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Joint Clinical Leads

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I am a GP Partner at Darwen Healthcare, and GP Trainer since 2006. I was the Training Programme Director for GP specialist training for East Lancashire between 2005 and 2012. Training hubs aim to train and develop the future primary care work force involving a range of associate clinical roles from different backgrounds. My role is to support and facilitate the Pennine Lancashire hub to ensure consistent supportive and safe learning environments for all the trainees

Dr Mannem Ninan


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I qualified in 1994 from Kings College, London and completed GP training in Kent in 1998. I then worked as a GP in the Oxfordshire area for a few years, before moving to the North West in 2002, joining Stacksteads & Bacup surgeries. I became a partner at Irwell Medical Practice in 2005. My interests are in child health, contraception, sexual and women’s health, fitting contraceptive implants and coils at the practice. I am the lead for cancer and end of life care, as well as a GP trainer.

Dr Kate Ealing


Joint Strategic Leads

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Ann Neville

Ann Neville, Business Manager Darwen Healthcare, Joint Lead Pennine Lancashire Training Hub and Darwen PCN Practice Manager Lead

 I have worked within Healthcare settings for the last thirteen years with the past 7 years working in General Practice at Darwen Healthcare initially as Customer Service Manager and for the last 6 years as Business/Practice Manager. I am fortunate to work alongside an amazing team of both clinical and non-clinical staff and enjoy seeing staff develop, upskill and take advantages of any learning opportunities available. 

Quality of patient care is extremely important to me and my practice team and I have thoroughly enjoyed working within a practice that has been an early adopter of the newer clinical roles which I hope will ensure that we have a sustainable future within General Practice.

Alongside Pauline I also have a real passion for education and training hence our agreement to jointly lead and develop the Pennine Lancashire Training Hub and promote Healthcare Placements, training and education across all practices within Pennine Lancashire


Pauline Aspinall

Pauline Aspinall Practice Manager Irwell Medical Practice & Joint Lead Pennine Lancashire Training Hub 
I have worked in General Practice for over twenty years, starting as a Medical Receptionist, progressing through to my current role as Strategic Manager at Irwell Medical Practice. I am delighted and proud to be part of the Irwell Medical Practice team and assisting in the delivery of high quality patient services to all those registered at the practice and the Rossendale Locality. I am a local girl and I want to see my locality be as healthy and well lead as it can be. I am passionate about staff development and training hence my involvement as joint Lead in the Pennine Lancashire Training Hub. I believe in upskilling and skill mixing in practice, the introduction of new staff roles into General Practice will, I believe, ensure the survival of our NHS for future generations

Joint Quality Leads

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Julia Mullaney Advance Nurse Practitioner

My name is Julia and I am an Advance Nurse Practitioner. I started out as a HCA in a care home. I used to watch the District Nurses come visiting patients in the home and decided this was my goal, this is what I wanted to do, I wanted to be a District Nursing Sister. I applied to university and commenced my nurse training in 2002 at UCLAN. My goal never changed all the way through and I was successful in securing a place in a district nursing team in Blackburn in my final placement of my nurse training. I started as a community Staff Nurse, with that Sisters post always in my sights and applied for the degree in September 2006. I commenced my Degree in Sept 2007. I then qualified and continued as a DN Sister for almost 6 years and loved every second. I then decided to further my career as a Community Matron which I worked as for over 3 years and then finally successful in securing an ANP role at Darwen Healthcare where I remain today.


Lead Nurse - Angela has been a registered nurse for 18 years initially working in women health within the hospital setting before joining General Practice 10 years ago and has developed into the practice nurse team leader. She has completed her diplomas in long term conditions, non-medical prescribing and recently started the MSc in Advanced Clinical Practice. She has lead on Improvement programmes alongside NHS England, designing and implementing a one stop clinic within the practice and has successfully mentored new practice nurses, trainee nurse associate, student nurses and return to practice nurses.

Angela Ormrod Lead Nurse

Operational Leads


Monique Marcolini Operations Lead

Operations Lead Monique graduated with a business management degree followed by managing a Dental Practice in Manchester before moving to general practice in 2013 as a Senior Receptionist and dealing with the general day to day running of a branch surgery. 

My current position is within Darwen Healthcare complimenting the role of Administrative Co-Ordinator for the Pennine Lancashire Training Hub. Assisting with the development of the Training Hub has seen me recently arranging the tutorial sessions for the student nurse and physician associate placements within General Practices,

An important element of my role is to assist with the robust collation of practice information relating to Nursing Supervisors and Assessors ensuring that annual updates are provided along with the administrative duties of the quarterly Nursing Supervisor and Assessor Educational Meetings. I am excited with the development that is taking place within the Training Hub and delighted to be playing a part in it.


Alan Pickup

IT & Media Lead

IT & Media Lead and Patient Representative for Pennine Lancashire Training Hub - I have had a very varied career, serving a traditional apprentiship in Printing & Graphics in the 60's, I then moved in to Management at a large Shop & Barfitter Company and moved through finance, office management, IT and purchasing. This was followed by a period of self-employment. In 1994 I joined what was to become East Lancashire Medical Services (ELMS) at its inception as a GP Cooperative. I latterly served as Director of Operations prior to retirement in 2010. Since retirement I have been involved in VCFS organisations supporting those with Learning Diisability & ASD and their Families. I am Chair of Trustees at BwD Carers Service and a Trustee of Care Network. I represent family carers on BwD LD & ASD Partnership Boards, the Transforming Care Program, and the ICS Health Inequalities & Carers Strategy Groups. I am a PPG member of Darwen Healthcare and Patient Representative on the Darwen Primary Care Neighbourhood.

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