SIGN Guideline 119: Management of Patients with Stroke: Identification and Management of Dysphagia

Guideline Index Page | SIGN Methodology

11 Development of the guideline


SIGN is a collaborative network of clinicians and other healthcare professionals, funded by NHS Quality Improvement Scotland. SIGN guidelines are developed by multidisciplinary groups of practising clinicians using a standard methodology, based on a systematic review of the evidence. Further details about SIGN and the guideline development methodology are contained in “SIGN 50: A Guideline developer’s handbook” available at


Ms Iris Clarke - Speech and Language Therapist, (Chair) Raigmore Hospital, Inverness
Mrs Catherine Dunnet - Head of Speech and Language Therapy Service, (Secretary) Glasgow Royal Infirmary
Ms Jane Camp - Clinical Governance Practice Development Nurse, Gartnavel Royal Hospital, Glasgow
Dr David Campbell - General Practitioner, Irvine
Ms Francesca Chappell - Information Officer, SIGN
Dr Ali El-Ghorr - Programme Manager, SIGN
Sister Hazel Fraser - Stroke Coordinator, Queen Margaret Hospital, Dunfermline
Dr Julian Guse - Consultant Radiologist, Monklands Hospital, Airdrie
Dr Ray Holden - Consultant Gastroenterologist, Monklands Hospital, Airdrie
Dr Romana Hunter - Clinical Lecturer, Dundee Dental School
Dr Roberta James - Programme Manager, SIGN
Mrs Morag Ogilvie - Senior Dietitian, St John’s Hospital, Livingston
Dr Brian Pentland - Consultant Physician, Astley Ainslie Hospital, Edinburgh
Ms Fiona Small - Physiotherapist, Western General Hospital, Edinburgh
Professor David Stott - Consultant in Geriatric Medicine, Glasgow Royal Infirmary
Ms Fiona Strachan - Senior Dietitian, Woodend Hospital, Aberdeen
Ms Gillian Wilson - Speech and Language Therapist, Victoria Infirmary, Glasgow
Mrs Kathryn Wood - Principal Pharmacist, Tayside Primary Care Trust

The membership of the guideline development group was confirmed following consultation with the member organisations of SIGN. Declarations of interests were made by all members of the guideline development group. Further details are available from the SIGN Executive. Guideline development and literature review expertise, support, and facilitation were provided by the SIGN Executive.



A national open meeting is the main consultative phase of SIGN guideline development, at which the guideline development group presents its draft recommendations for the first time. The national open meeting for this guideline was held on 16 May 2002 and was attended by 100 representatives of all the key specialties relevant to the guideline. The draft guideline was also available on the SIGN website for a limited period at this stage to allow those unable to attend the meeting to contribute to the development of the guideline.


The guideline was also reviewed in draft form by a panel of independent expert referees, who were asked to comment primarily on the comprehensiveness and accuracy of interpretation of the evidence base supporting the recommendations in the guideline. SIGN is very grateful to all of these experts for their contribution to this guideline.

Dr Alan Begg - General Practitioner, Montrose
Professor Martin Dennis - Professor in Stroke Medicine, Department of Clinical Neurosciences, Western General Hospital, Edinburgh
Professor Peter Donnelly - Director of Public Health and Health Policy, NHS Lothian
Dr George Duncan - Consultant in Care of the Elderly, Ayrshire Central Hospital, Irvine
Ms Alison French - Senior Dietitian, Member of the Joint Working Party – National Descriptors for Texture Modification, British Dietetic Association, Birmingham
Professor Ian Gilmore - Consultant Physician and Gastroenterologist, Royal Liverpool University Hospital, and Honorary Professor of Medicine, Liverpool University
Ms Tara Hegney - Senior Dietitian, Royal Edinburgh Hospital
Ms Penny Irwin - Programme Coordinator - Stroke, Royal College of Physicians, London
Ms Therese Jackson - Head Occupational Therapist, Grampian University Hospitals NHS Trust, Aberdeen
Ms Karen Krawczyk - Speech and Language Therapist, Glasgow
Dr Ron MacWalter - Consultant Physician, Ninewells Hospital, Dundee
Mr John McCall Stroke - Specialist Nurse, Falkirk Royal Infirmary
Dr John Norton - General Practitioner, Ardrossan
Ms Kerry Sainsbury - Senior Dietitian, Borders General Hospital, Melrose
Mr Cameron Sellars - Speech and Language Therapist, Glasgow Royal Infirmary
Dr David Smithard - Head of Elderly and Stroke Medicine, William Harvey Hospital, Kent
Ms Susan Watt - Education and Clinical Effectiveness Advisor, Royal College of Nursing, Scotland
Professor Mark Wiles - Head of Medicine and Section of Neurology, University of Wales College of Medicine, Cardiff
Professor Janet Wilson - Professor of Otolaryngology, Head and Neck Surgery, University of Newcastle


As a final quality control check, the guideline is reviewed by an Editorial Group comprising the relevant specialty representatives on SIGN Council to ensure that the peer reviewers’ comments have been addressed adequately and that any risk of bias in the guideline development process as a whole has been minimised. The Editorial Group for this guideline was as follows:

Dr David Alexander - Scottish General Practice Committee
Professor Ian Campbell - Royal College of Physicians of Edinburgh
Professor Gordon Lowe - Chairman of SIGN
Miss Tracy Nairn - Senior Professional Adviser, South Glasgow University Hospitals NHS Trust
Dr Safia Qureshi - SIGN Programme Director
Dr Sara Twaddle - Director of SIGN
Professor Joanna Wardlaw - Royal College of Radiologists, Faculty of Radiology
Dr Bernice West - National Nursing, Midwifery and Health Visiting Advisory Committee

Each member of the guideline development group then approved the final guideline for publication.


SIGN is grateful to the following former members of the guideline development group and others who have contributed to the development of this guideline:

Dr Subrata Ghosh - Consultant Gastroenterologist, Edinburgh
Mr Duncan Hope - Lay representative
Dr Jill Pell - Consultant in Public Health, Greater Glasgow Health Board
Dr George Savage - General Practitioner, Perthshire


Guideline Index Page | SIGN Methodology

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Last modified 27/08/15 © SIGN 2001-2013

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