Nazakat Hussain Physical Medicine and Rehabilitation

Nazakat Hussain

Current Position

Medical Director/Consultant, Physical Medicne And Rehabilitation Cambridge Medical And Rehabilitation Center Abu Dhabi

Education And Qualifications

  • Current: MBA Medical Leadership
  • 2010: CCT Rehabilitation Medicine (London)
  • 2004: MRCS(RCS, Edinburgh)
  • 2002: PLAB (Professional and Linguistic Assessment Board) GMC
  • 2000: FCPS-I (College of Physicians and Surgeons, Pakistan)
  • 1999: M.S-I (Orthopaedic Surgery), Post-Graduate Medical College, Islamabad
  • 1989-1995: M.B. B.S (University of Punjab, Lahore)
  • 1988: HSSC (A-LEVELS), Pakistan College Sharjah
  • 1985: SSC (O-LEVELS), Pakistan School Dubai

Communication And Computer Skills:

Language Skills:

  • English: Fluent in speaking, reading and writing
  • Arabic: Fluent in reading and writing, basic speaking
  • Urdu: Native
  • Hindi: Fluent in speaking
  • Punjabi: Native
  • Pushto: Basic speaking, reading, writing

Computer Skills

General

  • Microsoft office including word, excel, access, PowerPoint
  • Office Outlook and other emails
  • Internet
  • Basic HTML

Professional

  • Electronic patient records
  • Electronic prescription
  • Electronic discharge summaries
  • Electronic dictations
  • Picture archiving and communications system (PACS)
  • Paperless reporting and filing

Current Responsibilities:

Medical Director, Rehabilitation Medicine Cambridge Medical And Rehabiltaion Centers (12th Of January 2018 To Date)

Cambridge Medical and Rehabilitation Center is a 240 bedded state of the art multidisciplinary specialised rehabilitation facility in Abu Dhabi, Al Ain and Dubai emirates of UAE and Dahran in KSA. Our hospital provides post acute care to a wide spectrum of clinical conditions needing multidisciplinary rehabilitation. This includes transitional ventilation unit as well as paediatric rehabilitation unit.

As Medical Director I have both senior managerial role as well as the lead physician in Rehabilitation Medicine. My role includes overseeing the planning, developing, implementing and evaluating clinical operations of the organisation. As medical director I am accountable for meeting established standards for overall quality, patient care practices, budgetary performance and regulatory compliance. This responsibility includes oversight of the Physicians, clinical psychologists, physiotherapists, occupational therapists, speech and language therapists and nursing staff. As a member of the senior leadership team I collaborate with the leaders and staff to achieve overall established and agreed goals.

As a Consultant in Physical Medicine and Rehabilitation I provide full spectrum of clinical care to our patients with a sub speciality interest in Spinal Cord Injury and spasticity management. I also provide the clinical leadership to the multidisciplinary team of physicians, nursing and allied health staff as well as their mentoring and help for their professional development.

Previuos Post:

Clinical Director Rehabiltaion Medicine American Hospital Dubai (7TH OF March 2014 till 11th of January 2018)

As clinical director of the advanced rehabilitation centre I developed a state of art multidisciplinary inpatient and outpatient rehabilitation services department from scratch at American Hospital Dubai. I was responsible for all the initial planning, execution, recruitment, scope of service development, quality improvement and governance as well getting all the necessary approvals from the concerned regulatory authorities.

The centre was one of the most profitable and praised service of the hospital. We were providing multidisciplinary rehabilitation to a range of clinical conditions including neurospinal, musculoskeletal and critical illnesses.

I was responsible for the day to day medical care of all the patients admitted and also provide medical cover to the multidisciplinary team in the form of regular MDT’s, goal planning / discharge meetings and patient/family meetings.

I was also doing a busy outpatient clinic seeing clients for a range of rehabilitation consultations, treatment and interventions.

Role In My Last Nhs Appointment:

(Primary interest in Spinal Cord Injury, Complex pain and Spasticity)

  • Comprehensive care of inpatients
  • Lead for Complex Pain
  • Medical and surgical management of Spasticity / Gait abnormalities
  • Over seeing the respiratory care in SCI service / Weaning
  • Outpatient reviews both new and follow-up
  • Theatre lists for all common SCI related procedures including flaps for pressure ulcers, intrathecal pumps, tendon transfers / releases
  • On Call commitment for acute SCI and neuro-rehabilitation patients

Other Responsibilities:

  • Comprehensive care of inpatients
  • Lead for Complex Pain
  • Medical and surgical management of Spasticity / Gait abnormalities
  • Over seeing the respiratory care in SCI service / Weaning
  • Outpatient reviews both new and follow-up
  • Theatre lists for all common SCI related procedures including flaps for pressure ulcers, intrathecal pumps, tendon transfers / releases
  • On Call commitment for acute SCI and neuro-rehabilitation patients
  • Research Lead for directorate
  • Duty Rota organiser
  • Antibiotic champion for the centre (Regular audits)
  • VTE prophylaxis champion for the centre (Regular Audits)
  • Member NSCISB (National Spinal Cord Injury Strategy Board), Currencies subgroup
  • Regional Lead for implementation of National SCI pathways

Mebership Of Professional Bodies:

  • British Medical Association (BMA)
  • British Society of Rehabilitation Medicine (BSRM)
  • International Spinal Cord Society (ISCoS)
  • British Association of Spinal Cord Injury Specialists (BASCIS)
  • British Association of Spinal Surgeons (BASS)

Management Qualifications / Experience:

  • MBA Medical Leadership, Sheffield Hallam University (Currently 2nd Year)
  • Management and Leadership Course, University of Leeds, Spanned over three months focusing on:
    • Managing and Leading
    • Team working and Team Leading
    • The Leader as Developer

Current / Recent Management Activities:

  • As member of the National Spinal Cord Injury Strategy Board, I was involved in developing the National Spinal Cord injury Care Pathways and coding for national spinal cord injury service commissioning. (An initiative of All Parties Parliamentary Group on Spinal Cord Injury and a pilot project of Department of Health).
  • Regional Lead in implementing and evaluating the newly developed National Spinal Cord Injury Care
  • As member of the Directorate Executive Group for Specialised Rehabilitation Directorate, I am responsible for strategic and tactical decision making and execution of these decisions for the directorates
  • Setting up research executive group and its term of references. This was the first research planning and execution effort in our directorate. I am the first research lead for our directorate and responsible for chairing / conducting the research executive meetings. I was able to get funding for the post of a research associate and then involved in writing up job description / person specification, advertisement and selection process. I was able to successfully employ a post doctoral research associate.
  • I was involved with the development of business case for the expansion of respiratory / ventilatory service within our directorate. This was a very successful project and is one of the major generators of income for our
  • Successful business case and charity campaign to raise funds for Eksoskeleton, a cutting edge rehabilitation device and a first in UK rehabilitation www.bbc.co.uk/news/uk-england-south-yorkshire-18413037
  • Major reorganisation of consultant working week. I proposed, planned and implemented the new working arrangement for consultant team. This was first major change in twenty years and involved a full scale reshuffling of outpatient clinics, theatre lists and multidisciplinary ward rounds. I am also responsible for organising the consultant and junior doctor’s duty rota.
  • I initiated, organised and implemented a very successful patient education programme in the
  • Presently I am involved in setting up trauma rehabilitation service for the major trauma
  • Currently involved in writing up a business case for specialist respiratory clinic for high spinal cord injury.

Clinical Experience:

  • Complex Pain Service
    • Biopsychosocial model of treatment for complex pain from neurological and mechanical
    • Includes multidisciplinary assessment, diagnostics and
    • Management of failed back syndrome

    Interventions include trigger point injections, intra articular injections, peripheral nerve blocks, facet joint injections, nerve root blocks, caudal and lumbar epidural injections, intrathecal drug delivery systems, neuromodulation central and peripheral

  • Comprehensive Care Of Spinal Cord Injury
    • Acute Management of Spinal Cord Injury:
      • Receiving patients with SCI in A&E
      • Arranging and receiving transfers from regional A&E's
      • Systematic assessment of respiratory / cardiovascular / neurological function
      • Immobilzation techniques and safe handling / transfers
      • Application of Gardner Well's tongs
      • Reduction of cervical dislocations with incremental traction
      • Application of Halo ring / vest for cervical immobilisation
      • Monitoring of respiratory / cardiovascular / neurological function during acute phase
      • Psychosocial / family counselling and support
    • Rehabilitation of Spinal Cord Injured Patient:
      • Principles of conservative treatment of spinal column injuries
      • Understanding of skin care / care of pressure areas / joint ROM / management of Spasticity
      • Principles of mobilisation
      • Wheelchair / seating assessment
      • Conducting multidisciplinary meetings / Goal planning meetings
      • Discharge planning / Communication with relevant authorities
      • Comprehensive discharge summaries
      • Conservative and surgical management of pressure ulcers including flaps
    • Neurorehabilitation, Traumatic Brain Injury, Prosthetics and Orthotics
      • Structured training including relevant courses and placements as part of the CCT in rehabilitation
      • Care of acute brain injury
      • Leading multidisciplinary meetings / ward rounds
      • Discharge planning
      • Follow up clinics
      • Specialised Seating Assessments
      • Assessment and prescription of orthoses / prosthesis
    • Musculoskeletal Rehabilitation / Sports Injuries
      • Structured training and placements in rheumatology, musculoskeletal rehabilitation, sports injuries and neurophysiology
      • Wide exposure to musculoskeletal problems and Sports Injuries in Trauma and Orthopaedics
      • Injections and use of ultrasound
      • Post-operative rehabilitation
      • Lymphedema management
    • Comprehensive Care of Spasticity
      • National and regional centre for management of complex spasticity
      • Assessment diagnosis and interventions including serial casting, BotulinimToxin injections, Intrathecal Baclofen testing, Implantation of Intrathecal Pumps and Surgical release of spastic muscles
    • Urological Rehabilitation in Neurological Conditions
      • Assessment of neuropathic bladder / bowel / sexual function
      • Vidoeurodynamic studies
      • Flexible cystoscopies
      • Intravesical Botulinim Toxin Injections
      • Fertility and sexual function in disability
    • Respiratiory Rehabilitation In Neurological Conditions:
      • Advanced understanding of respiratory pathophysiology in SCI and long term neurological conditions
      • Understanding of modes of ventilatory support and operation of LTV / Elisse ventilators
      • Care of tracheostomy
      • Assisted cough / chest clearance techniques
      • Ventilator support weaning protocols
      • Sessions in ITU for hands on experience to manage severely ill / line placements / use of sonosite
      • Development of SAVe ( Sheffield Assisted Ventilation ) scale, an assessment tool for respiratory care

Post MRCS Spinal Surgery Experience:

  • Worked as clinical fellow in Spinal Surgery at Queen’s Medical Centre and Derbyshire Royal Infirmary
  • Assessment of acute referrals from A&E and regional hospitals including traumatic spinal injury, cord injury secondary to infection, tumour, degenerative disease and cauda equina syndrome
  • Running independent clinics for back pain and neuropathic pain
  • Independent lists for facet joint injections, nerve root blocks and epidural injections
  • Performed discectomies, spinal decompression and instrumentation, major spinal surgery including degenerative / deformity surgery

Pre MRCS Medical / Surgical Experience:

  • Three placements as SHO in trauma and orthopaedics in busy departments in UK hospitals
  • Structured post-graduate training in trauma and orthopaedics at Pakistan Institute of Medical Sciences, Islamabad including placements in plastic surgery, neurosurgery and general
  • Worked as medical officer at Shifa International Hospital, a state of the art modern American themed hospital with placements in ER, ITU, trauma and orthopaedics and plastic surgery
  • House Physician at Holy Family Hospital, Rawalpindi and House Surgeon at Rawalpindi General Hospital, both very busy tertiary care teaching hospitals

Previous Employment History:

  • 08-2010 To 28-02-2014: Consultant in Spinal Cord Injuries Princess Royal Spinal Injuries and Neurorehabilitation Centre, Sheffield, United Kingdom
  • 02-08-06 to 31-07-10: Specialist Registrar, Rehabilitation Medicine, Northern General Hospital, Sheffield
  • 08-02-06 to 01-08-06: Registrar, Spinal Surgery, Derbyshire Royal Infirmary, London Road, Derby
  • 18-04-04 to 07-02-06: Registrar, Department of Spinal Studies and Surgery, Queen’s Medical Centre, Nottingham
  • 07-08-03 to 17-04-04: SHO Trauma and Orthopaedics, Macclesfield District General Hospital, Macclesfield, Cheshire
  • 05-02-03 to 06-08-03: SHO Trauma and Orthopaedics, Southampton University Hospitals, Southampton
  • 18-03-2002 to 04-02-2003: SHO Trauma and Orthopaedics, South Tees Hospitals, Northallerton, North Yorkshire.
  • 01-12-2001 to 28-02-2002: Clinical attachment at Department of Trauma and Orthopaedic Surgery, Royal Hampshire County Hospital, Winchester.
  • 25-06-1999 to 08-09-2001: Post-graduate Resident in Orthopaedic Surgery Department of Orthopaedic Surgery, Pakistan Institute of Medical Sciences, Islamabad.
  • 23-09-1997 to 25-05-1999: Medical Officer at Shifa International Hospital, Islamabad.
  • 01-01-1997 to 30-06 1997: House Officer at Department of General Medicine, Holy Family Hospital, Rawalpindi.
  • 01-07-1996 to 31-12-1996: House Officer Department of General Surgery, Rawalpindi General Hospital, Rawalpindi, Pakistan

Recent Courses:

Intrathecal Drug Delivery in Chronic Pain, Barcelona Master Class in Neuromodulation Techniques, London Advanced Ultrasound guided Injection Techniques, Sheffield Management and Leadership Course, Yorkshire Deanery Research Methodologies Course, University of Sheffield Understanding Brain Injury, Headway The International Masters Spine Symposium, RCSE, London Urology and Urodynamics in Neuropathic Bladder, Sheffield Advanced prosthetic & amputee Rehabilitation Course, London Posterior Spinal Instrumentation, Keele University AO Principals of Fracture Management, Leeds Statistics for Non-statistician, University of Glasgow Presentation of Statistics to Medical Journals, University of Glasgow ATLS at York District Hospital, York Surgical Skills Course, Dundee

Recent Conferences:

Kids Neuroscience Conference (Speaker) 2019, Dubai Emergency Neurological Life Support (Speaker) 2019, Abu Dhabi MENA Physical Medicine and Rehabilitation Conference (Scientific Committee Member and Speaker) 2018, Dubai Rehabilitation, Long term and Home Care Conference (Speaker) 2018, ADNEC, Abu Dhabi Master Class in SCI and Neural Tube Defects (Speaker), 2018, ADNEC, Abu Dhabi ICU Rehabilitation Symposium (Speaker), 2018, Dubai Asia Pacific League of Associations for Rheumatology, 2017, Dubai MENA Physical Medicine and Rehabilitation (Scientific committee member and Speaker) 2017, Dubai MENA Physical Medicine and Rehabilitation (Founding member, Scientific committee member and Speaker) 2016, Dubai ISCoS (International Spinal Cord Society), 2012, London Guttman Conference 2012, Wakefield European Neurotrauma School 2012, London Guttman Conference 2011, Oswestry ISCoS 2011, Washington DC Spinal Research Network, 2010, London Guttman Conference 2010, Cardiff BSRM Autumn meeting 2010, London Guttman Conference 2009, Glasgow ISCoS 2007, Reykjavik, Iceland

Teaching Experience:

Throughout my clinical experience I have been involved in teaching and training post graduate doctors, undergraduate medical students and allied health professionals. I was Honorary Clinical Lecturer at University of Sheffield, UK.

Research Experience:

Recent Research Projects:

  • Improving self efficacy in spinal cord injury patients through 'Design Thinking Workshops' in association with design department, Sheffield Hallam University, won the SHINE 2012 award worth £75,000 from The Health
  • A Systematic exploration of Functional Electrical Stimulation in Spinal Cord Injury, A NIHR portfolio study
  • "A prospective, randomised controlled trial of auto-titrating Continuous Positive Airway Pressure (CPAP) treatment for Obstructive Sleep Apnoea after acute Quadriplegia", an international multicentre NIHR portfolio study
  • A Classification system for Cauda Equina Syndrome with incorporated management algorithm
  • "Memory and Cognition in People with longstanding Spinal Cord Injury"
  • "Respiratory needs of chronic Spinal Cord Injury Individuals"

Previous Research Activity:

  • Development of SAVe (Sheffield Assisted Ventilation) Scale, a tool to describe ventilatory needs in SCI patients, adapted by RISCI (Respiratory Information for SCI) UK, the national forum, to be used as trial for one year by all SCI centre in UK, presented in ISCoS (International Spinal Cord Society), 2009 scientific meeting
  • Audit of bladder management in spinal cord injury patients during acute and early rehabilitation phase, a national multicentre
  • Management of Osteoporotic lower limb fractures in chronic SCI, a retrospective review, submitted for publication in Spinal Cord Journal and presented at ISCoS 2009 scientific meeting in Florence, Italy
  • Review of outcomes in post traumatic lumbar syringomyelia presented in 49th ISCoS, 2010 scientific meeting, New Delhi,
  • Outcomes in SCI patients requiring Ventilatory Assistance – 5 year review, presented in 49th ISCoS 2010 scientific meeting, New Delhi,
  • National survey of thromboprophylaxis and gastric protection in SCI centres, presented in 24th Guttman Multi-Disciplinary meeting
  • Survey of 100 A&E departments for awareness and guidelines about the management of autonomic dysreflexia in SCI patients leading to new proposed safeguarding mechanisms
  • Multicentre survey of SCI patient’s family and friends on their views and participation in the physical rehabilitation of patients
  • Audit of Warfarin prescription in acute SCI patients at PRSIC
  • A prospective randomised controlled trail and several retrospective reviews leading to international presentations and peer reviewed publications (more detail under presentations and publications)

Publications / Presentations:

  • Outcome of Surgical Correction of Contractures in Longstanding Neurological Conditions” Hanan Osman, Nazakat Hussain, Pradeep 18th European congress of Physical and Rehabilitation Medicine, 28th May – 1st June, Thessaloniki, Greece.
  • Management of osteoporotic fractures in chronic spinal cord injury N Hussain, K M Mathew, P Thumbikat, M McClelland Submitted to Spinal Cord Journal, Published as abstract and presented in ISCoS 2009, Florence, Italy
  • Acute Spinal Cord Injury P Thumbikat, N Hussain, M McClelland Surgery, Vol 27:7, July 2009
  • SAVe (Sheffield Assisted Ventilation) scale, A tool for describing ventilatory requirements in SCIN Hussain, A Beechey, J Ross Published as an abstract, Presented in ISCoS 2009, Florence, Italy
  • Long term follow up of post-traumatic lumbar syringomyelia N Hussain, K M Mathew, P Thumbikat, M McClleland Published as an abstract, and presented in ISCoS 2010, New Delhi
  • Trampoline accidents causing spinal cord injury N Hussain, F Jepson, P Thumbikat, M McClelland, K M Mathew Published as abstract, presented in ISCoS 2007, Reykjavik, Iceland
  • Intraspinal migration of a pellet following gun shot injury N Hussain, B Basu, P Thumbikat, G Ravichandran Published as an abstract, presented in ISCoS 2007, Reykjavik, Iceland
  • Thromboprophylaxis in SCI, National Perspective N Hussain Presented at 24th Guttmann Multi-disciplinary Meeting
  • The clinical and radiological outcome of a prospective randomised controlled trial of circumferential lumbar spinal fusion: Femoral ring allograft versus titanium cage B J C Freeman, N Hussain, P McKenna, Y H Yau, Y Leung, J Hegarty, and R Kerslake Journal of Bone and Joint Surgery – British Volume, Vol 90-B, Issue SUPP_III, 54
  • Does the SRS-22 outcome questionnaire co-relate with radiological outcome following anterior correction of Thoracolumbar scoliosis? N Hussain, B J C Freeman, R Watkins, J K Webb Published as abstract, Presented in BOA annual meeting 2005
  • Anterior instrumentation for thoracolumbar adolescent idiopathic scoliosis: do structural interbody grafts preserve sagittal alignment better than morselized rib autografts? Watkins RG 4th, Hussain N, Freeman BJ, Grevitt MP, Webb JK. Spine. 2006 Sep 15;31(20):2337-42.
  • What factors determine coronal and sagittal balance following anterior instrumentation of thoracolumbar adolescent idiopathic scoliosis? R Watkins, N Hussain, B J C Freeman, M P Grevitt, J K Webb Published as abstract, presented in Spine Society of Europe meeting, Barcelona 2005
  • Improvement of sexual function in male patients treated surgically for cervical spondylotic myelopathy He S, Hussain N, Zhao J, Fu Q, Hou T. Spine. 2006 Jan 1;31(1):33-6
  • Eponyms: errors in clinical practice and scientific writing Waseem M, Khan M, Hussain N, Giannoudis PV, Fischer J, Smith RM. Acta Orthop Belg. 2005 Feb;71(1):1-8.
  • Clinical and prognostic analysis of ossified ligamentum flavum in a Chinese population He S, Hussain N, Li S, Hou T. J Neurosurg Spine. 2005 Nov;3(5):348-54.
  • Primitive neuroectodermal tumor of lumbar spine: case report He SS, Zhao J, Han KW, Hou TS, Hussain N, Zhang SM. Chin Med J (Engl). 2007 May 5;120(9):844-6
  • Extensive Dermatitis Artefacta in a Longstanding T4 Paraplegic Below the Level of Lesion Nazakat Hussain, Kidangalil Mathew, Martin McClelland, and Pradeep Thumbikat, ISCoS 2011
  • Bionic Exoskeletons and Spinal Cord Injury Article published in Forward, a bimonthly publication of Spinal Injuries Association, Sep 2012.
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