Dr Fiona Bell

PhD

Population Health, School of Medicine and Population Health

Honorary Research Fellow

Head of Research, Yorkshire Ambulance Service NHS Trust

fiona.bell7@nhs.net
+44 7905952791

Regent Court (ScHARR)

Full contact details

Dr Fiona Bell
Population Health, School of Medicine and Population Health
Regent Court (ScHARR)
30 Regent Street
Sheffield
S1 4DA

Profile

I joined ScHARR in early 2021 as an Honorary Research Fellow. I am the Head of Research of Yorkshire Ambulance Service NHS Trust (YAS) and have developed a formal academic partnership between ScHARR and YAS. This has resulted in a shared Memorandum of Understanding which aims to encourage research that drives service needs-driven and applied research.

I have worked on a number of NIHR-funded CURE projects, including pre-hospital Pandemic Respiratory Infection Emergency System Triage – pre-PRIEST led by Professor Steve Goodacre; Pre-alerts study led by Dr Fiona Sampson); the Major Trauma Triage Study (MATTS) project led by Dr Gordon Fuller; and the Risk of Adverse Outcomes after a Suspected Seizure (RADOSS) study.

I am also involved in the Yorkshire and Humber Applied Research Collaborative under the urgent care theme and attend the National Ambulance Research Steering Group (NARSG).

Qualifications

BSc Microbiology
PhD Microbiology

Research interests

Ambulance organisation and service delivery
Ambulance staff wellbeing

Publications

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Featured publications

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All publications

Journal articles

Snooks HA, Jones JK, Bell FB, Benger JR, Black SL, Dixon S, Edwards A, Emery H, Evans BA, Fuller GW , Goodacre S et al (2024) Take-home naloxone administered in emergency settings: feasibility of intervention implementation in a cluster randomized trial. BMC Emergency Medicine, 24. View this article in WRRO
Bell F, Crabtree R, Wilson C, Miller E & Byrne R (2024) Ambulance service recognition of health inequalities and activities for reduction: An evidence and gap map of the published literature. British Paramedic Journal, 9(1), 47-57.
Fuller G, Baird J, Keating S, Miller J, Pilbery R, Kean N, McKnee K, Turner J, Lecky F, Edwards A , Rosser A et al (2024) The accuracy of prehospital triage decisions in English trauma networks – a case-cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 32. View this article in WRRO
Boyd A, Sampson FC, Bell F, Spaight R, Rosser A, Coster J, Millins M & Pilbery R (2024) How consistent are pre-alert guidelines? A review of UK ambulance service guidelines. British Paramedic Journal, 8(4), 30-37. View this article in WRRO
Barrett JW, Eastley KB, Herbland A, Owen P, Naeem S, Mortimer C, King J, Foster T, Rees N, Rosser A , Black S et al (2024) The COVID-19 ambulance response assessment (CARA) study: a national survey of ambulance service healthcare professionals’ preparedness and response to the COVID-19 pandemic. British Paramedic Journal, 8(4), 10-20.
Noble AJ, Morris B, Bonnet LJ, Reuber M, Mason S, Wright J, Pilbery R, Bell F, Shillito T, Marson AG & Dickson JM (2024) ‘Knowledge exchange’ workshops to optimise development of a risk prediction tool to assist conveyance decisions for suspected seizures – Part of the Risk of ADverse Outcomes after a Suspected Seizure (RADOSS) project.. Epilepsy & Behavior, 151. View this article in WRRO
Ablard S, Miller E, Poulton S, Cantrell A, Booth A, Lee A, Mason S & Bell F (2023) Delivery of public health interventions by the ambulance sector: a scoping review. BMC Public Health, 23(1). View this article in WRRO
Wilson C & Bell F (2023) ‘Research paramedic’ and ‘paramedic researcher’: two different sides of the same coin. British Paramedic Journal, 8(1), 53-53.
Lightowler B, Hodge A, Pilbery R, Bell F, Best P, Hird K, Walker A & Snaith B (2023) Venous blood point-of-care testing (POCT) for paramedics in urgent and emergency care: protocol for a single-site feasibility study (POCTPara). British Paramedic Journal, 8(1), 34-41.
Sampson FC, Bell F, Coster JE, Miller E & Easom N (2022) Stakeholder perspectives of piloting pre-hospital COVID-19 lateral flow testing and direct admissions pathway: exploring why well-received ideas have low uptake. British Paramedic Journal, 7(3), 15-25.
Powell C, Fylan B, Lord K, Bell F & Breen L (2022) A qualitative analysis of stressors affecting 999 ambulance call handlers' mental health and well-being. International Journal of Emergency Services. View this article in WRRO
Hasan M, Bath PA, Marincowitz C, Sutton L, Pilbery R, Hopfgartner F, Mazumdar S, Campbell R, Stone T, Thomas B , Bell F et al (2022) Pre-hospital prediction of adverse outcomes in patients with suspected COVID-19 : development, application and comparison of machine learning and deep learning methods. Computers in Biology and Medicine. View this article in WRRO
Richards A, Muddassir M, Sampson F, MacLachlan L, Miller E, Fitchett J, Bell F, Ivan M, Lillie P, Samson A & Easom N (2022) Evaluation of pre-hospital COVID-19 rapid antigen tests by paramedics and their use in a direct admission pathway. Journal of Infection. View this article in WRRO
Marincowitz C, Stone T, Hasan M, Campbell R, Bath PA, Turner J, Pilbery R, Thomas BD, Sutton L, Bell F , Biggs K et al (2022) Accuracy of emergency medical service telephone triage of need for an ambulance response in suspected COVID-19 : an observational cohort study. BMJ Open, 12(5). View this article in WRRO
Marincowitz C, Stone T, Bath P, Campbell R, Turner JK, Hasan M, Pilbery R, Thomas BD, Sutton L, Bell F , Biggs K et al (2022) Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study. BMJ Quality and Safety. View this article in WRRO
Marincowitz C, Goodacre S, Stone T, Campbell R, Hasan M, Thomas B, Turner J, Pilberry R & Bell F (2022) 798 Accuracy of telephone triage for predicting adverse outcomes in suspected COVID-19: an observational cohort study. Emergency Medicine Journal, 39(3), 256-256. View this article in WRRO
Marincowitz C, Sutton L, Stone T, Pilbery R, Campbell R, Thomas B, Turner J, Bath PA, Bell F, Biggs K , Hasan M et al (2022) Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting : an observational cohort study. Emergency Medicine Journal. View this article in WRRO
Asghar ZB, Wankhade P, Bell F, Sanderson K, Hird K, Phung V-H & Siriwardena AN (2021) Trends, variations and prediction of staff sickness absence rates among NHS ambulance services in England : a time series study. BMJ Open, 11(9). View this article in WRRO
Bell F, Pilbery R, Connell R, Fletcher D, Leatherland T, Cottrell L & Webster P (2021) The acceptability and safety of video triage for ambulance service patients and clinicians during the COVID-19 pandemic. British Paramedic Journal, 6(2), 49-58.
Fish D, Bell F, O’Connell C, Walker A, Evans L & Ramlakhan S (2021) PP40 Pre-hospital and emergency department analgesia for paediatric trauma – a survey of UK trauma centres and ambulance services supports consideration of alternatives such as ketamine. Emergency Medicine Journal, 38(9), A16.3-A17.
Bell F, Pilbery R, Connell R, Fletcher D, Leatherland T, Cottrell L & Webster P (2021) PP35 The acceptability and safety of video triage for ambulance service patients and clinicians during the covid-19 pandemic: a service evaluation. Emergency Medicine Journal, 38(9), A15.1-A15.
Bell F, Hodge A, Pilbery R & Whiterod S (2021) PP31 Patterns of use of ambulance senior support during the COVID-19 pandemic: a service evaluation. Emergency Medicine Journal, 38(9), A13.2-A13.
Snooks H, Watkins AJ, Bell F, Brady M, Carson‐Stevens A, Duncan E, Evans BA, England L, Foster T, Gallanders J , Gunson I et al (2021) Call volume, triage outcomes, and protocols during the first wave of the COVID‐19 pandemic in the United Kingdom: Results of a national survey. Journal of the American College of Emergency Physicians Open, 2(4).
Marincowitz C, Sutton L, Stone T, Pilbery R, Campbell R, Thomas B, Turner J, Bath PA, Bell F, Biggs K , Hasan M et al (2021) Prognostic accuracy of triage tools for adults with suspected COVID-19 in a pre-hospital setting: an observational cohort study. View this article in WRRO
Jones M, Bell F, Benger J, Black S, Buykx P, Dixon S, Driscoll T, Evans B, Edwards A, Fuller G , Goodacre S et al (2020) Protocol for Take-home naloxone In Multicentre Emergency (TIME) settings: feasibility study. Pilot and Feasibility Studies, 6(1). View this article in WRRO
Mars B, Hird K, Bell F, James C & Gunnell D (2020) Suicide among ambulance service staff: a review of coroner and employment records. British Paramedic Journal, 4(4), 10-15.
Pilbery R, Miles J & Bell F (2019) A service evaluation of paediatric pain management in an English ambulance service. British Paramedic Journal, 4(2), 37-45.
Hird K, Bell F, Mars B, James C & Gunnell D (2019) OP6 An investigation into suicide amongst ambulance service staff. Emergency Medicine Journal, 36(1), e3.1-e3.
Naumann DN, Hancox JM, Raitt J, Smith IM, Crombie N, Doughty H, Perkins GD & Midwinter MJ (2018) What fluids are given during air ambulance treatment of patients with trauma in the UK, and what might this mean for the future? Results from the RESCUER observational cohort study. BMJ Open, 8(1), e019627-e019627.
McLaws FB, Larsen AR, Skov RL, Chopra I & O'Neill AJ (2011) Distribution of Fusidic Acid Resistance Determinants in Methicillin-Resistant Staphylococcus aureus. Antimicrobial Agents and Chemotherapy, 55(3), 1173-1176.
O'Neill AJ, McLaws F, Kahlmeter G, Henriksen AS & Chopra I (2007) Genetic Basis of Resistance to Fusidic Acid in Staphylococci. Antimicrobial Agents and Chemotherapy, 51(5), 1737-1740.
Coster JE, Sampson FC, O'Hara R, Long J, Bell F & Goodacre S () Variation in ambulance pre-alert process and practice: cross-sectional survey of ambulance clinicians. Emergency Medicine Journal.
Snooks H, Benger J, Bell F, Black S, Dixon S, Emery H, Evans BA, Fuller G, Hoskins R, Hughes J , Jones J et al () Take-home naloxone in multicentre emergency settings: the TIME feasibility cluster RCT. Health Technology Assessment, 1-69.
Long J, Sampson FC, Coster J, O’Hara R, Bell F & Goodacre S () How do emergency departments respond to ambulance pre-alert calls? A qualitative exploration of the management of pre-alerts in UK emergency departments. Emergency Medicine Journal.
Phung V-H, Sanderson K, Pritchard G, Bell F, Hird K, Wankhade P, Asghar Z & Siriwardena N () The experiences and perceptions of wellbeing provision among English ambulance services staff: a multi-method qualitative study. BMC Health Services Research, 22(1).
Cubas-Atienzar AI, Bell F, Byrne RL, Buist K, Clark DJ, Cocozza M, Collins AM, Cuevas LE, Duvoix A, Easom N , Edwards T et al () Accuracy of the Mologic COVID-19 rapid antigen test: a prospective multi-centre analytical and clinical evaluation. Wellcome Open Research, 6, 132-132.
Bell F & Fitzpatrick D () Pre-hospital hypoglycaemia referral pathways. British Paramedic Journal, 1(3), 29-31.
McLaws F, Chopra I & O'Neill AJ () High prevalence of resistance to fusidic acid in clinical isolates of Staphylococcus epidermidis. Journal of Antimicrobial Chemotherapy, 61(5), 1040-1043.

Conference proceedings papers

Sampson F, Pilbery R, Herbert E, Long J, Coster J, O’Hara R, Bell F, Goodacre S, Rosser A, Spaight R & Millins M (2023) 2245 Mixed methods study exploring factors influencing ambulance clinician decisions to pre-alert emergency departments (EDs) of a patient’s arrival. RCEM Annual Scientific Conference Glasgow 2023 Meeting Abstracts (pp 875-875)
Sampson F, Long J, O’Hara R, Coster J, Bell F & Webster P (2023) PP35 What factors affect ambulance clinician prealert decision-making? A qualitative study. 999 EMS Research Forum 2023 meeting abstracts (pp A14.3-A15)
Boyd A, Sampson F, Pilbery R, Bell F, Millins M, Coster J, Rosser A & Spaight R (2023) PP34 Which patients should be prealerted? Review of UK ambulance service guidelines. 999 EMS Research Forum 2023 meeting abstracts (pp A14.2-A14)
Sampson F, Pilbery R, Herbert E, Bell F, Rosser A, Spaight R, Goodacre S, Pountney A & Millins M (2023) PP33 Which patients receive a prealert? Analysis of linked data in three ambulance services. 999 EMS Research Forum 2023 meeting abstracts (pp A14.1-A14)
Pilbery R, Sampson F, Herbert E, Bell F, Rosser A, Spaight R, Pountney A, Millins M & Goodacre S (2023) PP32 What factors affect pre-hospital pre-alerts? Analysis of routine ambulance data. 999 EMS Research Forum 2023 meeting abstracts (pp A13.2-A13)
Long J, O’Hara R, Sampson F, Coster J, Bell F & Webster P (2023) PP31 How do pre-alerts influence patient care in the emergency department? Findings from qualitative research within three UK ambulance services. 999 EMS Research Forum 2023 meeting abstracts (pp A13.1-A13)
Sampson FC, Coster J, Bell F, Miller E & Easom N (2022) PP28 Stakeholder perspectives of piloting pre-hospital COVID-19 lateral flow test and direct admissions pathway: exploring why well received ideas have low uptake. Emergency Medicine Journal, Vol. 39(9) (pp e5.21-e5.21)
Sampson FC, Bell F, Webster P, Coster J, O’Hara R, Goodacre S, Foster A, Miles J, Millins M, Pountney A , Rosser A et al (2022) PP26 Exploring the use of pre-hospital pre-alerts and their impact on patients, ambulance service and emergency department staff: protocol for a mixed methods study. Emergency Medicine Journal, Vol. 39(9) (pp e5.19-e5.19)

Posters

Ablard S, Cantrell A, Poulton S, Miller E, Booth A, Lee A, Mason S & Bell F (2022) PP22 Delivery of public health interventions by the ambulance sector.
Johnston S, Snooks H, Jones J, Bell F, Benger J, Black S, Dixon S, Edwards A, Evans B, Fuller G , Goodacre S et al (2021) PP25 The take home naloxone intervention multicentre emergency setting feasibility (TIME) trial: an early perspective from one UK ambulance service.

Preprints

Sampson FC, Pilbery R, Herbert E, Goodacre SW, Bell FB, Spaight R, Rosser A, Webster P, Millins M, Pountney A , Coster JE et al (2024) What factors predict ambulance pre-alerts to the emergency department? Analysis of routine data from three UK ambulance services., Research Square Platform LLC.
Snooks HA, Jones JK, Bell FB, Benger JR, Black SL, Dixon S, Edwards A, Emery H, Evans BA, Fuller GW , Goodacre S et al (2024) Is a definitive trial of Take-Home Naloxone in emergency settings indicated? Results of a cluster randomised feasibility study, Research Square Platform LLC.
Long J, Sampson FC, Coster J, O’Hara R, Bell FB & Goodacre S (2023) How do Emergency Departments respond to ambulance pre-alert calls? A qualitative exploration of the management of pre-alert in six UK Emergency Departments, Cold Spring Harbor Laboratory.
Coster J, Sampson F, O’Hara R, Long J, Bell F & Goodacre S (2023) Variation in ambulance pre-alert process and practice: Cross-sectional survey of ambulance clinicians, Cold Spring Harbor Laboratory.
Sampson F, Pilbery R, Herbert E, Goodacre S, Bell F, Spaight R, Rosser A, Webster P, Millins M, Pountney A , Coster J et al (2023) What factors predict ambulance pre-alerts to the emergency department? Analysis of routine data from 3 UK ambulance services, Cold Spring Harbor Laboratory.
Marincowitz C, Stone T, Hasan M, Campbell R, Bath PA, Turner J, Pilbery R, Thomas B, Sutton L, Bell F , Biggs K et al (2021) Accuracy of emergency medical service telephone triage of need for an ambulance response in suspected COVID-19: An observational cohort study, Cold Spring Harbor Laboratory.
Marincowitz C, Stone T, Bath P, Campbell R, Turner J, Hussein M, Pilbery R, Thomas B, Sutton L, Bell F , Biggs K et al (2021) Accuracy of telephone triage for predicting adverse outcome in suspected COVID-19: An observational cohort study, Cold Spring Harbor Laboratory.
Jones M, Bell F, Benger J, Black S, Buykx P, Dixon S, Driscoll T, Evans B, Edwards A, Fuller G , Goodacre S et al (2020) Protocol for Take home naloxone In Multicentre Emergency setting (TIME): Feasibility Study, Research Square Platform LLC.
Jones M, Bell F, Benger J, Black S, Buykx P, Dixon S, Driscoll T, Evans B, Edwards A, Fuller G , Goodacre S et al (2020) Protocol for Take home naloxone In Multicentre Emergency setting (TIME): Feasibility Study, Research Square Platform LLC.
Hasan M, Bath P, Marincowitz C, Sutton L, Pilbery R, Hopfgartner F, Mazumdar S, Campbell R, Stone T, Benjamin T , Bell F et al () Pre-Hospital Prediction of Adverse Outcomes in Patients with Suspected COVID-19: Development, Application and Comparison of Machine Learning and Deep Learning Methods. View this article in WRRO

Research group

CURE

Grants

Exploring the use of pre-hospital pre-alerts and their impact on patients, ambulance service and Emergency Department staff. Funded by NIHR HS&DR £555,740.24 and led by Dr Fiona Sampson (Role: Co-investigator)