Professor Simon de Lusignan
Chair in Health Care Management
Qualifications: BSc, MB BS, MSc, MD(Res), FHEA, FBCS CITP, FRCGP
Email: s.lusignan@surrey.ac.uk
Phone: Work: 01483 68 3089
Room no: 76 AP 02
Office hours
My usual days at University are:
Tuesday, Friday and alternate Monday and Thursday
Further information
Biography
I am an academic GP with a research interest in informatics and quality improvement (QI) and lead my own research group; from February 2011 I am Professor of Primary Care and Clinical Informatics and Chair in Health Care Management at University of Surrey.
I am trained as an educator and have developed innovative new courses including the UK’s first full time undergraduate informatics degree; I also have a long experience of supervising undergraduate and post graduate students.
I have been a partner in my practice (Woodbridge Hill Surgery) for over twenty years and have been active in the local health community. My practice has always been innovative and active in the local health community. We were first wave Fundholders (a scheme where practice took partial financial responsibility for patient care), I have been PEC (Professional Executive Committee) chair – chair of the senior medical committee in the local health community; my practice was one of six to form the countries first pilot ICO (Integrated Care Organisation), and previously vice-chair of the Practice Based Commissioning group.
Research Interests
The Clinical Informatics research group I lead has raised over £4 million in funding and published over 150 peer reviewed papers and articles. I am currently completing a large cluster randomised trial (QICKD study); writing-up an evaluation based on linked hospital, clinic and practice data; and also the world’s largest series of multi-channel consultation videos using the ALFA toolkit. My research focuses on how routinely collected data can be used for quality improvement and how IT is best used at the point of care. My quality improvement work has been in: cardiovascular disease, chronic kidney disease, diabetes, mental health and osteoporosis. I have led the development of on-line information sources for primary care but latterly focussed more on the evaluation of how these and electronic patient record (EPR) systems might best be incorporated into clinical practice. I have been active in developing metrics for improving the quality of management of chronic kidney disease, diabetes and mental health.
Publications
Highlights
- . (2011) 'What are the barriers to conducting international research using routinely collected primary care data?'. Stud Health Technol Inform, Netherlands: 165, pp. 135-140.
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(2011) 'Creatinine fluctuation has a greater effect than the formula to estimate glomerular filtration rate on the prevalence of chronic kidney disease.'. Karger Nephron Clinical Practice, Switzerland: 117 (3), pp. c213-c224.doi: 10.1159/000320341Full text is available at: http://epubs.surrey.ac.uk/186033/
- . (2010) 'Can clinical governance deliver quality improvement in Australian general practice and primary care? A systematic review of the evidence.'. Med J Aust, Australia: 193 (10), pp. 602-607.
- . (2010) 'Addressing modifiable risk factors for coronary heart disease in primary care: an evidence-base lost in translation.'. Fam Pract, England: 27 (4), pp. 370-378.
- . (2010) 'A method of identifying and correcting miscoding, misclassification and misdiagnosis in diabetes: a pilot and validation study of routinely collected data.'. Diabet Med, England: 27 (2), pp. 203-209.
- . (2010) 'The Hayes principles: learning from the national pilot of information technology and core generalisable theory in informatics.'. Inform Prim Care, England: 18 (2), pp. 73-77.
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(2009) 'The QICKD study protocol: a cluster randomised trial to compare quality improvement interventions to lower systolic BP in chronic kidney disease (CKD) in primary care.'. BioMed Central Implementation Science, England: 4 (39)Full text is available at: http://epubs.surrey.ac.uk/191650/
Journal articles
- . (2012) 'Perceptions of risk may explain the discrepancy between patient and clinician-recorded symptoms.'. Prim Care Respir J,
- . (2012) 'The pattern of silent time in the clinical consultation: an observational multichannel video study.'. Fam Pract,
- . (2012) 'Trends and transient change in end-digit preference in blood pressure recording: studies of sequential and longitudinal collected primary care data.'. Int J Clin Pract, England: 66 (1), pp. 37-43.
- . (2012) 'Consistent Data Recording across a Health System and Web-Enablement Allow Service Quality Comparisons: Online Data for Commissioning Dermatology Services.'. Stud Health Technol Inform, Netherlands: 174, pp. 84-88.
- . (2012) 'Lessons from the English National Programme for IT about Structure, Process and Utility.'. Stud Health Technol Inform, Netherlands: 174, pp. 17-22.
- . (2011) 'Referral to a new psychological therapy service is associated with reduced utilisation of healthcare and sickness absence by people with common mental health problems: A before and after comparison'. Journal of Epidemiology and Community Health,
- . (2011) 'Automated identification of miscoded and misclassified cases of diabetes from computer records.'. Diabet Med,
- . (2011) 'Miscoding, misclassification and misdiagnosis of diabetes in primary care.'. Diabet Med,
- . (2011) 'Effect of Pay for Performance on Hypertension in the United Kingdom.'. Am J Kidney Dis,
- . (2011) 'Variability in selecting patients to manage in the community: a service evaluation of community matron's case-finding strategies.'. Fam Pract, England: 28 (4), pp. 414-421.
- . (2011) 'Disparities in testing for renal function in UK primary care: cross-sectional study.'. Fam Pract,
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(2011) 'Quality achievement and disease prevalence in primary care predicts regional variation in renal replacement therapy (RRT) incidence: an ecological study.'. Nephrol Dial Transplant, doi: 10.1093/ndt/gfr347
- . (2011) 'Key Concepts to Assess the Readiness of Data for International Research: Data Quality, Lineage and Provenance, Extraction and Processing Errors, Traceability, and Curation. Contribution of the IMIA Primary Health Care Informatics Working Group.'. Yearb Med Inform, Germany: 6 (1), pp. 112-120.
- . (2011) 'Data-modelling and visualisation in chronic kidney disease (CKD): a step towards personalised medicine.'. Inform Prim Care, England: 19 (2), pp. 57-63.
- . (2011) 'What are the barriers to conducting international research using routinely collected primary care data?'. Stud Health Technol Inform, Netherlands: 165, pp. 135-140.
- .
(2011) 'Creatinine fluctuation has a greater effect than the formula to estimate glomerular filtration rate on the prevalence of chronic kidney disease.'. Karger Nephron Clinical Practice, Switzerland: 117 (3), pp. c213-c224.doi: 10.1159/000320341Full text is available at: http://epubs.surrey.ac.uk/186033/
- . (2011) 'Reporting Observational Studies of the Use of Information Technology in the Clinical Consultation. A Position Statement from the IMIA Primary Health Care Informatics Working Group (IMIA PCI WG).'. Yearb Med Inform, Germany: 6 (1), pp. 39-47.
- . (2011) 'On-going technical advances, can we use them to deliver more personalised medicine?'. Informatics in Primary Care, 19 (2), pp. 55-56.
- . (2011) 'International lessons in clinical quality and evaluation'. Informatics in Primary Care, 18 (3), pp. 145-146.
- . (2011) 'SNOMED is coming, and more about using and interacting with technology in primary care.'. Inform Prim Care, England: 19 (1), pp. 1-2.
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(2011) 'Detecting referral and selection bias by the anonymous linkage of practice, hospital and clinic data using Secure and Private Record Linkage (SAPREL): Case study from the evaluation of the Improved Access to Psychological Therapy (IAPT) service'. BioMed Central BMC Medical Informatics and Decision Making, 11 (61)Full text is available at: http://epubs.surrey.ac.uk/186034/
- . (2011) 'Large complex terminologies: more coding choice, but harder to find data--reflections on introduction of SNOMED CT (Systematized Nomenclature of Medicine--Clinical Terms) as an NHS standard.'. Inform Prim Care, England: 19 (1), pp. 3-5.
- . (2011) 'Confidence and quality in managing CKD compared with other cardiovascular diseases and diabetes mellitus: a linked study of questionnaire and routine primary care data.'. BMC Fam Pract, England: 12
- . (2011) 'Effect of pay for performance on hypertension in the United Kingdom'. American Journal of Kidney Diseases, 58 (4), pp. 508-511.
- . (2010) 'Can clinical governance deliver quality improvement in Australian general practice and primary care? A systematic review of the evidence.'. Med J Aust, Australia: 193 (10), pp. 602-607.
- . (2010) 'Reductions in risk factors for secondary prevention of coronary heart disease by ethnic group in south-west London: 10-year longitudinal study (1998-2007).'. Fam Pract, England: 27 (4), pp. 430-438.
- . (2010) 'Addressing modifiable risk factors for coronary heart disease in primary care: an evidence-base lost in translation.'. Fam Pract, England: 27 (4), pp. 370-378.
- . (2010) 'How ready is general practice to improve quality in chronic kidney disease? A diagnostic analysis.'. Br J Gen Pract, England: 60 (575), pp. 403-409.
- . (2010) 'Quality-improvement strategies for the management of hypertension in chronic kidney disease in primary care: a systematic review.'. Br J Gen Pract, England: 60 (575), pp. e258-e265.
- . (2010) 'Incorrect and incomplete coding and classification of diabetes: a systematic review (vol 27, pg 491, 2010)'. WILEY-BLACKWELL PUBLISHING, INC DIABETIC MED, 27 (6), pp. 732-732.
- . (2010) 'Incorrect and incomplete coding and classification of diabetes: a systematic review.'. Diabet Med, England: 27 (5), pp. 491-497.
- . (2010) 'A method of identifying and correcting miscoding, misclassification and misdiagnosis in diabetes: a pilot and validation study of routinely collected data.'. Diabet Med, England: 27 (2), pp. 203-209.
- . (2010) 'Looking beyond the National Programme for IT in primary care informatics.'. Inform Prim Care, England: 18 (2), pp. 79-80.
- . (2010) 'Commentary on: creating a diabetes foot reminder-based registry using the electronic medical record.'. Inform Prim Care, England: 18 (4), pp. 288-289.
- . (2010) 'Using routine data to conduct small area health needs assessment through observing trends in demographics, recording of common mental health problems (CMHPs) and sickness certificates: longitudinal analysis of a northern and London locality.'. Inform Prim Care, England: 18 (4), pp. 273-282.
- . (2010) 'The Hayes principles: learning from the national pilot of information technology and core generalisable theory in informatics.'. Inform Prim Care, England: 18 (2), pp. 73-77.
- . (2010) 'Measuring the impact of the computer on the consultation: an open source application to combine multiple observational outputs.'. Inform Health Soc Care, England: 35 (1), pp. 10-24.
- . (2010) 'Erratum: Incorrect and incomplete coding and classification of diabetes: A systematic review (Diabetic Medicine (2010) 27 (491-497))'. Diabetic Medicine, 27 (6), pp. 732-732.
- . (2010) 'Bibliometric analysis of primary care research, childhood obesity, the importance of understanding small area data and diabetes.'. Inform Prim Care, England: 18 (4), pp. 217-218.
- . (2010) 'Getting seamless care right from the beginning - integrating computers into the human interaction.'. Stud Health Technol Inform, Netherlands: 155, pp. 196-202.
- . (2010) 'Vault, cloud and agent: choosing strategies for quality improvement and research based on routinely collected health data.'. Inform Prim Care, England: 18 (1), pp. 1-4.
- . (2010) 'Liberating the NHS: an information revolution--think beyond the electronic patient record, think service orientated architecture!'. Inform Prim Care, England: 18 (3), pp. 147-148.
- . (2010) 'Using routinely collected data to evaluate a leaflet campaign to increase the presentation of people with memory problems to general practice: a locality based controlled study.'. Inform Prim Care, England: 18 (3), pp. 189-196.
- . (2010) 'Computerised routinely collected primary care data: essential for patient access to records, quality improvement and research.'. Inform Prim Care, England: 18 (1), pp. 5-7.
- . (2010) 'Getting the signal to noise ratio right in the management of diabetes in primary care: time to stratify risk and focus on outcomes rather than process.'. Inform Prim Care, England: 18 (4), pp. 219-221.
- . (2010) 'Implementing an integrated computerised information system about foot problems in diabetes is not enough to ensure adoption. Commentary on: general practitioners' and nurses' experiences of using computerised decision support in screening for diabetic foot disease: implementing Scottish Clinical Information - Diabetes Care in routine clinical practice.'. Inform Prim Care, England: 18 (4), pp. 269-271.
- . (2009) 'Assessing cardiovascular risk in the 10-minute consultation'. Primary Care Cardiovascular Journal, 2 (4), pp. 181-183.
- . (2009) 'Task force of the EFMI journals: background, rationale and purpose.'. Stud Health Technol Inform, Netherlands: 150, pp. 946-950.
- . (2009) 'In this issue: use of electronic patient record (EPR) system data for emergency care, quality improvement and research--things not to take for granted.'. Inform Prim Care, England: 17 (3), pp. 143-144.
- . (2009) 'Variation in the recording of diabetes diagnostic data in primary care computer systems: implications for the quality of care.'. Inform Prim Care, England: 17 (2), pp. 113-119.
- . (2009) 'Usability: a neglected theme in informatics.'. Inform Prim Care, England: 17 (4), pp. 199-200.
- . (2009) 'Using surrogate markers in primary electronic patient record systems to confirm or refute the diagnosis of diabetes.'. Inform Prim Care, England: 17 (2), pp. 121-129.
- . (2009) 'In this issue of Informatics in Primary Care: ethnicity, learning and diabetes.'. Inform Prim Care, England: 17 (2), pp. 65-66.
- . (2009) 'Further changes are needed if the National Care Record Service (NCRS) implementation is to succeed.'. Inform Prim Care, England: 17 (3), pp. 161-164.
- . (2009) 'Chronic kidney disease management in southeast England: A preliminary cross-sectional report from the QICKD - Quality Improvement in Chronic Kidney Disease study'. Primary Care Cardiovascular Journal, 2 (SPEC. ISS.), pp. 33-39.
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(2009) 'The QICKD study protocol: a cluster randomised trial to compare quality improvement interventions to lower systolic BP in chronic kidney disease (CKD) in primary care.'. BioMed Central Implementation Science, England: 4 (39)Full text is available at: http://epubs.surrey.ac.uk/191650/
- . (2009) 'Using an open source observational tool to measure the influence of the doctor's consulting style and the computer system on the outcomes of the clinical consultation.'. Stud Health Technol Inform, Netherlands: 150, pp. 1017-1021.
- . (2009) 'Usability: a critical dimension for assessing the quality of clinical systems.'. Inform Prim Care, England: 17 (4), pp. 195-198.
- . (2009) 'Are we setting about improving the safety of computerised prescribing in the right way? A workshop report.'. Inform Prim Care, England: 17 (3), pp. 175-182.
- . (2009) 'Flagging fasting plasma glucose specimens: time to routinely label the context in which pathology specimens are recorded.'. Inform Prim Care, England: 17 (2), pp. 63-64.
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(2008) '10-MINUTE CONSULTATION New patient asking for a benzodiazepine prescription'. B M J PUBLISHING GROUP BRIT MED J, 337 Article number a658 doi: 10.1136/bmj.a658Full text is available at: http://epubs.surrey.ac.uk/185980/
- . (2008) 'Abnormal lipids in high-risk patients achieving cholesterol targets: a cross-sectional study of routinely collected UK general practice data.'. Curr Med Res Opin, England: 24 (9), pp. 2551-2560.
- . (2008) 'Reducing coronary risk by raising HDL-cholesterol: risk modelling the addition of nicotinic acid to existing therapy.'. Curr Med Res Opin, England: 24 (9), pp. 2703-2709.
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(2008) 'The development of primary care information technology in the United kingdom.'. Lippincott, Williams & Wilkins J Ambul Care Manage, United States: 31 (3), pp. 201-210.Full text is available at: http://epubs.surrey.ac.uk/189424/
- . (2008) 'Prescribing support software recommends more expensive prescriptions.'. Inform Prim Care, England: 16 (1), pp. 61-62.
- . (2008) 'Autumn issue of Informatics in Primary Care: extending our understanding and the case for greater research capacity and capability in informatics. Editorial.'. Inform Prim Care, England: 16 (3), pp. 171-173.
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(2008) 'The ALFA (Activity Log Files Aggregation) toolkit: a method for precise observation of the consultation.'. J Med Internet Res, United States: 10 (4)doi: 10.2196/jmir.1080
- . (2008) 'Using routinely collected patient data with and without consent: trust and professionalism.'. Inform Prim Care, England: 16 (4), pp. 251-254.
- . (2008) 'UK's National Programme for IT welcomes recommendation for a more sociotechnical approach to evaluation: a commentary on the Greenhalgh evaluation of the summary care record.'. Inform Prim Care, England: 16 (2), pp. 75-77.
- . (2008) 'Automated password generation of offensive expressions: Choose and Book and poppycock.'. Inform Prim Care, England: 16 (3), pp. 241-242.
- . (2008) 'Developing primary care informatics.'. Inform Prim Care, England: 16 (1), pp. 1-2.
- .
(2008) 'New patient asking for a benzodiazepine prescription.'. BMJ BMJ, England: 337doi: 10.1136/bmj.a658Full text is available at: http://epubs.surrey.ac.uk/189396/
- . (2008) 'Measuring the impact of different brands of computer systems on the clinical consultation: a pilot study.'. Inform Prim Care, England: 16 (2), pp. 119-127.
- . (2008) 'Change of Editor'. Informatics in Primary Care, 16 (1), pp. 63-63.
- . (2007) 'Kidney disease management in UK primary care: guidelines, incentives and information technology.'. Fam Pract, England: 24 (4), pp. 330-335.
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(2007) 'The cost of implementing UK guidelines for the management of chronic kidney disease.'. Nephrol Dial Transplant, England: 22 (9), pp. 2504-2512.doi: 10.1093/ndt/gfm248
- . (2007) 'Chronic kidney disease management in the United Kingdom: NEOERICA project results.'. Kidney Int, United States: 72 (1), pp. 92-99.
- . (2007) 'Assessing the prevalence, monitoring and management of chronic kidney disease in patients with diabetes compared with those without diabetes in general practice.'. Diabet Med, England: 24 (4), pp. 364-369.
- . (2007) 'The roles of policy and professionalism in the protection of processed clinical data: a literature review.'. Int J Med Inform, Ireland: 76 (4), pp. 261-268.
- . (2007) 'Using Unified Modelling Language (UML) as a process-modelling technique for clinical-research process improvement.'. Med Inform Internet Med, England: 32 (1), pp. 51-64.
- . (2007) 'The feasibility of using UML to compare the impact of different brands of computer system on the clinical consultation.'. Inform Prim Care, England: 15 (4), pp. 245-253.
- . (2007) 'Low-cost three-channel video for assessment of the clinical consultation.'. Inform Prim Care, England: 15 (1), pp. 25-31.
- . (2007) 'Assessing the impact of recording quality target data on the GP consultation using multi-channel video.'. Stud Health Technol Inform, Netherlands: 129 (Pt 2), pp. 1132-1136.
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(2007) 'An educational intervention, involving feedback of routinely collected computer data, to improve cardiovascular disease management in UK primary care.'. Schattauer Methods Inf Med, Germany: 46 (1), pp. 57-62.Full text is available at: http://epubs.surrey.ac.uk/185998/
- . (2007) 'Coronary heart disease and the management of risk: Patient perspectives of outcomes associated with the clinical implementation of the National Service Framework targets'. ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD HEALTH RISK SOC, 9 (4), pp. 359-373.
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(2007) 'An Informatics benchmarking statement'. SCHATTAUER GMBH-VERLAG MEDIZIN NATURWISSENSCHAFTEN METHOD INFORM MED, 46 (4), pp. 394-398.doi: 10.1160/ME0442Full text is available at: http://epubs.surrey.ac.uk/186001/
- . (2007) 'Achieving benefit for patients in primary care informatics: the report of a international consensus workshop at Medinfo 2007.'. Inform Prim Care, England: 15 (4), pp. 255-261.
- . (2007) 'Variation in clinical coding lists in UK general practice: a barrier to consistent data entry?'. Inform Prim Care, England: 15 (3), pp. 143-150.
- . (2007) 'Relearning the lessons about the implementation of information systems in primary care: a report from the European Federation for Medical Informatics (EFMI) Special Topic Conference 2007 in Croatia.'. Inform Prim Care, England: 15 (3), pp. 167-168.
- . (2007) 'UK and Croatia: family practice, its medical records and computerisation in the context of an enlarged Europe.'. Inform Prim Care, England: 15 (3), pp. 169-173.
- . (2007) 'Using Unified Modelling Language (UML) as a process-modelling technique for clinical-research process improvement'. Informatics for Health and Social Care, 32 (1), pp. 51-64.
- . (2006) 'Chronic kidney disease: a new priority for primary care.'. Br J Gen Pract, England: 56 (533), pp. 908-910.
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(2006) 'Audit-based education to reduce suboptimal management of cholesterol in primary care: a before and after study.'. Oxford University Press J Public Health (Oxf), England: 28 (4), pp. 361-369.Full text is available at: http://epubs.surrey.ac.uk/186007/
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(2006) 'Using computers to identify non-compliant people at increased risk of osteoporotic fractures in general practice: a cross-sectional study.'. Springer Osteoporosis International, England: 17 (12), pp. 1808-1814.Full text is available at: http://epubs.surrey.ac.uk/191661/
- . (2006) 'A framework for comparing video methods used to assess the clinical consultation: a qualitative study.'. Med Inform Internet Med, England: 31 (4), pp. 255-265.
- . (2006) 'Chronic kidney disease.'. Br J Gen Pract, England: 56 (532)
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(2006) 'e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice.'. BMJ Publishing Group J Am Med Inform Assoc, United States: 13 (5), pp. 470-475.doi: 10.1197/jamia.M2041
- . (2006) 'Ethnicity recording in general practice computer systems.'. J Public Health (Oxf), England: 28 (3), pp. 283-287.
- . (2006) 'Management of cardiovascular risk factors in people with diabetes in primary care: cross-sectional study.'. Public Health, England: 120 (7), pp. 654-663.
- . (2006) 'The use of routinely collected computer data for research in primary care: opportunities and challenges.'. Oxford University Press Fam Pract, England: 23 (2), pp. 253-263.
- . (2006) 'Biomedical Informatics: developing university, healthcare and industrial partnerships.'. Inform Prim Care, England: 14 (4), pp. 255-256.
- . (2006) 'Routinely-collected general practice data are complex, but with systematic processing can be used for quality improvement and research.'. Inform Prim Care, England: 14 (1), pp. 59-66.
- . (2006) 'Practice-based commissioning: The impact of motivational and organisational factors on its success'. British Journal of Health Care Management, 12 (6), pp. 174-180.
- . (2006) 'Using UMLS to map from a library to a clinical classification: Improving the functionality of a digital library.'. Stud Health Technol Inform, Netherlands: 121, pp. 86-95.
- . (2006) 'Quality of smoking data in GP computer systems in the UK'. Informatics in Primary Care, 14 (4), pp. 242-245.
- . (2006) 'Routinely collected general practice data: Goldmines for research?'. Informatics in Primary Care, 14 (3), pp. 203-209.
- . (2006) 'The optimum granularity for coding diagnostic data in primary care: report of a workshop of the EFMI Primary Care Informatics Working Group at MIE 2005.'. Inform Prim Care, England: 14 (2), pp. 133-137.
- . (2006) 'A study of cardiovascular risk in overweight and obese people in England.'. Eur J Gen Pract, England: 12 (1), pp. 19-29.
- . (2006) 'The 'rule of halves' still applies to the management of cholesterol in cardiovascular disease: 2002-2005'. British Journal of Cardiology, 13 (2), pp. 145-153.
- . (2006) 'Prescription of psychotropic medications in primary care: A cross-sectional study of general practice computer records'. Primary Care Mental Health, 4 (2), pp. 81-92.
- . (2006) 'Specific classification of elibrary resources says more about users' preferences.'. Stud Health Technol Inform, Netherlands: 124, pp. 719-724.
- . (2006) 'Breaking the first law of informatics: the Quality and Outcomes Framework (QOF) in the dock.'. Inform Prim Care, England: 14 (3), pp. 153-156.
- . (2006) 'Routinely collected general practice data: goldmines for research? A report of the European Federation for Medical Informatics Primary Care Informatics Working Group (EFMI PCIWG) from MIE2006, Maastricht, The Netherlands.'. Inform Prim Care, England: 14 (3), pp. 203-209.
- . (2006) 'Chronic kidney disease [5]'. British Journal of General Practice, 56 (532), pp. 885-885.
- . (2006) 'Online resources for chronic kidney disease (CKD) for primary care.'. Inform Prim Care, England: 14 (2), pp. 139-142.
- . (2006) 'The Primary Care Electronic Library: RSS feeds using SNOMED-CT indexing for dynamic content delivery.'. Inform Prim Care, England: 14 (4), pp. 247-252.
- . (2006) 'Does a higher 'quality points' score mean better care in stroke? An audit of general practice medical records.'. Inform Prim Care, England: 14 (1), pp. 29-40.
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(2005) 'Patient perspectives on multiple medications versus combined pills: a qualitative study.'. QJM, England: 98 (12), pp. 885-893.doi: 10.1093/qjmed/hci139
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(2005) 'The validity of searching routinely collected general practice computer data to identify patients with chronic kidney disease (CKD): a manual review of 500 medical records.'. Nephrol Dial Transplant, England: 20 (10), pp. 2089-2096.doi: 10.1093/ndt/gfi006
- . (2005) 'Quality and variability of osteoporosis data in general practice computer records: implications for disease registers.'. Public Health, England: 119 (9), pp. 771-780.
- . (2005) 'Do primary care professionals work as a team: a qualitative study.'. J Interprof Care, England: 19 (4), pp. 396-405.
- . (2005) 'Identifying patients with chronic kidney disease from general practice computer records.'. Oxford University Press Fam Pract, England: 22 (3), pp. 234-241.
- . (2005) 'The barriers to clinical coding in general practice: a literature review.'. Med Inform Internet Med, England: 30 (2), pp. 89-97.
- . (2005) 'Trends in the prevalence and management of diagnosed type 2 diabetes 1994-2001 in England and Wales.'. BMC Fam Pract, England: 6 (1)
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(2005) 'Preventing stroke in people with atrial fibrillation: a cross-sectional study.'. Oxford University Press J Public Health (Oxf), England: 27 (1), pp. 85-92.Full text is available at: http://epubs.surrey.ac.uk/189404/
- . (2005) 'A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement.'. Med Inform Internet Med, England: 30 (1), pp. 69-80.
- . (2005) 'Management of heart failure in primary care after implementation of the National Service Framework for Coronary Heart Disease: a cross-sectional study.'. Public Health, England: 119 (2), pp. 105-111.
- . (2005) 'A system of metadata to control the process of query, aggregating, cleaning and analysing large datasets of primary care data.'. Inform Prim Care, England: 13 (4), pp. 281-291.
- . (2005) 'Health education and prevention for people with severe mental illness: A cross-sectional study of general practice computer records'. Primary Care Mental Health, 3 (3), pp. 221-233.
- . (2005) 'Why do some practices innovate: A qualitative study of the views of primary care professionals'. Clinician in Management, 13 (3-4), pp. 135-143.
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(2005) 'Foundations of a healthcare knowledge management application system.'. AMIA Annu Symp Proc, United States: Full text is available at: http://epubs.surrey.ac.uk/188346/
- . (2005) 'Web-based health applications provide useful and cost-effective tools; however, they should include key clinical variables and incorporate a coding or classification system.'. Inform Prim Care, England: 13 (1), pp. 42-44.
- . (2005) 'A knowledge audit of the managers of primary care organizations: Top priority is how to use routinely collected clinical data for quality improvement'. Informa Healthcare Informatics for Health and Social Care, 30 (1), pp. 69-80.
- . (2005) 'The Primary Care Electronic Library (PCEL) five years on: open source evaluation of usage.'. Inform Prim Care, England: 13 (4), pp. 271-280.
- . (2005) 'Is the time right for direct entry into a career in health and biomedical informatics?'. Inform Prim Care, England: 13 (3), pp. 167-170.
- . (2005) 'Codes, classifications, terminologies and nomenclatures: definition, development and application in practice.'. Inform Prim Care, England: 13 (1), pp. 65-70.
- . (2005) 'The barriers to clinical coding in general practice: A literature review'. Informatics for Health and Social Care, 30 (2), pp. 89-97.
- . (2004) 'Overcoming the barriers to using information systems.'. Nurs Times, England: 100 (49), pp. 44-46.
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(2004) 'General practitioners believe that hypnotherapy could be a useful treatment for irritable bowel syndrome in primary care.'. BioMed Central BMC Fam Pract, England: 5 (22)Full text is available at: http://epubs.surrey.ac.uk/188348/
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(2004) 'Community nursing needs more silver surfers: a questionnaire survey of primary care nurses' use of information technology.'. BMC Nurs, 3 (1)Full text is available at: http://epubs.surrey.ac.uk/186022/
- . (2004) 'End-digit preference in blood pressure recordings of patients with ischaemic heart disease in primary care.'. J Hum Hypertens, England: 18 (4), pp. 261-265.
- . (2004) 'Nurses and IT: a survey of use among community clinical staff.'. Prof Nurse, England: 19 (8), pp. 449-452.
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(2004) 'An educational intervention to improve data recording in the management of ischaemic heart disease in primary care.'. Oxford University Press J Public Health (Oxf), England: 26 (1), pp. 34-37.Full text is available at: http://epubs.surrey.ac.uk/185997/
- . (2004) 'An eight-step method for assessing diagnostic data quality in practice: chronic obstructive pulmonary disease as an exemplar.'. Inform Prim Care, England: 12 (4), pp. 243-254.
- . (2004) 'Problems with primary care data quality: osteoporosis as an exemplar.'. Inform Prim Care, England: 12 (3), pp. 147-156.
- . (2004) 'Comprehensive computerised primary care records are an essential component of any national health information strategy: report from an international consensus conference.'. Inform Prim Care, England: 12 (4), pp. 255-264.
- . (2004) 'Lessons from the implementation of a near patient anticoagulant monitoring service in primary care.'. Inform Prim Care, England: 12 (1), pp. 27-33.
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(2003) 'The feasibility of using pattern recognition software to measure the influence of computer use on the consultation.'. BioMed Central BMC Med Inform Decis Mak, England: 3 (12)Full text is available at: http://epubs.surrey.ac.uk/189427/
- . (2003) 'Can patients with osteoporosis, who should benefit from implementation of the national service framework for older people, be identified from general practice computer records? A pilot study that illustrates the variability of computerized medical records and problems with searching them.'. Elsevier Public Health, England: 117 (6), pp. 438-445.
- . (2003) 'The National Health Service and the internet.'. Royal Society of Medicine Press Journal of the Royal Society of Medicine, England: 96 (10), pp. 490-493.
- . (2003) 'Using the Internet to conduct surveys of health professionals: a valid alternative?'. Fam Pract, England: 20 (5), pp. 545-551.
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(2003) 'What is primary care informatics?'. J Am Med Inform Assoc, United States: 10 (4), pp. 304-309.doi: 10.1197/jamia.M1187
- . (2003) 'Does screening for loss of lung function help smokers give up?'. Br J Nurs, England: 12 (12), pp. 744-750.
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(2003) 'The role of informatics in continuing professional development and quality improvement in primary care.'. Medknow Publications J Postgrad Med, India: 49 (2), pp. 163-165.Full text is available at: http://epubs.surrey.ac.uk/191651/
- . (2003) 'Commentary: Improve the quality of the consultation.'. BMJ, England: 326 (7382), pp. 202-206.
- . (2003) 'Commentary: improve the quality of the consultation'. BRITISH MED JOURNAL PUBL GROUP BRIT MED J, 326 (7382), pp. 205-206.
- . (2003) 'A model for patient-centred nurse consulting in primary care.'. Br J Nurs, England: 12 (2), pp. 85-90.
- . (2003) 'Introduction to the Primary Care Informatics Working Group of the European Federation for Medical Informatics (EFMI).'. Inform Prim Care, England: 11 (3), pp. 175-176.
- . (2003) 'Commentary'. Informatics in Primary Care, 11 (4), pp. 234-237.
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(2003) 'Managers see the problems associated with coding clinical data as a technical issue whilst clinicians also see cultural barriers.'. Schattauer Methods of Information in Medicine, Germany: 42 (4), pp. 416-422.doi: 10.1267/METH03040416Full text is available at: http://epubs.surrey.ac.uk/188602/
- . (2003) 'Three steps to data quality.'. Inform Prim Care, England: 11 (2), pp. 95-102.
- . (2003) 'Using three-channel video to evaluate the impact of the use of the computer on the patient-centredness of the general practice consultation.'. Inform Prim Care, England: 11 (3), pp. 149-156.
- . (2003) 'Moving to paperlessness: a case study from a large general practice.'. Inform Prim Care, England: 11 (3), pp. 157-163.
- . (2003) 'Cholesterol management in patients with IHD: An audit-based appraisal of progress towards clinical targets in primary care'. British Journal of Cardiology, 10 (3), pp. 223-228.
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(2003) 'The feasibility of using pattern recognition software to measure the influence of computer use on the consultation'. BioMed Central BMC Medical Informatics and Decision Making, 3 (12), pp. 1-10.Full text is available at: http://epubs.surrey.ac.uk/189426/
- . (2002) 'Development of an assessment tool to measure the influence of clinical software on the delivery of high quality consultations. A study comparing two computerized medical record systems in a nurse run heart clinic in a general practice setting.'. Med Inform Internet Med, England: 27 (4), pp. 267-280.
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(2002) 'A knowledge-management model for clinical practice.'. Medknow Publications. J Postgrad Med, India: 48 (4), pp. 297-303.Full text is available at: http://epubs.surrey.ac.uk/185983/
- . (2002) 'An evaluation of general practice websites in the UK.'. Fam Pract, England: 19 (5), pp. 547-556.
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(2002) 'Does feedback improve the quality of computerized medical records in primary care?'. BMJ J Am Med Inform Assoc, United States: 9 (4), pp. 395-401.doi: 10.1197/jamia.M1023Full text is available at: http://epubs.surrey.ac.uk/188337/
- . (2002) 'Osteoporosis in postmenopausal women.'. Br J Gen Pract, England: 52 (479), pp. 496-497.
- . (2002) 'The effectiveness of blood tests in detecting secondary osteoporosis or mimicking conditions in postmenopausal women.'. Br J Gen Pract, England: 52 (477), pp. 311-313.
- . (2002) 'Why general practitioners do not implement evidence. Learning environments must be created that capitalise on teams' wealth of knowledge.'. BMJ, England: 324 (7338)
- . (2002) 'Osteoporosis in postmenopausal women (multiple letters)'. British Journal of General Practice, 52 (479), pp. 496-498.
- . (2002) 'Why general practitioners do not implement evidence [3] (multiple letters)'. British Medical Journal, 324 (7338), pp. 674-674.
- . (2002) 'A case study from a Sussex Primary Care Group: Improving secondary prevention in coronary heart disease using an educational intervention'. British Journal of Cardiology, 9 (6), pp. 362+364+366-368.
- . (2001) 'Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure.'. Eur J Heart Fail, Netherlands: 3 (6), pp. 723-730.
- . (2001) 'The use of a new continuous wireless cardiorespiratory telemonitoring system by elderly patients at home.'. J Telemed Telecare, England: 7 Suppl 1, pp. 76-77.
- . (2001) 'Use of computer systems in a primary care research network: Implications for the NHS information strategy'. Clinician in Management, 10 (1), pp. 32-37.
- . (2001) 'A survey to identify the clinical coding and classification systems currently in use across Europe.'. Stud Health Technol Inform, Netherlands: 84 (Pt 1), pp. 86-89.
- . (2000) 'Towards a conceptual framework for evaluating primary care research networks.'. Br J Gen Pract, ENGLAND: 50 (457), pp. 651-652.
- . (2000) 'Overcoming the constraints to becoming paperless.'. Br J Gen Pract, ENGLAND: 50 (455), pp. 504-505.
- . (2000) 'Computerised systematic secondary prevention in ischaemic heart disease: a study in one practice.'. Public Health, ENGLAND: 114 (3), pp. 169-175.
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(2000) 'Measuring blood pressure at the wrist: more comfortable for patients and more convenient for doctors?'. Elsevier Public Health, ENGLAND: 114 (3), pp. 165-168.Full text is available at: http://epubs.surrey.ac.uk/188832/
- . (2000) 'Stopping antihypertensive drugs in general practice - Response'. ROYAL COLL GENERAL PRACTITIONERS BRIT J GEN PRACT, 50 (454), pp. 407-408.
- . (2000) 'Stopping antihypertensive drugs in general practice.'. Br J Gen Pract, ENGLAND: 50 (454), pp. 407-408.
- . (2000) 'Letter to the editor'. British Journal of General Practice, 50 (454), pp. 407-408.
- . (2000) 'A pilot study of radiotelemetry for continuous cardiopulmonary monitoring of patients at home'. ROYAL SOC MEDICINE PRESS J TELEMED TELECARE, 6 (1), pp. 119-122.
- . (2000) 'Correction: National electronic library for health (NeLH) (British Medical Journal (1999) 4 December (1476-9))'. British Medical Journal, 320 (7230), pp. 296-296.
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(1999) 'National electronic Library for Health (NeLH) (vol 320, pg 1476, 2000)'. BRITISH MED JOURNAL PUBL GROUP BRIT MED J, 319, pp. 1476-1479.Full text is available at: http://epubs.surrey.ac.uk/189395/
Conference papers
- . (2010) 'A system for solution-orientated reporting of errors associated with the extraction of routinely collected clinical data for research and quality improvement.'. Studies in Health Technology and Informatics: Proceedings of the 13th World Congress on Medical Informatics, Cape Town, South Africa: MEDINFO 2010 160 (Pt 1), pp. 724-728.
- . (2010) 'Procuring interoperability at the expense of usability: a case study of UK National Programme for IT assurance process.'. Studies in Health Technology and Informatics: Seamless care, safe care: the challenges of interoperability and patient safety in health care: Proceedings of the EFMI Special Topic Conference, Reykjavik, Iceland: EFMI Special Topic Conference 155, pp. 143-149.
- . (2009) 'Improving Data Quality and Clinical Records: Lessons from the UK National Programme about Structure, Process and Utility'. SRCE UNIV COMPUTING CENTRE, UNIV ZAGREB PROCEEDINGS OF THE ITI 2009 31ST INTERNATIONAL CONFERENCE ON INFORMATION TECHNOLOGY INTERFACES, Cavtat, CROATIA: 31st International Conference on Information Technology Interfaces, pp. 13-14.
- . (2006) 'Integration, Interoperability or Linkage: Which Elements of National IT Strategy Best Support Primary Care?'. AKADEMISCHE VERLAGSGESELLSCH AKA GMBH INTEGRATING BIOMEDICAL INFORMATION: FROM E-CELL TO E-PATIENT, Timiaoara, ROMANIA: European-Federation-for-Medical-Informatics Special Topic Conference, pp. 79-84.
- . (2005) 'Identification of CKD from interrogation of primary care electronic patient records: Factors predicting level of and decline in estimated GFR'. OXFORD UNIV PRESS NEPHROLOGY DIALYSIS TRANSPLANTATION, Istanbul, TURKEY: 42nd Annual Meeting of the European-Renal-Association/European-Dialysis-and-Transplant-Association (ERA-EDTA) 20, pp. V287-V288.
- . (2005) 'Using Feedback to Raise the Quality of Primary Care Computer Data: a Literature Review'. I O S PRESS CONNECTING MEDICAL INFORMATICS AND BIO-INFORMATICS, Geneva, SWITZERLAND: 19th International Congress of the European-Federation-for-Medical-Informatics 116, pp. 593-598.
- . (2005) 'Ensuring the Quality of Aggregated General Practice Data: Lessons from the Primary Care Data Quality Programme (PCDQ)'. I O S PRESS CONNECTING MEDICAL INFORMATICS AND BIO-INFORMATICS, Geneva, SWITZERLAND: 19th International Congress of the European-Federation-for-Medical-Informatics 116, pp. 1010-1015.
- . (2002) 'Is the lack of emphasis on learning a barrier to the effective deployment of informatics? Content analysis of NHS strategy and information strategy since 1998?'. HANLEY & BELFUS INC MED PUBLISHERS AMIA 2002 SYMPOSIUM, PROCEEDINGS, San Antonio, TX: Annual Symposium of the American-Medical-Informatics-Association, pp. 1005-1005.
- . (2001) 'The use of a new continuous wireless cardiorespiratory telemonitoring system by elderly patients at home'. ROYAL SOC MEDICINE PRESS LTD JOURNAL OF TELEMEDICINE AND TELECARE, LONDON, ENGLAND: 8th International Conference on Telemedicine and Telecare 7, pp. S76-S77.
Departmental Duties
Research leadership within the Department of Health Care Management & Policy
Member of Health and Medical Strategy Committee

