Profiles

Tony Ryan

Tony Ryan

Associate Member, CFMHAS

Director, Tony Ryan Associates Limited

RMN, BSc, PhD
Tony Ryan Associates Limited

info@tonyryan.org

0161 818 2046

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Overview

Dr Tony Ryan has worked in service and organisational development since 2000 undertaking a wide range of development, evaluation and research initiatives across England and Wales in the fields of mental health, alcohol misuse, substance misuse and learning disabilities. He has completed work for a variety of organisations including Primary Care Trusts, Strategic Health Authorities, National Institute for Mental Health in England, the National Patients Safety Agency, specialist mental health providers, Local Authority Social Services Departments and a number of voluntary and user organisations.

Tony also has 10 years clinical experience working in the NHS as a nurse and eight years experience of working in the voluntary sector with the national charity Turning Point. He was awarded his PhD from Lancaster University in 2000 and has published considerably on mental health policy, research methods and service and practice development. Tony edited Managing Crisis and Risk for Mental Health Nursing (1999) and co-edited Good Practice in Adult Mental Health (2004) and New Approaches to Suicide Prevention (2004).

Tony is Director of Tony Ryan Associates which was established in December 2004 and undertakes and publishes work in a wide range of areas including service development, whole systems approaches, service evaluation, writing materials to support staff and service development, research and audit and mentoring within mental health, alcohol and substance misuse services.  Tony draws upon a wide network of highly skilled Associates to deliver a range of short and long term projects.

Appointments

Director, Tony Ryan Associates Limited (2005 - present)

Honorary Research Fellow, Bangor University, School of Social Sciences. 2012 - 2018

Honorary Research Fellow, Faculty of Medicine and Human Sciences, Manchester University. 2014 - 2017

Visiting Research Fellow, Faculty of Health, Social Care and Education Manchester Metropolitan University. 2009 - 2013

Associate Consultant, Care Services Improvement Partnership North West and West Midlands. 2005 - 2009

Wales Centre for Mental Health Services Development, National Leadership and Innovation Agency for Healthcare. 2007 - 2010

 

 

Previously

Honorary Consultant, Lancashire Care NHS Foundation Trust (2010)

Associate Consultant, Care Services Improvement Partnership North West and West Midlands (2005 – 2009)

Associate Consultant, 5 Boroughs Partnership NHS Trust (2007 – 2009)

Wales Centre for Mental Health Services Development, National Leadership and Innovation Agency for Healthcare (2007 – 2010)

Associate Director, Strategic Property Solutions (2008 – 2009)

AREAS OF INTEREST
  • Honorary Research Fellow, Manchester University (2014 – present)
  • Honorary Research Fellow, Bangor University (2012 – present)
  • Member, International Advisory Board of the Journal of Substance Use  (1995 – present)
  • Associate Consultant National Institute for Mental Health in England (NIMHE) (2005 – 2009)
  • Associate Consultant, Health Services Management Centre, Birmingham University (2005 – 2009)
  • Associate Senior Consultant with the Health and Social Care Advisory Service (2005 – 2007)
  • Member, Advisory Board of Drug and Alcohol Professional (1999 – 2004)
  • Advisor, NIMHE National Benchmarking study of acute mental health wards (2002 – 2004)
  • Reviewer, Journal Substance Use, Addictions, Drug & Alcohol Professional, Health Risk & Society, Health Trends, International Journal of Clinical Psychiatry (papers); Social Science & Medicine, International Review of Victimology, Journal of Forensic Psychiatry (books), Mental Health Today
  • Reviewer, Nelson Thornes Publishers, Jessica Kingsley Publishers and Radcliffe Medical Press (book proposals and completed manuscripts)
  • Second supervisor to successful PhD candidate through to completion in 2003
  • Member, Nursing Council on Alcohol (2000 – 2003)
  • Associate Advisor, Manchester, Salford and Trafford Health Action Zone (2000 – 2001)

 

 

Publications

Reports 

Ryan, T., Gillespie, D. & Doyle, P. (2016) A review of Hebble and Gill Wards at Cheswold Park Hospital in Doncaster. Manchester: Tony Ryan Associates.

Ryan, T., Hodgetts, K., Tommis, Y. & Clayson, A. (2015) An independent review of mental health services across the 5 Boroughs Partnership NHS Foundation Trust footprint. Manchester: Tony Ryan Associates.

Ryan, T. & Butterworth, J. (2015) A review of Trevayler Crisis House in Derby. Manchester: Tony Ryan Associates.

Ryan, T., Church, E. & Tommis, Y. (2015) A review of suicides and suicide prevention in Mersey Care NHS Trust. Manchester: Tony Ryan Associates.

Ryan, T. & Waddington, C. (2015) A review of Fylde and Wyre Increasing Access to Psychological Therapies services. Manchester: Tony Ryan Associates and the Midlands and Lancashire Commissioning Support Unit.

Ryan, T., Carden, J. & Higgo, R. (2015) A needs assessment for mental health rehabilitation services in North Wales. Manchester: Tony Ryan Associates.

Ryan, T. & Doyle, M. (2015) A ‘critical friend’ review of absconding incidents at Cheswold Park Independent Hospital. Manchester: Tony Ryan Associates.

Church, E. & Ryan, T. (2015) An Independent Review of Actions Taken Following a Group of Suicide Events in Rotherham. Manchester: Tony Ryan Associates & IPMHC.

Ryan, T. & Church, E. (2014) Liverpool Community Health Deaths in Custody data (2011-2014): Understanding the effectiveness of the current policy. Manchester: Tony Ryan Associates.

Ryan, T., Doyle, M. & Shaw, J. (2014) A review of actions following a serious untoward incident after internal and external investigations at the Scott Clinic services in Mersey Care. Manchester: Tony Ryan Associates.

Ryan, T. (2014) Mental health rehabilitation in Lancashire: Model options for commissioning and provision. Blackburn with Darwen Clinical Commissioning Group.

Ryan, T., Jones, A., Clayson, A. & Tommis, Y. (2014) A review of the DASH young people’s substance misuse service in Cumbria. Manchester: Tony Ryan Associates.

Ryan, T. & Bamber C. (2013) A call for innovation in respect of service users and carer participation in Mersey Care. Manchester: Tony Ryan Associates.

Ryan, T. (2013) A review of third sector community rehabilitation facilities in Wigan. Manchester: Tony Ryan Associates.

Tommis, Y. & Ryan, T. (2013) An independent analysis of acute in-patient service usage in Wigan. Manchester: Tony Ryan Associates.

Ryan, T. & Tommis, Y. (2013) A service review of in-patient alcohol and substance misuse detoxification in Cumbria. Manchester: Tony Ryan Associates.

Ryan, T. & Church, E. (2013) An audit of prescribing to Addaction clients in West Sussex. Manchester: Tony Ryan Associates.

Ryan, T., Higgo, R., Desborough, T. & Tommis, Y. (2013) A review of delayed discharges and short stay admissions within adult and older adult wards at Lancashire Care NHS Foundation Trust. Manchester: Tony Ryan Associates.

Ryan, T., Butterworth, J. & Gorry, A. (2013) A review of substance misuse shared care arrangements in Cumbria. Manchester: Tony Ryan Associates.

Butterworth, J., Humphreys, L. & Ryan T (2013) A review of Mental Health Liaison services in Mersey Care NHS Trust. JMB Health Consultancy.

Ryan, T. & Rooney, P. (2012) A desktop review of four serious incidents within Somerset Partnership Trust mental health services. Manchester: Tony Ryan Associates.

Ryan T, Butterworth J & Gorry A (2012) Mental Health and Substance Misuse Dual Diagnosis within Wigan – A review of integration approaches and financial incentivisation across partnerships. Manchester: Tony Ryan Associates.

Ryan T (2012) A designed for purpose census of people who may require a rehabilitation service in Cumbria. Manchester: Tony Ryan Associates.

Ryan T, Marsh H & Dobson J (2012) A Benchmark Exercise of 17 Psychiatric Intensive Care Units (PICUs). Manchester: Greater Manchester Mental Health Network.

Ryan T, Hammond S, Marsh H & Dobson J (2012) Extra-contractual Expenditure on Psychiatric Intensive Care Units by Greater Manchester Commissioners in 2010/11. Manchester: Greater Manchester Mental Health Network.

Marsh H, Dobson, J & Ryan T (2012) A Peer Review Audit of 10 Psychiatric Intensive Care Units (PICUs). Manchester: Greater Manchester Mental Health Network.

Ryan T & Poole V (2012) Cheshire and Wirral Partnership Complex Assessment and Recovery Service: Service Diagnostic. Manchester: Tony Ryan Associates and Commercial and Clinical Solutions.

Ryan T (2012) Reconfiguring Community Mental Health Services: An Impact Assessment of East Lancashire Step 4 services. Manchester: Tony Ryan Associates.

Ryan T, Dobson J & Marsh H (2012) Development report on step down care pathways from secure services for Greater Manchester residents. Manchester: Tony Ryan Associates and the Greater Manchester Mental Health Network.

Ryan, T (2012) A diagnostic review of mental health rehabilitation services managed by Betsi Cadwaladr University Health Board. Manchester: Tony Ryan Associates.

Ryan, T. & Rooney, P. (2011) A review of dementia and acute care mental health services in Bolton. Manchester: Tony Ryan Associates.

Ryan, T. & Rooney, P. (2011) A review of the acute care pathway at Somerset Partnership NHS Foundation Trust. Manchester: Tony Ryan Associates.

Ryan, T., Webster, C., Vose, & Oats, M. (2011) Commissioning for Mental Health Outcomes in the North West. Manchester: North West Mental Health Improvement Programme and National Mental Health Development Centre.

Ryan T, Doyle M & Duffy D (2011) An independent review of serious untoward incidents within 5 Boroughs Partnership NHS Foundation Trust. Manchester: Tony Ryan Associates

Ryan T & Rooney P (2011) A review of the acute care pathway within the Positive Care Partnerships Clinical Business Unit in Mersey Care Trust. Manchester: Tony Ryan Associates.

Ryan, T., Vose, C. & Fairbriother, I. (2011) A review of residential rehabilitation services provided by North Essex Partnership NHS Foundation Trust. Manchester: Tony Ryan Associates.

Ryan T & Marris Q (2010) A review of criminal justice substance misuse services in Wigan. Manchester: Tony Ryan Associates.

Ryan T (2010) A review of rehabilitation services commissioned by NHS Salford. Manchester: Tony Ryan Associates.

Ryan T (2010) An analysis of caseloads within the Older Adults Network of Lancashire Care NHS Foundation Trust. Manchester: Tony Ryan Associates.

Ryan, T. & Rooney, P. (2010) A review of Older Adult Services within the Positive Care Partnerships Clinical Business Unit in Mersey Care Trust. Manchester: Tony Ryan Associates.

Ryan, T., Mills, C., Nambiar-Greenwood, G. & Haigh, C. (2010) No Comparison to the Ward: A Service Evaluation of Amethyst House and Crisis Resolution Home Treatment Team. Manchester: Tony Ryan Associates.

Poole, R., Ryan, T. & Pearsall, A. (2010) An investigation of delayed discharges amongst inpatients under the care of Manchester Health and Social Care Trust. Manchester: Tony Ryan Associates and Glyndwr University.

Ryan T & Mitchell P (2010) A review of the Complex Needs Unit for young offenders at Hindley Prison: An 18 month cohort study. Manchester: Tony Ryan Associates and Greater Manchester West NHS Foundation Trust.

Books

Ryan T & Pritchard J (eds) (2004) Good Practice in Adult Mental Health.  London, Jessica Kingsley Publishers.

Duffy D & Ryan T (eds) (2004) New Approaches to Preventing Suicide: A Manual for Practitioners. London, Jessica Kingsley Publishers.

Ryan T (ed) (1999) Managing Crisis and Risk in Mental Health Nursing.  London, Stanley Thornes. pp. 200.

Book Chapters

Ryan T (2006) Risk management in mental health: People, places and perceptions.  In: C Jackson & K Hill (eds) Mental Health Today: A Handbook.  Brighton: Pavilion Publishing and the Mental Health Foundation.

Duffy D & Ryan T (2004) Preventing suicide: An overview and introduction.  In: D Duffy & T Ryan (eds) New Approaches to Preventing Suicide: A Manual for Practitioners.  London, Jessica Kingsley Publishers.

Pearsall A & Ryan T (2004) The Accident and Emergency Department and suicide prevention. In: D Duffy & T Ryan (eds) New Approaches to Preventing Suicide: A Manual for Practitioners. London, Jessica Kingsley Publishers.

Duffy D, Doyle M & Ryan T (2004) Risk management in acute in-patients wards. In: M Harrison, D Mitchell & D Howard (eds) Acute Mental Health Nursing: Responding to “Acute Concerns”.  London: Sage.

Ryan T (2001) Abuse issues relating to people with mental health needs.  In: J Pritchard (ed) Good Practice on Working with Adult Abuse. London. Jessica Kingsley Publications.  pp. 245-262.

Ryan T (1999) Risk knowledge and mental health nursing. In: T Ryan (ed) Managing Crisis and Risk in Mental Health Nursing. London, Stanley Thornes. pp. 3-13.

Thirkettle B & Ryan T (1999) Assessment tools in crisis and risk management.  In: T Ryan (ed) Managing Crisis and Risk in Mental Health Nursing. London, Stanley Thornes. pp. 176-194.

Ryan T (1997) Risk, residential services and people with mental health needs.  In: H Kemshall & J Pritchard (eds) Good Practices in Risk Assessment II: Key themes for protection, rights and responsibilities. Volume 2. London, Jessica Kingsley Publications. pp. 159-173.

Ryan T (1996) Risk management and people with mental health problems. In: H Kemshall & J Pritchard (eds) Good Practices in Risk Assessment and Risk Management. Volume 1. London, Jessica Kingsley Publications. pp. 93-108.

Aust A, Kemshall H, Lawson S, McEwan S, Sullivan J, Pritchard J & Ryan T (1996) Applying risk in practice: Case studies and training material. In: H Kemshall & J Pritchard (eds) Good Practices in Risk Management. Volume 1. London, Jessica Kingsley Publications. pp. 176-197

Peer Reviewed Journal Papers

Ryan T, Carden J, Higgo J, Poole R. & Robinson C. (2016) An assessment of need for mental health rehabilitation amongst in-patients in a Welsh region. Social Psychiatry and Psychiatric Epidemiology.  51:1285-1291

Clark M, Ryan T. & Dixon N. (2015) Commissioning for better outcomes
in mental health care: testing Alliance Contracting as an enabling framework. Mental Health and Social Inclusion. 19:4, 191-201.

Poole R, Pearsall A & Ryan T (2014) Delayed discharges in an urban inpatient mental health service in England.  Psychiatric Bulletin. 38, 66-70.

Ryan, T, Clark, M & Dixon N (2013) Developing practical social inclusion outcome measures to evidence mental health recovery. Mental Health and Social Inclusion. 17:1, 49-55

Ryan, T., Gambiar-Greenwood, G., Haigh, C. & Mills, C. (011)  A service evaluation of a community based mental health crisis house in inner city Liverpool.  The Mental Health Review Journal. 16:2, 56-63.

Ryan, T. & Mitchell, P. (2011) A collaborative approach to meeting the needs of adolescent offenders with complex needs in custodial settings: An 18 month cohort study.  Journal of Forensic Psychiatry and Psychology.  22:3, 437-454.

Webb, L. & Ryan, T. (2009) Hitting the target and missing the point: Is the United Nations playing games with the world's most vulnerable?  Journal of Health Management.  11.1, 229-241.

Webb, L., Ryan, T. & Meier, P. (2008) Care Pathways to in-patient alcohodetoxification and predictors of treatment completion. Journal of Substance Use.  13:4, 255-267.

Greenwood, P., Ryan, T., Keaveny, J & Deo, R (2007) Supporting Change: Implementing New Ways of Working in East Lancasion.  Mental Health Review Journal. 12:3, 10-14.

Ryan T & Rayne M (2007) Working with the independent sector and managing out of area treatments. Mental Health Review Journal. 12:2, 25-29

Hatfield, B., Ryan, T. & Sharma, I. (2007) Community Mental Health Teams in England: changing the focus.  Journal of Integrated Care. 15:3, 17-28

Hatfield, B., Ryan, T. Simpson, V., & Sharma, I. (2007) Independent sector mental health care: a study of private and voluntary sector placements in seven Strategic Health Authority areas.  Helath and Social Care in the Community. 15:5, 407-416.

Ryan, T., Hatfield, B. & Sharma, I. (2007) Outcomes of referrals to a Mental Health Gateway Team over a six month period. Journal of Psychiatric and Mental Health Nursing. 14:6, 527-534.

Ryan, T., Hatfield, B., Sharma, I., Simpson, V. & McIntyre, A. (2007) A census study of independent mental health sector usage across seven strategic Health Authorities. Journal of Mental Health. 16:2, 243-253

Ryan, T., Webb, L. & Meier, P. (2006) A systems approach to care pathways into in-patient alcohol detoxification: Outcomes from a retrospective study.  Drug and Alcohol Dependence. 85, 28-34

Parrott, S., Godfrey, C., Heather, N., Clarke, J. & Ryan, T. (2006) Cost and outcome analysis of two alcohol detoxification services.  Alcohol and Alcoholism. 41, 84-91

Other Journal articles and commissioned papers

Dale, C. & Ryan, T. (2012) An ever watchful eye. Learning Disability Practice. 14:8, 9.

Ryan, T., Davies, G., Bennett, A., Meier, R. & Killapsy, H. (Eds) (2011) In sight and in mind: A toolkit to reduce the use of out of area mental health service. London: National Mental Health Development Unit. Available at: http://www.rspsych.ac.uk/policy/outtofareatoolkit.aspx 

Ryan, T., Webster, C., Vose, C. & Oates, M. (2011) Commissioning for Mental Health Outcomes in the North West.  North West Mental Health Improvement Programme and National Mental Health Development Unit.  Available at: http://www.rcpsych.ac.uk/campaigns/fairdeal.aspx 

Ryan, T. & Oates, M. (2010) Commissioning for Mental Health Outcomes in the North West: Working Paper 2.  North West Mental Health Improvement Programme and national Mental Health Development Unit.

Ryan, T. (2009) Risk and personalisation in mental health services: A discussion paper based on the experiences of Assertive Outreach and Early Intervention Teams.  London: Department of Health.

Ryan, T. (2008) Mental Health commissioning models and issues in the North West:  The perspective of an observing participant. Manchester: Tony Ryan Associates.

Ryan, T. & Rooney, P. (2008) More than just numbers: A workbook for workforce development in acute in-patient care. London, Care Services Improvement Partnership.

Edwards, L., Hanily, F. & Ryan, T. (2007) Strategies for managing the market.  Health Service Journal Online.  Available at: http://www.hsj.co.uk/goodmanagement/managing_the_market.html

Ryan, T. (2006) A good practice guide for commissioners, CPA care coordinators and independent sector providers to support placements for mental health service users.  London, Department of Health / CSIP NIMHE.

Ryan, T. (2006) Reducing the need for out of area placements through managing local whole service systems. Care Service Improvement Partnership E-book for commissioning.  At http://www.cat.csip.org.uk/index.cfm?pd=372

Edwards, L. & Ryan, T. (2006) Commissioning Mental Health Services from the Voluntary and Private Sector: What are the issues?  Manchester, Care Services Improvement Partnership (CSIP) North West.

Church, E. & Ryan, T. (2006) Suicide audit in Primary Care Trust localities - a whole systems approach: Supporting Evidence for a National Primary Care Suicide Audit Toolkit.  London, Care Services Improvement Partnership & Department of Health.

 

 

Research

Research Grants

A census day audit of Social Services and NHS non-statutory sector placements and 'Spot purchase NHS placements'. (2004-05). Funded by the County Durham & Tees Valley Strategic Health Authority area.

Scoping placements in the West Midlands for people out of district of origin by the NHS and Local Authority. (2004) Funded by the National Institute for Mental Health in England West Midlands Regional Development Centre.

Scoping placements in the North West for people out of district of origin by the NHS and Local Authority.  (2004) Funded by the National Institute for Mental Health in England North West Regional Development Centre.

An analysis of demographic, social, dependence and referral factors that may be predictive of treatment completion and outcome:  A study of 10 years detoxification admissions. (2003) Funded by Turning Point.

Adult Mental Health and Social Exclusion Consultation Project.  (2003) Funded by the social Exclusion Unit.

An evaluation of aspects of three mental health crisis teams in Liverpool and Sefton. (2002 - 2003) Funded by Liverpool Health Authority and Sefton Health Authority.

A survey of all ward managers of acute in-patient mental health wards in the North West of England. (2002) Funded by Pfizer.

An evaluation of a specialist mental health support service to probation hostels in the North West of England.  (2002 - 2003) Funded by Salford and Trafford Health Authority.

A survey of custom and practice of commissioners and secondary providers of mental health services in relation to payments for participation to service users and carers.  (2001) Funded by NWMHDC.

A literature review of the nurse prescribing within alcohol treatment units.  (1997) Funded by Turning Point.

Activities

Current and recent organisations contracted to work with

  • 5 Boroughs Partnership NHS Trust
  • Alternative Futures Group
  • Assured Housing
  • Ashton, Leigh and Wigan Primary Care Trust
  • Blackpool Primary Care Trust
  • Blackburn with Darwen Primary Care Trust
  • Bolton Primary Care Trust
  • Burnley, Pendle and Rossendale Primary Care Trust
  • Cambian Healthcare
  • Care Services Improvement Partnership
  • Central Lancashire Primary Care Trust
  • Cheshire and Wirral Partnership Trust
  • Commercial and Clinical Solutions
  • Conwy and Denbighshire NHS Trust
  • Conwy Local Health Board
  • County Durham and Tees Valley Strategic Health Authority
  • Crystal Blue Consulting
  • Cumbria Partnership NHS Foundation Trust
  • Department of Health
  • Denbighshire Local Health Board
  • East Lancashire Primary Care Trust
  • Flintshire Local Health Board
  • Galliford Try
  • Greater Manchester Mental Health Network
  • Greater Manchester Strategic Health Authority
  • Greater Manchester West NHS Foundation Trust
  • Health and Social Care Advisory Service
  • HMP Hindley Young Offenders Institution
  • Lancashire Care NHS Foundation Trust
  • Lancashire County Council
  • Liverpool Primary Care Trust
  • Liverpool City Council
  • Manchester Metropolitan University
  • Manchester City Council
  • Manchester Mental Health and Social Care Trust
  • Manchester Primary Care Trust
  • Mental Health Foundation
  • Mental Health Providers Forum
  • Making Space
  • Mersey Care NHS Trust
  • NHS North West
  • National Institute for Mental Health in England West Midlands Development Centre
  • National Institute for Mental Health in England North West Development Centre
  • National Institute for Mental Health in England South East Development Centre
  • National Leadership and Innovation Agency for Healthcare
  • National Mental Health Development Unit
  • National Patients Safety Agency
  • NHS Somerset
  • North East Wales NHS Trust
  • North West Centre of Excellence
  • North West Mental Health Commission
  • North West Mental Health Improvement Programme
  • Norvartis UK
  • Pavilion Publishing
  • Pennine Care NHS Trust
  • Richmond Fellowship
  • Royal College of Psychiatrists
  • Salford Primary Care Trust
  • Somerset Partnership NHS Foundation Trust
  • Strategic Property Solutions
  • SURE Group (Service User Research and Evaluation – Liverpool)
  • Tameside and Glossop PCT
  • Tribal Secta
  • Turning Point
  • University of Birmingham Health Service Management Centre
  • University of Manchester Mental Health Social Work Research Unit
  • University of Central Lancashire
  • Wales Centre for Mental Health Services Development
  • Wigan Metropolitan Borough Council

 

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