Clinical Health Psychology

Helping patients deal with the health challenges they face.

We help people deal with the health challenges they face by providing psychological assessment, guidance and intervention. We work alongside patients and their care teams to help reduce suffering, increase resilience and improve physical and mental health.

This includes:

  • helping to make treatment, surgery or rehabilitation more effective
  • helping patients adjust to, manage or recover from illness, injury or disability
  • helping patients, and their care teams, make decisions about their health.
Our service areas

Bariatric Psychology Service

We work closely with the Royal Cornwall Hospitals Bariatric Surgery Team to provide psychological support for patients before and after bariatric surgery.

Before surgery

We assess every patient who is considering bariatric, or weight-loss, surgery to make sure it is a suitable option.

If you’re considering surgery, the Dietetics Team will refer you for your assessment.

After surgery

We also see patients after surgery to help them adjust.

We provide up to a total of eight sessions (including assessment). We don’t offer psychological therapy to patients who had surgery more than two years ago, or who are not considering surgery.

Breast Surgery Psychology Service

We provide specialist support to patients who have a family history of breast cancer and a moderate to high risk of developing it themselves. We help them decide whether a risk-reducing mastectomy is the right choice.

If risk-reducing mastectomy is an option for you, the Family History team (part of the Breast Care Service) will make a referral.

Cystic Fibrosis Service

We support adults living with cystic fibrosis and see them as part of their annual review. You can find out more about the cystic fibrosis team on the respiratory page.

Pain Management Service

We work with the Pain Management Service to provide individual support and a group pain-management programme. We also support consultants in the Pain Clinic to advise on patients with complex pain.

Your GP can refer you to the Pain Management Service through Choose and Book.

We don’t offer psychological therapy for patients with pain presentations outside the
Musculoskeletal Pain Management Programme remit or for patients with Fibromyalgia.

Our team

The Clinical Health Psychology Team

Head of Department

Dr Hannah Falvey

Consultant Clinical Lead

Dr Tracy Mayes

Clinical Psychologists

Dr Lisa Hogbin
Dr Emily Howe
Dr Tim Keen
Dr Isla McMakin
Dr Alicia Ray


Dr Hannah Falvey

Hannah joined our team as Head of Department in 2014, relocating from London to Cornwall. Before she joined us, she held a dual role as the Lead Psychologist for plastic surgery at St Barts and the London NHS Trust and as the Allied Health Professional Board Member of Tower Hamlets Clinical Commissioning Group (CCG), with responsibility for GP engagement and the commissioning of Children’s Health Services.

Her long standing interest in Clinical Health Psychology began in her Assistant Psychologist role at Salisbury District Hospital in 2000. She completed her doctorate at Southampton University in 2004. During this time she developed a special interest in the treatment of trauma and completed a ten-month placement at the Traumatic Stress Service at St George’s Hospital in London.

Qualifications
  • BSc (Hons) Psychology
  • Doctorate in Clinical Psychology
  • EMDR Practitioner
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL06612


Dr Tracy Mayes

Tracy is our Consultant Clinical Lead. She joined the Royal Cornwall Hospital in 2011 and previously worked in a variety of NHS, education & social care settings. She received her doctorate in 2001 from the University of Birmingham and spent time working in secondary mental health as part of a community mental health team. Before she qualified as a clinical psychologist, she trained as a counsellor at the University of Derby and worked with patients with physical health difficulties.

Qualifications
  • BA (Hons) Psychology with Sociology
  • Postgraduate certificate in Transcultural-Integrative Counselling
  • Doctorate in Clinical Psychology
  • Foundation in Gestalt Therapy
  • Postgraduate certificate in Teaching for Further & Higher Education
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL17940


Dr Lisa Hogbin

Lisa is Clinical Lead for the Bariatric Psychology Service, but has also worked in general health psychology. Lisa is also a facilitator for the Schwartz Rounds run regularly within the hospital and offers group supervision to the Cancer Nurse Specialists.

Before Lisa joined us in August 2015, she worked in paediatric psychology and with adults and children with Cystic Fibrosis. Lisa did her clinical training at Exeter University and qualified in 2008.

Qualifications
  • LLB (Hons) Law
  • MPhil Criminology
  • MSc Psychology (Degree Conversion Course)
  • DClinPsy Doctorate in Clinical and Community Psychology
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL16467


Dr Tim Keen

Tim joined the Clinical Health Psychology department in early 2017. He is the Clinical Lead for the Bariatric Psychology Service. Before joining us, Tim worked for 12 years as the Clinical Psychologist in a secondary mental health team with people with severe and enduring mental health problems. He also supervises a range of staff members and trainee clinical psychologists. Tim’s interest and passion is Cognitive Analytic Therapy. He facilitates a reflective group for Cancer Nurse Specialists. Tim completed his clinical psychology doctorate in 1996.

Qualifications
  • BSc (Hons) Psychology
  • PG Dip Practitioner Research
  • Doctor of Clinical Psychology
  • Certificate in Psychodynamic Therapy
  • PG dip – Cat Practitioner
  • EMDR Practitioner
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL15848


Dr Emily Howe

Emily works in the Neuropsychology Service and the Bariatric Psychology Service. She joined us in January 2018 from the Paediatric Diabetes team here at Royal Cornwall Hospitals. Previously she worked in a Neuropsychology service in Plymouth, working with people with acquired brain injury, and their families.

Emily completed her doctorate at the University of Bath in 2014. She developed a special interest in supporting people living with a range of health and neurological conditions and worked in a number of physical health settings during training.

Qualifications
  • Doctor of Clinical Psychology (DClinPsy)
  • Postgraduate certificate in Low Intensity Psychological Therapies (PgCert)
  • BSc (Hons) Psychology
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL31583


Dr Isla McMakin

Isla joined us in 2016 having moved to Cornwall from South Wales. She works in the Pain Management Service, the Adult Cystic Fibrosis Psychology Service and the Breast Surgery Psychology Service.

Isla received her doctorate in 2016 from the University of Cardiff and has previously worked in a number of physical health specialties including:

  • Paediatric neuropsychology
  • Stroke rehabilitation
  • Paediatric health psychology (working with children with Cystic Fibrosis and metabolic conditions)
  • Spinal cord injury
  • Critical care
  • Haematology and oncology
Qualifications
  • BSc (Hons) Psychology
  • MSc Neuropsychology
  • Doctorate in Clinical Psychology
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL33528


Dr Alicia Ray

Alicia joined us in April 2018 and is currently the Clinical Lead for the Pain Management Service. She developed an interest in health psychology following her elective placement in the Paediatric Psychology Service at Royal Cornwall Hospitals in 2008. After completing her training, Alicia worked in Children’s Services with young people with physical and mental health conditions. She has completed postgraduate diplomas in cognitive analytic therapy and systemic therapy and these are her areas of special interest.

Qualifications
  • BSc Psychology
  • Postgraduate certificate in Cognitive Behaviour Therapy and Solution Focused Therapy
  • Doctorate in Clinical Psychology
  • Postgraduate diploma in Cognitive Analytic Therapy
  • Postgraduate diploma in Systemic Family Therapy
  • Eye movement desensitisation and reprocessing (EMDR) Level 3
Professional Registration
  • Health and Care Professions Council (HCPC) Membership Number: PYL21174