Dr Richard Warner
Senior Lecturer
School of Nursing and Midwifery
Department of Apprenticeships & CPD
email: r.warner@worc.ac.uk
Qualifications
PhD
BSc (Hons) Nursing Studies
Registered Nurse (Adult)
Independent Non-medical Prescriber
Richard joined the Department of Apprenticeships and CPD as a senior lecturer in 2023.
He had an extensive clinical career in the NHS as a Consultant Nurse working in a hospital Neurology department. Richard was a specialist in the management of multiple sclerosis and led a team of advanced and specialist practitioners providing a service to patients with conditions such as Epilepsy, Motor Neurone Disease, Parkinson’s Disease as well as Multiple Sclerosis.
Richard has been involved in national policy development groups, provision of national specialist education events, supporting post-graduate students, local service provision strategy groups and development of innovative clinical, prescribing and medicines management initiatives.
Research Interests
Richard’s PhD was a mixed methods case study design that explored the interaction of specialist practitioners with people with multiple sclerosis effected by neurological fatigue. A range of research instruments were used including interview, observation, reflective diaries, actigraphy and various scales to measure fatigue, disability, the psychological and physical impact of multiple sclerosis and depression. The critical social theory of Jurgen Habermas and specifically his theories of moral consciousness and communicative action were used to aid interpretation of data. This allowed for a rich formulation of the experience of neurological fatigue, how meaning was shared with specialist practitioners, and how those practitioners sought to support people negotiate the disability they encountered living with this neurological problem.
Richard has led clinical studies investigating access to medicines and the exploration of adverse events associated with novel immunomodulating therapy. Richard collaborated with colleagues to deliver a study investigating idiopathic intracranial hypertension and has had considerable experience in participating in major grant and Industry sponsored, national and international, multicentre clinical trials. He has been a member of and chaired national MS Society research grant award committees.
Membership of Professional Bodies
NMC
Recent Publications - Journals
Wakerley, B. Warner, R. Cole, M. Stone, K. Foy, C. and Sittampalam, M. (2020) ‘Cerebrospinal fluid opening pressure: The effect of body mass index and body composition’, Clinical Neurology and Neurosurgery, 188: 105597, Available at https://doi.org/10.1016/j.clineuro.2019.105597
Warner, R. (2012) ‘Fatigue in multiple sclerosis: Our evolving understanding of the concepts’, British Journal of Neuroscience Nursing, 8(3), pp.113-121
Warner, R. (2010) 'Research Round', British Journal of Neuroscience Nursing, 6(8), pp.406-7
Mitchell, T., Butler-Williams, C., Easton, K., Ingledew, I., Parkin, D., Wade, S., & Warner, R. (2010) ‘The consultant nurse: Expert practitioner and so much more’, British Journal of Nursing, 19(8), pp.481-488
Warner, R. (2009) ‘Research round-up’, British Journal of Neuroscience Nursing, 5(10), pp. 482-483.
Warner, R. (2006) ‘Understanding fatigue in multiple sclerosis: A case study inquiry’, British Journal of Neuroscience Nursing, 2(9), pp.462-469.
Warner, R. Fuller, G. and Lindahl, A. (2006) ‘Lumbar puncture by nurses extends competencies and improves patient access’, British Journal of Neuroscience Nursing, 2(3), pp.133-140.
Warner, R. Thomas, D. and Martin, R. (2005) ‘Improving service delivery for relapse management in multiple sclerosis’, British Journal of Nursing, 14(14), pp.746-753.
Embrey, N; Lowndes, C and Warner, R. (2003) ‘Benchmarking best practice in relapse management of multiple sclerosis’, Nursing Standard, 17(22), pp.38-42
Warner, R. (2000) ‘The effectiveness of nursing in stroke units’, Nursing Standard, 14 (25), pp.32-35.
Warner, R. (2000) ‘Stroke rehabilitation: Benefits of educational initiatives’, British Journal of Nursing, 9 (20), pp.2155-2162
Recent Publications - Book Chapters
Warner, R. (2009) ‘Multiple Sclerosis’ in Woodward, S. and Waterhouse, C. (eds) Oxford Handbook of Neuroscience Nursing, London: Oxford University Press, pp.179-276.
Warner, R. (2009) ‘Multiple Sclerosis’ in Stevens, E., Jackson, S. and Milligan, S. (eds) Palliative Nursing: Across the Spectrum of Care, London: Wiley-Blackwell, pp.175 – 181.
Warner, R. Thomas, D. and Martin, R. (2006) ‘Using action research to develop a responsive service for patients with multiple sclerosis in relapse’ in Woodward, S. (ed) Neuroscience Nursing: Assessment and Patient Management, London: Quay Books, pp.255-266.
Recent Publications - Conference Presentations
Warner, R. (2019) ‘Demonstrating the value of non-medical prescribing’, quality improvement initiative workshop event at Neuro Knowledge Educational Event (Biogen Idec) London. Available at https://www.mybiogen.link/en/home/ms/neuro-knowledge-bitesize-modules/multi-disciplinary-care.html
Warner, R (2017) (i) ‘Multiple Sclerosis – An Overview’ (ii) ‘Principles of Monitoring’ and (iii) ‘Diagnosing Relapse’, workshop presentations at Novartis Educational Events, various locations across United Kingdom
Warner, R (2016) (i) ‘Bladder dysfunction’ platform presentation and (ii) ‘Neurological examination using EDSS’ workshop presentation at Get Smart 2 Educational Meeting (Novartis), London.
Warner, R. Wakerley, B. and Martin, R. (2014) ‘Variation in lymphocyte counts during Fingolimod therapy’ Poster presentation at the MS Trust Annual Conference. England UK.
Warner, R. (2014) ‘Facilitating the conversation: A consensus guide and Symtrac’ – platform presentation at RIMS (Rehabilitation in Multiple Sclerosis) 18th Annual Conference. Brighton, UK.
Watts, A. Johnson, S. and Warner, R. (2009) ‘Occupational Therapy and Specialist MS Nursing: Collaborative working and reflection’ Poster presentation at the MS Trust Annual Conference. England, UK.
Warner, R (2008) ‘Understanding the experience of fatigue for people with multiple sclerosis’ platform presentation at the 3rd National Neuroscience Nursing Conference, London, UK.
Warner, R. (2005) ‘Using actigraphy to explore the experience of fatigue: A case study’ Poster presentation at the MS Trust Annual Conference. England, UK.
Warner, R. (2005) (i) ‘Day case relapse management’ platform presentation and (ii) ‘Models of Service Delivery workshop’ presentation at Nurses for Nurses, Specialist Nurse study day: Relapse Management, Compliance, and the Expert Patient (Schering Healthcare Ltd Educational Event), Birmingham, UK.
Warner, R. Thomas, D. and Martin, R. (2004) ‘Improving service delivery of intravenous methylprednisolone for relapse management in multiple sclerosis: an action research methodology’ Multiple Sclerosis, 10(Supp 2), p182 – Poster presentation at the 20th Congress of the European Committee for Treatment and Research in Multiple Sclerosis and the 9th Annual meeting of Rehabilitation in MS, 2004. Vienna, Austria.
Warner, R. (2003) ‘Intravenous Methylprednisolone and effective clinical management for multiple sclerosis: An action research project’. Poster Presentation to Royal College of Nursing Research Society Southwest Conference, England, UK.