Jacky

MORE ABOUT JACKY…

Jacky completed her Registered General Nurse’s training at St Mary’s Hospital, London, and went on to specialise in general intensive care and cardiac nursing, working at St Mary’s, the Hammersmith Hospital, High Wycombe Hospital, University Hospital Wales and Nevill Hall Hospital in Abergavenny.

Finding a lack of rehabilitation provision for patients recovering from myocardial infarction and heart surgery in the early 1990s, she developed the multidisciplinary North Gwent Cardiac Rehabilitation Programme with the valuable support of patients, carers and two local charities (the North Gwent Cardiac Rehabilitation and Aftercare Charity and the Nevill Hall Hospital Thrombosis and General Research Fund).

The programme received the Royal Institute of Public Administration King’s Fund Award in 1992, and the Charter Mark in 1998. And for her services to cardiac rehabilitation, Jacky was awarded an MBE in 2003.

From October 1999 to February 2003 Jacky was seconded part-time to the School of Care Sciences at the University of South Wales to undertake a PhD. Her thesis compared the effect of a programme of cardiac rehabilitation versus standard care in elderly patients with heart failure – the first randomised controlled study in this subject area in the UK.

Jacky presented the key findings of her research to the British Cardiovascular Society Annual Conference in 2003, where her abstract was judged to be one of the top six out of 210 under consideration. She has subsequently published several papers.

As a Nurse Consultant (2004-2017) Jacky carried a clinical case load, was the lead for Cardiac Rehabilitation and Heart Failure Services across the Aneurin Bevan University Health Board (ABUHB), and undertook research, audit and evaluation of services, mentored students, and developed education programmes. She was Lead Nurse for the South Wales Cardiac Network (2012-16) and received the Chief Executive’s Award from ABUHB in 2016.

From 2017-2020, Jacky was Lead Nurse for Heart Failure and Cardiac Rehabilitation Research at ABUHB’s Department of Research & Development. She is currently Visiting Professor with the School of Care Sciences at the University of South Wales.

Now semi-retired, Jacky is married to Phil and has two grown-up sons, four grandchildren and two dogs. She and Phil are active members of Parc Bryn Bach Running Club in Tredegar. She says the highlight of her running career was representing Wales in the UK Cross Country Championships 2007-2009.

BIBLIOGRAPHY – Jacky Miles (née Austin) – 2003-2020

  • Austin J, Ross L, Williams R, Hutchison S. (2003) Multidisciplinary intervention and quality of life of elderly patients with heart failure. A role for cardiac rehabilitation? Heart 89; S1, A51
  • Austin J, Williams R, Ross L, Moseley L. (2004) Cardiac Rehabilitation for the Elderly. European Journal of Cardiovascular Prevention and Rehabilitation Vol 11; S1, 0-13
  • Austin J, Williams R, Ross L, Moseley L, Hutchison S (2005) Randomised controlled trial of cardiac rehabilitation in elderly patients with heart failure. European Journal of Heart Failure 7:411-417
  • Austin J, Williams R, Ross, Hutchison S. (2008) Five-year follow-up findings from a randomised controlled trail of cardiac rehabilitation for heart failure. EUR J CARDIO PREVENTION REHAB. 171-8267
  • Austin J, Williams R, Hutchison S. (2009) Multidisciplinary management of elderly patients with chronic heart failure: Five year outcome measures in death and survivor groups. EUR JNL CARDIO VASC NURSING. 34-9
  • Don’t forget rehabilitation. REACH HF Study Group. British Medical Journal (2010) 341: c4286 (letter)
  • Austin J, Williams WR, Hutchison S. (2011) Exercise profile as a 5-year determinant of physical health and well-being in a cohort of heart failure patients. Cardiovascular Continuum 2: 1-5
  • Austin J, Williams WR, Hutchison S. (2011) Patterns of fatigue in elderly heart failure patients measured by a quality of life scale (Minnesota living with heart failure). European Journal of Cardiovascular Nursing. doi:10.1016/j.ejcnurse.04.002
  • Austin J, Hockey D, Williams R, Hutchison S. (2013) Assessing parenteral diuretic treatment of decompensated heart failure in the community. British Journal of Community Nursing Vol 18, No 11
  • Ross L and Austin J. (2013) Spiritual needs and spiritual support preferences of people with end stage heart failure and their carers: a
  • prospective qualitative interview study. Journal of Nursing Management
  • Ross L and Austin J. (2013) Spiritual needs and spiritual support preferences of people with end stage heart failure and their carers: Implications for nurse managers. Journal of Nursing Management. DOI: 10.1111/jonm.12087
  • Taylor RS, Hayward C, Eyres V, Austin J, et al. (2015) Clinical effectiveness and cost effectiveness of the Re-Ablement in Chronic Heart Failure (REACH-HF) a facilitated self-care rehabilitation intervention in heart failure patients and care givers: rational and protocol for a multicentre randomised control trial. BMJ Open;5:e009994 doi:10.1136/bmjopen-2015-00994
  • Greaves J, Wingham J, Deighan, Austin J et al. (2016) Optimising self-care support for people with heart failure and their caregivers: development of the Rehabilitation Enablement in Chronic Heart Failure (REACH-HF) intervention using intervention mapping. Pilot and Feasibility Studies 2:37.
  • Ross L, Austin J. (2017) Spiritual Support in End Stage Heart Failure: A Randomised Controlled Feasibility Study. Report. University of South Wales ISBN: 978-1-909838-28-4
  • Lang C, Smith K, Wingham J, Eyre V, Greaves C, Warren F, Green C, Jolly K, Davis, R Doherty P, Miles J, Britten N, Abraham C, and on behalf of the REACH-HF Investigators (2018) A randomised controlled trial of a facilitated home-based rehabilitation intervention in patients with heart failure with preserved ejection fraction and their caregivers: the REACH-HFpEF Pilot Study. BMJ Open 8: p. e019649-e019649
  • Dalal HM, Taylor RS, Jolly K, Davis RC, Doherty P, Miles J, Van Lingen R, Warren FC et al on behalf of the REACH-HF investigators. (2018). The effects and costs of home based rehabilitation for heart failure with reduced ejection fraction; the REACH-HF multicentre randomised controlled trial. European Jnl of Preventive Cardiology; 27 (3) doi:10.1177
  • Taylor RS, Sadler S, Dalal HM, Warren FC, Jolly K, Davis R, Doherty P, Miles J, Greaves C et al (2019). The cost effectiveness of REACH-HF and home based cardiac rehabilitation compared with usual medical care for heart failure with reduced ejection fraction: A decision model based analysis. European Jnl of Preventive Cardiology. doi: 10.1177/2047487319833507
  • Wingham J, Frost J, Britten N, Greaves C, Abraham C, Warren FC, Jolly K, Miles J, Paul K, Doherty P, on behalf of the REACH-HF research group. (2019) Caregiver outcomes of the REACH-HF multicentre randomised controlled trial of home based rehabilitation for heart failure with reduced ejection fraction. European Jnl of Cardiovascular Nursing, doi: 10.1177/1474515119850011
  • Frost J, Wingham J, Britten N, Abraham C, Warren FC, Jolly K, Doherty P, Miles J, Taylor RS, Dalal H. (2019) Home-based rehabilitation for heart failure with reduced ejection fraction: Mixed methods process evaluation of the REACH-HF Multicentre randomised controlled trial (in press BMJ Open)
  • Ross L, Miles J. (2019) Spirituality in heart failure: a review of the literature from 2014-2019 to identify spiritual care needs and spiritual interventions. Accepted for publication in Current Opinion in Supportive and Palliative care
  • Miles J, Ross L, Pickett S, Jarvis P. (2020) Spiritual Support in Advanced Heart Failure: A Randomised Controlled Trial. Health and Social Care Chaplaincy. Accepted for publication June 2020