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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, Head of the Centre of Perioperative Medicine and Head of the Department of Targeted Intervention within the Division of Surgery and Interventional Science at UCL.  She is an honorary Consultant Anaesthetist at UCL Hospitals, where she was previously also a consultant in critical care medicine (2009-2018). She is Director of the Health Services Research Centre (HSRC) at the Royal College of Anaesthetists (RCoA) and the UCL/UCLH Surgical Outcomes Research Centre. She was previously a Faculty Tutor in Intensive Care Medicine and a Trust Clinical Lead for Organ Donation at UCLH. She has been a Board Member of the National Institute for Academic Anaesthesia (NIAA) since 2009 and was the NIAA's academic training advisor between 2012 and 2016; she was also the academic Training Programme Director for the London Academy of Anaesthesia for 5 years. Ramani was a Council Member of the RCoA between 2008 and 2012. She was the local NIHR clinical research network lead for Anaesthesia, Perioperative Medicine and Pain in North Thames (2015-2017) and remains on the NIHR’s national specialty group representing the HSRC. In 2016, she was appointed as Associate National Clinical Director for Elective Care at NHS England, and in 2019 became transferred from this into a new role of National Specialty Advisor for Perioperative Care. 

In 2015, she was awarded a senior postdoctoral fellowship in Improvement Science by the Health Foundation and through that established the national Perioperative Quality Improvement Programme which measures and improves morbidity and patient reported outcome after major non-cardiac surgery in adults. For the HSRC she also leads SNAPs 1 and 2, the Children’s Acute Surgical Abdomen Programme, the Perioperative Improvement Research Laboratory and the Global Health Strategy. She is also a member of the National Emergency Laparotomy Audit project team. 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. 


Ramani is married to (the very patient) Ed, an inventor, and has two (very active) adopted sons, Zack and James. She lives in the Sussex countryside surrounded by sheep. 

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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