Dumfries & Galloway Health & Social Care

Managed Clinical Networks

What is a Managed Clinical Network?

The Definition of a Managed Clinic Network

‘Managed Clinical Networks’ are defined as linked groups of health professionals and organisations from primary, secondary and tertiary care, working in co-ordinated manner, unconstrained by existing professional and Health Board boundaries, to ensure equitable provision of high quality clinically effective service throughout Scotland.

A Managed Clinical Network (MCN) is a way of working which allows multi-disciplinary/multi-professional teams to work across traditional boundaries with the health service to deliver evidence based, patient focused services.

Patient / public involvement is crucial to the MCN to help maintain this focus and provides vital feedback and advice about both current services and future developments.

Public involvement members of the MCNs have participated in “Voices” training, run by British Heart Foundation (BHF) and Chest Heart Stroke Scotland (CHSS) i.e. Hearty Voices, Diabetes Voices, Respiratory Voice and Stroke Voices.

The core principles for each MCN are:

  • must have clarity about its management arrangements
  • must have a defined structure
  • must have a clear statement of specific clinical.service improvements
  • ust use a documented evidence base i.e. SIGN Guidelines
  • must be multi-disciplinary/multi-professional with patient representation
  • must have policy dissemination of information to patients
  • must have a Quality Assurance Programme
  • should develop Continuing Professional Development education and training programmes
  • should ensure all health professionals participate in audits and research as required
  • should explore the potential for better value for money

Our Details

MCN Office
Mountainhall Treatment Centre
Bankend Road
Telephone: 01387 244293

Useful Links

SIGN Guidelines – www.SIGN.ac.uk
British Heart Foundation – www.bhf.org.uk
Chest Heart and Stroke Scotland – www.chss.org.uk
National Health Service Quality Improvement Scotland www.nhshealthquality.org
Diabetes UK www.diabetes.org.uk
Diabetes UK Facebook Page facebook.com/Diabetes.co.uk
Diabetes in Scotland www.diabetes-scotland.org
Juvenile Diabetes Research Foundation www.jdrf.org.uk 
My Diabetes, My Way www.mydiabetesmyway.scot.nhs.uk

Coronary Heart Disease

The Managed Clinical Network for Coronary Heart Disease has a management team and the members are:

Dr Alistair Mackay, Joint Lead Clinician and Consultant Cardiologist
Dr W John Locke, Joint Lead Clinician and General Practitioner
Sue Bryant, Senior Lead Nurse for the MCN/Cardiology Nurse Manager

The Network is responsible to manage cardiology services in NHS Dumfries and Galloway.

The Management Team meets every 6-8 weeks with other invited members to discuss operational matters of the Network.  The group membership (including staff who receive information only) consists of:

Dr Husnat Ahmed, Consultant Cardiologist
Carolyn Brown, Heart Failure Specialist Nurse
Sue Bryant, Senior Lead Nurse for the MCN/Cardiology Nurse Manager
Medical Director
Services Manager – Radiography
James Cant, Head of British Heart Foundation, Scotland
Performance Manager
Morven Dunn, Practice Development Coordinator – BHF
Dr Shahana Esmail, Consultant Cardiologist
Viv Gration, Commissioning Manager
Nicole Hamlet, General Manager – Acute Services
Dr John Locke, Lead GP for Stewartry LHP
Dr Alistair Mackay, Consultant Cardiologist
Bill Mitchell, Health Intelligence Analyst
Carole Morton, Assistant General Manager – Acute & Diagnostics
Rachael Nicholson, Lead Physiologist
Bill Rogerson, Pulic Representative
Fiona Ross, ECG Department
Interim Locality Business & Development Manager & MCN Programme Manager
Jim Stuart, Patient Representative
Jennifer Watt, Finance Manager 


Services & Education

Diabetes Specialist Nurse (DSN) Service Click here for information of the service

Structured Education Click here for information on education

Foot Health and Diabetes Click here for further information

Useful Information

Local Groups

7pm to 9pm
St George’s Church Hall, George Street, Dumfries

Newton Stewart Health Centre
Baptist Church, Wigtown

Local Walking Groups

Castle Douglas

Newton Stewart


Patients & Carers Advice

Pulmonary Rehabilitation is a programme run by the Respiratory Physiotherpist, Respiratory Specialist Nurse and a Physiotherapy Assistant.  Click here for information on this service.

Pulmonary Rehabilitation have developed a short film “Introduction to Pulmonary Rehab