Medicine, Nursing and Allied Health Professions

Previous Starfield Lectures

Professor Jeannie Haggerty PhD, 2018

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

If you missed the Barbara Starfield Lecture on Thursday 5 July 2018 by Professor Jeannie Haggerty you can now 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 and she was visiting from Canada in order to give the lecture.

Professor Haggerty recalled 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 summarised 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.

Professor Amanda Howe OBE, 2017

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

Professor Amanda Howe delivered her Starfield Lecture on 18 January 2018. 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 recorded

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 was President from 2016-2018 (see, 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.Flyer

Professor Martin Roland CBE, 2016

"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. Flyer

Professor Sir Denis Pereira Gray OBE, 2015

"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" on 29 September 2015 at 19.00, St Luke's Campus, Exeter EX1 2LU Flyer

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.

He established the first postgraduate university department of general practice in Europe at the University of Exeter and was later appointed Professor and Director of the Exeter University Postgraduate Medical School, serving for ten years. He was twice elected by the registered medical practitioners in England to the General Medical Council. He has written/edited four books and has had over 200 articles published in scientific medical journals.

Sir Denis has been a member of several Government Committees including the Review of the Abortion Act. He was elected Chairman of Council and later President of the Royal College of General Practitioners, Chairman of the JCPTGP, a medical regulatory body, and was Chairman of the Trustees of the Nuffield Trust, a national health policy charity. He was knighted for services to quality assurance in general practice.

Sir Denis was Vice-Chairman and then Chairman of the Academy of Medical Royal Colleges of Britain and Ireland, the only GP ever elected. He is one of 35 British doctors who have been elected to the Institute of Medicine, of the National Academy of Sciences, Washington, USA.

He is currently doing research at the St Leonard’s Research Practice, Exeter, is an Assessor for the Queen’s Award for Higher and Further Education, Patron of the National Association for Patient Participation, and President of the children’s charity, What About the Children?

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"