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Prof Ramani Moonesinghe
3rd floor
Charles Bell House
43-47 Foley Street
Prof Ramani Moonesinghe profile picture
  • Professor
  • Department of Targeted Intervention
  • Div of Surgery & Interventional Sci
  • Faculty of Medical Sciences

Ramani is Professor of Perioperative Medicine at UCL and Honorary consultant in anaesthesia, perioperative and critical care medicine at UCL Hospitals. She holds several national leadership roles including as National Clinical Director for Critical and Perioperative Care at NHS England and NHS Improvement, and Director of the Health Services Research Centre at the Royal College of Anaesthetists. She was previously a Council member of the Royal College of Anaesthetists (four years) and advisor on academic training to the National Institute for Academic Anaesthesia (seven years). Her research focuses on evaluating novel technologies and pathways, risk prediction and outcome measurement, and improvement studies focusing on perioperative and critical care. Although her research is predominantly UK based, she is also involved with projects internationally, including several in low and middle income settings. Studies which she leads have recruited more than 80,000 participants to the NIHR portfolio, and she has received grant funding from NIHR, Wellcome and the Health Foundation. Her work based at UCL includes setting strategic direction for the Centre for Perioperative Medicine and the Research Dept for Targeted Intervention, and supporting her own research group which currently includes 13 doctoral students. In her role for NHS England and NHS Improvement, she has been the senior clinical advisor supporting the critical care response to COVID19, involving a broad scope of work including procurement, workforce, clinical practice guidelines, research, innovation, and quality. She continues clinical strategic leadership for critical care, and also for the perioperative / anaesthesia aspect of the recovery of elective services. She was awarded the title of Officer of the Order of the British Empire (OBE) in the 2021 Queen’s New Year’s Honours for service to anaesthesia, perioperative and critical care. 

Ramani is married to the (very patient) Ed (an inventor) and mum to adopted (very active) children Zack (6), James (5) and Astrid (2).

Research Groups
Research Themes
Research Summary

Ramani's academic interest is Health Services and Improvement Research in perioperative medicine. Methods include quantitative analysis of large datasets; qualitative and mixed methods evaluations; clinical trials

Current projects include:

- Perioperative Quality Improvement Programme (www.pqip.org.uk) Recruiting in 124 UK hospitals; target 70,000 patients. Concurrent mixed methods evaluation of programme implementation. Health Foundation & Royal College of Anaesthetists (RCoA) funded; Chief Investigator (CI)

- research based on the National Emergency Laparotomy Audit dataset (www.nela.org.uk). >100,000 patients recruited so far. HQIP funded; collaborator

- evaluation of the Little Journey: RCT in children aged 3 -12 to evaluate a VR app aimed at reducing preoperative anxiety. NIHR RfPB funded - CI.

Children's Acute Surgical Abdomen Project: national evaluation of care & outcome for children undergoing emergency abdominal surgery. Association of Paediatric Anaesthetists / RCoA funded. CI.

External collaborations

- constructing the pathway for bowel cancer surgery: NIHR HS&DR funded; collaborator; LSHTM led

- ESORT - Emergency Surgery OR noT: NIHR HS&DR; collaborator; LSHTM led

- ASPIRES: studying perioperative antimicrobial stewardship internationally (UK, Rwanda, South Africa, India); ESRC funded; collaborator; Imperial led

- international network & registry supporting support QI & clinical trials in critical care units across South Asia (9 countries; 49 units) - Wellcome Flagships funded; work package lead; Oxford led

Teaching Summary

Ramani's teaching commitments are focused on higher degree supervision. She currently or formerly has supervised 15 doctoral students, all of whom have been clinical anaesthetists. Research methods include quantitative, clinical trials and qualitative / mixed methods research. 

She is also a module lead for the MSc in Perioperative Medicine (POM) and has contributed material to the MSc and the Massive Open Online Course in POM. She has supervised over 10 successful MSc. dissertations. 

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