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portrait of Duncan Smith

Duncan Smith

NIHR/HEE Clinical Doctoral Research Fellow Lecturer in Advanced Practice

School of Health Sciences, Division of Nursing

Contact Information


Visit Duncan Smith

MG, Myddelton Street Building

Postal Address

City, University of London
Northampton Square
United Kingdom



Duncan was appointed Lecturer at City, University of London in August 2014.

Duncan is currently undertaking a 4-year NIHR/HEE Clinical Doctoral Research Fellowship (supervised by Prof. Leanne Aitken and Dr Martin Cartwright). Duncan's doctoral research focuses on the development of a complex behaviour change intervention, to improve responses to deteriorating patients. Duncan is a Registered Nurse with over 15 years of clinical experience working in acute and critical care roles. Since 2010, has has worked as a nurse practitioner in various critical care outreach (rapid response) teams within London, including his current role at University College Hospital where he works as a honorary charge nurse with the Patient Emergency Response and Resuscitation Team (PERRT). Duncan is the module leader for the Advanced Clinical Assessment, Critical Thinking and Diagnostic Reasoning module (module code: APM024/APM052).


  1. Master of Science, Imperial College London, UK
  2. Master of Nursing, University of Nottingham, UK
  3. Diploma in Tropical Nursing, London School of Hygiene and Tropical Medicine

Postgraduate training

  1. PGCert (Academic Practice), City, University of London, United Kingdom


  1. Honorary charge nurse, University College London Hospitals NHS Foundation Trust, Apr 2015 – present
  2. Lecturer in Adult Nursing, City, University London, Aug 2014 – present

Memberships of professional organisations

  1. Nursing & Midwifery Council


Journal articles (8)

  1. Smith, D., Cartwright, M., Dyson, J., Hartin, J. and Aitken, L.M. (2020). Patterns of behaviour in nursing staff actioning the afferent limb of the rapid response system (RRS): A focused ethnography. Journal of Advanced Nursing, 76(12), pp. 3548–3562. doi:10.1111/jan.14551.
  2. 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, 28(21-22), pp. 4139–4149. doi:10.1111/jocn.15005.
  3. Loftus, N.W. and Smith, D. (2019). Erratum: Investigating ward nurses' responses to deteriorating patients (Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2018) 30 4 (46-54)). Nursing standard (Royal College of Nursing (Great Britain) : 1987), 34(3), pp. 76–82. doi:10.7748/ns.2019.e11020.
  4. 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, 75(9), pp. 2024–2035. doi:10.1111/jan.14076.
  5. Loftus, N.W. and Smith, D. (2018). Investigating ward nurses’ responses to deteriorating patients. Nursing Standard. doi:10.7748/ns.2018.e11020.
  6. Smith, D. and Bowden, T. (2017). Using the ABCDE approach to assess the deteriorating patient. Nursing Standard, 32(14), pp. 51–61. doi:10.7748/ns.2017.e11030.
  7. 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.
  8. 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)