COLLEGE OF MEDICINE AND HEALTH
Medicine, Nursing and Allied Health Professions
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Starfield Memorial Lectures

We hold annual lectures in memory of Professor Barara Starfield.

The inaugural Barbara Starfield Lecture was initiated and chaired by Professor Jose Valderas-Martinez in September 2015.

Professor Barbara Starfield (1932-2011), a physician and health services researcher, was university distinguished professor and professor of health policy and pediatrics at Johns Hopkins University. She is internationally known for her work in primary care, and her books are widely recognized as the seminal works in the field. 

Events

Upcoming Events

We’ve greatly missed seeing you at our APEx seminars at St Luke’s Campus over the past few months, and in considering the circumstances have decided to move our seminars online.

 

 

Wed 18th Nov

Seminar: 1-2pm, Questions: 2-2.30pm

Prof David Halpin

Consultant Physician & Honorary Professor of Respiratory Medicine at The University of Exeter

 “Reflections on 40 years in Research: From mice to NICE and beyond”

 

Please sign up on Eventbrite and share the link with anyone you think might also be interested: https://www.eventbrite.co.uk/e/exeter-academic-primary-care-seminar-prof-david-halpin-tickets-116588141269

If you have any questions, please email c.thomas6@exeter.ac.uk.

 

 

Wed 8th July

Seminar: 1-2pm, Questions: 2-2.30pm

Dr Gary Abel

Senior Lecturer & Statistician

Primary Care, UEMS

The SPOtting Cancer among Comorbidities (SPOCC) programme.

Supporting clinical decision making in patients with symptoms of cancer and pre-existing conditions.

For the calendar invite or if you have any queries, please contact the APEx administrator

 

 

Events are listed on the Institute of Health Research's events page.

To book a place for an event, please contact the APEx administrator.

Wednesday 11 March

JS07 - Lunch, 12:30-13:00

EMS G18 - Seminar, 13:00-14:30

Flyer AM&MM

Professor Albert Mulley, MD, MPP & Margaret Mulley, Dartmouth Institute, New Hampshire, USA

"Primary care as the foundation for sustainable health systems: Making choices matter for health and wellbeing."

 

Wednesday 15 January

JS07

13.00-14.00

Flyer SR

Professor Sue Richards, Professor of Primary Care Research, Leeds Institute of Health Sciences
"A primary care response to frailty: mind the (evidence) gap"

 

2019

Wednesday 11 December

JS07 Smeall

12.30 for 13.00-14.00

Flyer Journal Club

A new initiative: three journal articles up for discussion

1. Zeraatkar et al led by Dr Chris Clark

2. Minchin et al led by Professor John Campbell

3. Bohren et al led by Dr Emma Pitchforth 

 

 

Wednesday 27 November

JS07 Smeall

12.30 for 13.00-14.00 Flyer JB GD Nov 19

Dr Jo Butterworth, NIHR Doctoral Research Fellow, UEMS

"Interventions for involving older patients with multimorbidity in decision-making during primary care consultations: A Cochrane systematic review" Abstract JB

AND

Grace Dibben, PhD student, UEMS

"Cardiac rehabilitation and physical activity levels in heart failure" Abstract GD

 

 

Wednesday 16 October 

JS07 Smeall

13.00-14.00 Flyer CH Oct 19

Professor Claire Hulme, Professor of Health Economics, University of Exeter Medical School

"Challenges for economic evaluation when doing research with people with learning disabilities: The OK Diabetes Study" Abstract CH

 

 

Wednesday 18 Sept

JS07 Smeall

13.00-14.00 Flyer Stubbs

Dr Brendon Stubbs, Head of Physiotherapy, South London and Maudsley NHS Foundation trust and a clinical lecturer at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London Biog BS

"Physical activity and serious mental health conditions: evidence, mechanisms and implementation"

 

 

Monday 3 June 

JS07 Smeall

13.00-14.00

Dr Zelalem Mengistu, Assistant Professor of Obstetrics & Gynaecology and Urogynaecologist, University of Gondar, Ethiopia

AND

Dr Emma Pitchforth, Senior Lecturer and Senior Research Fellow in Primary Care, CMH

"Women’s health in Ethiopia: doing more for women with pelvic floor disorders" ‌Flyer ZMEP

 

 

Wednesday 15 May

JS07 Smeall, 14.00-15.00  

Flyer BD 15 May

Joint seminar with Exeter Clinical Trials Unit from 2.00-3.00 with refreshments from 1.30pm

Dr Ben Darlow, Department of Primary Health Care and General Practice, University of Otago, Wellington New Zealand

"The Low Back Pain in General Practice randomised trial and implementation study"

 

 

Wednesday 3 April 

10.00-11.00

JS07 Smeall Flyer 3/4

Dr Mieke Rijken, Senior Researcher, Netherlands Institute for Health Services Research (NIVEL) 

"Identifying persons with multimorbidity who are most in need of proactive person-centred care in general practice" 

 

 

Tuesday 2 April 2019

2.00-3.00 

JS07 Smeall Flyer CRUK

Dr Elizabeth Smethurst, Research Funding Manager, Early Detection Research, Cancer Research UK

"Early detection research at Cancer Research UK" Seminar slides‌ 

 

 

Wednesday 20 March

13.00-14.00

JS07 Smeall Flyer 20/3

Dr Sarah Walker, Research Fellow, UEMS

“Exercise Training for Chronic Heart Failure (ExTraMATCH II): Our experience of performing an Individual Participant Data Meta-Analysis”

AND Ellie Williams, BCLinSci student, UEMS

“Completing a systematic review summarising screening tools used to predict physical frailty in adults aged 65 years and over. A dissertation project” 

 

Friday 8 February

13.00-14.00

JS07 Smeall Flyer RMcM

Professor Richard McManus, Professor of Primary Care Research, University of Oxford 

“Should clinicians measure blood pressure in 2019?” Abstract McManus

 

 

Tuesday 22 January

13.00-14.00

G18 St Luke's Flyer 22 Jan

Professor Helen Stokes-Lampard, Chair of the Royal College of General Practitioners

A future vision for general practice Abstract HSL

Recording

 

 

2018 

Wednesday 28 November 

13.00-14.00 - joint seminar

JS07 Smeall Flyer 28 Nov

Judit Konya, Academic Clinical Fellow UEMS

Exploring the role of peer-led group-based interventions in the care of adult sexual abuse survivors

and Sinead McDonagh, Research Fellow UEMS

To beet or not to beet? That is the question - a brief review of dietary nitrate as a potential ergogenic and therapeutic aid

 

 

Wednesday 31 October

13.00-14.00

JS07 Smeall Flyer 31 Oct

Professor Willie Hamilton, Professor of Primary Care Diagnostics (DISCO), and Dr Raff Calitri, Trial Manager, UEMS 

"Cancer diagnostic trials in primary care - ECASS and ERICA" Abstract 31 Oct 18

 

 

Wednesday 26 September

JS07 Smeall Building

Workshop: Measuring patient safety in general practice: the NIHR Patient Safety Toolkit Project and related initiatives Patient Safety flyer Co-organised by APEx, SW AHSN and RCGP Tamar Faculty

Registration and coffee 08.40 Workshop programme

 

Wednesday 26 September

JS07 Smeall

13.00-14.00 Flyer AA

Professor Tony Avery, Dean and Head of School of Medicine, University of Nottingham

"Making a difference with your research: towards improving patient safety in primary care"

 

Thursday 5 July 2018

Barbara Starfield Lecture, Professor Jeannie Haggerty

"Continuity of care and the new normal of multimorbidity in primary care: appreciating and extending Barbara Starfield’s notion of longitudinal person-focused care" 

Watch the video.

Professor Haggerty’s domain of research is the measure of patient experience of patient-centred healthcare and measurement of access and continuity, and how these measures relate to changes in organisational and professional practices.

Professor Haggerty recalls that Barbara Starfield proposed that while continuity of care is an attribute of good healthcare, it is uniquely expressed and valued in primary care as person-focused care over time, or longitudinality. So continuity in primary care has become virtually synonymous with establishing a therapeutic relationship with the patient and is often indicated by the extent to which a patient concentrates care in their GP. However, as it has become the norm for older adults to have two or more chronic conditions, so being seen by multiple clinicians and having multiple treatment plans has also become the norm. Her talk will summarise research on what patients say about the challenge of managing multiple conditions and seeing multiple providers and present why and how we need to expand the notion of continuity of care to include other clinicians, while underlying the value of person-focused care over time.

 

Wednesday 27 June

JS07 Smeall Building, St Luke's Exeter

10.30-11.30 Flyer DRT

Professor David Thompson, Professor of Nursing, Queen's University Belfast Bio DRT

Psychosocial interventions in cardiovascular disease Abstract DRT

 

Wednesday 20 June

JS07, Smeall Building, St Luke's Exeter (video conferencing to F083 Knowledge Spa)

13.00-14.00 Flyer JS

Dr Jane Smith, Senior Lecturer in Primary Care, UEMS

Dr Leon Poltawski and Rachel Winder, Research Fellows for ARRISA-UK study, UEMS

The At-Risk Registers Intergrated into primary care to Stop Asthma crises in the UK (ARRISA-UK) trial: progress and plans for future work ‌

 

 

Wednesday 9 May

JS07, Smeall Building, St Luke's Exeter (video conferencing to F083 Knowledge Spa)

13.00-14.00 Flyer CD

Professor Chris Dickens, Professor of Psychological Medicine, UEMS

Why do people with long-term conditions get depression: unpicking the neurocognitive mechanisms Abstract CD

 

 

Wednesday 4 April 2018

JS07, Smeall Building, St Luke's Exeter (video conferencing to F083 Knowledge Spa)

13.00-14.00 Flyer DK

Dr David Kessler, Reader in Primary Care, Bristol Medical School

A randomised trial of the addition of mirtazipine for patients with depression in primary care who have not responded to antidepressant treatment Abstract DK

 

 

Wednesday 21 March  2018

JS07, Smeall Building, St Luke's Exeter (NO VC to Truro)

13.00-14.00 Flyer LM & AP

Dr Luke Mounce, UEMS Research Fellow (DISCO)

SPOtting Cancer among comorbidities (SPOC): do pre-existing conditions delay diagnosis of cancer? Abstract LM

&

Antoinette Davey, Researcher and PhD student (HSPRG)

Time-dependent variation for PRO measurements in patients with chronic health conditions: a systematic scoping review Abstract AD

 

 

Wednesday 21 February 2018

JS07 Smeall Building, St Luke's Exeter

13.00-14.00 Flyer EP

Dr Emma Pitchforth, Senior Research Fellow in Primary Care, UEMS

Community-based social innovations for healthy ageing: evidence from middle income countries Abstract EP

 

 

Wednesday 10 January 2018

JS07, Smeall Building, St Luke's Exeter (with video link to F083)

13.00-14.00 Flyer TM

Tim Malone (1), Niall Macleod (2), Andrew Gunther (3)

1. NHS Research Fellow, RD&E; 2. GP, Exeter; 3. Senior Planning & Public Health Officer, Torbay Council. All NHS England/Public Health England Sustainability and Health Ambassadors for Devon 

"It's the sustainability, stupid!" - why health and social care need a new snowclone to survive 

 

 

2017 

Wednesday 6 December 2017

JS07, Smeall Building, St Luke's Exeter (with video link to F083)

13.00-14.00 pm Flyer Ford

Dr Joe Ford, Postdoctoral Research Associate, UEMS with Professor Rose McCabe and Professor Katrina Wyatt, UEMS Bio Ford

Mental health in GP/patient consultations Abstract Ford

 

 

Wednesday 15 November 2017 13.00-14.00

JS07 Smeall Flyer 15 Nov

Dr Tim Holt PhD MRCP FRCGP, Senior Clinical Research Fellow, University of Oxford Biog TH

Overcoming barriers to anticoagulant uptake in atrial fibrillation: lessons from the AURAS-AF trial

 

 

Wednesday 18 October 2017 13.00-14.00

JS07 Smeall ‌

Sam van Beurden, UEMS Researcher

The ImpulsePal: An app a day keeps the cravings at bay

and

Jeff Lambert, UEMS Researcher

The pilot evaluation of a web-based intervention for physical activity and depression Abstract JL

 

 

Friday 29 September 2017

13.30-14.30

JS07 Smeall  Flyer RL

Dr Richard Lehman, Honorary Senior Research Fellow, University of Birmingham Bio RL

Sharing Medicine Abstract RL

 

 

Friday 15 September 2017 

13.00-14.00

JS07, Smeall

Alison Marsh, Resarch Programme Manager, Clinical Innovation and Research, Royal College of General Practitioners

RCGP Impact from Research

 

Wednesday 14 June 2017 

12.00-13.00

JS07, Smeall ‌

Jaheeda Gangannagaripalli, Researcher, Health Services & Policy Research, UEMS Biog

Exploring the safety of an electronic prescribing system in an Intensive Care Unit: A mixed methods approach Abstract JG

Jonathan Evans MRCS, MD Student, Health Services & Policy Research, UEMS & Orthopaedic Registrar J Evans biog

Optimising Interventional Treatment of Tennis Elbow J Evans abstract

 

 

Wednesday 24 May 2017

13.00-14.00

JS07 Flyer JC

Professor John Campbell, Professor of General Practice and Primary Care, UEMS & Director of APEx Biog JC

Calling time on the consultation Abstract JC

 

 

Wednesday 26 April 2017 

13.00-14.00

NC12  Flyer

Professor Clive Ballard, Pro-Vice-Chancellor and Executive Dean

Dementia: Prevention, Treatment and Care Abstract Flyer

 

 

Wednesday 15 March 2017

13.00-14.00 Flyer SLP

Assoc Prof Philip Evans, Dr Kate Sidaway-Lee and Sir Denis Pereira Gray, St Leonard's Research Practice, Exeter Biogs SLP

Continuity - is it the key to care? Abstract SLP

 

 

Wednesday 22 February 2017

13.00-14.00 Flyer

Assoc Prof Colin Greaves and Dr Jane Smith, UEMS researchers Biogs

The Community-based Prevention of Diabetes (ComPoD) randomised, waiting list controlled trial of a voluntary sector-led diabetes prevention programme Abstract

 

 

‌Wednesday 18 January 2017 Flyer2

13.30-14.30 

Dr Rupert Payne, Consultant Senior Lecturer in Primary Care, University of Bristol

Polypharmacy - a necessary evil? Biog & abstract

 

18 January 2018

Professor Amanda Howe OBE

"Evidence, advocacy and resourcing – can global general practice meet the challenge of universal health coverage?" 

Professor Amanda Howe delivered her Starfield Lecture on . She used her global experience as President of WONCA to reflect on the need both for updated evidence on the impacts of investment in primary care,  and the need to use smart arguments to persuade governments to invest in the modern medical workforce for effective health care. The lecture was video recordedFlyer

Professor Howe trained in Cambridge, London and then Sheffield (1973-1980). Following vocational training, she developed both her GP and academic careers in Sheffield before moving to become the inaugural Chair in Primary Care in the foundation team for the new Norwich Medical School at the University of East Anglia in 2001. She was Course Director during the GMC accreditation process for the new course from 2004-2008, then was also an RCGP Officer 2009-2015. In 2013 she was elected to the Executive of the World Organization of Family Doctors , where she is now President (2016-2018, see www.globalfamilydoctor.com ), while retaining academic and clinical general practice. The last role has brought her into strategic involvement with many major policy units worldwide, including the Robert Graham Center where she has been a keynote speaker for two ‘Starfield Summits’. In April 2018 she was apointed Chair of the International Advisory Group on Primary Health Care for Universal Health Coverage.

 

2016 

 

Starfield Lecture, Professor Martin Roland CBE

"The Future of Primary Care"

Professor Roland trained in Medicine at the University of Oxford. Following vocational training, he worked in London and Cambridge before moving to the Chair in General Practice in the University of Manchester in 1992. He moved to the inaugural Chair of Health Services Research in the University of Cambridge in 2009. Professor Roland was a practising GP from 1979 to 2014. 

In 2015, Professor Martin Roland chaired a government commission to identify models of primary care that would meet the future needs of the NHS. In this lecture he described how British general practice could once again become the envy of the world.

 

 

Wednesday 14 Dec 2016

13.00-14.00 ‌Flyer

Dr David Llewellyn, UEMS Biog

Identifying patients with dementia: from clinical judgement and simple tests to precision medicine Abstract

 

 

Wednesday 30 November 2016

13.00-15.30 Flyer

Professor Marc N Elliott PhD, Senior Principal Researcher, RAND & Dr Gary Abel PhD, Senior Lecturer, UEMS Biogs

"Handling patient survey data in healthcare - massaging the data or sound practice?"

 

 

Wednesday 16 November 2016

13.00-14.00 Flyer

Dr Leon Poltawski and Associate Professor Colin Greaves, UEMS ‌ Biogs CG LP

Getting to grips with the psychology of weight management: lessons learned from developing and delivering the SkiM (Skills for weight loss and Maintenance) intervention Abstract

 

 

Wednesday 9 November 2016

13.00-14.00 Flyer

Dr Gary Abel, UEMS  Biog

Diagnostic activity indicators for cancer in primary care Abstract

 

 

Wednesday 2 November 2016

10.00-11.30 Flyer

 Dr Tove A Hanssen, Honorary Research Fellow, Complex Inverventions Research Group, UEMS

 Patient-Reported Outcomes (PROs) in clinical trials - an introduction

 

 

Wednesday 12 October 2016

1.00-2.00

Dr Sue Richards, UEMS

Providing psychological care in cardiac rehabilitation settings: a tale of two halves. Findings from an updated Cochrane review, and NIHR HTA funded pilot study ‘CADENCE’ 

 

 

Wednesday 14 September 2016

1.30-2.30 Flyer

Professor Paul Little, Professor of Primary Care Research, University of Southampton Biog

Nepal, Ivan Illich, and flesh-eating killer bugs: the journey of a clinical researcher

 

 

Wednesday 22 June 2016

10.30-11.30 Flyer

Dr Ian Porter Biog

"Using Patient-Reported Outcome Measures (PROMs) for the routine management of multimorbidity in primary care: results of a feasibility study" Abstract

&

Dr Charlotte Bramwell ‌

"Multimorbidity  - models of care" Bio CB

Thursday 2 June 2016

12.30-13.30‌

Dr Evan Kontopantelis Biog

"Primary Care Databases: challenges with analysing electronic health records" ‌

 

 

Friday 29 April 2016

13.00 Flyer

Dr Alex Harding Bio AH

"How do medical students learn technical proficiency on hospital placements? The role of learning networks" Abstract AH

 

 

Wednesday 20 April 2016

13.00 Flyer

 Dr Joanne Reeve ‌Biog

"OPTIcare - applying a science of generalism to tackling problematic polypharmacy" Abstract

Presentation

 

 

Wednesday 6 April 2016

13.00 Flyer - Gibbons

Dr Chris Gibbons

"Transforming patient-reported outcome assessment: the role of adaptive tests and tailored feedback" Abstract CG

 

 

Wednesday 23 March 2016

13.00 ‌

 Amy Backhouse Biog

"Key components in models of community-based interventions coordinating care in dementia: a mixed studies systematic review" Abstract

Sarah Price Biog

"The Clinical Practice Research Datalink: how much symptom information is lost in the free text" Abstract

 

 

24 February 2016

13.00 Flyer

Professor John Campbell Biog

"Patient feedback: useful in transforming primary care?" Abstract

 

 

Wednesday 20 January 2016

13.00 Flyer

 Dr Helen Lloyd

"Integrating service design, evaluation and research: a strategy to improve person centred coordinated care" Abstract

 

 

2015 

Wednesday 2 December 2015

13.00 Flyer

Professor Lyne Cloutier ‌

"Nursing research in hypertension: a Canadian perspective"  Abstract

 

 

Wednesday 25 November 2015

13.00

Flyer 

 Dr Ian Porter Biog POSTPONED TO FUTURE DATE

"Using Patient Reported Outcome Measures (PROMs) for the routine management of multimorbidity in primary care: Results of a feasibility study" Abstract

Dr Caroline Jenkinson & Mary Carter Biog

“The MIR Trial:  lessons learned from conducting a CTIMP in general practices” Abstract

 

 

Tuesday 17 November

13.00 ‌

Dr James Sheppard JS

"Blood pressure measurement in the GP's office: Is it a complete waste of time?"

Wednesday 21 October

Flyer RT

Professor Rod Taylor, Professor of Health Services Research, UEMS Biog

"The role and evidence base for primary care in the provision of cardiac rehabilitation and secondary prevention services" Abstract

 

29 September 2015

Starfield Lecture, Professor Sir Denis Pereira Gray OBE

"General Practice: An Independent Discipline"

The inaugural lecture was given by Sir Denis Pereira Gray OBE HonDSc FRCP FRCGP FMedSci with the title "General Practice: An Independent Discipline".

Sir Denis Pereira Gray worked as a general practitioner for 38 years in the St Leonard’s Medical Practice Exeter, following his father and grandfather. He was President of the Cambridge University Chess Club and has been awarded the gold medal of the Hunterian Society, London, the gold medal of the Royal Institute of Public Health, and honorary doctorates by three British universities.

The lecture was published in the British Journal of General Practice Open: "Towards research-based learning outcomes for general practice in medical schools: Inaugural Barbara Starfield Memorial Lecture" 

 

 

Thursday 17 September

Flyer 2 CS

Professor Chris Salisbury, Professor of Primary Health Care, University of Bristol  Biog 

"Multimorbidity: Re-designing health care for the people who use it" Abstract

 

 

Wed 24 June 

Sarah Bailey

"Thrombocytosis: an important marker of cancer in primary care?"‌   &

Dr Lindsey Anderson Biog

"Cochrane cardiac rehabilitation reviews - working with Cochrane: lessons learned"‌

 

 

Wed 20 May,

Flyer

Professor Chris Dickens

"The challenges of integrating primary care for people with physical and psychological health problems" Abstract

 

 

Wed 15 April  Flyer

Professor Chris Hyde, Dr Bijay Vaidya (Consultant Physician, RD&E) Biog and the UNTEST team

"Ordering of thyroid function  tests in primary care - is six-fold variation too much and should we do anything about it?" Abstract

 

Wed 25 March, 13.30-14.30, 
Flyer

Professor Richard Byng Biog 

"Complex interventions for complex problems: from offenders to multimorbidity, developing and evaluating innovative models of care" Abstract

 

 

Wed 25 February

Flyer

 Jemima Dooley

 "'You've got Alzheimer's Disease' - delivering a diagnosis of dementia" Abstract

& Jenny Wingham - Biog

"Including caregivers in designing a home-based intervention for heart failure management: what do they need?" Abstract

 

 

Wed 28 January

Professor Victor Aboyans Biog

"Ankle-Brachial Index, the most ubiquitary marker of atherosclerosis and cardiovascular risk: 45 years of research" Slides

 

 

2014 

Tue 24 June

Presentations to SAPC, Edinburgh Primary Care SAPC Presentations Edinburgh 2014

 

 

Fri 23 May

Professor Jose Valderas

“Using patient reported outcome measures in Primary Care: evidence and challenges”

Valderas presentation

 

 

Fri 18 July

 Marc Elliott

Ethnic differences in clinical quality of care in the US    BiogMarc Elliott CV

 

 

Mon 22 Sep

Professor David Mant "Producing evidence that helps" David Mant Seminar precis and David Mant biography

 

 

Wed 22 October

Professor Willie Hamilton 

 "(How) can GPs improve cancer outcomes?" Abstractand Biog

 

 

 Wed 3 December

 1. Dr Leon Poltawski

"Weight loss maintenance: a qualitative synthesis and implications for interventions" Abstract and Biog

2. Dr Luke Mounce "Impact of multi-morbidity and clinical complexity on the quality and safety of Primary Care in England: Development of a protocol" Biog