Sequeli directors

Professor Roger Bullock
Roger helped to establish the charity The Social Research Unit, Dartington, Devon, was its director until 2001 and is now a Trustee. He is also a fellow of the Centre for Social Policy in the Warren House Group at Dartington. Together these orgainsations undertake research, development and dissemination activities concerned with children in need. Roger is Professor Emeritus of Child Welfare Research at Bristol University and commissioning editor of Adoption and Fostering. His many publications have included Learning from Past Experience: A Review of Serious Case Reviews (Sinclair and Bullock, Dept. of Health, 2002); a chapter in The Prediction and Prevention of Child Abuse: A Handbook (Browne et al., 2002); Child Deaths and Significant Case Reviews: International Approaches (Axford and Bullock), Scottish Executive: Education Department, 2005, and also Insight 19; and Axford, N. and Bullock, R., Core Skills, Specialist Competences, Training and Material for Understanding Reviews of Child Deaths and Serious Injuries, (Axford and Bullock), DSRU, 2006. He is co-author with Gillian Downham and Wendy Rose of Core Competencies for Chairs and Report Writers: an Integrated Training Curriculum for Serious Case Reviews, Mental Health Investigations and Domestic Homicide Reviews.
Gillian Downham
Gillian is a barrister and member of 1 Garden Court Family Law Chambers, Temple, London. She is Chair of the Regulations of Medicine Review Panel of the Medicines and Healthcare products Regulatory Agency (MHRA) and is a First-tier Tribunal Judge (Health, Education and Social Care) Mental Health. She was a social worker and social services manager for thirteen years, has a professional social work qualification (Diploma in Social Work) and an MA (Econ) in Social Policy and the Organisation of Welfare. Called to the Bar in 1993, her practice has included crime, judicial review, mental health and public and private law children proceedings. She was a member of the Mental Health Act Commission from 1995 to 2005 and has been chair of five published independent mental health homicide inquiries, in each case following up and reporting in public on the implementation of recommendations. She has received training in Root Cause Analysis from the National Patient Safety Agency and has advised the Home Office on the development of guidance on Domestic Homicide Reviews, including its Multi-Agency Guidance for Domestic Homicide Reviews. She is co-author, with Richard Lingham, of Learning Lessons: Using Inquiries for Change, Journal of Mental Health Law, Spring 2009. With Wendy Rose she wrote the Scoping Paper for a Training Curriculum for Chairs and Report-writers of Serious Case Reviews, Domestic Homicide Reviews and Mental Health Homicide Investigations in October 2009 which preceded the Core Competencies. She is is co-author with Wendy Rose and Roger Bullock of Core Competencies for Chairs and Report Writers: an Integrated Training Curriculum for Serious Case Reviews, Mental Health Investigations and Domestic Homicide Reviews.


Sequeli associates

James Blewett
James is London Co-ordinator of Making Research Count (MRC) based at King's College London. MRC seeks to promote knowledge-based practice through partnerships between universities and local health and social care agencies. James also teaches at other universities on qualifying and post-qualifying programmes. He has recently been involved in a project to work with service user groups on incorporating parental perspectives into social work teaching on poverty and was part of the project team that wrote a training curriculum for CAFCASS
Professor Christopher Heginbotham OBE
Chris has worked at senior level within the public and third sectors for over 40 years including a period as National Director of Mind (the National Association for Mental Health), and Chief Executive of two health authorities and two NHS Trusts. Until March 2008 he was Chief Executive of the Mental Health Act Commission in England and Wales (from 2003). Until 2010 he was Professor of Mental Health Policy and Management at the University of Central Lancashire, where he was Acting Head of the International School for Communities, Rights and Inclusion. He has held various non-executive appointments and is presently a Non-Executive Director of Lancashire Care NHS Foundation Trusts
Dr Androulla Johnstone
Androulla is Chief Executive of the Health and Social Care Advisory Service (HASCAS). She originally trained as a mental health nurse in Hampshire. After working in clinical practice for nine years she became involved in education and research work leading to NHS roles in community, general acute and health authority contexts. Androulla has a background in operational service delivery as well as in strategic planning and commissioning. More latterly she was the Director of Nursing and Clinical Services at Windsor, Ascot and Maidenhead PCT, from where she then took up post as Director of Nursing and Quality at East London and the City Mental Health Trust. Androulla has worked as a reviewer for the Quality Assurance Agency for Higher Education between 1998 and 2000, and has also worked as a reviewer for the Healthcare Commission. She has a PhD in archaeology and history focusing on the epidemiology of nineteenth-century psychiatry, and has a special research interest in the built environment of mental health.
Professor Jill Manthorpe
Jill is Professor of Social Work and Director of the Social Workforce Research Unit at King’s College London. She has been a Trustee of a number of voluntary sector groups working with older people. She has served as a Non-Executive Director of two NHS Trusts and has been Chair of an Adult Safeguarding Committee. She is a Senior Investigator with the National Institute of Health Research, an Associate Director of the NIHR School for Social Care Research and is Chair of the Editorial Board of Ageing & Society. Her areas of research interest are older people, risk and safeguarding. She publishes widely on these topics and provides presentations on adult safeguarding serious case reviews. Her publications have included The Age of the Inquiry: Learning and blaming in health and social care, Nicky Stanley and Jill Manthorpe (2004), Routledge. The Journal of Social Work has recently published her article on chairing and commissioning serious case reviews in adult safeguarding in England, written jointly with Stephen Martineau; Serious Case Reviews in Adult Safeguaring in England: An Analysis of a Sample of Reports.
Wendy Rose OBE
Wendy is a Senior Research Fellow at The Open University and for eleven years was a senior civil servant advising on children's policy. She has a background in social work practice and social services management. She works on national and international child welfare research and development projects. Since 2006 she has been a professional adviser to the Scottish Government on the development and implementation of its policy, Getting it right for every child. She has published widely on policy and practice issues concerned with improving outcomes for children and families. With Julie Barnes she undertook the second biennial study of reviews of child deaths and serious injuries in England, Improving Safeguarding Practice: a study of serious case reviews 2001-2003, and has recently completed work in Wales on the role of serious case reviews. With Gillian Downham she has written the Scoping Paper for a Training Curriculum for Chairs and Report-writers of Serious Case Reviews, Domestic Homicide Reviews and Mental Health Homicide Investigations, which has led to this training programme and is co-author with Gillian Downham and Roger Bullock of Core Competencies for Chairs and Report Writers: an Integrated Training Curriculum for Serious Case Reviews, Mental Health Investigations and Domestic Homicide Reviews.


Sequeli advisors

Alison Ball QC
Alison is a member of 1 Garden Court Family Law Chambers, Temple, London. She established 1 Garden Court in 1989 and was joint Head of Chambers until 2010, presiding over its growth to become one of the foremost sets of Chambers in which all members - now 61 - specialise in family law. In 1997 1 Garden Court became the first set to create a Family Mediation Service and since 2007 it has had established expertise in the Court of Protection. Alison sits as a Recorder and her many reported cases have included issues concerning evidence in public law children proceedings, Guardian confidentiality, social work practice, publicity and incapacitated adults.
Paul Bedwell

Paul iis Business Manager for the Essex Safeguarding Adults Board at Essex County Council.  Before joining Essex Safeguarding Adults Board in 2003 Paul was a career civil servant for 16 years at the Department of Health working on the development of national policy on a range of issues including drug misuse treatment services, prison healthcare, Fair Access to Care Services and charging policies for residential care services. Immediately prior to joining Essex Paul was Senior Policy Manager responsible for government policy on the abuse of older people.

Since joining Essex Paul has led the development of the Safeguarding Board as a strategic multi-agency forum promoting the adult safeguarding agenda in Essex. In this role Paul has project managed three Serious Case Reviews. He has also led the development of a “fast track multi-agency review process” in Essex that is now being rolled out across the Eastern region.

Paul is an experienced trainer and qualified internal verifier. He has been delivering safeguarding courses for more than 8 years including:

  • Safeguarding Adults Basic Awareness
  • Safeguarding Adults Management and Chairing Skills
  • Safeguarding Adults – Training for Trainers

While working in Essex Paul has continued to be involved in regional and national policy work including:

  • Co-chair of the Eastern Region Adult Safeguarding Leads Group (2005 -)
  • Co-chair Eastern Region Adult Safeguarding Joint Improvement Programme (2009 -)
  • Facilitator - Research in Practice for Adult Safety Matters project (2008-09)
  • Member of DH POVA List National Advisory Group 2003 – 2008,
  • Member of DH Development group for Department of Health NHS Clinical Governance and Safeguarding Guidance  (2009–10).
  • Recent Conference Presentations:




    March 2012

    Improving Outcomes for Adults At Risk

    Community Care

    November 2011

    Westminster Briefing

    Inside Government

    November 2011

    Improving Outcomes for Adults At Risk

    Community Care

    July 2011

    The sum and the parts: helping the NHS and local authorities to work together better

    Primary Care Commissioning

    May 2011

    Community Care Live

    Community Care

Dr Marian Brandon
Marian is a Senior Lecturer in Social Work and Director of Post-qualifying Programmes (Children and Families) at the University of East Anglia. She teaches on the post-qualifying inter-professional programmes, the qualifying social work programmes and the MA in International Child Welfare. She worked as both a residential and an area team social worker before joining UEA in 1987. She is a founder member of the International Association for Outcome-based Evaluation and Research on Family and Children’s Services. Her publications have included Brandon M, Sidebotham P, Bailey S, Belderson P, A study of recommendations arising from serious case reviews 2009-2010 (2011) UEA/DfE; Brandon M , Belderson J, Warren C, Howe, D, Gardner R, Dodsworth J, and Black J. (2008) Analysing Child Deaths and Serious Injury through Abuse and Neglect : What can we Learn? UEA/DCSF based on the 2006-7 Biennial Analysis of Serious Case Reviews 2003-5 (funded by the Department of Children Schools and Families) and the 2007-8 Biennial Analysis of Serious Case Reviews 2005-7 (funded by the Department of Children Schools and Families).
Jane Crowley QC
Jane is a member of 1 Garden Court Family Law Chambers, Temple, London. She is a Deputy High Court Judge (Family Division) and a Tribunal Judge (Health, Education and Social Care Chamber) Mental Health. She is a committee member of the Family Law Bar Association.
Dr Sheila Fish
Sheila is a Senior Research Analyst at the Social Care Institute for Excellence (SCIE), where she is engaged in creating evidence-based resources to support practice across children’s services. Her main focus has been on developing the systems approach for case reviews, including serious case reviews (SCRs), of multi-agency safeguarding and child protection work. This has involved theoretical as well as practical collaborative development work, and increasingly, providing training and support to those who want to put the model into practice for themselves. Her academic background is in social anthropology with a particular focus on children and childhood. She spent several years in Indonesia working in the field of child welfare as well as conducting ethnographic fieldwork. Her current research interests are focused on the interface between formal knowledge and professional practice in child welfare, including the use of ethnographic methods as a means of inquiry in this field.
Donna Forsyth
Donna is Head of Investigation and Training at the National Patient Safety Agency (NPSA). She has worked in the NHS since 1983 as a Chartered Physiotherapist and as a Chartered Safety Practitioner. Donna worked with the World Health Organisation to design an impact evaluation strategy for Event Analysis and has led on the production of internationally recognised guidance and tools to improve the credibility and thoroughness of RCA investigations. (e.g. Three levels of RCA investigation - 2008; Aggregated and multi-incident investigation guidance - 2008). She is currently developing systems which both support those conducting investigations and capture learning from findings.
Dr Aisha Gill
Aisha (B.A., M.A. [Di], PhD (University of Essex)) PGCHE, is a Reader in Criminology at the University of Roehampton. Her main areas of interest and research are health and criminal justice responses to violence against black, minority ethnic and refugee (BMER) women in the United Kingdom. She has been involved in addressing the problem of Violence Against Women (VAW) at the grassroots level for the past thirteen years. She is a board member of 'End Violence Against Women' Coalition (EVAW); elected member of Women's National Commission United Nations Advisory Group; invited advisor to the Independent Police Complaints Commission (IPCC) strategic support group on investigations and complaints involving gendered forms of violence against women in the UK; member of Liberty's Project Advisory Group; member of Kurdish Women's Rights Watch; Imkaan and Chair of Newham Asian Women's Project (2004-2009); board member of ROSA (UK Fund for women and girls). Dr Gill has extensive experience of providing expert advice to the Government, Ministry of Justice, Scotland Yard, Crown Prosecution Service, and the voluntary sector on legal policy issues related to so-called 'honour' killings and forced marriage, and has challenged politicians to be more inclusive of BMER women's voices in policy-making on issues of gender-based violence and human rights. Her current research interests include the following: rights, law and forced marriage; gendered crimes related to patriarchy; 'honour' killings and 'honour'-based violence in the South Asian/Kurdish Diaspora and femicide in Iraqi Kurdistan and India; missing women; acid violence; post-separation violence and child contact; trafficking; and sexual violence. She has also published widely in peer-reviewed journals and is currently co-authoring a monograph entitled 'Crimes of 'Honour' against Women: Experiences and Counter Strategies in Iraqi Kurdistan and the UK Kurdish Diaspora' that will be published by Ashgate in Spring 2012. Current research projects are funded by the British Academy. Dr Gill is often in the news as a commentator on forced marriage, violence against women and so-called 'honour' killings and writes for mainstream popular as well as academic audiences.
Sean Haresnape
Sean is a Policy Advisor at the Family Rights Group where he is involved with their Fathers Matter project. He has developed and delivered training programmes for social workers entitled ‘Engaging fathers in social care’. Sean qualified as a social worker in 1989, has worked in two London local authorities as a locality social worker, was involved in setting up the Breslaff Centre, a charity that ran a residential family assessment unit. Sean has set up and managed three FGC projects and on behalf of Family Rights Group has led on the development of a postgraduate certificate in coordinating Family Group Conferences, in partnership the University of Chester.
Julian Hendy
Julian is an award-winning investigative journalist and documentary film maker. In 2007, Julian’s father, Philip was killed by Stephen Newton, a man he had never previously met or spoken to. At the time Stephen Newton was a patient receiving psychiatric services. In 2010, BBC2 broadcast Julian’s film ‘Why Did You Kill My Dad?’ which explored what had happened to his father (and others) and questioned why many mental health services appear unwilling or unable to learn effective lessons from such homicides.
Professor Sir Ian Kennedy
Sir Ian, KBE, FBA, LLB, LLM, DSc, DM, FRCP, FRCGP, FRCPCH, FRCA, FRCSE, FInstIA, is Emeritus Professor in Health Law, Ethics and Policy at University College, London and Visiting Professor in the Department of Law, at the London School of Economics. He is Chairman of the Independent Parliamentary Standards Authority and a Senior Advisor and Consultant in health law, ethics and policy. He set up, with others, and chairs the UK Research Integrity Office, concerned with establishing best practice in research ethics, publishing a Code of Good Practice and a Code for investigating allegations of misconduct, and advising whistleblowers and others. He is Chairman of the King’s Fund Inquiry into quality in general practice. Until 2009 he was Chairman of the Commission for Healthcare Audit and Inspection (Healthcare Commission). Sir Ian has over 25 years experience of chairing, and being a member of, bodies at a national level in areas which have included health, ethics, public policy, law and regulation. He has worked with a range of government departments and Ministers, including the Department of Health, the Home Office, the Ministry of Justice, the Department for Children, Schools and Families, and with regulators such as the Audit Commission, the National Audit Office and the Commission for Social Care Inspection. Sir Ian chaired the Public Inquiry into paediatric cardiac surgery in Bristol. Amongst his extensive appointments, he was Consultant and Author of the Review for the Department of Health of the care of children in the National Health Service, Getting it Right for Children and Young People, (2009-10), was a member of the Advisory Group on Quality of Care, Lord Darzi’s Review of the NHS, (2007-8), the Advisory Group on Constitution for NHS (2008) and the NHS Constitutional Advisory Forum (2008- 09). He has appeared before a number of Parliamentary Select Committees.
Richard Lingham
Richard is a former Chair of a Health Authority, former Director of Social Services, former member of the First-tier Tribunal (Mental Health), chair of six independent mental health homicide inquiries and member on the panel of a further five such inquiries or NHS investigations. He is co-author, with Gillian Downham, of Learning Lessons: Using Inquiries for Change, Journal of Mental Health Law, Spring 2009.
Anthony Maden MD FRCPsych
Anthony is Professor of Forensic Psychiatry, Division of Neurosciences and Mental Health at Imperial College, London. He is also a consultant forensic psychiatrist at Broadmoor Hospital, West London Mental Health Trust and author of Review of Homicides by Patients with Severe Mental Illness, 2006, which used facts obtained from mental health homicide inquires to apply structured risk assessments retrospectively and establish whether, if used prior to the homicide, this might have predicted the risk of violence.
Daniel McCarthy
For more than two decades Daniel has advised on education and training to private sector, public sector and government bodies. As chair of a working group he has reported to a parliamentary all-party group seeking to reduce vehicle crime and disorder, designed and implemented a national model for reskilling crash involved drivers and collaborated with Napier University in the development of psychometric based training models aimed at offending motorists. He was the technical director of a training company in Scotland before joining the NHS to assist in the running of a national learning network for the implementation of the NHS IT plan. Daniel has a BSc (Hons) and an MA, both in American and Commonwealth Studies. During the early part of his career he trained in forensic psychology, transactional analysis and cognitive behavioural therapy.
Frank Mullane
Frank is Director of the charity Advocacy After Fatal Domestic Abuse, a Home Office appointed Reader of Domestic Homicide Reviews and a member of the Home Office Domestic Homicide Review Quality Assurance Group. He was a member of the government's Victims' Advisory Panel which led to the setting up in January 2010 of the National Victims Service. Following the killing of his sister and nephew and the subsequent domestic violence homicide review, Frank Mullane believes the victim’s perspective should permeate domestic homicide reviews.
Dr Mohammed Shaiyan Rahman
Shaiyan is a forensic psychiatry trainee and clinical research fellow at
the National Confidential Inquiry into Suicide and Homicide by People with
Mental Illness (NCISH). His research interests include violence by mentally
and non mentally ill people.
Laura Richards
Laura is a Home Office appointed Reader of Domestic Homicide Reviews. She initiated and developed Domestic Homicide Reviews in 2001 in London and then worked with Harriet Harman (then Solicitor General), the Home Office and the Domestic Violence Bill team to bring them in under a legislative framework. Laura created the original Domestic Homicide Review guidance and report templates, working with the Home Office and others to continue to evolve the process. She was a founder member of the Home Office Working Group providing advice on development which led to the publishing of Multi-agency Statutory Guidance for the Conduct of Domestic Homicide Reviews in 2011.
Laura has analysed hundreds of reviews presenting the findings to the pan London Strategic Group as well as the ACPO Homicide Working Group, MAPPA, countless strategic bodies, agencies and government departments. She has advised local Domestic Violence Murder Review Panels about how to conduct the reviews, been a key part of a number of national Masterclasses held in London on DHR sponsored by the Home Office and has updated and enhanced the DHR toolkit. Laura is currently actively involved in training on DHRs with Sharon Stratton.
Laura also developed the Domestic Abuse, Stalking and Harassment and Honour Based Violence Risk Model on behalf of ACPO and in partnership with Coordinated Action against Domestic Abuse (CAADA), as well developing the associated national training packages. She continues to run DASH Masterclasses and Train the Trainer events for all statutory and non-statutory agencies and is considered as a subject matter expert on domestic violence (DV), so-called honour based violence (HBV) and stalking. Laura has co- authored and published the Oxford University Press book entitled ʻPolicing Domestic Violenceʼ, along with numerous publications on DHR including the ACPO Homicide Journal. Laura has also worked for CAADA, helping to set up the quality assurance process and as a quality assurance assessor of MARACs. Laura is a trainer for Womenʼs Aid and co-founded the charity Protection Against Stalking. Laura is a specialist adviser to the Parliamentary Inquiry on Stalking Law Reform.
Dr Mark Salter
Mark is a consultant in adult general psychiatry in Hackney, East London. He is a member of the Royal College of Psychiatrists’ Public Education Committee and has been one of the College’s media experts for over 15 years. He has worked as a writer and broadcaster on BBC and ITV, and has produced both films and stage work related to mental illness. Between 1998 and 2003, he was co-director of the media project of Every Family in the Land, the College’s five year campaign to address the stigmatisation of mental illness. He has a special interest in media misrepresentation of violence in psychotic illness. In 2008, he published his first book, Outdoor Psychiatry, cowritten with Dr Trevor Turner.
Hannana Siddiqui
Hannana is a Joint Co-ordinator for Southall Black Sisters (SBS). SBS runs a resource centre providing information, advice, advocacy, counselling and support to women and children experiencing domestic violence. SBS helped Lord Lester introduce the Forced Marriage (Civil Protection) Act.
Barbara Stow
Barbara has worked with the Local Government Ombudsman and Prisons and Probation Ombudsman, investigating, and managing investigations of, complaints and deaths in custody. She has conducted independent complaints reviews for various NGOs, was formerly Chair of Legal Action Group and is currently Vice-Chair of British-Irish Rights Watch. She chaired the inquiry into the death at Manchester prison of Bernard (Sonny) Lodge which was converted to a statutory inquiry under the Inquiries Act 2005. Currently, she is conducting an investigation into the care by the Prison Service of a young woman who engaged in life threatening self harm. Both these inquiries were commissioned pursuant to Article 2. She has a masters degree in prison studies from the University of Cambridge and has conducted research on justice in prisons
Rae Wallin
Rae is an extremely experienced clerk, administrator and manager of independent mental health investigations (to be completed)

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Sequeli consists of experts in the law, national policy, research, commissioning and conduct of reviews, invesdtigations and inquiries.

Sequeli owes much to the
support of its strong advisory
body of experts in the law,
national policy, training,
research, commissioning,
provision and conduct of children and vulnerable adults serious
case reviews, domestic homicide reviews and mental health investigations.

As important is the advice we
have received from families of victims and from professionals
who have been on the receiving end of reviews and

By their commitment they have all helped transform Sequeli from a concept into a working reality.













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Sequeli is the trading name of Sequeli Ltd, a not-for-profit company limited by guarantee and registered with Companies House in England | Company Registration Number: 7432560 | Trading address and Registered Office: The Fry Group, Broadwalk House, Southernhay West, Exeter, Devon, EX1 1WF