Professor Irene Tuffrey-Wijne
Faculties, deparments and locations
- Faculty of Health, Science, Social Care and Education
- Centre for Health and Social Care Research
- Kingston Hill
Professor of Intellectual Disability and Palliative Care
About
I hold the world's first Chair of Intellectual Disability & Palliative Care. I qualified as a nurse in Amsterdam before moving to London in 1985, where I lived and worked in the L'Arche Community for people with a learning disability (internationally known as "intellectual disability") until 1993. I worked as a ward nurse and community nurse specialist at Trinity Hospice (Clapham) from 1993 to 2001.
Since 2001, I have been at St George's University of London and later at Kingston University London, leading a research and development programme focusing on learning disability, bereavement, and palliative care. I completed my PhD in 2007 at Maastricht University (Netherlands). I have published widely, presented my work worldwide, and am recognised as the leading international expert in palliative care for people with an intellectual disability.
My research has focused on the experiences of people with learning disabilities around dying, death and bereavement; communication and breaking bad news to people with learning disabilities; and the provision of palliative care, including end-of-life care planning. The inclusion of people with a learning disability as study participants and as salaried researchers is a key part of my work. For this, Kingston University won the "Employer of People with Disabilities" category in the 2023 National Learning Disability & Autism" awards. We host the "Yellow Tulip Group", an online learning disability research group.
I chair the Reference Group for Intellectual Disabilities of the European Association of Palliative Care, working with colleagues from across Europe. I won the 2017 EAPC Post-Doctoral Research Award and was named "Pioneering Nurse" in the St Christopher's 2020 Palliative Nursing Awards. I am a founding trustee of the UK-based (but international) Palliative Care of People with Learning Disabilities Network (www.pcpld.org), which I chaired until 2020.
Qualifications
- PhD (2007) Maastricht University, Netherlands
- BSc Nursing Studies (First Class Honours) (1999) King's College London, UK
- Diploma of Higher Education Nursing Studies (Palliative Care) with Distinction (1996), King's College London, UK
- 1985 HBO-V (Registered Nurse) Gijsbreght Academie (College of Nursing), Amsterdam, Netherlands
Domains
Qualitative and mixed-method research methodologies
Principal Investigator on a range of projects. For a full overview of projects and publications, go to: https://www.tuffrey-wijne.com
Grant providers include:
- Cancer Research UK (2004)
- BUPA Foundation (2009)
- Macmillan Cancer Relief (2009)
- NIHR-SDO (2011)
- Bailey Thomas Charitable Fund (2016)
- NIHR-HSDR (2020)
- NIHR-RfSC (2022)
Awards
- Employer Award (Kingston University) 2023, National Learning Disability & Autism Awards
- Best Poster, European Association of Palliative Care World Congress 2023
- Pioneering Nurse Award 2020, St Christopher's Hospice
- Postdoctoral Research Award 2017, European Association of Palliative Care
- RCN Research Society Akinsanya Award 2009 (Special Commendation) For innovation in doctoral nursing research
- Best Poster Award, 9th Conference for Clinical Ethic Committees, Oxford, 2009
- Best Poster Prize, European Congress of the International Association for the Scientific Study of Intellectual Disabilities, 2006
- First Prize, Macmillan Cancer Relief/International Journal of Palliative Nursing Awards 2005, ‘Educationalist of the year'
Specialisms
- Learning disability (intellectual disability)
- Palliative Care
- Death/dying/bereavement
- Inclusive research methodologies
- Qualitative research
Scholarly affiliations
- Maastricht University, Netherlands
Publications
How to break bad news to people with intellectual disabilities.
Tuffrey-Wijne, Irene (2013). London, U.K.: (Jessica Kingsley)
Don’t assume, ask! A focus group study on end-of-life care planning with people with intellectual disabilities from minoritised ethnic groups
Bruun, Andrea, Jordan, Leon, Giles, Jo, Hughes, Rhidian, Anderson-Kittow, Rebecca and Tuffrey-Wijne, Irene, 2025, BMC Palliative Care (24), pp 13
Co-designing a toolkit of approaches and resources for end-of-life care planning with people with intellectual disabilities within adult social care settings : a multi-phase study
Tuffrey-Wijne, Irene, Bruun, Andrea, Tilley, Elizabeth, Giles, Jo, Gibson, Sarah L, Cresswell, Amanda, Keagan-Bull, Richard, Allen, Gemma, Swindells, Sarah, Payne, Nicola, Hughes, Rhidian and Anderson-Kittow, Becky, 2025, Journal of Applied Research in Intellectual Disabilities (JARID) (38), 1, pp e70019
Reflections on an evidence review process to inform the co‐design of a toolkit for supporting end‐of‐life care planning with people with intellectual disabilities
Tilley, Elizabeth, Rouse, Lorna, Tuffrey‐Wijne, Irene and Anderson‐Kittow, Rebecca, 2024, Health Expectations (27), 5, pp e70062
What are we planning, exactly? The perspectives of people with intellectual disabilities, their carers and professionals on end-of-life care planning : A focus group study
Bruun, Andrea, Cresswell, Amanda, Jordan, Leon, Keagan-Bull, Richard, Giles, Jo, Gibson, Sarah L, Anderson-Kittow, Rebecca and Tuffrey-Wijne, Irene, 2024, Palliative Medicine (38), 6, pp 669-678
Co‐designing resources to support older people with intellectual disabilities and their families plan for parental death and transitions in care
Anderson, Rebecca, Keagan-Bull, Richard, Giles, Jo and Tuffrey-Wijne, Irene, 2024, Health Expectations (27), 2
It is up to healthcare professionals to talk to us in a way that we can understand : informed consent processes in people with an intellectual disability
Ding, Jonathon, Keagan-Bull, Richard and Tuffrey-Wijne, Irene, 2024
Being a child with intellectual disabilities in hospital : the need for an individualised approach to care
Oulton, Kate, Gibson, Faith, Kenten, Charlotte, Russell, Jessica, Carr, Lucinda, Hassiotis, Angela, Kelly, Paula, Kerry, Sam, Tuffrey-Wijne, Irene, Whiting, Mark and Wray, Jo, 2023, Journal of Applied Research in Intellectual Disabilities
Behavioural sleep problems in children and adults with intellectual disabilities : an integrative literature review
Harper, Lynette, McAnelly, Su, Walshe, Ian, Ooms, Ann and Tuffrey-Wijne, Irene M., 2023, Journal of Applied Research in Intellectual Disabilities
Euthanasia and physician-assisted suicide in people with intellectual disabilities and/or autism spectrum disorders : investigation of 39 Dutch case reports (2012-2021)
Tuffrey-Wijne, Irene, Curfs, Leopold, Hollins, Sheila and Finlay, Ilora, 2023, BJPsych Open (9), 3, pp e87
Degree of autonomy in making independent choices by frail older people with intellectual disabilities in a care home : a descriptive ethnographic study
Noorlandt, Hanna W., Korfage, Ida J., van der Sar, Lisa J., Felet, Freek M. A. J., Tuffrey-Wijne, Irene, van der Heide, Agnes and Echteld, Michael A., 2023, Journal of Applied Research in Intellectual Disabilities
Top ten tips palliative care clinicians should know about navigating the needs of adults with intellectual disabilities
Moore, Caitlyn M., Pan, Cynthia X., Roseman, Karin, Stephens, Mary M., Bien-Aime, Casey, Morgan, Ann C., Ross, Wendy, Castillo, Matthew C., Palathra, Brigit C., Jones, Christopher A., Ailey, Sarah, Tuffrey-Wijne, Irene, Smeltzer, Suzanne C. and Tobias, Jane, 2022, Journal of Palliative Medicine (25), 12, pp 1857-1864
"My name on the door by the professor’s name" : the process of recruiting a researcher with a learning disability at a UK university
Anderson, Rebecca J., Keagan-Bull, Richard, Giles, Jo and Tuffrey-Wijne, Irene, 2022, British Journal of Learning Disabilities
Equal access to hospital care for children with learning disabilities and their families : a mixed-methods study
Oulton, Kate, Wray, Jo, Kenten, Charlotte, Russell, Jessica, Carr, Lucinda, Hassiotis, Angela, Jewitt, Carey, Kelly, Paula, Kerry, Sam, Tuffrey-Wijne, Irene, Whiting, Mark and Gibson, Faith, 2022, Health and Social Care Delivery Research (10), 13
Maximising engagement and participation of intellectual disability (ID) staff in research : insights from conducting a UK-wide survey
Lam, Claire Kar Kei, Bernal, Jane, Finlayson, Janet, Todd, Stuart, Taggart, Laurence, Boaz, Annette and Tuffrey-Wijne, Irene, 2021, Journal of Intellectual Disabilities (25), 4, pp 554-566
The impact of nutrition on sleep in people with an intellectual disability : an integrative literature review
Harper, Lynette, Ooms, Ann and Tuffrey-Wijne, Irene, 2021, Journal of Applied Research in Intellectual Disabilities (34), 6, pp 1393-1407
Consensus on a conversation aid for shared decision making with people with intellectual disabilities in the palliative phase
Noorlandt, Hanna W., Korfage, Ida J., Tuffrey-Wijne, Irene, Festen, Dederieke, Vrijmoeth, Cis, van der Heide, Agnes and Echteld, Michael, 2021, Journal of Applied Research in Intellectual Disabilities
Developing a training course to teach research skills to people with learning disabilities : "It gives us a voice. We CAN be researchers!"
Tuffrey-Wijne, Irene, Lam, Claire Kar Kei, Marsden, Daniel, Conway, Bernie, Harris, Claire, Jeffrey, David, Jordan, Leon, Keagen-Bull, Richard, McDermott, Michelle, Newton, Dan and Stapelberg, Diane, 2020, British Journal of Learning Disabilities (48), 4, pp 301-314
Shared decision-making with people with intellectual disabilities in the last phase of life : a scoping review
Noorlandt, H. W., Echteld, M. A., Tuffrey-Wijne, I., Festen, D. A. M., Vrijmoeth, C., van der Heide, A. and Korfage, I. J., 2020, Journal of Intellectual Disability Research (64), 11, pp 881-894
Communicating about death and dying with adults with intellectual disabilities who are terminally ill or bereaved : a UK-wide survey of intellectual disability support staff
Tuffrey-Wijne, Irene, Finlayson, Janet, Bernal, Jane, Taggart, Laurence, Lam, Claire Kar Kei and Todd, Stuart, 2020, Journal of Applied Research in Intellectual Disabilities (33), 5, pp 927-938
The palliative care needs of adults with intellectual disabilities and their access to palliative care services : a systematic review
Adam, Emily, Sleeman, Katherine E, Brearley, Sarah, Hunt, Katherine and Tuffrey-Wijne, Irene, 2020, Palliative Medicine (34), 8, pp 1006-1018
To flag or not to flag : identification of children and young people with learning disabilities in English hospitals
Kenten, Charlotte, Wray, Jo, Gibson, Faith, Russell, Jessica, Tuffrey-Wijne, Irene and Oulton, Kate, 2019, Journal of Applied Research In Intellectual Disabilities (32), 5, pp 1176-1183
"Because of his intellectual disability, he couldn't cope." Is euthanasia the answer?
Tuffrey-Wijne, Irene, Curfs, Leopold, Finlay, Ilora and Hollins, Sheila, 2019, Journal of Policy and Practice in Intellectual Disabilities (16), 2, pp 113-116
Learning disability nurse provision in children's hospitals : hospital staff perceptions of whether it makes a difference
Oulton, Kate, Wray, Jo, Hassiotis, Angela, Kenten, Charlotte, Russell, Jessica, Tuffrey-Wijne, Irene, Whiting, Mark and Gibson, Faith, 2019, BMC Pediatrics (19), 192
Excellence in palliative and end-of-life care provision for people with intellectual disability
Tuffrey-Wijne, Irene and Davidson, Jason, 2018, International Journal of Palliative Nursing (24), 12, pp 598-610
Mapping staff perspectives towards the delivery of hospital care for children and young people with and without learning disabilities in England : a mixed methods national study
Oulton, Kate, Gibson, Faith, Carr, Lucinda, Hassiotis, Angela, Jewitt, Carey, Kenten, Charlotte, Russell, Jessica, Whiting, Mark, Tuffrey-Wijne, Irene and Wray, Jo, 2018, BMC Health Services Research (18), 203
Euthanasia and assisted suicide for people with an intellectual disability and/or autism spectrum disorder : an examination of nine relevant euthanasia cases in the Netherlands (2012-2016)
Tuffrey-Wijne, Irene, Curfs, Leopold, Finlay, Ilora and Hollins, Sheila, 2018, BMC Medical Ethics (19), 17
Communicating about death and dying : developing training for staff working in services for people with intellectual disabilities
Tuffrey-Wijne, Irene, Rose, Tracey, Grant, Robert and Wijne, Astrid, 2017, Journal Of Applied Research In Intellectual Disabilities (30), 6, pp 1099-1110
Investigating the factors that affect the communication of death-related bad news to people with intellectual disabilities by staff in residential and supported living services : an interview study
Tuffrey-Wijne, I. and Rose, T., 2017, Journal Of Intellectual Disability Research (61), 8, pp 727-736
Do-Not-Attempt-Resuscitation orders for people with intellectual disabilities : dilemmas and uncertainties for ID physicians and trainees. The importance of the deliberation process
Wagemans, A. M. A., van Schrojenstein Lantman-de Valk, H. M. J., Proot, I. M., Bressers, A. M., Metsemakers, J., Tuffrey-Wijne, I., Groot, M. and Curfs, L. M. G., 2017, Journal Of Intellectual Disability Research (61), 3, pp 245-254
The benefits of gaining research experience through a secondment
Rose, Tracey and Tuffrey-Wijne, Irene, 2017, Learning Disability Practice (20), 1, pp 36-39
Pay More Attention : a national mixed methods study to identify the barriers and facilitators to ensuring equal access to high-quality hospital care and services for children and young people with and without learning disabilities and their families
Oulton, Kate, Wray, Jo, Carr, Lucinda, Hassiotis, Angela, Jewitt, Carey, Kerry, Sam, Tuffrey-Wijne, Irene and Gibson, Faith, 2016, BMJ Open (6), pp e012333
Role confusion as a barrier to effective carer involvement for people with intellectual disabilities in acute hospitals : findings from a mixed-method study
Tuffrey-Wijne, Irene, Abraham, Elisabeth, Goulding, Lucy, Giatras, Nikoletta, Edwards, Christine, Gillard, Steve and Hollins, Sheila, 2016, Journal of Advanced Nursing (72), 11, pp 2907-2922
Developing research, policy and practice in palliative care for people with intellectual disabilities will benefit everyone
Tuffrey-Wijne, Irene, Curfs, Leopold and Deliens, Luc, 2016, Palliative Medicine (30), 7, pp 613-615
Defining consensus norms for palliative care of people with intellectual disabilities in Europe, using Delphi methods : A White Paper from the European Association of Palliative Care (EAPC)
Tuffrey-Wijne, I, McLaughlin, D, Curfs, L, Dusart, A, Hoenger, C, McEnhill, L, Read, S, Ryan, K, Satge, D, Strasser, B, Westergard, B and Oliver, D, 2016, Palliative Medicine (30), 5, pp 446-455
Developing research priorities for palliative care of people with intellectual disabilities in Europe : a consultation process using nominal group technique
Tuffrey-Wijne, Irene, Wicki, Monika, Heslop, Pauline, McCarron, Mary, Todd, Stuart, Oliver, David, De Veer, Anke, Ahlstrohm, Gerd, Schaper, Sabine, Hynes, Geraldyn, O'Farrell, Janet, Adler, Judith, Riese, Frederik and Curfs, Leopold, 2016, BMC Palliative Care (15), 36
Book review of: 'Peaceful, pain free and dignified: palliative and end of life care for people on the autism spectrum' by Jill Ferguson and Val Lauri
Tuffrey-Wijne, Irene, 2016, eHospice: Palliative Care News, Views and Inspiration from around the World
Palliative care for people with intellectual disabilities : the EAPC White Paper in a nutshell
Tuffrey-Wijne, Irene, 2016, European Journal of Palliative Care (23), 1, pp 45-47
End-of-life decision-making for people with intellectual disability from the perspective of nurses
Wagemans, A. M. A., van Schrojenstein Lantman-de Valk, H. M. J., Proot, I. M., Metsemaker, J., Tuffrey-Wijne, I. and Curfs, L. M. G., 2015, Journal Of Policy And Practice In Intellectual Disabilities (12), 4, pp 294-302
Breaking bad news to people with learning disabilities and dementia
Tuffrey-Wijne, Irene and Watchman, Karen, 2015, Learning Disability Practice (18), 7, pp 16-23
The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals : evidence from a mixed-methods study
Tuffrey-Wijne, Irene, Goulding, Lucy, Gordon, Vanessa, Abraham, Elisabeth, Giatras, Nikoletta, Edwards, Christine, Gillard, Steve and Hollins, Sheila, 2014, BMC Health Services Research (14), 432
The barriers to and enablers of providing reasonably adjusted health services to people with intellectual disabilities in acute hospitals: evidence from a mixed-methods study.
Tuffrey-Wijne, Irene, Goulding, Lucy, Giatras, Nikoletta, Abraham, Elisabeth, Gillard, Steve, White, Sarah, Edwards, Christine and Hollins, Sheila, 2014, BMJ Open (4), 4, pp e004606
Authors' reply.
Hollins, Sheila and Tuffrey-Wijne, Irene, 2014, British Journal of Psychiatry (205), 5, pp 412
Improving hospital care for patients with intellectual disabilities.
Hollins, Sheila and Tuffrey-Wijne, Irene, 2014, British Journal of Hospital Medicine (75), 6, pp 304-305
Preventing 'deaths by indifference': identification of reasonable adjustments is key.
Tuffrey-Wijne, Irene and Hollins, Sheila, 2014, British Journal of Psychiatry (205), 2, pp 86-87
Identifying the factors affecting the implementation of strategies to promote a safer environment for patients with learning disabilities in NHS hospitals: a mixed-methods study
Tuffrey-Wijne, I., Giatras, N., Goulding, L., Abraham, E., Fenwick, L., Edwards, C. and Hollins, S., 2013, Health Services and Delivery Research (1), 13
Meeting the needs of patients with learning disabilities
Hollins, S. and Tuffrey-Wijne, I., 2013, BMJ (346), f3421
Developing guidelines for disclosure or non-disclosure of bad news around life-limiting illness and death to people with intellectual disabilities
Tuffrey-Wijne, Irene, Giatras, Nikoletta, Butler, Gary, Cresswell, Amanda, Manners, Paula and Bernal, Jane, 2013, Journal Of Applied Research In Intellectual Disabilities (26), 3, pp 231-242
The factors affecting end-of-life decision-making by physicians of patients with intellectual disabilities in the Netherlands: a qualitative study
Wagemans, A., van Schrojenstein Lantman-de Valk, H., Proot, I., Metsemakers, J., Tuffrey-Wijne, I. and Curfs, L., 2013, Journal of Intellectual Disability Research (57), 4, pp 380-389
A new model for breaking bad news to people with intellectual disabilities
Tuffrey-Wijne, Irene, 2013, Palliative Medicine (27), 1, pp 5-12
End-of-life decisions for people with intellectual disabilities, an interview study with patient representatives
Wagemans, Annemieke A. M., Van Schrojenstein Lantman-de Valk, Henny M. J., Proot, Ireen M., Metsemakers, Job, Tuffrey-Wijne, Irene and Curfs, Leopold M. G., 2013, Palliative Medicine (27), 8, pp 765-771
Palliative Care for People with Learning Disabilities Network
Tuffrey-Wijne, Irene, 2013, European Journal of Palliative Care (20), 1, pp 48-50
People with intellectual disabilities who are affected by a relative or friend with cancer: a qualitative study exploring experiences and support needs
Tuffrey-Wijne, Irene, Giatras, Nikoletta, Butler, Gary and Cresswell, Amanda, 2012, European Journal of Oncology Nursing (16), 5, pp 512-519
Doing it together (DM Special Issue)
Butler, Gary, Cresswell, Amanda, Giatras, Nikoletta and Tuffrey-Wijne, Irene, 2012, British Journal of Learning Disabilities (40), 2, pp 134-142
Practical approaches toward improving end-of-life care for people with intellectual disabilities: effectiveness and sustainability
Cross, Helen, Cameron, Marsaili, Marsh, Sheila and Tuffrey-Wijne, Irene, 2012, Journal of Palliative Medicine (15), 3, pp 322-326
Co-researching with people with learning disabilities: an experience of involvement in qualitative data analysis
Tuffrey-Wijne, Irene and Butler, Gary, 2010, Health Expectations (13), 2, pp 174-184
Do you provide equal care to people with learning disabilities?
Tuffrey-Wijne, Irene, 2010, Nursing Times (106), 31, pp 8-8
People with learning disabilities who have cancer: an ethnographic study
Tuffrey-Wijne, Irene, Bernal, Jane, Hubert, Jane, Butler, Gary and Hollins, Sheila, 2009, British Journal of General Practice (BJGP) (59), 564, pp 503-509
Foreword
Tuffrey-Wijne, Irene (2022). In: Stancliffe, Roger J., (eds.), Wiese, Michele Y., (eds.), McCallion, Philip, (eds.) and McCarron, Mary, (eds.), End of life and people with intellectual and developmental disability : contemporary issues, challenges, experiences and practice. Cham, Switzerland: Palgrave Macmillan, pp v-ix
Death and dying
Tuffrey-Wijne, Irene and Wilson, Jean (2020). In: Heslop, Pauline, (eds.) and Hebron, Crispin, (eds.), Promoting the health and well-being of people with learning disabilities. Cham, Switzerland: Springer, pp 107-124
Cancer and intellectual disability
Tuffrey-Wijne, Irene (2015). In: Wyatt, Debbie, (eds.) and Hulbert-Williams, Nicholas, (eds.), Cancer and cancer care. London, U.K.: SAGE, pp 143-158
Palliative care to people with intellectual disabilities: developments in the United Kingdom and beyond
Tuffrey-Wijne, Irene (2014). In: Bruhn, Ramona, (eds.) and Strasser, Benjamin, (eds.), Palliative Care fur Menschen mit geistiger Behinderun: Interdisziplinare Perspektiven fur die Begleitung am Lebensende. Stuttgart: Kohlhammer, pp 264-268
Sharing the diagnosis of dementia: breaking bad news to people with an intellectual disability
Tuffrey-Wijne, Irene and Watchman, Karen (2014). In: Watchman, Karen, (ed.), Intellectual disability and dementia: research into practice. London: Jessica Kingsley Publishers, pp 184-203
Consensus norms for palliative care of people with intellectual disabilities in Europe: EAPC White Paper
Tuffrey-Wijne, Irene and McLaughlin, Dorry (2015). Milan, Italy: (European Association of Palliative Care)
Decision-making about the best place of palliative care for people with intellectual disabilities: a guide for care staff and healthcare professionals providing palliative care for people with intellectual disabilities
Bekkema, Nienke, Tuffrey-Wijne, Irene, Wagemans, Annemieke, Hertogh, Cees, Francke, Anneke and de Veer, Anke (2015). Utrecht, The Netherlands: (NIVEL)