A5051313958- Primary Care and Health Outcomes
- Mental Health Treatment and Access
- Emergency and Acute Care Studies
- Health disparities and outcomes
- Healthcare Policy and Management
- Health, psychology, and well-being
- Adolescent and Pediatric Healthcare
- Child and Adolescent Health
- Healthcare Systems and Reforms
- Health Policy Implementation Science
- Insurance and Financial Risk Management
- COVID-19 and Mental Health
- Chronic Disease Management Strategies
- Mental Health and Patient Involvement
- Healthcare Systems and Technology
- Art Therapy and Mental Health
- Healthcare innovation and challenges
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes Management and Education
- Homelessness and Social Issues
- Cardiac Imaging and Diagnostics
- Global Health Care Issues
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Interprofessional Education and Collaboration
- Suicide and Self-Harm Studies
Imperial College London
2014-2025
Charing Cross Hospital
2020
Leicester City Council
2014
Imperial College Healthcare NHS Trust
2012
Hammersmith Hospital
2012
Bury College
2012
Office for National Statistics
2004
Background People living with alcohol use disorder (AUD) who develop Type 2 Diabetes (T2DM) may be at higher risk of diabetes-complications. Aim Our aims were to compare diabetes-monitoring and incidence diabetes-complications between people without AUD prior T2DM diagnosis attending primary care in England. Design & setting We used the Clinical Practice Research Datalink (CPRD) Aurum linked Hospital Episode Statistics (HES) Office for National (ONS) mortality data. The target population...
Abstract Background Common mental disorders (CMDs) including depression, anxiety, and stress are very common, but it is unclear whether the last decades of social, economic, political change have impacted incidence CMD. This study explored temporal trends in recorded CMD United Kingdom. Methods We used data from general practices Kingdom (Clinical Practice Research Datalink) to estimate annual for 2000–2020, symptoms, diagnosis, or pharmaceutical treatment. Trends were by sex, age,...
This paper calls for the routine integration of mental health promotion and prevention into UK General Practice in order to reduce burden physical disorders ensuing pressure on Practice. The proposals & resulting document (https://ethicscharity.files.wordpress.com/2015/09/rcgp_keymsg_150925_v5.pdf) arise from an expert 'Think Tank' convened by London Journal Primary Care, Educational Trust Health Improvement through Cognitive Strategies (ETHICS Foundation) Royal College Practitioners. It...
Introduction The demand for urgent care is increasing, and the pressure on emergency departments of significant concern. General practitioner (GP)-led centres are a new model developed to divert patients more appropriate primary environments. This study explores why with minor illness choose attend an urban centre their healthcare needs. Methods A self-completed questionnaire among aged 18 years or over (N=649) who were triaged ‘minor illness’ arrival centre, colocated department in London....
Background Mental health concerns in older adults are common, with increasing age-related risks to physical health, mobility and social isolation. Community-based approaches a key focus of public strategy the UK, may reduce impact these risks, protecting mental promoting wellbeing. We conducted review UK community-based interventions understand types intervention studied health/wellbeing impacts reported. Method scoping literature, systematically searching six electronic databases...
Abstract Background Public mental health (PMH) aims to improve wellbeing and prevent poor at the population level. It is a global challenge UK priority area for action. Communities play an important role in provision of PMH interventions. However, evidence base concerning community-based interventions limited, meaning it challenging compare service need. Without this, efficient equitable services hindered. Here, we sought map current range improving currently provided England inform areas...
There has been little research on the impact of quality improvement initiatives ethnic disparities in diabetes management UK. Population-based, repeated cross-sectional survey recorded measurements, prescribing and achievement treatment targets among 4309 patients with mellitus using electronic medical records from 26 general practices North-West London 1997 to 2006. Proportions having their blood pressure (BP), cholesterol HbA1c measured increased over study period [from 50.6% 87.0% (P <...
BackgroundUniversity students are more at risk of mental illness compared with the general population. Declaration a global COVID-19 pandemic led Bangladesh government in March 2020 to implement national lockdown, home quarantining, social distancing measures, and closure educational institutions. We aimed explore impact lockdown on health well-being university Bangladesh.MethodsA nested mixed methods survey design was undertaken using semi structured questionnaire in-depth interviews...
Electronic health records (EHR) are valuable resources for research; however, their use is challenging. A validated alcohol disorder (AUD) codelist UK primary care needed to improve population-based research in this patient group. We aimed develop an AUD the Clinical Practice Research Datalink (CPRD) Aurum database, a EHR primary-care database.
Objective To identify patient and attendance characteristics that are associated with onwards referral to co-located emergency departments (EDs) or other hospital specialty from general practitioner (GP) led urgent care centres (UCCs) in northwest London, England. Methods We conducted a retrospective analysis of administrative data recorded the UCCs at Charing Cross Hammersmith Hospitals, October 2009 December 2012. Attendances made by adults resident England were included. Logistic...
Background Although the majority of patient contact within UK's National Health Service (NHS) occurs in primary care, relatively little is known about safety care this setting compared to hospital care. Measurement methods detect iatrogenic diseases require extensive development. Routinely collected data have been successfully applied develop indicators secondary Given availability electronic health we explored potential build adverse event screening tools using computerised medical record...
General practitioner (GP)-led urgent care centres were established to meet the growing demand for care. Staff members working in such are central influencing patients' choices about which services they use, but little is known staff perceptions of motives attending We hence aimed explore their centres.A phenomenological, qualitative study, including semistructured interviews. The interviews analysed using thematic content analysis.2 GP-led 2 academic hospitals London.15 at 8 GPs, 5 emergency...
The precise combination of factors responsible for the disproportionate effect covid-19 on ethnic minority groups is likely to be complex.However, a clear message from 4000 stakeholders taking part in Public Health England's review into such disparities was need actively involve diverse and under-represented communities process tackling health settings. 1 Our services can adapt quickly unprecedented circumstances.Secondary tertiary care sector providers have built diagnostic, treatment,...
Abstract Up to 33% of HIV-infected adults in the UK remain undiagnosed and efforts increase HIV testing are underway. was conducted amongst individuals presenting a polyclinic at central London hospital using point care test. Demographic risk data collected along with patient feedback questionnaire exploring acceptability experience. Seventy-one out 93 (76%) accepted testing. Of those accepting testing, 53/71 (75%) had never previously tested for despite, 45/53 (85%) these being registered...