Primary Care & Health Sciences
Explore this Section
I was brought up in Staffordshire and went to study Medicine at the University of Manchester. Following training to be a GP, I followed an academic career path and was awarded a personal Chair in Primary Care in 2009.
I took up a Chair at Keele as Professor of General Practice Research in September 2012. I have an Honorary Professorship at the University of Manchester.
The driving force behind my research is the doctor-patient relationship and how distress is recognized and dealt with in that interaction. Carolyn is a qualitative researcher and has published on GPs' attitudes to their work, particularly in the care of patients with distress, chronic illness and multiple symptoms (including pain), mental health and the elderly, and care across the primary/secondary interface.
Other externally funded work consists of developing and testing new interventions for patients with mental health problems in primary care. Some of this work has led to service change locally and nationally by influencing NICE guidelines, which is an important outcome of clinical research.
Selected Publications
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2013. Better together? a naturalistic qualitative study of inter-professional working in collaborative care for co-morbid depression and physical health problems. Implementation Science, vol. 8, 110. doi>
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2013. A qualitative study of patient choices in using emergency health care for long-term conditions: The importance of candidacy and recursivity. Patient Education and Counseling.
Full Publications List show
Books
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2012. Mental Health problems of older people: management in primary care.
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Guthrie E and House A (Eds.). 2012. Primary Care and Long Term Conditions Management. RCPsych UK.
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Gask L, Kendrick T, Lester H (Eds.). 2009. Mental Health Problems of Older People.
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2008. The Integrated Management of Depression in the Elderly. Cambridge University Press.
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Rogers A, Pilgrim D, Pecosolido B (Eds.). Common mental health problems: the impact of general practice on inequalities in the UK.
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Abou-Saleh and Blazer (Eds.). Treatment of late-life depression in community settings.
Journal Articles
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2013. Better together? a naturalistic qualitative study of inter-professional working in collaborative care for co-morbid depression and physical health problems. Implementation Science, vol. 8, 110. doi>
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2013. A qualitative study of patient choices in using emergency health care for long-term conditions: The importance of candidacy and recursivity. Patient Education and Counseling.
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2013. GP perspectives of irritable bowel syndrome – an accepted illness, but management deviates from guidelines: a qualitative study. BMC Family Practice, vol. 14, 92. doi>
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2013. Implementation of self-management support for long-term conditions in routine primary care settings: A cluster randomized controlled trial. Under review. BMJ. doi>
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2012. 'Permission to participate?' A qualitative study of participation in patients from differing socio-economic backgrounds. (In press). Journal of Health Psychology. doi>
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2012. A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long-term conditions in primary care: trial protocol. BMC Implementation Science, vol. 7, 7.
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2012. A randomised controlled trial of the clinical and cost-effectiveness of the BRIGHT (BRinging Information & Guided Help Together) intervention for the self-management support of people with stage 3 chronic kidney disease in primary care: trial protocol. Under review. BMC Imp Science.
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2012. An economic evaluation alongside a randomised controlled trial of a nurse-led home-based self-help treatment for patients in primary care with chronic fatigue syndrome. Under review. BMC Family Practice.
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2012. Collaborative Interventions for Circulation and Depression (COINCIDE)): a cluster randomised controlled trial of collaborative care for depression in people with diabetes and/or coronary heart disease. (In press). BMC Trials.
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2012. Developing resources to support the diagnosis and management of Chronic Fatigue Syndrome/Myalgic Encephalitis (CFS/ME) in primary care. A qualitative study. (In press). BMC Family Practice.
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2012. Diagnosis and management of Chronic Fatigue Syndrome/Myalgic Encephalitis (CFS/ME) in Black and Ethnic Minority people. A qualitative study. Under review. Primary Care Research and Development.
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2012. Experiences of working with Perinatal Mental Health Services and Children and Families Social Services: a qualitative study. Under Review. BMC Health Services Research.
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2012. Improving access to psychosocial interventions for common mental health problems in the United Kingdom: review and development of a conceptual model. (In press). BMC Public Health.
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2012. Management of Depression. GP Factfile.
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2012. Measuring health beliefs in the South Asian population with diabetes: a systematic review. (In press). Diversity in Health and Social Care.
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2012. Negotiating refusal in primary care consultations: a qualitative study. Family Practice.
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2012. NICE Quality Standards for Depression. Guidelines in Practice.
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2012. Operationalising Unscheduled Care policy: a qualitative study of health care professionals' perspectives. (In press). BJGP.
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2012. Recognising distress in health care consultations: a qualitative study. (In Press). Br J Dermatology.
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2012. Slaying the dragon myth: A qualitative study of receptionists in UK general practice. (In press). BJGP.
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2012. Somatisation and health anxiety as predictors of health care use. Psychosomatic Medicine: Journal of Behavioural Medicine, vol. 74(6), 656-664.
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2012. Somatisation predicts impaired health status in Functional Somatic Syndromes. (In Press). Int Journal Behav Medicine.
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2012. The epidemiology of multiple somatic symptoms. J Psychosom Res, vol. 72(4), 311-317.
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2012. Touch in primary care consultations: qualitative investigation of doctors' and patients' perceptions. (In press). BJGP. doi>
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2012. Understanding the management of early stage Chronic Kidney Disease in Primary Care: a qualitative study. BJGP, vol. 62, 186-187.
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2012. Why do patients with long term conditions use Unscheduled care? (In press). Health and Social Care in the Community.
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2011. A qualitative study exploring the Quality and Outcomes Framework and self-management dialogue in primary care consultations. BJGP, vol. 61, 624-625.
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2011. Access to primary mental health care for hard-to-reach groups: from 'silent suffering' to 'making it work'. Social Science and Medicine, vol. 72(5), 763.-772.
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2011. Case Identification of Depression in Patients with Chronic Physical Health Problems: A diagnostic accuracy meta-analysis of 113 studies. BJGP, vol. 61, 733-734.
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2011. Challenges of nurse delivery of psychological interventions for long-term conditions in primary care: a qualitative exploration of the case of Chronic Fatigue Syndrome/Myalgic Encephalitis. BMC Imp Science, vol. 6, 132.
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2011. Challenges to non-medical prescribers of a no-antibiotic prescribing strategy for managing self-limiting respiratory tract infections (In press). Australian Journal of Advanced Nursing.
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2011. Common and unique risk factors for chronic widespread pain and chronic fatigue. Under review. British J Psychiatry.
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2011. Help seeking and access to primary care for people form 'hard to reach' groups with common mental health problems. International Journal of Family Medicine.
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2011. Holding relationships in primary care: qualitative exploration of doctors' and patients' perceptions. BJGP, vol. 61, 506-507.
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2011. Improving detection and management of anxiety disorders in primary care. BJGP, vol. 589, 489-490.
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2011. Managing self-limiting respiratory tract infections: a qualitative study of the usefulness of the delayed prescribing strategy. BJGP, vol. 61, 560-561.
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2011. Patient empowerment in long-term conditions: development and validation of a new measure. (In press). BMC Health Services Research.
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2011. Rapid Response. BMJ.
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2011. Social networks, work and Network-Based Resources for the Management of Long Term Conditions: a framework and study protocol for developing self care support. Implementation Science, vol. 6, 56.
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2011. Talking about depression: barriers to managing depression in people with long term conditions in primary care. BMC Family Practice, vol. 12, 10.
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2011. Why may older people with depression not present to primary care? Messages from secondary analysis of qualitative data. Health and Social Care in the Community, vol. 20(1), 52-60.
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2010. A randomised controlled trial of a nurse-led home-based self-help treatment for patients in primary care with chronic fatigue syndrome - the FINE Trial. BMJ, vol. 340, c1777.
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2010. An intervention to promote patient participation and self-management in long term conditions: Development and feasibility testing. BMC Health Services Research, vol. 10, 206.
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2010. Bringing self-management into view: a qualitative study of long-term condition management in primary care consultations. Chronic Illness.
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2010. Delivering the WISE (Whole Systems Informing Self-Management Engagement) training package in primary care: learning from formative evaluation. BMC Implementation Science, vol. 5, 7.
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2010. Depression in older people. Practice Nurse.
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2010. Effects of befriending on depressive symptoms and distress: systematic review and meta-analysis. BJP, vol. 196, 96-101.
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2010. Equity, choice or chance? Patient's access to district nurses providing palliative care. Journal of Community Nursing.
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2010. Factors influencing engagement of patients in a novel intervention for CFS/ME: A qualitative study. Primary Care Research and Development.
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2010. Is Chronic Pelvic Pain a comfortable diagnosis a comfortable diagnosis for primary care practitioners: a qualitative study. BMC Family Practice, vol. 11, 7.
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2010. Making the diagnosis of CFS/ME in primary care: a qualitative study. BMC Family Pratice, vol. 11, 16.
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2010. Nurses feelings of 'ownership' of palliative care patients: findings from a qualitative case study.Invited Review]. Progress in Palliative Care, vol. 18(6), 346-351.
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2010. Prison staff and women prisoner's views on self-harm; their implications for service delivery and development: a qualitative study. Criminal Behaviour and Mental Health.
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2010. Social networks, social capital and chronic illness self-management: a realist review. Chronic Illness, vol. 6, 1.
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2010. The role of information in supporting self-care in vascular conditions: a conceptual and empirical review. Health Soc Care Community.
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2009. CollAborative DEpression Trial (Cadet): multi-centre randomised controlled trial of collaborative care for depression - study protcol. BMC Health Services Research, vol. 9, 188.
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2009. Depression in the elderly. GP.
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2009. Depression in the Elderly. Independent Nurse.
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2009. Disclosure of symptoms of postnatal depression, the perspectives of health professionals and women: a qualitative study. BMC Family Pratice, vol. 10, 7.
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2009. Management of patients with physical and psychological problems. RCGP News.
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2009. Patterns of access to community palliative care services: a literature review. Journal of Pain and Symptom Management, vol. 37, 884-912.
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2009. Practice Nurses' views of their role in the management of Chronic Fatigue Syndrome/Myalgic Encephalitis: a qualitative study. BMC Nursing, vol. 8, 2.
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2009. Researching the mental health needs of hard-to-reach groups: managing multiple sources of evidence. BMC Health Services Research, vol. 9, 226.
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2009. Summary of NICE guidance for depression. Guidelines in Practice.
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2009. Treatment of Depression in older people. Update.
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2009. Womens' experiences of health visitor delivered listening visits as a treatment for postnatal depression: A qualitative study. Patient Education and Counseling.
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2009. Women's views and experiences of antidepressants as a treatment for postnatal depression: a qualitative study. BMC Family Practice, vol. 10, 7.
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2008. Failure to improve appropriateness of referrals to adult community mental health services - lessons from a multi-site cluster-randomised controlled trial. Family Practice, vol. 25, 181-190.
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2008. General Practitioners' and Health Visitors' views on the diagnosis and management of postnatal depression: a qualitative study. BJGP, vol. 58, 169-176.
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2008. Implementation and impact of the Gold Standards Framework in community palliative care: a qualitative study of three Primary Care Trusts. Palliative Medicine, vol. 22(6), 736-743.
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2008. Is personal care important in the diagnosis of depression in older people?. BJGP, vol. 578(555), 675-676.
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2008. Judgements about fellow professionals: a qualitative study of the influences on palliative care referral decisions. BJGP, vol. 58, 264-272.
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2008. Just think about it in your consultation. An article to raise awareness about depression in older people. RCGP News.
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2008. Post-natal depression: management in primary care.
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2008. The GPs role in the detection and management of postnatal depression. RCGP News.
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2008. The loss of doctor-to-doctor communication: Lessons from the reconfiguration of mental health. Journal of Health Research and Policy, vol. 13(1), 6-12.
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2008. Use of multiple sources of evidence about CFS/ME in primary care consultations. Annals of Family Medicine, vol. 6, 340-348.
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2008. What influences referrals within community palliative care services? A qualitative case study. Social Sciences and Medicine, vol. 67(1), 137-146.
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2007. A randomised controlled trial to test the feasibility of a collaborative care model for the management of depression in older people. Br J Gen Pract, vol. 57(538), 364-370. link>
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2007. "How can you explain a pain that can't be seen" The narratives of women with chronic pelvic pain and their disengagement with the diagnostic cycle. British Journal of Health Psychology, vol. 12, 261-274.
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2007. A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality. BMC Health Services Research, vol. 7, 117.
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2007. A randomized controlled trial to test the feasibility of a collaborative care model for the management of depression in older people. BJGP, vol. 57(538), 364-369.
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2007. Achieving target recruitment in a primary care trial: lessons from PRIDE. vol. 8(3), 264-270.
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2007. Effectiveness of a Computerized Decision Aid in Primary Care on Decision-Making and Quality of Life in Menorrhagia: Results of the MENTIP Randomized Controlled Trial. Special Decision Medical Decision Making.
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2007. Evaluating partnership working: lessons for palliative care. European Journal of Cancer Care, vol. 16, 48-54.
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2007. Prescribing benzodiazepines in general practice: a new view of an old problem. Health, vol. 11(2), 181-198.
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2007. The use of mixed methodology in evaluating complex interventions: identifying patient factors that moderate the effects of a decision aid. Family Practice, vol. 24(6), 594-600.
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2006. "Justifiable depression": How health professionals and patients views late-life depression; a qualitative study. Family Practice, vol. 23, 369-377.
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2006. A qualitative study of GPs' attitudes to self-management of chronic disease. BJGP, vol. 56(527), 407-414.
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2006. Fatigue Intervention by Nurses Evaluation - The FINE Trial. A randomised controlled trial of nurse led self-help treatment for patients in primary care with chronic fatigue syndrome (study protocol). BioMed Central - Medicine.
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2006. Informed consent? How do primary care professionals prepare women for cervical smears: A qualitative study. Patient Education & Counselling, 381-388.
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2006. Managing chronic fatigue syndrome (CFS) in UK primary care: challenges and opportunities. Chronic Illness, vol. 2, 143-153.
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2005. Patients' perspectives on proactive care for people at risk of diabetes in primary care: a qualitative study. Practice Nursing, vol. 16(10), 506-511.
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2005. The exceptional potential of the Internet? Perceptions about the management of another set of communications: a qualitative study. Primary Health Care Research and Development, vol. 5(4), 311-319.
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2005. The role of primary care in the diagnosis and management of menorrhagia: a qualitative study. Primary Health Care Research and Development, vol. 6(3), 217-223.
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2005. What do General Practice patients want when they present medically unexplained symptoms, and why do their doctors feel pressurised?. Journal of Psychosomatic Research, vol. 59(4), 261-262.
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2004. The harmful consequences of elevating the doctor-patient relationship to be a primary goal of the general practice consultation. Fam Pract, vol. 21(3), 229-231. link>
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2004. "We rob off the in-patient unit": a qualitative study of the recruitment of CPNs by Mental Health Trusts. Primary Care Psychiatry, vol. 9(2), 1-4.
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2004. A new role for the general practitioner? Reframing "inappropriate attenders" to inappropriate services. Primary Health Care Research & Development, vol. 5, 60-67.
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2004. Case Studies - a research strategy appropriate to palliative care?. Palliative Medicine, vol. 18, 677-684.
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2004. Depression in the elderly. The Practitioner, vol. 248, 406-417.
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2004. Effectiveness of Psychodynamic Interpersonal Therapy Training for Primary Care Counsellors. Psychotherapy Research, vol. 14(2), 161-175.
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2004. Framing the doctor-patient relationship in chronic illness: a comparative study of general practitioners' accounts. Sociology of Health and Illness, vol. 26(2), 135-158.
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2004. The harmful consequences of elevating the doctor-patient relationship to be a primary goal of the general practice consultation. Family Practice, vol. 21, 229-231.
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2004. Treating depression in later life: we need to implement the evidence that exists. BMJ, vol. 329, 181-182.
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2003. 'I wouldn't want it on my CV or their records': medical students' experiences of help-seeking for mental health problems. Med Educ, vol. 37(10), 873-880. link>
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2003. "I wouldn't want in on my CV or their records": medical students; attitudes to help-seeking for mental health problems. Medical Education, vol. 37, 873-880.
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2003. Binge Eating Disorder: General Practitioners' Constructs of an ambiguous Pathology. Primary Health Care Research and Development, vol. 48, 301-306.
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2003. Combine skills for quality care in depression. Health and Ageing.
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2003. Finding a vein or obtaining consent: a qualitative study of hepatitis C testing in GP methadone clinics. Family Practice, vol. 20(5), 538-544.
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2003. Predictors of outcome following brief psycho-dynamic interpersonal therapy for deliberate self-poisoning. Australian and New Zealand Journal Psychiatry, vol. 37(5), 532-536.
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2003. Quality Indicators for Primary Care Mental Health Services. Quality and Safety in Health Care, vol. 12, 100-106.
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2002. Managing depression in primary care: another example of the inverse care law?. Fam Pract, vol. 19(6), 632-637. link>
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2002. Qualitative research and the problem of judgement: lessons from interviewing fellow professionals. Fam Pract, vol. 19(3), 285-289. link>
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2002. Medically unexplained symptoms and the problem of power in the primary care consultation: a qualitative study. Fam Pract, vol. 19(2), 178-182. link>
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2002. Medically unexplained symptoms and the problem of power in the primary care consultation: A qualitative study. Family Practice, vol. 19(2), 178-182.
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2002. Patients with chronic physical illness and co-existing psychological morbidity: GPs' views on their role and detection and management. Primary Care Psychiatry, vol. 8(2), 35-39.
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2002. Qualitative research and the problem of judgement: lessons from interviewing fellow professionals. Family Practice, vol. 19(3), 285-290.
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2002. South Asian women, Psychological distress and self-harm: lessons for Primary Care Trusts. Health and Social Care In the Community, vol. 10(5), 339-347.
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2002. The management of Depression in Primary Care: another example of the inverse care law?. Family Practice, vol. 19(6), 632-637.
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2001. Autoclave performance and operator knowledge of autoclave use in primary care: A survey of UK practices. The Journal of Hospital Infection, vol. 48(3), 180-185.
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2001. Randomized controlled trial of a brief psychological intervention following deliberate self-poisoning. BMJ, vol. 323(7305), 51-52.
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2000. 'Partners in pain'--the game of painmanship revisited. Fam Pract, vol. 17(4), 285-287. link>
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2000. Partners in Pain - The game of Painmanship revisited. Family Practice, vol. 17, 285-287.
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2000. Screening for cognitive impairment in older African-Caribbean's. Psychological Medicine, vol. 30, 957-963.
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2000. Social Work: a therapeutic resource. The Journal of Primary Care Mental Health, vol. 44(3), 51-52.
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2000. The burden of Depression in Primary Care: A qualitative investigation of General Practitioners' constructs of depressed people in Primary care. Primary Care Psychiatry, vol. 6(4), 137-141.
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2000. Validating screening instruments for cognitive impairment in older South Asians in the United Kingdom. Journal of Geriatric Psychiatry, vol. 15, 54-62.
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1999. Chronic Low Back Pain in General Practice: the challenge of the back pain consultation. Family Practice, vol. 16(1), 1-4.
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1999. Medical knowledge and the intractable patient: the case of chronic low back pain. Social Science & Medicine, vol. 48, 523-534.
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1999. Screening for Depression in older Afro-Caribbeans. Family Practice, vol. 16, 591-595.
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1997. Medication in the elderly. Health and Ageing.
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1997. The benefits of Back Pain. Family Practice, vol. 14(6), 461-466.
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1996. Improving the care of the elderley. Health and Ageing, vol. 1.
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1996. Old age, ethnicity and mental illness: a triple whammy. BMJ, vol. 313, 1347-1348.
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1994. Annual Assessment of patients aged 75 years and over: general practitioners' and practice nurses' views and experiences. BJGP, vol. 44, 263-267.
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1994. Annual Assessment of patients aged 75 years and over: views and experiences of elderly people. BJGP, vol. 44, 567-570.
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1994. Professional power and managerial control: the case of GP assessments of over 75s. Social Policy and Administration, vol. 28(4), 317-332.
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1993. Junior Doctors - Training in Hospital Posts. Palliative Care Today II, vol. 1, 12-13.
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1991. Effectiveness of ward based opportunistic immunisation policy. BMJ, vol. 302, 412.
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1991. Hot topics in general practice. RCGP Connections.
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1991. Medical Education and Palliative Care. Palliative Care Today, vol. 1, 12.
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1991. Training for minor surgery in general practice during pre-registration surgical posts. BMJ, vol. 302, 1211.
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1991. Training for the new contract. J R Coll Gen Pract, vol. 41, 35-36.
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1991. Twenty years of vocational training in Scotland. BMJ, vol. 302, 472.
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1989. Comparison of workload of a trainer and trainee. J R Coll Gen Pract, vol. 39, 431-432.
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1989. Effects of Burglary in elderly people. BMJ, vol. 299, 316.
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An exploration of the value and mechanisms of befriending for older adults in England. Ageing and Society.
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CADET.
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Custody vs Care: Attitudes of prison staff to self-harm on women prisoners - a qualitative study. Journal of Forensic Psychiatry and Psychology.
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Nurse-led, home based self help treatment for patients in primary care with chronic fatigue syndrome; randomised controlled trial.
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Rapid Response. BMJ, vol. 340.
Other
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2012. Cardiovascular disease risk communication in patients with Psoriasis: a qualitative study.
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2012. Continual professional support in chronic illness: creating dependency or enabling effective self-management?.
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2012. Decision-making about Unscheduled Care in Long-term Conditions: Patient, Family & Practitioner Perspectives on Responsibility and Ownership of Decisions.
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2012. Decision-making about Unscheduled Care in Long-term conditions: Patients, Family and Practitioner Perspectives on Responsibility and Ownership of Decisions.
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2012. Developing Resources to Support the Diagnosis and Management of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) in Primary Care. A qualitative study.
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2012. How much diabetes 'work' is undertaken by social networks of the South Asian population living with diabetes: An exploratory study. Poster presentation.
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2012. How useful is the delayed prescribing strategy for increasing effective communication about managing self-limiting respiratory tract infections? Perspectives from prescribers and patients.
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2012. Improving equity of access to mental health through primary care: the AMP model. Symposium. Mental Health and Family Medicine.
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2012. Report to the National Institute for Health Research on an R&D programme to increase equity of access to high quality mental health services in primary care.
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2012. Using touch in primary care consultations: qualitative investigation of doctors' and patients' perspectives.
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2011. South Asian perspectives about living with psoriasis: a qualitative UK study.
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2011. The METRIC study: Incorporating patient and carer perspectives in the development of resources and training for Primary Care Practitioners about CFS/ME.
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2010. A pragmatic randomised controlled trial to compare antidepressants with a community-based psychosocial intervention for the treatment of women with postnatal depression: the RESPOND trial.
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2010. Barriers and facilitators to the treatment of depression in people with diabetes and CHD - informing the development of care pathways.
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2010. Bringing self-management into clinical view: a qualitative study of long-term condition management in primary care pathways.
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2010. Exploring the avenues to involvement in primary care research: The role of the research networks.
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2010. Managing self-limiting URTIs in general practice: how useful is the delayed prescribing strategy?.
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2010. Managing self-limiting URTIs in general pratice: how useful is the delayed prescribing strategy?.
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2010. Targeting general practitioners' educational needs: managing self-limiting respiratory tract infections in primary care.
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2010. The work of being depressed.
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2010. Unscheduled care use amongst patients with long-term conditions: a review of the qualitative literature.
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2009. Barriers and facilitators to the treatment of depression in people with diabetes and CHD - informing the development of care pathways.
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2009. Barriers to access to care for older people with depression: secondary analysis of existing data.
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2009. Challenges of nurse delivery of psychological interventions for long-term conditions in primary care: a qualitative investigation of the case of CFS/ME. Oral presentation.
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2009. Improving Access to Mental Health in Primary Care (AMP). Panel presentation.
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2009. Is befriending an effective option for managing depression and emotional distress in the community? Systematic review and meta-analysis.
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2009. On behalf of the FINE Trial group. Fatigue Intervention by Nurses Evaluation - The FINE Trial. Randomised controlled trial of nurse-led pragmatic rehabilitation treatment delivered at home for patients with chronic fatigue syndrome (CFS/ME) in the UK primary care.
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2009. On behalf of the FINE Trial group. Fatigue Intervention by Nurses Evaluation - The FINE Trial. Randomised controlled trial of nurse-led pragmatic rehabilitation treatment delivered at home for patients with chronic fatigue syndrome (CFS/ME) in the UK primary care.
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2009. Patients' reports of their management of CFS/ME in primary care.
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2009. Practice Nurses' role in the psychological management of Chronic Fatigue Syndrome: a qualitative study.
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2008. A qualitative study of referral to community mental health teams in the UK: exploring the rhetoric and the reality. Invited presentation.
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2008. Delivering psychological interventions in primary care for chronic conditions: a qualitative exploration of the case of chronic fatigue syndrome.
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2008. For fine group - "Recruitment to a primary care treatment trial".
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2008. How do professionals facilitate self-management in patients with long-term conditions? A qualitative study of general practice consultations.
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2008. Making the diagnosis of CFS/ME in primary care: a qualitative study.
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2008. Mental Health is Everyone's Business: Recognising the importance of mental health in all work-streams.
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2008. Psychological interventions for long term conditions in primary care: the case of chronic fatigue syndrome.
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2008. Psychological treatments for medically unexplained symptoms delivered by health professionals: using qualitative methodologies to understand the story behind the numbers. Journal of Psychosomatic Research (vol. 64, p. 668).
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2008. Sources of knowledge brought to a primary care consultation for CFS/ME: a qualitative study of patients and GPs. Poster Presentation.
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2008. Supportive self-management in women with chronic pelvic pain in primary care settings.
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2008. The prevalence of "Unexplained" Chronic Widespread Pain in the General Practice population: Results from the General Practice Symptoms Study.
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2008. The use of mixed methodology in evaluation complex interventions: Identifying patient factors that moderate the effects of a decision aid.
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2008. What makes a psychological intervention acceptable to patients? A qualitative exploration of the case of CFS/ME.
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2008. Women's views and experiences of antidepressants as a treatment for postnatal depression: a qualitative study.
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2008. Women's views and experiences of antidepressants as a treatment for postnatal depression: a qualitative study.
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2007. "Ownership" of patients": does this affect access to services?.
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2007. A controlled trial to investigate the feasibility of a new model of intervention for the treatment of late-life depression in Primary Care.
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2007. Delivering psychological interventions in primary care for chronic conditions: a qualitative exploration of the case of CFS/ME.
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2007. Disclosure and diagnosis of postnatal depression: a qualitative study exploring the views of women and primary care professionals.
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2007. Equity of access to community palliative care services. Poster presented.
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2007. Evaluation of the Threshold Assessment Grid (TAG) as a means of improving access from primary care to mental health services.
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2007. Ownership of patients: does this affect access to services? Poster presented.
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2007. Sources of knowledge brought to a primary care consultation for CFS/ME: a qualitative study of patients and GPs. Poster presentation.
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2007. The role of practice nurses in the management of CFS: a qualitative study.
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2007. Whose responsibility is Postnatal Depression?.
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2006. A qualitative study exploring GPs' attitudes to self-management of chronic disease.
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2006. Choice or Chance? How does patient choice operate in community palliative care services?.
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2006. Defining an intervention in a trial needs to take account of patient and professional views on the clinical problem.
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2006. Different methods, different findings. Comparing and contrasting research into how patients access community palliative care services.
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2006. 'Doing your own thing'. How do district nurses perceive their role in providing community palliative care. Paper presented.
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2006. Enhancing decision making in menorrhagia in primary care using computerized decision analysis: randomized trial and qualitative evaluation.
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2006. Exploring difficulties across the primary/secondary care interface when accessing care for patients with mental health problems.
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2006. Is a self-help intervention effective for late-life depression? Initial results from the PRIDE trial.
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2006. Managing CFS/ME in primary care: negotiating the illness in the context of the doctor-patient relationship [poster].
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2006. Managing CFS/ME in primary care: negotiating the illness in the context of the doctor-patients relationship. Oral presentation.
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2006. Priorities and protocols. Achieving, adopting and anticipating the Gold Standards Framework in three English Primary Care Trusts. Paper presented.
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2006. Referral in community palliative care services - an exploration of the impact of interprofessional issues. Poster presented.
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2006. The PRIDE Trial: Is a collaborative care approach effective for depression in older people?.
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2005. "Justifiable depression": health care professionals' views of late-life depression.
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2005. "Justifiable depression": health care professionals' views of late-life depression.
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2005. Access to community palliative care services - the influence of interprofessional issues on referral patterns. Poster presented.
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2005. Defining an intervention in a trail needs to take account of patient and professional views on the clinical problem.
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2005. Evaluating a self-help approach in the management of late-life depression using qualitative methods.
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2005. Mismatch between Patients' Perspectives and Professional Expectations in relation to management of Pre-diabetes. Poster presentation.
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2005. Partnerships in supportive and palliative care: implementing the NICE guidance. Paper presented at the RCN 3rd Biennial Joint Cancer Conference. It's everybody's business. A collaborative approach to nursing developments in cancer care and other related conditions.
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2005. Research methods in primary care. An exploration of the appropriateness of a case study strategy in a study of palliative care services. Paper presented.
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2004. Choosing case study - what does it have to offer palliative care research. Poster presented at the 3rd Research Forum of the European Association of Palliative care.
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2004. Choosing case study - what does it have to offer palliative care research?.
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2004. How do you explain a pain that can't be seen? The narratives of women with chronic pelvic pain and their engagement in the diagnostic cycle.
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2004. The diagnosis of depression in the elderly: a gut feeling.
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2004. The diagnosis of depression in the elderly: a gut feeling.
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2004. The narratives of women with chronic pelvic pain.
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2004. Views of GPs and Psychiatrists in the use of benzodiazepines: a qualitative study.
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2003. Mental Health Needs Assessment in Central Manchester. Contributed to report of group convened by Professor Francis Creed.
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2002. On-going doctor-patient relationships in Primary Care: Therapeutic relationships that may be harmful to doctors.
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2002. Qualitative research and the problem of judgement: lessons from interviewing fellow professionals.
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2001. Mental Health Needs Assessment in Central Manchester.
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2001. Mental Health Needs Assessment of Under-Represented groups in Central Manchester.
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2001. Primary Care Physicians: General Practitioners working in A&E Units.
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2001. Primary Care Physicians: GPs working in Accident and Emergency Units.
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2001. The boundaries of Effective Consultation and the role of the General Practitioner.
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2000. Partners in Pain: The game of Painmanship revisited.
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2000. The Benefits of Back Pain.
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1999. Chronic Low Back Pain: the Challenge of the Consultation.
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1996. Towards Costing Diabetes Care. Report of Seminar and Workshop.
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1994. Annual Assessment of over 75 years olds in General Practice: Contributing to Population Health Needs Assessment.
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1993. Assessment of patients over 75 years of age: comparing views of general practitioners, practice nurses and elderly patients.
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1993. GP Assessment of Patients aged 75 years and over: Experiences and views of elderly people.
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1993. GP Assessment of Patients aged 75 years and over: Experiences and views of GPs and Practice Nurses.
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1992. GP Assessment of Patients aged 75 years and over: The views of FHSA Managers Report to the Department of Health, Centre for Primary Care Researcj.
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1992. Monitoring GP assessment of patients aged 75 years or over.
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1986. On the State of Public Health of Stockport.
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1984. A survey of the health knowledge of insulin dependent diabetics.
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1982. Royal College of General Practitioners and Association for Palliative Medicine. Joint Statement on Palliative Medicine: Content of Vocational Training.
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A collective responsibility to act now on ageing and mental health: a consensus statement.
I have been a GP Trainer and Course Organiser and led communication skills teaching in the University of Manchester curriculum. Currently I teach medical students within my practice and supervise student research projects. My role in teaching at Keele will be developing.
I am a GP partner in a practice in Central Manchester. I am RCGP Curriculum Champion, Mental Health, and a clinical advisor to RCGP on mental health issues. I am Associate Editor for the journal Health Expectations, and on Editorial Boards for Cutting Edge Psychiatry, International Journal of Family Practice and Nursing Education and Practice. I am currently on the Topic Group for the NICE guideline Self-Harm.

