- Intimate Partner and Family Violence
- Homicide, Infanticide, and Child Abuse
- Child Abuse and Trauma
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Mental Health and Patient Involvement
- Migration, Health and Trauma
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Patient-Provider Communication in Healthcare
- Health Policy Implementation Science
- Healthcare Policy and Management
- Health disparities and outcomes
- Medical Education and Admissions
- Innovations in Medical Education
- Health, psychology, and well-being
- Childhood Cancer Survivors' Quality of Life
- Healthcare Systems and Technology
- Empathy and Medical Education
- Obesity and Health Practices
- Veterinary Practice and Education Studies
- Film in Education and Therapy
- Human-Animal Interaction Studies
- Global Maternal and Child Health
- Pressure Ulcer Prevention and Management
University of Manchester
2007-2025
University of Leeds
2014-2024
Manchester Academic Health Science Centre
2013-2024
University of Limerick
2012-2023
University of Cambridge
2013
King's College London
2012
University of Dundee
2012
University of Hertfordshire
2012
Homerton University Hospital
1988
St Bartholomew's Hospital
1988
General practice in the UK transformed almost overnight March 2020 response to COVID-19 pandemic. Practices largely shut their doors, face-to-face consultations exclusively became remote consultations, research evidence was implemented within days of being published, and much routine work postponed labelled ‘non-essential’. As we settle into this (temporary) new way working, have a unique opportunity reflect on our old working practices decide what should continue, change, stop doing....
Abstract Background Knowledge mobilisation requires the effective elicitation and blending of different types knowledge or ways knowing, to produce hybrid outputs that are valuable both producers (researchers) users (health care stakeholders). Patients service a neglected user group, there is need for transparent reporting critical review methods used co-produce with patients. This study aimed explore potential participatory codesign as mechanism supporting sharing, evaluate this from...
Objective This study aimed to explore the effect of gender on medical students' aspirations. Methods The design included purposive sampling and interim data interpretation guide recruitment students with a wide spectrum opinions. Data were collected through audio-recorded, semi-structured, in-depth exploratory interviews, which transcribed verbatim. Qualitative analysis was carried out by female student researcher. Her evolving constantly compared against original male (doctor) (pharmacist)...
We aimed to explore how patients with long-term conditions choose between available healthcare options during a health crisis.Patients in North-West England one or more of four were invited take part questionnaire cohort study use. Semi-structured interviews conducted sub-sample fifty consenting patients. Data analysed qualitatively, using framework approach.Patients described emergency care only response perceived urgent need. Their judgements about urgency need, and their choices what...
Background Domestic violence and abuse (DVA) child safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence guidance, however, treats DVA separately. This does not reflect the complexity clinicians face when documenting both issues one family. Aim To explore how why general practice document families with children. Design setting A qualitative interview study...
We describe the development of an evidence-based training intervention on domestic violence and child safeguarding for general practice teams. aimed – in context a pilot study to improve knowledge, skills, attitudes self-efficacy clinicians caring families affected by violence. Our evidence sources included: systematic review interventions aiming professional responses children violence; content mapping relevant current England; qualitative assessment professionals' families; two-stage...
Children's exposure to domestic violence is a type of child maltreatment, yet many general practice clinicians remain uncertain their safeguarding responsibilities in the context violence. We developed an evidence-based pilot training on and for teams. The aim this study was test evaluate its feasibility, acceptability direction change short-term outcome measures. used mixed method design which included pre-post questionnaire survey, qualitative analysis free-text comments, observations,...
Abstract Background Health outcomes for long‐term conditions ( LTC s) can be improved by lifestyle, dietary and condition management‐related behaviour change. Primary care is an important setting change work. Practitioners have identified barriers to this work, but there little evidence examining practices of in primary consultations how patients practitioners perceive these practices. Objective To examine engaged with s investigate perceived practitioners. Design Multiperspective,...
Long-term conditions such as chronic obstructive pulmonary disease (COPD) are growing challenges for health services. Psychosocial co-morbidity is associated with poorer quality of life and greater use care in these patients but often un-diagnosed or inadequately treated primary care, where most provided. We developed a brief intervention, delivered by 'liaison workers' (LHWs), to address psychosocial needs the context an integrated approach physical mental health. report qualitative study...
Government and professional guidance encourages general practice clinicians to identify refer children who experience domestic violence abuse (DVA) but there is scant understanding of how currently work with DVA in families. The study explored clinicians' their parents experiencing reflected on the findings light current research policy guidelines. Semi-structured interviews 54 (42 GPs 12 nurses/nurse practitioners) were conducted across six sites England. Data analysed using literature...
Background This article focuses on potential strategies to support primary care researchers in working partnership with the public and healthcare professionals. Partnership can potentially improve relevance usefulness of research ensure better health outcomes.
To develop a Theory of Change (ToC) pathway to facilitate the development multi-component intervention package supporting pressure Ulcer (PU) risk identification and management, in partnership with people Long Term Neurological Conditions (LTNC) who self-manage care live at home, their informal carers PAs.
UK health policy aims to reduce the use of unscheduled care, by increasing proactive and preventative management patients with long-term conditions in primary care.The study explored healthcare professionals' understanding why their role relation reducing care.Qualitative interviewing different types professionals providing care or services northwest England.Semi-structured interviews were conducted 29 (six GPs; five out-of-hours four emergency department doctors; two practice nurses; three...
Background Over 70% of the health-care budget in England is spent on care people with long-term conditions (LTCs), and a major cost component unscheduled health care. Psychological morbidity high LTCs associated range adverse outcomes, including increased mortality, poorer physical costs service utilisation. Objectives The aim this programme research was to examine relationship between psychological use LTCs, develop psychosocial intervention that would have potential reduce use. We focused...
Objectives The inadequate provision of language interpretation for people with limited English proficiency (LEP) is a determinant poor health, yet interpreters are underused. This research explores the experiences National Health Service (NHS) staff providing primary care seeking asylum, housed in contingency accommodation during COVID-19. group often have LEP and face multiple additional barriers to healthcare access. Language discrimination used as theoretical framework. potential utility...
Click to increase image sizeClick decrease sizeKeywords: general practice traineesgeneral trainingout-of-hours medical care
The need for effective primary healthcare to address social and structural determinants of health mitigate inequalities has been well established. Here, we report on the international forum 2023 NAPCRG (formerly known as North American Primary Care Research Group) Annual Meeting. aim was develop principles action research community addressing health. From this forum, 10 key recommendations care were identified.