Salisbury Team Profiles

Children born with a cleft lip and / or palate may face multiple health problems. Experience has shown that these problems are best supported by a team of specialists from many disciplines who work together with the family to provide for the social, emotional, psychological and educational needs of the child.

This means that, when you visit us, you may find yourself in a room with lots of clinicians – this is quite normal and nothing to worry about. If you feel uncomfortable with so many people in the room, please don’t be afraid to request that only key members of the team remain.

Marc C. Swan

I was appointed as Clinical Director for the Spires Cleft Centre for both Oxford and Salisbury in January 2022. Twenty years earlier I was a Senior House Officer with the cleft team at the Radcliffe Infirmary before commencing my doctorate at the Nuffield Department of Surgery in 2003. On completing my higher surgical training within […]

Roles/Teams: Surgeons

Nefer Fallico

Nefer is on a career break until October 2026. Originally from Italy, I completed my medical degree in 2010 with the highest honours at Sapienza University of Rome. I proceeded to specialise in plastic, reconstructive and aesthetic surgery, graduating in 2017 with double distinction. Continuing my training in speciality areas, I have completed a dedicated […]

Roles/Teams: Surgeons

Hannah John

Having completed my plastic surgery training at the East of England deanery based at Cambridge, I specialised exclusively in cleft surgery by obtaining the highly coveted national TIG fellowship in Cleft surgery at the Evelina London Children’s Hospital, London. I have been a consultant cleft surgeon since 2021 and since then have acquired extensive experience […]

Roles/Teams: Surgeons

Ian Downie

I trained as a dentist in Liverpool. I moved south and, after working in Southampton and Salisbury, went to medical school in Southampton and graduated in 1981. I trained in general surgery before completing specialty training in oral and maxillofacial surgery on the South Coast Training Programme. I have been fortunate to spend time in […]

Roles/Teams: Surgeons

Sandra Treslove

Before training as a speech and language therapist, I read Drama at Hull University. After working as an actor-musician for ten years, I changed direction and undertook a Speech and Communication Science degree at City University, London. In 2006 I began working at the Spires Cleft Centre and completed the Postgraduate Certificate in Cleft Lip […]

Roles/Teams: Speech and language therapists

Charlotte Mustoe

After qualifying from the University of Central England in Birmingham, I worked for 14½ years as a community paediatric speech and language therapist. My role included supporting children age 0-18 years with speech, language and communication needs – including speech and language delay and disorders, dysfluency/stammering and social communication difficulties. My specific areas of interest […]

Roles/Teams: Speech and language therapists

Grace Penrose

I joined the Spires Cleft Centre in 2025 after various roles including that of a Nursery Manager as well as a Care Coordination Supervisor & Safeguarding Leader within a busy General Practice in Devon. I completed my degree in Childhood Studies and Education at the University of Chichester in 2020. My previous experiences have stood me in […]

Roles/Teams: Speech and language therapists

Laura Pick

I joined the Spires Cleft Centre in 2022 after completing my doctorate in Clinical Psychology at the University of Southampton. I have worked in Clinical Psychology since 2012, gaining experience in both the NHS and private sector supporting people of all ages with various types of emotional difficulties, such as anxiety, low mood, trauma, and […]

Roles/Teams: Clinical psychologists

Mary Bussell

I am a consultant orthodontist and the Lead Orthodontist for the Spires Cleft Centre working at Salisbury District Hospital. I joined the Spires Cleft team in 2018. I qualified as a dentist in 2004, and have undertaken further specialist training in orthodontics at Birmingham, East Grinstead and Guy’s Hospital in London. I am involved with […]

Roles/Teams: Orthodontists

Steven Berry

I have worked in the Spires Cleft Centre team since 2008 and have been the Network Service Manager for both Oxford and Salisbury since 2019. I am currently involved in the day to day running of the Spires Cleft Service, both operationally and clinically.

Roles/Teams: Administrative team

Louise Wallace

Roles/Teams: Administrative team

Tony Meacock

With the many challenges that cleft patients and their families face, I have the opportunity to speak up in a professional group to represent their best interests, including the quality of the healthcare delivered and the impact of long-term conditions. I bring my extensive business and family experience to the role. Feel free to contact […]

Roles/Teams: Patient and public involvement

Karen Goddard

Roles/Teams: Administrative team