Hart, Nicholas - clinical and academic director Lane Fox Respiratory Service

 

Consultant profiles

Nicholas Hart - clinical and academic director Lane Fox Respiratory Unit

Contacts

PA: Carol Bridge
PA tel: 020 7188 6115

Area of expertise: weaning, rehabilitation and home mechanical ventilation in patients with chronic respiratory failure.

  • Biography

    Professor Nicholas Hart is the Director of the Lane Fox Respiratory Service at Guy's and St Thomas’ NHS Foundation Trust.

    His other current roles include:

    • Professor of Respiratory and Critical Care Medicine, Faculty of Life Sciences and Medicine, School of Basic and Medical BioSciences, King's College London
    • Director of Research and Development Delivery, Guy's and St Thomas’ NHS Foundation Trust
    • Joint Editor-in-Chief, Thorax.

    Nicholas was appointed in April 2012 as the director of the Lane Fox Respiratory service, which is an internationally recognised weaning, rehabilitation and home mechanical ventilation service. Since taking over as head of service, Nicholas has increased the activity by the introduction of seven-day working, opened the Lane Fox-REMEO Centre, re-structured the outpatient clinics, outpatient service and home ventilation service and increased the acuity of the inpatient service with installation of a comprehensive electronic patient record and central monitoring system. This has required an enhancement of the specialist workforce including consultants, junior doctors, nurses, allied health care professionals, technicians and administrative staff to support the service across paediatrics and adults.

    The Lane Fox Respiratory Service is the largest weaning, rehabilitation and home ventilation service in the UK with over 2200 patients on the home ventilation programme and an annual turnover of over £20 million. Embedded within the Lane Fox Respiratory Service is the Lane Fox REMEO Respiratory Centre, based in Surrey, which is an innovative approach to the delivery of specialist respiratory healthcare and is a remote digital extension of the Lane Fox Respiratory Unit at St Thomas’ Hospital. 

    Nicholas has been awarded nine Local Clinical Excellence Award points.

  • Education

    • PhD University of London, Royal Brompton Hospital, London, 2004
    • MRCP (UK), 1997
    • MB BS (Hons), University of London, 1993
    • BSc (Hons) Anatomy, University of London, 1989
  • Specialist interests

    Local, national and international recognition

    • Local, National and International Conferences: Symposium and Keynote Speaker (2005-current)
    • Trial Steering Committee European HomeVent2 Project (2019-current)
    • Editor-in-Chief, Thorax (2015-current)
    • Organising Committee European Meeting on Weaning and Rehabilitation (2012-current)
    • Medical Scientific Advisor to the William Moore Foundation (2018-current)
    • Congress Facilitator for Symposia, Poster Discussion Sessions and Thematic Poster Sessions: American Thoracic Society, European Respiratory Society, British Thoracic Society, International Society Intensive Care and Emergency Medicine, European Society of Intensive Care Medicine (2005-current)
    • European Somno-NIV committee (2013-current; only UK member)
    • JIVD-ERCA Organizing Committee (2018)
    • Visiting Professor University of Toronto (2018)
    • Visiting Professor Singapore Ministry of Health (2017)
    • American Thoracic Society Workshop and Consensus Group: ‘Obesity Hypoventilation Syndrome’ (2017-2019)
    • Director of Research Delivery for Guy's and St Thomas’ Foundation Trust (2016)
    • Local Clinical Excellence Awards (9; 2016)
    • American Thoracic Society Workshop and Consensus Group: ‘Long-term Outcome After Critical Illness’ (2016-2018)
    • International Society Intensive Care and Emergency Medicine Roundtable 2016 ‘Putting Pieces of the Puzzle Together: Brain-Muscle Interdependence and Its implications for Recovery’ (2016)
    • Chair of NHS England Task Force for Discharge of Complex Respiratory Tracheostomy Ventilated Patients (2015)
    • Highly commended Lane Fox REMEO Centre at the International Design and Health Academy Awards (2015)
    • Best Acute Hospital Development Lane Fox REMEO Centre at the Building Better Healthcare Awards (2015)
    • Highly Commended (personal commendation) for National Well-Child Award (2014)
    • Book Editor R Stevens, N Hart and M Herridge (eds) ‘The Legacy of Critical Care: A Textbook of Post ICU Medicine’ (2014)
    • Author of Muscular Dystrophy Campaign ALERT CARD for Duchenne muscular dystrophy and Becker’s muscular dystrophy (2014)
    • European Respiratory Society: Chair for Basic Non-Invasive Ventilation Course (2014-2017)
    • NHS England Clinical Reference Group for Specialist Respiratory Services (2013-2015)
    • Home Mechanical Ventilation-UK (Chair 2012-2016)
    • Invited Company Member of the Muscular Dystrophy Campaign (2012-Current)
    • International COPD Roundtable Meeting: ‘Is Home Mechanical Ventilation Useful in COPD?’ (2012)
    • London Neuromuscular Steering Group (2012-Current)
    • Steering Committee Member for ‘Improving Neuromuscular Services in Kent, Surrey and Sussex’ (2012)
    • British Thoracic Society Council (2011-2014)
    • External International Reviewer for Canadian Thoracic Society Guidelines on ‘Non-Invasive Ventilation in Patients with Chronic Respiratory Failure’ (2011)
    • Medical Advisor to the International COPD Coalition (2011)
    • British Thoracic Society Science and Research Committee (2011-2014)
    • International Society Intensive Care and Emergency Medicine Roundtable 2010 ‘Thinking Outside the Box: Muscle Weakness Represents Different Pathologies Requiring Different Tailored Treatments’ (2010)
    • Respiratory Critical Care HERMES Task Force of the European Respiratory Society (2010-2012)
    • European Neuromuscular Guidelines Group for ‘Pregnancy in the Patient with Neuromuscular Disease’ (2010)
    • British Thoracic Society Respiratory Critical Care Group (Chairman 2009-2012)
    • NICE Guideline Development Group: Post Critical Illness Rehabilitation (2009)
    • Committee Member for the All Party Parliamentary Group for Muscular Dystrophy – Access to Specialist Neuromuscular Care: The Walton Report (2009)
    • American Thoracic Society Consensus Group: ‘Intensive Care Unit Acquired Weakness’ (2009-2014)
    • International Committee for Physical Medicine and Rehabilitation in the Critically Ill (2008-current)
    • Royal College of Physicians Respiratory Medicine Examination Board (2007-2013)
    • British Thoracic Society Respiratory Critical Care Group (Secretary 2005-2009)
  • Research interests

    Lane Fox research programme

    The research vision, through the development of cost-effective treatments, is to enhance the long-term outcome of patients with chronic respiratory disease and post critical illness. Professor Nicholas Hart has built the Lane Fox Clinical Respiratory Physiology Research Centre, which hosts a programme of translational physiological research:

    • readmission prevention in acute COPD
    • prevention of skeletal muscle wasting during acute illness
    • clinical trials to improve long-term outcome in sleep disordered breathing and chronic respiratory failure.

    Nicholas' research projects have received funding by National Institute of Health Research, Medical Research Council, British Lung Foundation, Guy’s and St Thomas’ Charity, European Union and a number of industry partners. Since 2007, the total grant income is over £7 million with over £3.5 million in grants as lead applicant or primary supervisor. He is currently primary supervisor to two King’s College London PhD students. Since 2009, he has successfully supervised five King’s College London PhD students (primary supervisor), one University College London PhD student (secondary supervisor) and one Oxford University MD student (secondary supervisor).  ne of the previous PhD students has received an NIHR Post-Doctoral Fellowship and an NIHR Clinical Trials Fellowship to continue her work in the Lane Fox Clinical Respiratory Physiology Centre. All this has been achieved whilst delivering as the Clinical Director of the Lane Fox Respiratory Service.

    Nicholas is senior author peer-reviewed work published in the Journal of the American Medical Association, American Journal of Respiratory & Critical Care Medicine, Critical Care Medicine, European Respiratory Journal, Thorax, Chest, British Medical Journal Open, Cochrane Review, Journal of Physiology and Critical Care. He was awarded King's College London Readership status for Research and Clinical Excellence in Respiratory and Critical Care Medicine in 2013 and he was awarded his Chair in 2016. He was appointed as Editor-in-Chief of Thorax in 2015. Thorax is the 5th highest ranking respiratory journal in the world with an impact factor of 9.655.

    Nicholas was appointed as Director of Research Delivery for Guy' and Thomas’ Foundation Trust in 2016 following his previous role as Research and Development Lead for the Division of Peri-Operative, Critical Care, Lane Fox and Pain. Guy’s and Thomas’ has the highest recruitment to NIHR portfolio trials in the UK in 2016/2017 and he is a member of the Guy’s & St Thomas’ Foundation Trust Research Board of Directors, a group responsible for the research financial activity of the Trust. Nicholas manages the 18 research and development leads and 12 research managers to ensure the research strategy is delivered with the goal of promoting screening, recruitment and retention of patients to NIHR portfolio studies.

    Nicholas has developed a technology that has an intellectual property patent in the Europe (US pending) and this has resulted with close collaborative industry links with Philips. He has a master research agreement with Philips to develop and commercialise the Myotrace technology, which involved supervising a signal processing engineer working in the Lane Fox Clinical Respiratory Physiology Research Centre. Nicholas was appointed to the Philips Global Executive Pulmonary Advisory Board in 2014 with a primary role to identify and develop new technologies for respiratory health.

  • Awards 

    • Editor-in-Chief, Thorax (2015-Current)
    • Director of Research Delivery for Guys & St Thomas’ Foundation Trust (2016)
    • Local Clinical Excellence Awards (9; 2016)
    • Best Acute Hospital Development Lane Fox REMEO Centre at the Building Better Healthcare Awards (2015)
    • Highly Commended (personal commendation) for National Well-Child Award (2014)
    • NHS England Clinical Reference Group for Specialist Respiratory Services (2013-2015)
    • Home Mechanical Ventilation-UK (Chair 2012-2016)
    • British Thoracic Society Council (2011-2014)
    • British Thoracic Society Science and Research Committee (2011-2014)
    • Royal College of Physicians Respiratory Medicine Examination Board (2007-2013)
  • Publications 

    Peer reviewed manuscript citations

    • 940 citations (2018)
    • 822 citations (2017)
    • 755 citations (2016)

    • 636 citations (2015)
    • 497 citations (2014)

    Professor Nicholas Hart has an H-Index of 43. 

    See a list of Professor Hart's published papers on Google Scholar.