I am a General Practitioner in Leeds and a Clinical Senior Lecturer in Primary Care at the University of Manchester. My research interests focus on improving the delivery of care for people living with long-term conditions. Through NIHR CLAHRC Greater Manchester (http://clahrc-gm.nihr.ac.uk/), I am committed to leading a programme of research aimed at improving kidney health.
Following completion of vocational training in 1999, I spent two years as Academic Registrar at the University of New South Wales, Australia. During this time, I was chief investigator on studies evaluating the implementation of care planning into primary health care for persons with chronic and complex needs. In 2003, I was awarded a HSR Training Fellowship by The Wellcome Trust to undertake a Masters in Health and Community Research in Manchester. This was followed by a NIHR Researcher Development Award to undertake a PhD focused on exploring support for self-management of long-term conditions in general practice. The study entailed a qualitative mixed methods approach, which included comparative analysis of interviews with patients and health professionals in conjunction with in-depth analysis of video-recordings of consultations.
Informed by initial qualitative work, I was chief investigator for the BRIGHT Trial, a RCT evaluating a complex self-management intervention aimed at improving outcomes for patients with early stage chronic kidney disease. My role as a clinical senior lecturer involves leading the kidney health programme, which is a series of linked projects that aim to improve kidney health across Grater Manchester, with a focus on making the diagnosis of chronic kidney disease (CKD) meaningful for both patients and health professionals. This includes putting CKD in the context of supporting vascular health as well as addressing vulnerability, particularly for older people living with complex co-morbidities who are at risk of acute kidney injury (AKI) during episodes of acute illness. I’m keen on furthering the development and evaluation of patient-orientated interventions, incorporating a PPI perspective into the kidney health programme. At a national level, I am co-chair of the Intervention Workstream with the NHS England Acute Kidney Injury Programme. Through RAND methodology, we are seeking to develop guidance on the timeliness in response to AKI Warning Stage Test results in primary care (https://www.thinkkidneys.nhs.uk/).
1993 Bachelor of Medicine, Bachelor of Surgery, University of Newcastle Upon Tyne.
1997 Diploma in Child Health, Royal College of Physicians & Surgeons, Glasgow.
1999 Certificate of Prescribed Experience, The Joint Committee on Postgraduate Training for General Practice, United Kingdom.
1999 Member of the Royal College of General Practitioners, United Kingdom. Pass with Distinction
2004 Masters in Health and Community Research, The University of Manchester.
Pass with Distinction
2010 PhD School of Medicine, The University of Manchester
Memberships of committees and professional bodies
Member of the Royal College of General Practitioners
Fellow ad eundum gradum, The Royal Australian College of General Practitioners