james spence medal james spence medal james spence medal is a medal that was first struck in 1960, six years after the death of the paediatrician james calvert spence and is awarded for outstanding contributions to the advancement or clarification of paediatric knowledge and is the highest honour bestowed by the royal college of paediatrics and child health. recipients year name rationale notes 1960alan moncrieff"for developing the first premature-baby unit in 1947" 1961robert mccance"for publishing the chemical composition of foods in 1940 which later became the most authoritative publication of its kind, and later research into rationing in wartime britain and the adequacy of the diets, which included for the first time the addition of chalk into bread for calcium intake." no award 1963frank macfarlane burnet"for research into the field of immunology and virology" 1964lionel sharples penrose"for major contributions in human genetics and extensive research into down syndrome and intellectual disability." 1965cicely williams"for her discovery of kwashiorkor, a nutritional disease, in accra and for recognising malnutrition was more likely to be caused by lack of nutritional knowledge rather than poverty" 1967robert royston amos coombs"for developing the coombs test. this was first described in 1945, the test identifies incomplete antibodies in auto-immune haemolytic anaemia and is part of the standard cross-matching procedure to prevent transfusion reactions due to incompatible blood" 1968mary sheridan"for research into children's speech and language delays as well as hearing impairment, and developed the stycar tests" 1968donald w. winnicott"for developing the ideas of primary maternal preoccupation, the transitional object and the therapeutic interview" 1969geoffrey s. dawes"for research into the distribution and control of foetal circulation predominately in unborn lambs and for later research that led him to being the foremost international authority on neo-natal physiology" 1970douglas vernon hubble"for research into paediatric endocrinology and publishing a number of excellent papers on the subject, which gave him a national reputation" 1971wilfrid payne"for developing flame photometry and chromatography, enzymology, fat balances and chylomicron counting, and for conducting research on gastroenteritis, calcium and phosphorus metabolism, and on coeliac and fibrocystic diseases" 1972ronald charles mackeith"for establishing the first cerebral palsy advice clinic, which was to become in 1964 the larger and more comprehensive newcomen centre for handicapped children, and for gaining recognition of paediatric neurology, and for founding the british paediatric neurology association and founding the journal of developmental medicine & child neurology" 1973cyril astley clarke"for his pioneering research on prevention of rh disease of the newborn" 1974edward john bowlby"for research into attachment and formulation of attachment theory no award 1976douglas gairdner"for a number of research studies in neonatology at a time when that subject was being developed as perhaps the most rewarding application of basic physiology to patient care, and later his most important contributions an editor; first of recent advances in paediatrics and then of archives of disease in childhood, turning the latter into an international journal of repute with its exemplary standards of content and presentation" 1977ronald stanley illingworth"largely responsible for introducing paediatricians to the uk in the early to mid 1940s." 1978seymour donald mayneord court"for not only for his achievements in the fields of respiratory disease and the epidemiology of disease in childhood, but for being a compassionate leader who influenced others to debate major issues facing the british paediatric association (abbr. bpa) and the services they provide." 1979kenneth william cross"due to his fundamental contributions to the physiology of newborns that were so relevant to paediatric practice" 1980james mourilyan tanner"for the development of the tanner scale and conducting research in growth in children, which grew into the harpenden longitudinal growth study 1981elsie widdowson"for conducting critical research into nutrition, including the composition of foods, under-nutrition in man, and the nutritional requirements of the fetus and newly born, and for overseeing the government-mandated addition of vitamins to food and wartime rationing during world war ii in britain." 1982dermod maccarthy"for establishing paediatric unit at stoke mandeville hospital and conducting research into common disturbances in childhood and growth in deprived children." 1983john oldroyd forfar"for establishing modern neonatal care in edinburgh, for prolific contributions to paediatric literature and for teaching a large number of paediatricians" 1984james w. bruce douglas"for founding the national survey of health and development 1985neil simson gordon"for research into paediatric neurology, eponymic diseases including chronic handicaps, cerebral palsy, epilepsy, disorders of languages and learning difficulties. he was one of the first to initiate comprehensive multidisciplinary assessment centres for children" 1986john peter mills tizard"for important research into neonatology and paediatric neurology" 1987john lewis emery"for being one of the founding fathers of paediatric pathology in the country, and for conducting research into haematology, developmental anatomy, congenital deformities, particularly hydrocephalus, and unexplained infant deaths" 1987frederick john william miller"for developing a home nursing service for premature infants" 1988otto herbert wolff"for being one of the first paediatricians in britain to set up a clinic for obese children and conducting research into plasma lipids and, with harold salt, pioneered the techniques of lipoprotein electrophoresis. he later conducted research into the role of lipid disturbance in childhood as a precursor of coronary artery disease and his recognition in 1960 of the rare condition of abetalipoproteinaemia." 1989david cornelius morley"for transforming the approach to the health care of children in the developing world. he showed that infant mortality could be cut by over 80%—not by the introduction of modern medicine and the building of hospitals, but by education and the use of locally available resources" 1990leonard b. strang"for contributing to the first accounts of harlequinism and of catecholamine secretion in neuroblastoma and later leading a team over two decades studying pulmonary vasculature in the perinatal period and even more, the central role that secretion of lungs containing fluid plays in lung formation and preparation for birth." 1991john allen davis"for major research contributions to newborn physiology, particularly to the understanding of apnoea in the neonatal period" 1992richard worthington smithells"for research into neural tube defects, congenital abnormality registers, genetic counselling, and rubella in pregnancy and for later suggesting direct examination of the fetus by photography using ultrasonography" 1993june lloyd"for research into studies on nutrition, especially the role of lipid metabolism in health and disease in childhood, which was original and difficult to investigate at that time and for the discovery that the rare metabolic disease, oq-betalipoproteinaemia, could be avoided with the use of vitamin e." 1994osmund royle reynolds"for the introduction of new techniques intended to improve the survival of newborns, especially those with respiratory failure, and for a series of papers regarding the value of techniques such as ultrasound imaging, nuclear magnetic resonance spectroscopy, and near infrared spectroscopy in determining the development and response to injury of the infant brain after birth" 1995richard h. r. white"for pioneering a percutaneous renal biopsy technique which could be used with local anaesthetic and for later research contributions in the pathology of glomerular disease and he was appointed as one of the four renal pathology assessors for the international study of kidney disease in children 1996david hull"for a paper he published in the journal of physiology in 1963 with michael dawkins, was about research into brown fat, an adipose-like tissue found in hibernating animals and in the human neonate and for later contributions considered outstanding" 1997barbara ansell"for outstanding contributions to the advancement of paediatric knowledge, specifically defining chronic joint disorders and improving their management" 1998forrester cockburn"for conducting research in fetal/neonatal nutrition and brain biochemistry, inherited metabolic diseases and ethics in paediatric research" 1999david harvey"helped pioneer the training of doctors in neonatal medicine at a time when the speciality had no official recognition and notable for making the case for research in areas then considered irrelevant" 1999roy meadow"for established a supra-regional paediatric nephrology service and for discovering factitious disorder imposed on another previously called munchausen syndrome by proxy" 2000hugh jackson"for research into prevention of child injury, which subsequently lead to childproof containers being introduced, as well as working to prevent children from choking on pen lids" 2001peter m. dunn"for introducing in 1971, into the uk, the gregory box, cpap, that provides continuous positive airway pressure in treatment of rds of the newborn and conducting research interests include congenital dislocation of the hip (hip dysplasia) and fetal adaptation to extrauterine life" 2002martin barratt"first to establish a specialist service for children with kidney diseases in britain, developing a model of interdisciplinary care that was later adopted by many other centres throughout the world. his research led to improved understanding and treatment of many common childhood kidney diseases" 2003catherine peckham"for research into infectious disease epidemiology, particularly in pregnancy and early childhood, immunisation and child health surveillance." 2004david hall"for publishing with dr gillian baird, a paper on the role of primary care in identifying developmental problems that later led to the report health for all children that lead to one of the first attempts to apply an objective evidence based approach to medical practice for children" 2004lewis spitz"for championing the plight of those with cerebral palsy and other congenital disorders whose foregut and its function prejudiced their ability to eat; demonstrating that appropriate surgery could improve their quality of life and for management of and treatment of conjoined twins thereby becoming the foremost international opinion in this field" 2005cyril chantler"where he and norman veale devised a method of measurement of glomerular function in children and later researched diet and growth failure in children with renal impairment" 2006alan lucas"for founding the child nutrition research centre and initiating the first intervention trials to test the programming effects of early nutrition on long term health and development" 2006jonathan richard sibert"for an enormous contribution to paediatric research and being international expert in child protection" 2007victor dubowitz"along with his wife lilly dubowitz for developing two clinical tests, the dubowitz score to estimate gestational age and the other for the systematic neurological examination of the newborn" 2008alan craft"as part of the children's cancer study group, lead to research into paediatric oncology, especially bone tumour clinical research and epidemiology, which further lead to an oncology research unit which has been involved in aetiological studies and in particular the role of irradiation in the development of childhood cancer" 2009neil mcintosh"for being the leading writer of a pivotal document guiding standards of ethical behaviour in paediatrics, including withdrawal of newborn intensive care." 2010malcolm levene"an international force in fetal and neonatal neurology, his research focussing on perinatal brain injury" 2011andrew wilkinson"an international authority in neonatology and lead author of standards of care for nicu and nice guidelines on retinopathy of prematurity" 2011anthony costello"best known for his work on improving survival among mothers and their newborn infants in poor populations of developing countries" 2012sheila shribman"for the successful integration of children's services in hospital, community and mental health settings, working closely with the local authority." 2013albert aynsley-green"for research into paediatric endocrinology and for advancing the idea of the rights of children" 2014ieuan hughes"for long-standing research into disorders of sex development (dsd), established one of the largest and most comprehensive databases of cases of dsd including publishing the consensus on dsd management framework which, barely eight years after its publication, is now already accepted worldwide as the framework for care of patients and families with dsd" 2015david dunger"for research into three areas, pathogenesis of type 1 diabetes and its complications, perinatal origins of risk for obesity and type 2 diabetes, and experimental medicine" 2016terence stephenson"for guiding the rcpch in agreeing 10 published national standards, ‘facing the future: standards for paediatric services’. this was the first time the college committed publicly to a defined set of standards for all children receiving inpatient care or assessment across the uk" 2017anne greenough"for research into clinical and academic neonatology through work relating to the origins, markers and management of chronic lung disease following preterm birth" 2018frances cowan"for her contribution to clinical and academic perinatal neurology" 2019alan emond"for research into child and adolescent injury, epidemiology and health service evaluation as well as the avon longitudinal study of parents and children" 2020catherine law"for research into paediatric epidemiology and child public health, for research into the development of cardiovascular risk factors in children, physical growth, and inequalities in child health, for the use of research for public policy" 2021henry halliday"for research into neonatology, for coordinating two of the largest neonatal multicentre trials for prevention and treatment of a number of neonatal respiratory illnesses, for publishing the handbook of neonatal intensive care, a widely accepted text that is used all