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Contact Information


Visit Duncan Smith

MG, Myddelton Street Building

Postal Address

City, University of London
Northampton Square
United Kingdom



Duncan was appointed Lecturer in Adult Nursing at City University London in August 2014. Prior to this appointment Duncan worked as a critical care outreach nurse.

Duncan completed an undergraduate Master of Nursing degree at the University of Nottingham. He also holds an MSc in Cardio-respiratory nursing from Imperial College London, and a Diploma in Tropical Nursing from the London School of Hygiene and Tropical Medicine. Prior to his move to Higher Education, Duncan worked as a nurse practitioner in critical care outreach at both Croydon University Hospital and within Imperial College Healthcare NHS Trust. Before becoming a specialist practitioner, Duncan worked as both a charge nurse and staff nurse in the cardiac/critical care units of The Royal Free Hospital and Guy's and St. Thomas' NHS Foundation Trust. Clinically, Duncan has a particular interest in the management of patients requiring higher level cardiovascular support; in the recognition and management of deteriorating ward patients; and in the utilisation of track and trigger tools by ward nurses.

Outside of the UK context, Duncan spent two years volunteering with Voluntary Services Overseas (VSO) in Uganda, East Africa. During this placement Duncan worked within a Ugandan School of Nursing supporting the education and development of pre-registration and post-registration nurses. As part of this role Duncan also supported the clinical development of nursing staff within a newly established intensive care unit in Kampala.

Duncan has an honorary contract as a charge nurse with the Patient Emergency Response and Resuscitation Team (PERRT) at The University College London Hospitals (UCLH). He works monthly shifts with PERRT to maintain clinical credibility whilst also acting as a Link Lecturer for UCLH.


Master of Science (MSc) Cardio-respiratory nursing, Imperial College London (Distinction)
Master of Nursing Science (MNSci) with honours, University of Nottingham (1st Class)
Diploma in Tropical Nursing, London School of Hygiene & Tropical Medicine (Distinction)
Postgraduate Certificate in Academic Practice (Technology Enabled), City University London (Distinction)


Lecturer in adult nursing (current)
Advanced nurse practitioner, critical care outreach, Croydon University Hospital
Clinical nurse specialist, critical care outreach and resuscitation, St. Mary's Hospital London
Charge nurse, cardiac care unit/medical high dependency unit, Royal Free Hospital London
Nurse tutor, Voluntary Services Overseas, Uganda, East Africa
Senior staff nurse, cardiac critical care unit, St. Thomas' Hospital
Staff nurse, cardiac critical care unit, St. Thomas' Hospital
Staff nurse, cardiothoracic rotation, Guy's & St. Thomas' NHS Foundation Trust

Professional Bodies

Nursing & Midwifery Council (registered nurse, registered teacher)
Royal College of Nursing (member)
Fellow of the Higher Education Academy


Enhancement of Student Experience Award - City University London, 2015
Dean's Prize for Outstanding Academic Performance - Imperial College London (awarded upon completion of MSc) 2013


Journal articles (6)

  1. Smith, D., Sekhon, M., Francis, J.J. and Aitken, L.M. (2019). How actionable are staff behaviours specified in policy documents? A document analysis of protocols for managing deteriorating patients. Journal of Clinical Nursing. doi:10.1111/jocn.15005.
  2. Smith, D., Francis, J.J. and Aitken, L.M. (2019). DEveloping a Complex Intervention for DEteriorating patients using theoretical modelling (DECIDE study): Study protocol. Journal of Advanced Nursing. doi:10.1111/jan.14076.
  3. Loftus, N.W. and Smith, D. (2018). Investigating ward nurses’ responses to deteriorating patients. Nursing Standard. doi:10.7748/ns.2018.e11020.
  4. Smith, D. and Bowden, T. (2017). Using the ABCDE approach to assess the deteriorating patient. Nursing Standard, 32(14), pp. 51–63. doi:10.7748/ns.2017.e11030.
  5. Bowden, T. and Smith, D. (2017). An overview of adult cardiopulmonary resuscitation equipment. Nursing standard (Royal College of Nursing (Great Britain) : 1987), 31(23), pp. 54–63. doi:10.7748/ns.2017.e10461.
  6. Smith, D.J. and Aitken, L.M. (2016). Use of a single parameter track and trigger chart and the perceived barriers and facilitators to escalation of a deteriorating ward patient: A mixed methods study. Journal of Clinical Nursing, 25(1-2), pp. 175–185. doi:10.1111/jocn.13104.

Practitioner article

  1. (2012). Counterpulsation in cardiogenic shock: the belief is there but where is the evidence? British Journal of Cardiac Nursing, pp. 387–395


Simulation Practice Teaching (pre-registration):

HS1002 Introducing Clinical Practice
HS2002 Developing Clinical Practice
HS3002 Managing Complex Care
HS3003 Preparation for Registration
HSM101 Engaging in Practice 1:
HSM201 Engaging in Practice 2
HSM301 Engaging in Practice 3

Pre-registration academic modules (BSc/PGDip):

HS1011 Foundations of Relationship Centered Practice
HSM001 Relationship Centered Care
HSM132/HS2132: Experiencing Acute Care: Diagnostics and Treatment

Post-registration modules (Level 6 and Level 7):

NM3041/NMM041 Asthma/Chronic Obstructive Pulmonary Disease (Module Leader)
CH3041 Quality Improvement Project (online) (Module Leader)
NM3224 Core Skills Acute and High Dependency Nursing
NM3225 Acute and High Dependency Role Development
NM3257 Cardiac Care Specialist Core Skills
APM024 Advanced Physical Assessment: Critical Thinking and Diagnostic Reasoning Across the Lifespan
NM3272 Mentorship: Supporting and Assessing in Practice Settings

Short courses/study days (City Health):

Intravenous therapy and fluid management (1 day)
Cannulation (half day)