![Joy McFadzean BSc (Hons) MRCGP FHEA Mb BCh BAO AMInsLM MSc (Med ed)](https://profiles-cardiff.imgix.net/attachments/9032?w=200&h=200&auto=format&crop=faces&fit=crop&q=90")
Dr Joy McFadzean
(she/her)
BSc (Hons) MRCGP FHEA Mb BCh BAO AMInsLM MSc (Med ed)
Teams and roles for Joy McFadzean
Clinical Lecturer
Overview
I am a GP and Clinical Lecturer of Patient Safety, with an interest in medical education, patient safety and quality improvement. I work with the PISA (primary care PatIent SAfety research Group) at Cardiff University.
Since 2025 I have been appointed the Associate Director of Learning at the World Health Organization Collaborating Centre for Patient Safety Learning and Improvement, led by Prof Andrew Carson-Stevens within the Division of Population Medicine, Cardiff University.
I am involved with facilitating the Changing Practice Module for final year medical students, case-based learning and patient safety SSC modules for other medical students.
I became a Fellow of the Higher Education Academy (FHEA) in 2023, and completed a MSc. (Medical Education) at Cardiff University in July 2024. I also became part of Improvement Advisor Cymru (SciL) course in May 2024.
My recent research has focused on healthcare-associated harm in prisons and the role of families in patient safety incidents. I am completing a PhD by publication, with focus on healthcare-associated harms in a range of settings, including underserved populations (Supervised by Profs Andrew Carson-Stevens and Adrian Edwards).
Publication
2026
- Bowers, B. et al. 2026. Understanding end-of-life injectable medication patient safety origin incidents in the community: a mixed-methods analysis of national incident-reporting data. International Journal of Nursing Studies 180 105544. (10.1016/j.ijnurstu.2026.105544)
- Bowers, B. et al. 2026. Understanding the origins of end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.228-229. (10.37361/asm.2026.1.1)
- McFadzean, J. et al. 2026. Incidence and nature of avoidable healthcare-associated harm in prisons: a retrospective case note review study of 18 prisons in England [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.7-8.
- Jordan, M. et al., 2026. Lived experience of avoidable healthcare harm in prisons in England: a qualitative study. Health and Justice (10.1186/s40352-026-00417-0)
- McFadzean, J. et al. 2026. Parental involvement in patient safety events in paediatric emergency care: a multi-method analysis. BMJ Paediatrics Open 10 e004794. (10.1136/bmjpo-2026-004794)
- Purchase, T. et al. 2026. Fighting to be heard: Thematic analysis of parent perspectives of safety in general practice. British Journal of General Practice (10.3399/BJGP.2025.0651)
- McFadzean, I. J. et al. 2026. The incidence of avoidable healthcare-associated harm in prisons in England: a retrospective case note review. BMJ Quality & Safety (10.1136/bmjqs-2025-019935)
- Purchase, T. et al. 2026. Co-generating ideas for safer paediatric care in general practice with parents and stakeholders. British Journal of General Practice (10.3399/BJGP.2025.0690)
- Alsuwat, M. et al., 2026. Exploring medication-related safety incidents and avoidable harm in English prisons: a combined national retrospective record review study. International Journal of Pharmacy Practice 34 (S1), pp.i48-i48. (10.1093/ijpp/riag034.066)
- McFadzean, I. et al. 2026. Critical illness in prisons: a multi-method analysis of reported healthcare safety incidents in England. British Journal of General Practice 76 (764), pp.e244-e252. (10.3399/bjgp.2025.0239)
- Santos Gomes, B. et al., 2026. How are handover delays from ambulances to emergency departments being addressed in the United Kingdom? A nationwide survey of ambulance services and emergency departments. BMC Emergency Medicine 26 134. (10.1186/s12873-026-01532-9)
- Bowers, B. et al., 2026. Learning from end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis. British Journal of General Practice 76 (763), pp.e151-e162. (10.3399/bjgp.2025.0106)
- McFadzean, J. 2026. Safety incidents in prison healthcare: Lessons from critical illness. BJGP Interviews. Available at: https://bjgplife.com/episode-220-safety-incidents-in-prison-healthcare-lessons-from-critical-illness/.
- Gorman, L. et al., 2026. Patient safety behind bars: avoidable harm in English prisons [Podcast]. Voices for Safety [NIHR]. Available at: https://www.psrc-gm.nihr.ac.uk/2026/07/13/podcast-patient-safety-behind-bars-avoidable-harm-in-english-prisons/.
- McFadzean, J. , Sullivan, M. and Tombs, M. 2026. Supporting GP trainees in need: an evaluation study of trainees and facilitators experiences and perceptions of the Programme of Additional Specialised Support (PASS). Journal of the Academy of Medical Educators
2025
- Hope, I. et al. 2025. Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication.. British Journal of General Practice (10.3399/BJGP.2025.0301)
- Purchase, T. et al. 2025. Parental involvement in paediatric patient safety incidents in general practice: a cross-sectional study. British Journal of General Practice 0786. (10.3399/BJGP.2024.0786)
- Acton, J. H. et al. 2025. Patient safety in eye care: a multi-method analysis of reported incidents involving implementation of care and clinical assessment in England and Wales. Eye (10.1038/s41433-025-03669-6)
- McFadzean, I. J. et al. 2025. The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis. International Journal for Quality in Health Care 37 (2) mzaf040. (10.1093/intqhc/mzaf040)
2024
- Carson-Stevens, A. et al. 2024. Understanding the scale and nature of avoidable healthcare-associated harm for prisoners in England: protocol for a retrospective cross-sectional study. BMJ Open 14 (12) e085607. (10.1136/bmjopen-2024-085607)
- Driscoll, T. et al., 2024. PP35 Does mean ambulance handover time at emergency departments correlate with number of handovers per month?. Emergency Medicine Journal 41 (3), pp.A15-A16. (10.1136/emermed-2024-999.35)
- Shaw, J. et al., 2024. Understanding the scale and nature of avoidable harm in prison healthcare. Project Report.
- Ball, E. et al., 2024. 6637 How do families mitigate paediatric safety incidents in emergency departments? A multi-method national analysis of incident reports. Archives of Disease in Childhood 109 , pp.A400-A401. (10.1136/archdischild-2024-rcpch.629)
- Bakheet, M. et al., 2024. How to use the 'Master Adaptive Learner' and the 'Appreciative Inquiry' models to encourage life- long learning. Documentation. Cardiff: Cardiff University.
2023
- McFadzean, I. J. et al. 2023. Patient safety in prisons: a multi-method analysis of reported incidents in England. Journal of the Royal Society of Medicine 116 (7), pp.236-245. (10.1177/01410768231166138)
- Rees, P. et al. 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13 (7) e075058. (10.1136/bmjopen-2023-075058)
- McFadzean, J. 2023. Prisoner healthcare puts patients at risk. [Online].Cardiff University. Available at: https://www.cardiff.ac.uk/news/view/2722740-prisoner-healthcare-puts-patients-at-risk.
- McFadzean, J. et al. 2023. Direct oral anticoagulant (DOAC) monitoring within primary care: a quality improvement project. BMJ Open Quality 12 e002216. (10.1136/bmjoq-2022-002216)
- Keers, R. N. et al., 2023. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLoS ONE 18 (3) e0282021. (10.1371/journal.pone.0282021)
2022
- Price, D. et al. 2022. Patients' experiences of attending emergency departments where primary care services are located: qualitative findings from patient and clinician interviews from a realist evaluation. BMC Emergency Medicine 22 (12)(10.1186/s12873-021-00562-9)
- McFadzean, I. et al. 2022. Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'. BMC Emergency Medicine 22 (1) 155. (10.1186/s12873-022-00709-2)
2021
- Richmond, R. T. , McFadzean, I. J. and Vallabhaneni, P. 2021. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Quality 10 e001142. (10.1136/bmjoq-2020-001142)
Articles
- Bowers, B. et al. 2026. Understanding end-of-life injectable medication patient safety origin incidents in the community: a mixed-methods analysis of national incident-reporting data. International Journal of Nursing Studies 180 105544. (10.1016/j.ijnurstu.2026.105544)
- Jordan, M. et al., 2026. Lived experience of avoidable healthcare harm in prisons in England: a qualitative study. Health and Justice (10.1186/s40352-026-00417-0)
- McFadzean, J. et al. 2026. Parental involvement in patient safety events in paediatric emergency care: a multi-method analysis. BMJ Paediatrics Open 10 e004794. (10.1136/bmjpo-2026-004794)
- Purchase, T. et al. 2026. Fighting to be heard: Thematic analysis of parent perspectives of safety in general practice. British Journal of General Practice (10.3399/BJGP.2025.0651)
- McFadzean, I. J. et al. 2026. The incidence of avoidable healthcare-associated harm in prisons in England: a retrospective case note review. BMJ Quality & Safety (10.1136/bmjqs-2025-019935)
- Purchase, T. et al. 2026. Co-generating ideas for safer paediatric care in general practice with parents and stakeholders. British Journal of General Practice (10.3399/BJGP.2025.0690)
- Alsuwat, M. et al., 2026. Exploring medication-related safety incidents and avoidable harm in English prisons: a combined national retrospective record review study. International Journal of Pharmacy Practice 34 (S1), pp.i48-i48. (10.1093/ijpp/riag034.066)
- McFadzean, I. et al. 2026. Critical illness in prisons: a multi-method analysis of reported healthcare safety incidents in England. British Journal of General Practice 76 (764), pp.e244-e252. (10.3399/bjgp.2025.0239)
- Santos Gomes, B. et al., 2026. How are handover delays from ambulances to emergency departments being addressed in the United Kingdom? A nationwide survey of ambulance services and emergency departments. BMC Emergency Medicine 26 134. (10.1186/s12873-026-01532-9)
- Bowers, B. et al., 2026. Learning from end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis. British Journal of General Practice 76 (763), pp.e151-e162. (10.3399/bjgp.2025.0106)
- McFadzean, J. , Sullivan, M. and Tombs, M. 2026. Supporting GP trainees in need: an evaluation study of trainees and facilitators experiences and perceptions of the Programme of Additional Specialised Support (PASS). Journal of the Academy of Medical Educators
- Hope, I. et al. 2025. Revealing the hidden harms in end-of-life care: a mixed-methods characterisation of reported safety incidents involving injectable symptom control medication.. British Journal of General Practice (10.3399/BJGP.2025.0301)
- Purchase, T. et al. 2025. Parental involvement in paediatric patient safety incidents in general practice: a cross-sectional study. British Journal of General Practice 0786. (10.3399/BJGP.2024.0786)
- Acton, J. H. et al. 2025. Patient safety in eye care: a multi-method analysis of reported incidents involving implementation of care and clinical assessment in England and Wales. Eye (10.1038/s41433-025-03669-6)
- McFadzean, I. J. et al. 2025. The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis. International Journal for Quality in Health Care 37 (2) mzaf040. (10.1093/intqhc/mzaf040)
- Carson-Stevens, A. et al. 2024. Understanding the scale and nature of avoidable healthcare-associated harm for prisoners in England: protocol for a retrospective cross-sectional study. BMJ Open 14 (12) e085607. (10.1136/bmjopen-2024-085607)
- Driscoll, T. et al., 2024. PP35 Does mean ambulance handover time at emergency departments correlate with number of handovers per month?. Emergency Medicine Journal 41 (3), pp.A15-A16. (10.1136/emermed-2024-999.35)
- Ball, E. et al., 2024. 6637 How do families mitigate paediatric safety incidents in emergency departments? A multi-method national analysis of incident reports. Archives of Disease in Childhood 109 , pp.A400-A401. (10.1136/archdischild-2024-rcpch.629)
- McFadzean, I. J. et al. 2023. Patient safety in prisons: a multi-method analysis of reported incidents in England. Journal of the Royal Society of Medicine 116 (7), pp.236-245. (10.1177/01410768231166138)
- Rees, P. et al. 2023. Family role in paediatric safety incidents: a retrospective study protocol. BMJ Open 13 (7) e075058. (10.1136/bmjopen-2023-075058)
- McFadzean, J. et al. 2023. Direct oral anticoagulant (DOAC) monitoring within primary care: a quality improvement project. BMJ Open Quality 12 e002216. (10.1136/bmjoq-2022-002216)
- Keers, R. N. et al., 2023. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLoS ONE 18 (3) e0282021. (10.1371/journal.pone.0282021)
- Price, D. et al. 2022. Patients' experiences of attending emergency departments where primary care services are located: qualitative findings from patient and clinician interviews from a realist evaluation. BMC Emergency Medicine 22 (12)(10.1186/s12873-021-00562-9)
- McFadzean, I. et al. 2022. Realist analysis of whether emergency departments with primary care services generate 'provider-induced demand'. BMC Emergency Medicine 22 (1) 155. (10.1186/s12873-022-00709-2)
- Richmond, R. T. , McFadzean, I. J. and Vallabhaneni, P. 2021. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Quality 10 e001142. (10.1136/bmjoq-2020-001142)
Conferences
- Bowers, B. et al. 2026. Understanding the origins of end-of-life injectable medication patient safety incidents in the community: a mixed-methods analysis [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.228-229. (10.37361/asm.2026.1.1)
- McFadzean, J. et al. 2026. Incidence and nature of avoidable healthcare-associated harm in prisons: a retrospective case note review study of 18 prisons in England [Abstract]. Presented at: SAPC ASM 2026 St Andrews, Scotland, UK 24-26th June 2026. SAPC ASM 2026 Abstract Booklet. SAPC. , pp.7-8.
Monographs
- Shaw, J. et al., 2024. Understanding the scale and nature of avoidable harm in prison healthcare. Project Report.
- Bakheet, M. et al., 2024. How to use the 'Master Adaptive Learner' and the 'Appreciative Inquiry' models to encourage life- long learning. Documentation. Cardiff: Cardiff University.
Videos
- McFadzean, J. 2026. Safety incidents in prison healthcare: Lessons from critical illness. BJGP Interviews. Available at: https://bjgplife.com/episode-220-safety-incidents-in-prison-healthcare-lessons-from-critical-illness/.
- Gorman, L. et al., 2026. Patient safety behind bars: avoidable harm in English prisons [Podcast]. Voices for Safety [NIHR]. Available at: https://www.psrc-gm.nihr.ac.uk/2026/07/13/podcast-patient-safety-behind-bars-avoidable-harm-in-english-prisons/.
Websites
- McFadzean, J. 2023. Prisoner healthcare puts patients at risk. [Online].Cardiff University. Available at: https://www.cardiff.ac.uk/news/view/2722740-prisoner-healthcare-puts-patients-at-risk.
Biography
Honours and awards
|
Date |
Award |
Organisation |
|
April 2026 – March 2027 |
Advancing Researcher Award |
Health Care Research Wales
|
|
June 2025
|
Highly Commended at Dissertation Stage, MSc Medical Education
|
Cardiff University |
|
Dec 2024
|
Poster Award: Co-creating strategies for safer paediatric care in general practice: thematic analysis of parent workshops
Purchase T, McFadzean IJ, Quinn-Scoggins H et al.
|
PRIME Centre Wales Annual Meeting |
|
Nov 2024
|
Award for Excellence in Voluntary Contribution: WESPA group
|
Cardiff University
|
|
Oct 2024
|
First5 Bursary (RCGP Conference)
|
Royal College of General Practitioners |
|
Sept 2024
|
MSc Medical Education. Distinction
|
Cardiff University |
|
May 2024
|
Improvement Advisor Cymru
|
Scottish Improvement Leaders (SciL) course and Health Education and Improvement Wales |
|
Dec 2023
|
Nominated in the category: Passionate enabler of students leading change in the NHS, Changing Practice Module co-lead |
Cardiff University |
|
July 2023
|
Fellow of the Higher Education Academy (FHEA)
|
Advance HE |
|
July 2023 |
The Director’s Prize for achievement of excellence in the subject discipline of medical education |
Cardiff University |
|
July 2023
|
The Student’s Student Award |
Cardiff University |
|
January 2023 |
Leadership Diploma (Bronze, Silver and Gold Level). Professional Leadership and Management Development.
|
Cardiff University |
|
October 2022 |
First5 Bursary (RCGP Conference)
|
Royal College of General Practitioners |
|
August 2022 |
HEIW Quality Improvement Prize 2021/2022 (DOAC monitoring in primary care) |
Health Education and Improvement Wales
|
|
September 2021 |
Excellence Scholarship, MSc Medical Education |
Cardiff University |
Professional memberships
- Improvement Advisor Cymru - since 2024
- Advance HE Fellowship - since 2023
- The Institute of Leadership - since 2023
- Q - Community - since 2021
- RCGP (MRCGP) - since 2019
Academic positions
- Clinical Lecturer of Patient Safety, Cardiff University 2021-Present
- Honorary Lecturer, Cardiff University 2019-2021
Speaking engagements
- Invited speaker - National Institute for Health and Care Research (NIHR) SafetyNet Symposium, 'Avoidable harm in prisons in England'. Manchester. 17th October 2025.
- Invited Plenary Speaker - Health Services Research (HSR) UK, 'How can we make HSR careers more inclusive?' Newcastle University, 3rd July 2025.
- Invited speaker - SURGAM, entitled 'Out of Harm's way'. Cardiff University, Cardiff. 5th February 2025.
- Invited Plenary Speaker - Health and Justice Summit entitled 'An overview of the Avoidable Harm in prisons study'. Euston Square, London. 18th October 2024.
Committees and reviewing
- James Lind Alliance Physical and Mental Health in Prisons, Steering Group 2026-Present
- Education Management Group, Division of Population Medicine, Cardiff University 2024-Present
- HSR UK Conference committee 2023-Present
News articles
Contact Details
[email protected]
Neuadd Meirionnydd, Floor 3rd, Room 306H, University Hospital of Wales, Heath Park, Cardiff, CF14 4YS
Neuadd Meirionnydd, Floor 3rd, Room 306H, University Hospital of Wales, Heath Park, Cardiff, CF14 4YS
Specialisms
- Patient safety
- medical education
- quality improvement
