A5078728377- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Health disparities and outcomes
- Healthcare Systems and Challenges
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Musculoskeletal pain and rehabilitation
- Healthcare Policy and Management
- Digital Mental Health Interventions
- Geriatric Care and Nursing Homes
- Diversity and Career in Medicine
- Healthcare professionals’ stress and burnout
- Employment and Welfare Studies
- Migration, Aging, and Tourism Studies
- Pharmaceutical Practices and Patient Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Mental Health Treatment and Access
- Patient Satisfaction in Healthcare
- Interprofessional Education and Collaboration
- Respiratory and Cough-Related Research
- Impact of Technology on Adolescents
- Mobile Health and mHealth Applications
- Physical Activity and Health
- Medical Education and Admissions
Manchester Academic Health Science Centre
2018-2025
University of Manchester
2019-2025
NIHR School for Primary Care Research
2022-2023
Primary Health Care
2019-2023
National Institute for Health Research
2020-2022
Health Sciences Centre
2019
Abstract Background Research is fundamental to high-quality care, but concerns have been raised about whether health research conducted in the populations most affected by high disease prevalence. Geographical distribution of activity important for many reasons. Recruitment a major barrier delivery, and undertaking recruitment areas prevalence could be more efficient. Regional variability exists risk factors outcomes, so done healthier may not generalise. Much applied evaluates...
Background The use of temporary doctors, known as locums, has been common practice for managing staffing shortages and maintaining service delivery internationally. However, there little empirical research on the implications locum working quality safety. This study aimed to investigate Methods Qualitative semi-structured interviews focus groups were conducted with 130 participants, including patients, permanently employed nurses other healthcare professionals governance recruitment...
Objectives: To examine trends of opioid use, focusing on long-term therapy (L-TOT) and its discontinuation among people with chronic non-cancer pain (CNCP). Design setting: Retrospective cohort study using UK Clinical Practice Research Datalink Aurum data. Population: Incident users (no use in the prior year) CNCP between 01/01/2009-31/12/2019. Among them, we identified L-TOT (≥3 prescriptions within 90 days, or total ≥90 supply days first year, excluding initial 30 days) discontinuers for...
Objectives: To identify factors associated with long-term opioid therapy (L-TOT) discontinuation in people chronic non-cancer pain (CNCP). Design and setting: Population-based retrospective cohort study using UK Clinical Practice Research Datalink Aurum data between 01/01/2000-31/12/2020. Population: The comprised adults (>=18 years) CNCP who were L-TOT, defined as >=3 prescriptions within 90 days, or a >=90 days of supply the first year, excluding 30 days. Main outcome measures:...
Objective: To examine adverse outcomes associated with long-term opioid therapy (L-TOT) discontinuation among people chronic non-cancer pain (CNCP). Design and setting: Population-based matched cohort study using UK Clinical Practice Research Datalink Aurum data. Population: L-TOT discontinuers were defined as individuals opioid-free for >=180 days following an episode of (>=3 prescriptions within 90 days, or total >=90 supply the first year, excluding initial 30 days) between...
This short report aims to investigate the association between teamwork and burnout among general practitioners (GPs). A two-stage survey was conducted. In stage one, validated self-report measures of were completed by 50 GPs across 12 practices in Greater Manchester, UK. two, staff members 3 (GPs, nursing staff, managers admin staff) responded free text questions about (n = 20). The results one showed that significantly negatively associated with emotional exhaustion (r -0.326, P < 0.05)...
We aimed to spatially describe mental illness prevalence in England at small-area geographical level, as measured by of depression, severe (SMI) and antidepressant prescription volume primary care records, how much their variation was explained deprivation, social fragmentation sociodemographic characteristics.Information on depression SMI obtained from the Quality Outcomes Framework (QOF) administrative dataset for 2015/16 national dispensing 2015/16. Linear regression models were fitted...
Background Numbers of GP locums in the NHS have grown recent years, yet evidence on scale and scope locum workforce general practice is sparse. Aim To identify characteristics, geographical patterns, drivers use. Design setting Observational study routine data from practices England. Method Descriptive analyses national between December 2017 September 2020 were conducted to determine volume distribution use examine characteristics compared with other types. Locum full-time equivalent (FTE)...
Temporary doctors, known as locums, are a key component of the medical workforce in NHS but evidence on differences quality and safety between locum permanent doctors is limited. We aimed to examine clinical practice, prescribing for working primary care England.
Background The use of locum doctors in the National Health Service is widely believed to have increased, and there been widespread sustained concerns among policy-makers, healthcare providers, professional associations regulators about quality/safety, cost effective doctors. Objectives To provide evidence on extent, quality safety medical practice implications working for health service organisation delivery primary secondary care English Service, support policy practice. Design Four...
Prescribing of strong opioids and antibiotics impacts patient safety, yet little is known about the effects GP wellness has on overprescribing both medications in primary care.To examine associations between opioid antibiotic prescribing practice- weighted burnout wellness.A retrospective cross-sectional study was undertaken using prescription data from Oxford- Royal College General Practitioners Research Surveillance Centre linking to a wellbeing survey overlaying same 4-month period...
Objectives Temporary doctors, known as locum play an important role in the delivery of care National Health Service (NHS); however, little is about extent use NHS trusts. This study aimed to quantify and describe for all trusts England 2019–2021. Setting Descriptive analyses data on shifts from Weekly were available number filled by agency bank staff requested each trust. Negative binomial models used investigate association between proportion medical staffing provided locums trust...
General Practitioners (GPs) report high levels of burnout, job dissatisfaction, and turnover intention. The complexity presenting problems to general practice makes diagnostic uncertainty a common occurrence that has been linked burnout. interrelationship between with other factors such as satisfaction intention have not previously examined.To examine associations uncertainty, emotional exhaustion (EE), depersonalization (DP), satisfaction, in GPs.Seventy practices England were randomly...
Locum working in healthcare organisations has benefits for individual doctors and but there are concerns about the impact of locum on continuity care, patient safety, team function cost. We conducted a national survey NHS Trusts England to explore work, better understand why where were needed; how engaged, supported, perceived managed; any changes being made way locums used.An online was sent 191 98 returned (51%) including 66 (67%) acute hospitals, 26 (27%) mental health six (6%) community...
ABSTRACT Introduction There have been some concerns about the impact of temporary doctors, otherwise known as locums, on patient safety and quality care. Despite these concerns, research has paid little attention to implications locum working experience. Methods A qualitative semi‐structured interview study was conducted with 130 participants including people locums patients experience being seen or treated by locums. Analysis using a reflexive thematic approach abductive analysis position...
Objective We aimed to spatially describe hospital admissions for ambulatory care sensitive conditions (ACSC) in England at small-area geographical level and assess whether recorded practice performance under one of the world’s largest primary pay-for-performance schemes led reductions these potentially avoidable hospitalisations chronic incentivised scheme. Setting obtained numbers ACSC from Hospital Episode Statistics database information on Quality Outcomes Framework (QOF) administrative...
To assess the diagnostic Read code usage for 18 conditions by examining their frequency and diversity in UK primary care between 2000 2013.Population-based cohort study SETTING: 684 general practices contributing data to Clinical Practice Research Datalink (CPRD) GOLD.Patients with clinical codes at least one of asthma, chronic obstructive pulmonary disease, diabetes, hypertension (HT), coronary heart atrial fibrillation (AF), failure, stroke, hypothyroidism, kidney learning disability (LD),...
Locum doctors give practices flexibility to deliver patient services but there are concerns about the impact of locum working on continuity care, safety, team function, and cost.To explore in English general practices, understand why where were needed how they engaged, supported, perceived, managed.An online survey was sent 3745 practices.Quantitative responses analysed using frequency tables, t-tests, correlations. Free-text thematic analysis.In total, 605 (16.2%) returned between June...
Background Pay-for-performance policies aim to improve population health by incentivising improvements in quality of care. Aims To assess the relationship between general practice performance on severe mental illness (SMI) and depression indicators under a national incentivisation scheme suicide risk England for period 2006–2014. Method Longitudinal spatial analysis 32 844 small-area geographical units (lower super output areas, LSOAs), using population-structure adjusted numbers as outcome...