceptional role model” 2009

National Clinical Excellence Award (Bronze), 2008

RCOG/Wyeth Historical Lecture Award, 2006 for the submission titled 'Medical gynaecology comes full circle: the management of ectopic pregnancy from Tait to date'. Lecture delivered at the College in November 2006.

 

Activities in Patient Safety
 
Since 1999 I have organised an annual multi-professional conference on Risk Management and Medico-legal Issues in Women's Healthcare. This meeting has attracted delegates from across the United Kingdom and Ireland.

Director of Clinical Audit and Risk Management, Central Manchester University Hospitals NHS Trust, January 2003 to December 2006. In this position I provided strategic leadership on issues of patient safety across a large teaching hospitals Trust.

Author of the RCOG Clinical Governance document, Improving Patient Safety: Risk Management for Maternity and Gynaecology, peer-reviewed guidance published in October 2005, updated October 2009
 
Member of the panel set up by the National Patient Safety Agency (NPSA) to develop tools for, and approaches to, learning from intrapartum-related stillbirths. This project was a response to the concern raised by the Chief Medical Officer regarding ‘500 missed opportunities’ in his annual report, 2006.  National statistics indicate that 500 babies a year start labour apparently healthy and then die (intrapartum-related death), a figure that has remained unchanged over recent years.

Contributed to the NPSA’s report ‘Recognising and responding appropriately to early signs of deterioration in hospitalised patients’ published in 2007. Some patients who are, or become, acutely unwell in hospital may receive sub‑optimal care because their deterioration is not recognised, not appreciated or not acted upon sufficiently quickly. I was a member of the group that explored the contributory factors to this problem.

Presented evidence to the King’s Fund inquiry into the safety of maternity services in England in 2007, and peer-reviewed the inquiry’s report (Safe Births: Everybody's business; King’s Fund, 2008) prior to publication. The report is the result of a year's work by an independent panel commissioned by The King's Fund. Also lectured at a King’s Fund seminar organised as a follow-up to the report.

Publisher and editor of the quarterly e-magazine Safer Maternity Care which promotes safe practice in maternity services.

Devised the RADICAL framework for implementing and monitoring healthcare risk.

Teaching and mentoring roles

Accredited Educator, Royal College of Physicians’ Physicians as Educators programme, 2006

Previously RCOG College Tutor for Oldham (responsible for the educational supervision of trainees in Obstetrics and Gynaecology), and PRHO Tutor (responsible to the Regional Postgraduate Dean for ensuring that the educational and pastoral needs of pre-registration House Officers were met).

External Examiner for the MSc programme in Risk Management, University College London, 2004-9.

Internal Examiner for a PhD in Risk Management, University of Manchester, 2005-6

External Examiner, representing the RCOG, at the Fellowship examinations of the West African College of Obstetricians and Gynaecologists, 2009

Mentor to a number of consultants and trainees over the years.

Research roles

Convener of the Perinatal Health Services Research Collaboration based at the Maternal and Fetal Health Research Centre, Manchester. Our current projects include Assessing and Responding to Maternal Stress (ARMS) and Engaging Partners in Childbirth (EPiC).

As Lead person for the Reproductive Health and Childbirth specialty group in the Greater Manchester Comprehensive Local Research Network (GM CLRN) since April 2008, my role has been to provide a local focus for NHS research activity in Reproductive Health and Childbirth, provide a strategic overview of the local infrastructure required to support research activity in Reproductive Health and Childbirth, and facilitate recruitment into clinical studies that are on the national portfolio.

Publishing/editorial roles

Books:

The Labour Ward Handbook (http://www.rsmpress.co.uk/bkedozien.htm RSM Press 2004

Risk Management in Obstetrics and Gynaecology. In addition to initiating and editing it, I wrote two chapters.

Chapters in multi-author books:

Place of birth. With Mellows H. In Mahmood T, Owen, P, Dhillon C (eds), Models of care in Maternity. RCOG Press 2010

Gynaecological Risk Management

Obstetrics and Gynaecologyy In the fourth edition of the tome ‘Clinical Negligence’,

Journals:

Editor-in-Chief of Clinical Risk

Peer reviewer for various journals including: BMJ, BJOG, The Obstetrician and Gynaecologist, Annals of Surgery, Journal of Reproductive and Infant Psychology, Evidence-based Midwifery, Australia New Zealand Journal of Obstetrics and Gynaecology.

RCOG roles

Wrote service standards for outpatient clinics, the management of menstrual disorders and risk management. These were published in ‘Standards for Gynaecology’ (RCOG Press, 2007).

Member, Working Party on Recertification, 2008-9.   This high-powered working party was asked to consider the implications of the White Paper Trust, Assurance and Safety – The Regulations of Health Professionals in the 21st Century

Member, Professional and Clinical Standards Committee, 2007 to 2009. The remit of this committee included developing and monitoring clinical and service standards, and facilitating continuing professional development, appraisal/assessment and revalidation.

Member, Consent Group, 2008-10. The Consent Group advises the College on good practice in Consent and prepares, revises and updates College guidelines for obtaining consent to a variety of procedures in obstetrics and gynaecology. In addition to reviewing and editing other documents, I  wrote the consent documents for abdominal hysterectomy and instrumental vaginal delivery.

Member, Recertification Committee, 2009 to date.

Management roles

I was appointed Director of Clinical Audit and Risk Management in the aftermath of the visitation report by the Commission for Health Improvement (CHI) in 2002 which was critical of the standing of clinical audit and risk management at strategic, planning and operational levels in our Trust. By the time I demitted office four years later, a firm foundation had been established, upon which much of the Trust’s successful application for Foundation Trust status was based. 

I chaired the Trust-wide Clinical Audit Committee for 4 years and represented the Medical Director at a number of Advisory Appointment Committees. I played a leading role in preparing the Trust for external assessments

Other professional activities

President, North of England Obstetrical and Gynaecological Society, 2010. The society was founded in 1890 and I am its 1200^th

Member, NHS Evaluations Panel (appointed March 2009). This is an advisory panel to the Service Delivery and Organisation programme of the National Institute for Health Research. The panel considers the need for scientific evaluations of specific initiatives and innovations arising from developments in the NHS.

Medical Advisor to the Ectopic Pregnancy Trust from 2001 until I voluntarily demitted in 2008. This national charity was established to raise awareness of ectopic pregnancies amongst women of childbearing age, the medical profession and the public. It provides information and support services and disseminates research findings.

Founding editorial board member of the now-defunct information portal, saferhealthcare.org.uk which was a joint venture between the NPSA, BMJ Publishing and the Institute of Healthcare Improvement, Boston.  

Member of the multi-disciplinary group that produced a national consensus statement on the management of anal sphincter injures suffered in the course of childbirth. (November 2000).

 

Above: The Edoziens with Roger Clements, FRCOG FRCS, founding editor of Clinical Risk

Labour Ward

Obstetrics & Gynaecology

Journal of Management & Marketing in Healthcare