CONSEQUENCE UK - Key Persons


Damien Whinnery

Job Titles:
  • Staff Member

Dr Androulla Johnstone

Job Titles:
  • Service Review and Corporate Governance Expert
Androulla is a former CEO of the Health and Social Care Advisory Service, which was created by the Secretary of State for Health in 1969 to lead NHS investigations, develop investigative systems and policy, and to "speak truth unto power". She has chaired or quality reviewed 80 independent homicide and unexpected death independent investigations for publication. She chaired the Jimmy Savile Stoke Mandeville Investigation. She chaired a 17-strong panel of experts in a large-scale independent investigation in Wales with a cohort of 108 patients on behalf of Welsh Government. She has delivered 45 service reviews and several hundred internal investigation processes. She has also led thematic reviews into mental health service user homicides and suicides, together with several inpatient suicide cases. Androulla has expert knowledge about investigatory method, and what steps investigators must take to avoid the risk of judicial review.

Dr Paul Davis

Job Titles:
  • Staff Member
After a successful flying career, Paul established, and led, the operations investigations team at the newly formed Military Air Accident Investigation Branch for seven years. During this time he was seconded as Air Safety Manager to Camp Bastion, Afghanistan where he ran the safety management system for UK military helicopters during a period of unprecedented change during the last six months and withdrawal. He was awarded an MBE in 2015 for his contribution to military air safety. In healthcare, he developed the initial HSIB investigator competencies and training course together with Cranfield University. He was a National Investigator at HSIB for almost five years, including a spell as interim Director of Maternity Investigations. He also had roles as a safety advisor at Royal Surrey Hospital Trust during Covid-19 and as a patient safety specialist for a Trust that was an early adopter of PSIRF. He was human factors advisor to NHS Improvement's ATAIN project, which developed the HSJ safety award-nominated Labour Ward Leaders pilot programme. Paul also delivers training in other safety critical industries.

Janine Carroll

Job Titles:
  • Leader

Joanne Hughes

Job Titles:
  • Patient Engagement Expert
Joanne works with NHS trusts on understanding restorative values and principles and improving patient engagement and involvement following adverse events to support learning and healing. She is a Patient Safety Partner to the National Patient Safety Team and worked on the National Quality Board's Learning from Deaths: Guidance for NHS Trusts on Working with Bereaved Families and Carers, NHS England: Patient Safety Strategy and NHS England: Framework for Involving Patients in Patient Safety. She is currently a member of NHS England's National Safety Culture Group.

Maria Dineen

Job Titles:
  • Staff Member