Primary Care & Health Sciences
Explore this Section
I came to North Staffordshire in 1994 as Consultant Rheumatologist at the Haywood Hospital and Senior Lecturer, Keele University. My undergraduate and early postgraduate training was at the University of Sheffield, following which I moved to Manchester as Senior Registrar in Rheumatology. I was awarded an Arthritis Research Campaign Clinical Research Fellowship and completed my MD at the ARC Epidemiology Unit with Professor Symmons and Professor Silman in 1992. I was promoted to Professor of Community Rheumatology in 2004 and took over from Peter Croft as Director of the Centre in 2010.
My main research interests are linked with the Centre's applied research programme investigating the efficacy and clinical effectiveness of non-pharmacological treatments for musculoskeletal pain and arthritis presenting in primary care. This research has contributed to international guidelines on Osteoarthritis and Back Pain, and has been translated into national policy (Department of Health Musculoskeletal Services Framework). Evidence from our randomised trials of treatments for back pain (Hay Lancet 2005), shoulder pain (Hay Ann Rheum Dis 2003), tennis elbow (Hay BMJ 1999), and knee pain (Hay BMJ 2006, Foster BMJ 2008) have directly informed national guidelines (eg NICE OA Guidelines, ARMA standards of care) and informed the RCGP curriculum for Musculoskeletal General Practitioners with Special Interests (Hay et al, Rheumatology 2007).
Locally, this research has directly translated into improving healthcare outcomes by influencing a service redesign of services for back pain and for chronic pain, which reduced wait-times resulted in high patient satisfaction and reduced primary care consultation rates (Stevenson et al, Physiotherapy 2004).
Selected Publications
-
2013. COST-EFFECTIVENESS OF JOINT PROTECTION AND HAND EXERCISE FOR HAND OSTEOARTHRITIS. RHEUMATOLOGY (vol. 52, p. 147). link>
-
2013. MANAGING SCIATICA IN THE PHYSIOTHERAPY CONSULTATION: A QUALITATIVE OBSERVATION AND INTERVIEW STUDY. RHEUMATOLOGY (vol. 52, pp. 99-100). link>
-
2013. TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION FOR THE MANAGEMENT OF TENNIS ELBOW: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL. RHEUMATOLOGY (vol. 52, p. 38). link>
Full Publications List show
Journal Articles
-
2013. Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial). BMJ, vol. 347, f5160. link>
-
2011. Hand assessment in older adults with musculoskeletal hand problems: a reliability study. BMC Musculoskelet Disord, vol. 12, 3. link> doi> full text>
-
2010. The Staffordshire Arthritis, Musculoskeletal, and Back Assessment (SAMBA) Study: a prospective observational study of patient outcome following referral to a primary-secondary care musculoskeletal interface service. BMC Musculoskeletal Disorders, vol. 11, 67. doi>
-
2010. Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: large pragmatic randomised controlled trial. BMJ, vol. 340, c3037. doi>
-
2010. IMPaCT Back study protocol. Implementation of subgrouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison. BMC Musculoskelet Disord, vol. 11, 186. link> doi> full text>
-
2009. Radiographic hand osteoarthritis: patterns and associations with hand pain and function in a community-dwelling sample. Osteoarthritis Cartilage, vol. 17(11), 1440-1447. link> doi> full text>
-
2010. The relationship between patient and practitioner expectations and preferences and clinical outcomes in a trial of exercise and acupuncture for knee osteoarthritis. Eur J Pain, vol. 14(4), 402-409. link> doi> full text>
-
2009. 'PhysioDirect' telephone assessment and advice services for physiotherapy: protocol for a pragmatic randomised controlled trial. BMC HEALTH SERVICES RESEARCH, vol. 9, Article ARTN 136. link> doi> full text>
-
2009. Research priorities for non-pharmacological therapies for common musculoskeletal problems: nationally and internationally agreed recommendations. BMC Musculoskeletal Disorders, vol. 10, Article 3. doi> full text>
-
2009. Development and implementation of a physiotherapy intervention for use in a pragmatic randmonised controlled trial in primary care for shoulder pain. Musculoskeletal Care, vol. 7(2), 67-77.
-
2009. Testing a model of association between patient identified problems and responses to global measures of health in low back pain patients: a prospective study. Health Qual Life Outcomes, vol. 7, 74. link> doi> full text>
-
2009. Transcutaneous electrical nerve stimulation for the management of tennis elbow: a pragmatic randomized controlled trial: the TATE trial (ISRCTN 87141084). BMC Musculoskelet Disord, vol. 10, 156. link> doi> full text>
-
2008. Pharmacist-led medication review for knee pain in older adults: content, process and outcomes. International Journal of Pharmacy Practice, vol. 16(6), 347-355. doi>
-
2008. How do pain and function vary with compartmental distribution and severity of radiographic knee osteoarthritis?. Rheumatology, vol. 47(11), 1704-1707. doi>
-
2008. A randomised clinical trial of subgrouping and targeted treatment for low back pain compared with best current care. The STarT Back Trial Study Protocol. BMC Musculoskelet Disord, vol. 9, 58. link> doi> full text>
-
2008. Patients' preferences within randomised trials: systematic review and patient level meta-analysis. BMJ, vol. 337, 1864.
-
2008. Six sessions of manual acupuncture do not seem to help when added to optimal exercise for knee osteoarthritis. Focus on Alternative and Complementary Therapies, vol. 13(1), 35-37.
-
2008. Targeted treatment for back pain in primary care: an evaluation of a screening tool to subgroup patients. Arthritis and Rheumatism (Arthritis Care and Research), vol. 59, 632-641.
-
2008. The STarT Back screening tool: subgroups for targeted treatment of back pain in primary care. Arthritis and Rheumatism (Arthritis Care and Research), vol. 59(5), 632-641.
-
2007. Cervical spine magnetic resonance imaging in primary care consulters with shoulder pain: a case-control study. Annals of the Rheumatic Diseases, vol. 66(10), 1363-1368. doi>
-
2007. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. BMJ, vol. 335(7617), 436. link> doi> full text>
-
2007. ICF core sets for low back pain: do they include what matters to patients?. J Rehabil Med, vol. 39(5), 353-357. link> doi> full text>
-
2007. Radiographic presentation of osteoarthritis of the thumb. Rheumatology, vol. 46, i14.
-
2007. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be?. Ann Rheum Dis, vol. 66(1), 86-91. doi> full text>
-
2007. The Clinical Assessment Study of the Hand (CAS-HA): a prospective study of musculoskeletal hand problems in the general population. BMC Musculoskelet Disord, vol. 8, 85. link> doi> full text>
-
2007. The ICF core sets for low back pain: do they include what matters to patients?. J Rehab Med, vol. 39(5), 353-7.
-
2006. Lateral epicondylitis in general practice: course and prognostic indicators of outcome. Journal of Rheumatology, vol. 33, 2053-2059.
-
2006. Evidence-based clinical guidelines: a new system to better determine true strength of recommendation. Journal of Evaluation in Clinical Practice, vol. 12(3), 347-352.
-
2006. The Knee Clinical Assessment Study-CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population: baseline recruitment and retention at 18 months. BMC Musculoskelet Disord, vol. 7, 30. link> doi> full text>
-
2006. Does physiotherapy management of low back pain change as a result of an evidence-based educational programme?. Journal of Evaluation in Clinical Practice, vol. 12(3), 365-375. doi>
-
2006. Sensitivity to change and internal consistency of the Northwick Park Neck Pain questionnaire and derivation of a minimal clinically important difference. Clinical Journal of Pain, vol. 22(9), 820-826. doi>
-
2006. The performance of the ACR clinical classification criteria for knee osteoarthritis in the general population. Rheumatology, vol. 45, i69.
-
2005. A comparison of two primary care trials on tennis elbow: issues of external validity. Ann Rheum Dis, vol. 64(10), 1406-1409. link> doi> full text>
-
2005. A cost consequences analysis of local corticosteroid injections and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Rheumatology, vol. 44, 1447-51.
-
2005. A systematic search and critical review of measures of disability for use in population survey of hand osteoarthritis. Osteoarthritis and Cartilage, vol. 13, 1-12.
-
2005. Evidence-Based Recommendations for the Role of Exercise in the Management of Osteoarthritis of the Hip or Knee - the MOVE consensus. Rheumatology, vol. 44, 67-73.
-
2005. Manual therapy or pulsed shortwave diathermy provide no additional benefit over advice and exercise in the treatment of neck disorders. Focus on Alternative and Complementary Therapies, vol. 10(4), 307-308.
-
2005. Meeting the challenges of research governance. Rheumatology, vol. 44(5), 571-572. doi>
-
2005. Shoulder pain: diagnosis and management in primary care. BMJ, vol. 331, 1124-8.
-
2004. Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: the "acupuncture, physiotherapy and exercise" (APEX) study [ISRCTN88597683]. BMC Musculoskelet Disord, vol. 5, 31. link> doi> full text>
-
2004. Treatment of shoulder pain - Reply. ANNALS OF THE RHEUMATIC DISEASES, vol. 63(5), 607. link>
-
2004. What influences participants' treatment preference and can it influence outcome? Results from a primary care-based randomised trial for shoulder pain. Br J Gen Pract, vol. 54(499), 93-96. link>
-
2004. A comparison of four shoulder-specific questionnaires in primary care. Annals of the Rheumatic Diseases, vol. 63(10), 1293-1299. doi> full text>
-
2004. An integrated care pathway for the management of low back pain. Physiotherapy, vol. 90, 91-96.
-
2004. Do Physiotherapist's attitudes towards evidence based practice change as a result of an evidence based educational programme?. Journal of Clinical Evaluation, vol. 10(2), 207-217. doi>
-
2004. Integrated care in practice: Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain? The "Acupuncture, Physiotherapy and Exercise" (APEX) Study. BMC Musculoskeletal Disorders, vol. 31(5).
-
2003. Consultation and the outcome of shoulder pain: a cohort study in the population. J Rheumatol..
-
2003. Osteoporosis: what are the implications of DEXA scanning 'high risk' women in primary care?. Family Practice, vol. 20(3), 289-293. doi>
-
2003. Associations of depression in rheumatoid arthritis. Psychosomatics, vol. 44, 209-215.
-
2002. "I'd rather go and know": women's understanding and experience of DEXA scanning for osteoporosis. Health Expect, vol. 5(2), 114-126. link>
-
2002. Effects of manual work on recovery from lateral epicondylitis. Scand J Work Environ Health, vol. 28(2), 109-116. link>
-
1995. Acquired Brown's syndrome in primary sjogren's syndrome. Br J Ophthalmol, vol. 79(1), 89/90.
-
2002. Corticosteroid injections for lateral epicondylitis: a systematic review. Pain, vol. 96(1-2), 23-40.
-
2002. Development of the Knee Standardized Clinical Interview: a research tool for studying the primary care clinical epidemiology of knee problems in older adults. Rheumatology, vol. 41, 1101-1108.
-
2001. A pragmatic randomised controlled trial (RCT) in primary care for shoulder pain: content of the physiotherapy intervention. RHEUMATOLOGY, vol. 40, 148. link>
-
2001. Clinical effetiveness of DMARDS in practice: adverse reactions in a cohort of 2,170 patients monitored for 9,378 treatment years. Quarterly Journal of Medicine, vol. 97, 309-321.
-
2001. RCGP and BSR. A joint initiative for joint problems – how to manage demand. Rheumatology, vol. 40(7), 833-834.
-
2000. How to supervise a thesis - best practice. Rheumatology, vol. 39, 560-562.
-
2000. Outcome of shoulder region pain in the community. Rheumatology, vol. 39, 91.
-
2000. Postgraduate degrees for rheumatology trainees: an options appraisal of MD, PhD and MSc degrees. Rheumatology, vol. 38, 1290-1293.
-
1999. Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ, vol. 319(7215), 964-968. link>
-
1999. A randomised controlled trial of local corticosteroid injection and naproxen for the treatment of lateral epicondylitis in primary care. British Medical Journal, vol. 319, 964-968.
-
1999. The ACR nomenclature and case definitions for neuropsychiatric lupus syndrome. Arthritis Rheumatism, vol. 42, 599-608.
-
1998. Sjogren's syndrome: A community-based study of prevalence and impact. BRITISH JOURNAL OF RHEUMATOLOGY, vol. 37(10), 1069-1076. link>
-
1996. Corticosteroid injections for lateral epicondylitis: A systematic overview. BRITISH JOURNAL OF GENERAL PRACTICE, vol. 46(405), 209-216. link>
-
1996. Interobserver reliability in measuring fexion, internal rotation and external rotation of the hip using a plurimeter. Annals Rheumatic Diseases, vol. 55, 320-323.
-
1996. The development and initial validation of the SLICC/ACR damage index in SLE. Arthritis Rheumatism, vol. 39, 363-369.
-
1995. PSYCHIATRIC-DISORDER AND COGNITIVE IMPAIRMENT IN SLE. JOURNAL OF RHEUMATOLOGY, vol. 22(11), 2187. link>
-
1995. ABC OF RHEUMATOLOGY - SYSTEMIC LUPUS-ERYTHEMATOSUS AND LUPUS-LIKE SYNDROMES. BRITISH MEDICAL JOURNAL, vol. 310(6989), 1257-1261. link>
-
1995. Lack of influence of non-inherited maternal HLA antigens (NIMA) on the occurence of rheumatoid arthritis in multicase families. Annals Rheumatic Diseases, vol. 54, 311-313.
-
1995. Relative contributions of HLA-DQA and complement C4A loci in determining susceptibility to systemic lupus erythematosus. British Journal of Rheumatology, vol. 34, 221-225.
-
1994. A prospective study of psychiatric disorder and cognitive function in systemic lupus erythematosus. Annals Rheumatic Diseases, vol. 53, 637-647.
-
1994. And the European Community Study Group on diagnostic criteria for Sjögrens syndrom (Hay EM) Sensitivity and specificity of tests for ocular and oral involvement in Sjögrens syndrome. Annals Rheumatic Diseases, vol. 53, 637-647.
-
1994. Arthritis and Rheumatism Council's National Repository of Family Material: pedigrees from the first 100 rheumatoid arthrits families containing affected sibling pairs. British Journal of Rheumatology, vol. 33, 970.
-
1994. HLA-DP does not contribute towards susceptibility to systemic lupus erythematosus. Annals Rheumatic Diseases, vol. 53, 188-190.
-
1994. Serological and immunogenetic markers of extraglandular Sjögrenssyndrome. British Journal of Rheumatology, vol. 33, 193-194.
-
1993. A prospective study of psychiatric disorder and cognitive function in SLE. British Journal of Rheumatology, vol. 32, 88.
-
1993. Anti-P antibodies are associated with psychiatric and focal cerebral disorders in patients with systemic lupus erythematosus. British Journal Rheumatology, vol. 32, 287-290.
-
1993. Antiribosomal P protein antibodies in different populations of patients with systemic lupus erythematosus. British Journal Rheumatology, vol. 32, 663-665.
-
1993. Clinical course of patients with anti-RNP antibodies. Journal of Rheumatology, vol. 20, 1256-1257.
-
1993. HLA-DQ, DR and complement C4 variants in systemic lupus erythematosus. Journal Rheumatology, vol. 32, 870-875.
-
1993. Preliminary criteria for the classification of Sjögrens syndrome. Results of a prospective concerted action supported by the European Community. Arthritis Rheumatism, vol. 36, 340-347.
-
1993. The BILAG Index: a reliable and valid instrument for measuring clinical disease activity in systemic lupus erythematosus. Quarterly Journal of Medicine, vol. 86, 447-458.
-
1992. Psychiatric disorder and cognitive functioning in systemic lupus erythematosus. Arthritis Rheumatism, vol. 35, 411-416.
-
1992. Soluble CD23 levels in patients with systemic lupus erythematosus and primary sjögrens syndrome. Clinical Experimental Immunology, vol. 89, 452-455.
-
1992. Systemic Lupus International Collaborative Clinics: Development of a damage index for SLE. Journal of Rheumatology, 1820-1821.
-
1991. A specific T Cell gene product is present in abnormal amounts in hypergammaglobulinaemic primary Sjögrens syndrome. European Journal of Immunogenetics, vol. 18, 199.
-
1991. Abnormal T Cell repertore in primary Sjögrens syndrome. Clinical Experimental Rheumatology, vol. 85, 262-264.
-
1991. The use of specially padded hosiery in the painful rheumatoid foot. Foot, vol. 1, 175-177.
-
1991. Wegener's granulomatosis occuring in siblings. British Journal of Rheumatology, vol. 30, 144-145.
-
1990. Evan's syndrome associated with dermatomyostis. Annals Rheumatic Diseases, vol. 49, 493-494.
-
1990. Psychiatric disorder and cognitive functioning in systemic lupus erythematosus. British Journal of Rheumatology, vol. 29, 41.
-
1990. Selective polyclonal elevation of IgC, levels: A link with Sjögrens syndrome. Annals Rheumatic Diseases, vol. 49, 373-377.
-
1989. A double blind study of the long-term efficacy of slow and rapid introductory regimes of bromocriptine in the treatment of Parkinson's disease. Journal Neurology, Neurosurgery & Psychiatry, vol. 53, 77-82.
-
1989. Abnormal foot pressure alone does not cause foot ulceration. Diabetic Medicine, vol. 6, 426-428.
-
1987. Reactive arthritis associated with cryptosporidium entertis. British Medical Journal, vol. 47, 248.
-
1984. Cerebrospinal fluid enolase in stroke. Journal Neurology, Neurosurgery & Psychiatry, vol. 47, 724-729.
Chapters
-
2007. Treatment options of musculoskeletal pain: what is the evidence?. In Pain: Best Practice and Research Compendium. Breivic H and Shipley M (Eds.). Edinburgh: Elsevier.
-
2004. Community Rheumatology: delivering care across boundaries. In ABC of Rheumatology. Snaith M (Ed.). WileyBlackwell.
-
1998. Osteoarthritis of the knee. In The Royal College of GP Members Reference Book 1998/99.
Other
-
2013. COST-EFFECTIVENESS OF JOINT PROTECTION AND HAND EXERCISE FOR HAND OSTEOARTHRITIS. RHEUMATOLOGY (vol. 52, p. 147). link>
-
2013. MANAGING SCIATICA IN THE PHYSIOTHERAPY CONSULTATION: A QUALITATIVE OBSERVATION AND INTERVIEW STUDY. RHEUMATOLOGY (vol. 52, pp. 99-100). link>
-
2013. TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION FOR THE MANAGEMENT OF TENNIS ELBOW: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL. RHEUMATOLOGY (vol. 52, p. 38). link>
-
2012. THE CLINICAL EFFECTIVENESS OF JOINT PROTECTION EDUCATION AND EXERCISES IN HAND OSTEOARTHRITIS (OA). OSTEOARTHRITIS AND CARTILAGE (vol. 20, p. S168). link>
-
2010. INCIDENCE AND PROGRESSION OF RADIOGRAPHIC KNEE OSTEOARTHRITIS IN A SYMPTOMATIC POPULATION. RHEUMATOLOGY (vol. 49, p. I33). link>
-
2010. WHO IS REFERRED TO MUSCULOSKELETAL CLINICAL ASSESSMENT AND TREATMENT SERVICES AT THE PRIMARY-SECONDARY CARE INTERFACE? THE SAMBA STUDY. RHEUMATOLOGY (vol. 49, p. I24). link>
-
2010. Who is referred to musculoskeletal Clinical Assessment and Treatment Services (CATS) at the primary-secondary interface? The SAMBA study.
-
2009. Concurrent validity of hand-held sphygmomanometer dynamometry for measuring thigh muscle strengths. Rheumatology (vol. 48, p. I159).
-
2009. IS THERE A WINDOW OF OPPORTUNITY FOR PHYSIOTHERAPY AFTER STEROID INJECTIONS FOR SHOULDER PAIN? RESULTS FROM A LARGE RANDOMISED TRIAL. RHEUMATOLOGY (vol. 48, p. I96). link>
-
2009. THE COST-UTILITY OF ACUPUNCTURE AS AN ADJUNCT TO EXERCISE-BASED PHYSIOTHERAPY FOR OSTEOARTHRITIS OF THE KNEE. RHEUMATOLOGY (vol. 48, p. I106). link>
-
2009. Implementation of sub-grouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison.
-
2009. The cost-utility of NHS physiotherapist-delivered acupuncture for knee osteoarthritis and the dilemma of non-operable treatment interventions.
-
2008. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomised controlled trial. RHEUMATOLOGY (vol. 47, p. II2). link>
-
2008. Practical application of the start back screening tool: A pilot study in primary care. RHEUMATOLOGY (vol. 47, p. II156). link>
-
2008. Structured review of primary care back pain classification tools. RHEUMATOLOGY (vol. 47, p. II153). link>
-
2008. A comparison of two primary care back pain screening tools. Pain.
-
2008. A comparison of two primary care back pain screening tools.
-
2008. Defining radiographic hand osteoarthritis in population-based epidemiology - a systematic search and narrative review.
-
2008. Integrated care in practice: Is acupuncture a useful adjunct to exercise-based physiotherapy for older adults with clinical knee osteoarthritis?.
-
2008. Measuring effectiveness of treatment: what matters to patients?. J Bone Joint Surg (vol. 91).
-
2007. Current treatment approaches in a population-based sample with hand osteoarthritis: Comparison with EULAR recommendations. Annals of the Rheumatic Diseases (vol. 66 (suppl. 2), p. 515). BMJ Publishing Group.
-
2007. Illness perceptions of low back pain patients in primary care: Are they associated with outcome?. RHEUMATOLOGY (vol. 46, p. I10). link>
-
2007. Physiotherapists views of exercise for knee pain in older adults: In line with current recommendations?. RHEUMATOLOGY (vol. 46, pp. I21-I22). link>
-
2007. Radiographic presentation of osteoarthritis of the thumb. Rheumatology (vol. 46 (suppl. 1), p. I14). Oxford Univ Press.
-
2007. The impact of non-inflammatory musculoskeletal hand conditions in a community dwelling population of older adults. Rheumatology (vol. 46 (suppl. 1), pp. I20-I21). Oxford Univ Press.
-
2007. The pain burden of participants in pragmatic trials for regional musculoskeletal conditions. RHEUMATOLOGY (vol. 46, p. I125). link>
-
2007. EULAR evidence based recommendations for the management of hand osteoarthritis - report of a multidisciplinary task force (Escisit).
-
2007. How do pain and disability vary with compartmental distribution and severity of radiographic knee osteoarthritis?. Arthritis and Rheumatism (vol. 56, p. 121).
-
2007. Impact of musculoskeletal hand conditions in a community dwelling population of older adults.
-
2007. Noninferiority Analysis in Pragmatic Trials of Non-Pharmacological Health Care Interventions - an Underused Approach?.
-
2007. Physiotherapists use of exercise therapy for knee pain in older adults: a mixed methods study. Physiotherapy (vol. 93).
-
2007. The role of Illness Perceptions in Determining Outcome in Low Back Pain Patients Presenting to Family Practice. Arthritis and Rheumatism (vol. 56, p. 775).
-
2007. Treating back pain in Primary Care using the STarT Back screening tool: a Pilot Study.
-
2006. Cost-utility analysis of a brief pain management programme and physical treatments for low back pain: Results from an economic analysis alongside a randomised clinical trial. RHEUMATOLOGY (vol. 45, p. I123). link>
-
2006. Performance of the ACR clinical classification criteria for knee osteoarthritis in the general population. RHEUMATOLOGY (vol. 45, p. I69). link>
-
2006. Pragmatic randomized clinical trial of the effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in older people presenting to primary care. RHEUMATOLOGY (vol. 45, p. I73). link>
-
2006. Radiographic knee osteoarthritis: Do compartmental patterns influence pain?. RHEUMATOLOGY (vol. 45, pp. I72-I73). link>
-
2006. Symptoms and radiographic osteoarthritis: Not as discordant as they are made out to be?. RHEUMATOLOGY (vol. 45, p. I73). link>
-
2006. The ICF core sets for low back pain: Do they tell us what matters to patients?. RHEUMATOLOGY (vol. 45, p. I123). link>
-
2006. Validation of a new low back pain sub-grouping tool for primary care (the STarTBack tool). RHEUMATOLOGY (vol. 45, p. I119). link>
-
2006. An economic evaluation of three physiotherapy treatments for non-specific neck disorders alongside a randomised trial. Fam Practice (vol. 23, pp. 139-142).
-
2006. Attitudes and beliefs of health care practitioners influence their management of patients with LBP.
-
2006. Attitudes and beliefs of health care practitioners influence their management of patients with LBP.
-
2006. Do the attitudes and beliefs of health care practitioners influence their management of patients with LBP?. Fam Practice (vol. 23).
-
2006. Do the attitudes and beliefs of health care practitioners influence their recommendations about work for patients with low back pain?. J Bone Joint Surg (vol. 89).
-
2006. Do the patient and doctor agree on diabetic diagnosis?. Fam Practice (vol. 23, pp. 87-88).
-
2006. Lessons learned from recent Psychosocial Interventions: Implications for Research.
-
2006. Pragmatic randomised clinical trial of community physiotherapy and enhanced pharmacy review for knee pain in older people presenting to primary care. Rheumatology (vol. 45, p. i73).
-
2006. Pragmatic randomised clinical trial of the effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in older people presenting to primary care. Fam Practice (vol. 23, pp. 48-50).
-
2006. Prevalence and co-occurence of hand osteoarthritis and other musculoskeletal hand conditions in a community dwelling population of older adults. Osteoarthritis and Cartilage (vol. 14, pp. 1063-4584).
-
2006. Radiographic Knee Osteoarthritis: Severity and Compartmental Involvement do Influence Symptoms.
-
2006. The ICF core sets for low back pain: do they tell us what matters to patients?. The QLR Journal (vols. A-40, p. 1138).
-
2006. The relationship between pain and radiographic osteoarthritis of the knee.
-
2006. Using the start back screening tool in primary care: pilot study to assess feasibility. J Bone Joint Surg (vol. 88).
-
2006. What is the usual care of back pain in primary care?. Fam Practice (vol. 23, pp. 139-142).
-
2005. Cost utility analysis of a brief pain management programme and manual therapy for low back pain: An economic evaluation along-side a randomised clinical trial. ARTHRITIS AND RHEUMATISM (vol. 52, p. S663). link>
-
2005. Pragmatic randomized clinical trial of active physical therapy and enhanced pharmacy review for knee pain in older people presenting to primary care. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S504-S505). link>
-
2005. Predicting the presence of radiographic osteoarthritis in the older patient with knee pain. ARTHRITIS AND RHEUMATISM (vol. 52, p. S509). link>
-
2005. Prevalence of radiographic knee osteoarthritis - It all depends on your point of view. ARTHRITIS AND RHEUMATISM (vol. 52, p. S510). link>
-
2005. Symptoms and radiographic osteoarthritis: Not as discordant as they are made out to be?. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S509-S510). link>
-
2005. The physical examination as a predictor of self-reported physical function in older community-dwelling adults with knee pain. ARTHRITIS AND RHEUMATISM (vol. 52, pp. S466-S467). link>
-
2005. Managing inflammatory arthritis in the older person. ANNALS OF THE RHEUMATIC DISEASES (vol. 64, pp. 49-50). link>
-
2005. Startback - Development of a low back pain screening tool. RHEUMATOLOGY (vol. 44, p. I85). link>
-
2005. Classifying hand OA in a population of older people: a reliability study. Rheumatology (vol. 44, p. i14).
-
2005. Improving the effectiveness of primary care for non-specific back pain: Keele BeBack Study.
-
2005. Is acupuncture a useful adjunct to physiotherapy for older adults with knee pain?: The "Acupuncture, Physiotherapy and Exercise" (APEX) study.
-
2005. Managment of inflammatory arthritis in older people.
-
2005. Measuring clinically important change in low back pain. J Bone Joint Surg (vols. 87-B).
-
2005. Measuring Clinically Important Change in Low Back Pain. J Bone Joint Surg Br Orthopaedic proceedings (vol. 87, p. 39).
-
2005. Outcomes in low back pain: what matters to the patients?. Rheumatology (vol. 44, p. i160).
-
2005. Outcomes in low back pain: what matters to the patients?.
-
2005. Perfomance based functional hand assessment in a population of older people: A reliability study.
-
2005. Pragmatic randomised clinical trial of active physical therapy and enhanced pharmacy review for knee pain in older people presenting to primary care. Arthritis Rheum (vol. 52, p. s504).
-
2005. STarT Back - development of a low back pain screening tool.
-
2005. Symptoms and radiographic osteoarthritis: not as discordant as they are made out to be?.
-
2005. The effectivenss of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders; a pragmatic randomised controlled trial in physiotherapy clinics. Physiotherapy.
-
2005. Classifying hand OA in a population of older people: a reliability study. Rheumatology (vol. 44, p. i14).
-
2004. Early physiotherapy management of back pain in primary care: a randomised clinical trial of physical treatments versus a brief pain management programme. Rheumatology (vol. 43, p. ii18).
-
2004. Evidence-based recommendations for the role of exercise in the management of osteoarthritis (OA) of the hip or knee. Rheumatology (vol. 43, p. 64).
-
2004. Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee.
-
2004. Evidence-based recommendations for the role of exercise in the management of osteorarthritis (OA) of the hip or knee. Rheumatology.
-
2004. Inter and intra-observer reliability of a non-instrumented, standardised physical examination in a primary care population of older adults with knee problems. Rheumatology (vol. 43, p. 83).
-
2004. Is video analysis of clinical interventions in treatment trials valuable? Experiences from a low back pain study. Rheumatology (vol. 43, p. 86).
-
2004. Issues of generalisability in randmoised controlled trials. Rheumatology (vol. 43, p. 86).
-
2004. Living with research governance: experience from a multi-centre clinical trial for knee pain in primary care.
-
2004. PANTHER - Issues of generalisability in randomised clinical trials. Rheumatology.
-
2004. PANTHER - Physiotherapists' perceived predictors of outcome in neck pain. Rheumatology (vol. 43, p. 153).
-
2004. Physiotherapists' perceived predictors of outcome in neck pain. Rheumatology (vol. 43, p. ii153).
-
2004. Prognostic indicators of outcome in shoulder pain: results from an analysis of two pragmatic, primary care-based randomised trials. Rheumatology (vol. 43, p. 72).
-
2004. The development of a hand assessment for clinical research: a consensus study using a modified Delphi approach. Rheumatology (vol. 43, p. i154).
-
2003. Cost minimistation analysis of local corticosteroid injection versus physiotherapy for the treatment of new episodes of unilateral should pain in primary care. Rheumatology (vol. Suppl 1, p. 147).
-
2003. Do opinion leaders exist in clinical practice?. Rheumatology.
-
2003. Is video analysis of clinical interventions in treatment trials valuable? Experiences from a low back pain study. J Bone Joint Surg (vols. 87-B).
-
2003. Long-term follow-up of a pragmatic, primary care based randomised trials for shoulder pain shoulder trials data. Rheumatology (vol. 42, pp. 35-36).
-
2003. Management of shoulder problems - a primary care perspective. Annals Rheum Dis (vol. 62 Suppl 1, p. 36).
-
2003. Physiotherapy Interventions in a Low Back Pain Clinical Trial: What did the physiotherapists deliver?.
-
2003. Structural cervical spine abnormalites and shoulder region pain: is there an association?. Rheumatology.
-
2003. The development of a hand survey questionnaire for an assessment of hand problems in older people. Rheumatology.
-
2003. The effectiveness of manual therapy or pulsed shortwave diathermy in addition to exercise & advice for neck disorders: a pragmatic randomized controlled trial in physical therapy clinics. Arthritis & Rheumatism.
-
2003. The effectiveness of manual therapy or pulsed shortwave diathermy in addition to exercise & advice for neck disorders: a pragmatic randomized controlled trial in physical therapy clinics. Arthritis & Rheumatism.
-
2002. A survey of GP's and physiotherapists (PT) views on a physiotherapy led back pain service. Rheumatology (vol. 41, p. 81).
-
2002. A Systematic search & critical review of measures of disability for use in a population survey of hand osteoarthritis (OA). Rheumatology (vol. 41, p. 85). doi>
-
2002. Consulting behaviour in a population with shoulder pain. Rheumatology (vol. 41, p. 46).
-
2002. Early Pain Relief in Tennis Elbow: a 5-day diary on comparing steroid injection, NSAID and placebo. Rheumatology.
-
2002. Establishing the role of a community rheumatology nurse. Rheumatology (vol. 41, p. 80).
-
2002. Pragmatic primary care based randomised trials for shoulder pain: the issue of external validity.
-
2002. Pragmatic, primary case-based randomised trials for shoulder pain: the issue of external vaildity. Rheumatology (vol. 41, p. 46).
-
2002. Recruitment in the real world - barriers and aids. Rheumatology (vol. 41, p. 88).
-
2002. Recruitment in the real world - barriers and solutions.
-
2002. Selection of shoulder questionnaires for use in prospective studies. Rhematology.
-
2001. A longitudinal study to investigate the change in physiotherapists clinical management of low back pain following an evidence based training programme. RHEUMATOLOGY (vol. 40, p. 147). link>
-
2001. A longitudinal study to investigate the change in physiotherapists clinical management of low back pain following an evidence based training programme. Rheumatology (vol. 40, p. 147).
-
2001. A pragmatic randomised controlled trial of local corticosteroid injection and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Rheumatology (vol. 40, p. 77).
-
2001. A pragmatic RCT in primary care for shoulder pain: content of the physiotherapy intervention. Rheumatology (vol. 40, p. 148).
-
2001. Clinical history in older adults with knee pain: standardised interview questions from general practice and rheumatology perspectives for epidemiological reserach. Rheumatology (vol. 40, p. 127).
-
2001. Does a general measure of health status reflect the severity of shoulder problems?. Rheumatology (vol. 40, p. 128).
-
2001. Osteoporosis: what are the implications of scanning "high risk" women in primary care?. Rheumatology (vol. 40, p. 55).
-
2001. Pragmatic randomised controlled trial of local steroid injection and physiotherapy for the treatment of new episodes of shoulder pain in primary care. Rheumatology (vol. 40, p. 77).
-
2001. Pragmatic primary care based randomised controlled trial for shoulder pain: do patients' treatment preferences affect outcome?. Rheumatology (vol. 40, p. 136).
-
2000. A quasi-experimental study to investigate the change in physiotherapy clinical practice and attitudes following an evidence based training package on low back pain. Rheumatology (vol. 39, p. 165).
-
2000. Long term use of second line antirheumatic drugs in a group of 2170 patients with RA attending a single centre: computerised monitoring aids continuity and compliance. Rheumatology (vol. 39, p. 44).
-
2000. Observer reliability study of physical signs used to assess patients with shoulder region pain. Rheumatology (vol. 39, p. 121).
-
2000. Tennis elbow in primary care: does manual work slow recovery?. Rheumatology (vol. 39, p. 74).
-
1999. The prevalence of shoulder region pain in a North Staffs population: its association with anxiety and depression. Ann Rheum Dis, EULAR suppl (vol. 141).
-
1998. A randomised placebo controlled trial of local steroid injection and nonsteroidal anti-inflammatory tablets for the treatment of lateral epicondylitis in primary care. ARTHRITIS AND RHEUMATISM (vol. 41, p. S93). link>
-
1997. Implementing low back pain guideline: A pilot study in UK primary care. British Journal of Rheumatology (vol. 36, p. 403).
-
1997. Lack of association between subjective symptoms and objective testing of dry eyes and dry mouth: Results from population based survey. British Journal of Rheumatology (vol. 36, p. 47).
-
1997. Social stress, functional impairment and depression in rheumatoid arthritis. British Journal of Rheumatology (p. 279).
-
1997. The prevalence of, and morbidity associated with Sjogrens's syndrome: Results from a population based study. Arthritis Rheumatism (vol. 40, p. 1052).
-
1995. An assessment of the body chart in Ankylosing Spondylitis. Proc W C P T (p. 1008).
-
1995. Departmental Outcome: Forget the patients and staff, measure the notes. British Journal of Rheumatology (vol. 34, p. 49).
-
1995. Outpost Rheumatology: The general practitioners perspective. British Journal of Rheumatology (vol. 34, p. 50).
-
1995. Rheumatology Education: What do General Practitioners want?. British Journal of Rheumatology (vol. 34, p. 49).
-
1995. Routine follow up of RA patients: What indicates periodicity of review. British Journal of Rheumatology (vol. 34, p. 12).
-
1995. The body chart: A meaningful assessment of pain compared to visual analogue scales in ankylosing spondylitis. British Journal of Rheumatology (vol. 34, p. 36).
-
1995. Weak association between self-reported dry eys and dry mouth and objective tests of salivary and lacrimal function: A population study. British Journal of Rheumatology (vol. 34, p. 33).
-
1994. Between observer reliability of the Systemic Lupus international collaborative clinics damage index for SLE. British Journal of Rheumatology (vol. 33, p. 35).
-
1994. Lack of influence on non-inherited maternal HLA antigens (NIMA) on the occurence of Rheumatoid Arthritis in muticase families. British Journal of Rheumatology (vol. 33, p. 156).
-
1994. Relative effects of HLA-DQA and complement C4A loci on susceptibility to systemic lupus erythematosus. Arthritis Rheumatism (vol. 37, p. S167).
-
1993. HLA associations with SLE. British Journal of Rheumatology (vol. 32, p. 116).
-
1993. HLA-DQA *0501 is the strongest marker for Anti-La antibodies in Systemic Lupus Erythematosus. Arthritis Rheumatism (vol. 36, p. S239).
-
1993. Polymorphisms of the VB13.2/VB6.7 TCR gene cassette and their relevance to hypergammaglobulinaemic Primary Sjogrens Syndrome. British Journal of Rheumatology (vol. 32, p. 91).
-
1992. A cross-sectional study of cognitive function in systemic lupus erythematosus. Lupus (vol. 1, p. 78).
-
1992. Anti-P antibodies and systemic lupus erythematosus. Lupus (vol. 1, p. 54).
-
1992. Development and testing of the BILAG index (version 3). Lupus (vol. 1, p. 22).
-
1992. Fungal HSP90 and SLE. British Journal of Rheumatology (vol. 31, p. 46).
-
1992. Soluble Thrombomodulin: A marker of vascular endothelial injury in vasculitis and Systemic Lupus Erythematosus. British Journal of Rheumatology (vol. 31, p. 90).
-
1991. A specific TcR gene product is present in abnormal amounts in primary Sjogrens Syndrome. Clin Exp Rheumatol (vol. 9, p. 34).
-
1991. An abnormality if the T Cell reportoire in Hypergammaglobulinaemic Primary Sjogrens Syndrome. Arthritis Rheumatism (vol. 34, p. S167).
-
1991. Antiribosomal P protein antibodies and Neuropsychiatric disease in patients with Systemic Lupus Eryhtematosus. British Journal of Rheumatology (vol. 30, p. 18).
-
1991. Correlation of Serum IgG1 with biopsy findings in Primary Sjogrens Syndrome. British Journal of Rheumatology (vol. 30, p. 18).
-
1991. ELISA of Anti-La but not Anti-Ro correlates with total serum IgG1 and degree of salivary gland infiltration in Primary Sjogrens Syndrome. British Journal of Rheumatology (vol. 30, p. 24).
-
1991. The BILAG index has good inter-observer agreement when used in a routine out-patient clinic. British Journal of Rheumatology (vol. 30, p. 23).
-
1991. The influence of HLA and Primary Sjogrens Syndrome on VB6.7 T Cell receptor gene expression. British Journal of Rheumatology (vol. 30, p. 136).
-
1990. What is the diagnosis in patients with anti-La: primary Sjogrens syndrome or systemic lupus erythematosus?. British Journal of Rheumatology (vol. 29, p. 42).
-
1989. Association between raised IgG1 and anti-La(SS-B) in Sjogrens syndrome. British Journal of Rheumatology (vol. 28, p. 60).
-
1988. Clinical and serological features in patients with an IgG subclass imbalance and connective tissue disease: a link with Sjogrens syndrome. British Journal of Rheumatology (vol. 27, p. 33).
-
1988. Foot pressures in rheumatoid arthritis and diabetes. British Journal of Rheumatology (vol. 27).
-
Assessing features of hand osteoarthritis using digital images: Inter-observer reliability between health professionals. Royal College of Nursing (RCN) Conference, 2007.
I am committed to building multi-disciplinary research capacity in primary care. Through embedding doctoral training within funded research programmes my research group has demonstrated the feasibility of supporting highly competitive PhD Fellowship applications to external funders such as NIHR. I have personally supervised 9 higher degrees (8 PhD, 2 MPhil) to completion and have 3 current PhD students.
I am Chair of Arthritis Research UKs Musculoskeletal Pain Clinical Studies Group, Board Member of the NIHR National School for Primary Care Research, Panel Member NIHR Applied Programme Grants and Panel Member (Uo2) 2014 Research Excellence Framework.

