By Dr Natalia Lewis, Senior Research Fellow in Primary Care, Centre for Academic Primary Care, University of Bristol and Researcher in Residence, Bristol, North Somerset and South Gloucestershire Integrated Care Board.
Since December 2022, I have been working part-time as a researcher in residence at the Bristol, North Somerset and South Gloucestershire Integrated Care Board (BNSSG ICB).
The Researcher-in-Residence (otherwise known as Embedded Researcher) model involves co-locating researchers within non-academic organisations to enhance the role of research evidence in informing decision-making. I applied for this job because I wanted to understand how decision-making in the real-world health system happens and how my research skills and expertise can be used to make local policies and practices evidence informed.
My post was established to support development of an evaluation framework for the Woodspring and One Weston Locality Partnerships within BNSSG ICB. These Locality Partnerships are … Read more
By Christie Cabral, Senior Lecturer, Centre for Academic Primary Care , University of Bristol
As a social anthropologist, I’ve been investigating why antibiotics are overused for over a decade and using the insights gained to develop antibiotic stewardship interventions. For World Antimicrobial Resistance (AMR) Awareness Week, I am writing about three key insights from my research.
1. The role of ‘Explanatory Models’ for illness and treatment: the influence on consulting and prescribing behaviours
Explanatory models are the set of linked ideas or theories that we each have in our minds about an illness and the possible treatments. These inform what we do as a patient, deciding whether to consult, or as a clinician deciding whether to prescribe.
The (simplified) biomedical model for the infections is of two types: viral or bacterial. Antibiotics treat bacterial infections but are ineffective for viral infections. So, it’s simple, no one … Read more
By Dr Alex Burrell, NIHR Academic Clinical Fellow in General Practice, Centre for Academic Primary Care, University of Bristol
Dr Alex Burrell has led a study exploring the relationship between Altmetric scores and citations in primary care research journals as part of his Editorial Fellowship at the British Journal of General Practice (BJGP) and BJGP Open.
The number of times a research article is cited has traditionally been used to assess its impact and quality. Altmetric score is an alternative measure of article impact which assesses the broader societal impact of articles and includes social media, blogs, and news mentions.
Number of citations, and other measures which are based on citation count, are still most often used by researchers and universities, and are tied to financial rewards. However, academic journals and authors increasingly use parts of the Altmetric score to share and promote research.
If Altmetric … Read more
by Loreta Valatka, Third Year Pharmacy Student, University of Bath
My internship experience
The Carry Naloxone Somerset project, led by Dr Jenny Scott, was the main focus of my 2023 research summer internship at the University of Bristol’s Centre for Academic Primary Care (CAPC). The aim of the project is to encourage people in Somerset who may experience or witness an overdose to carry naloxone – a first aid medicine that can be supplied without prescription to prevent an opioid overdose from being fatal.
Before the launch of the campaign, I analysed survey data to write a report about the possession and carriage of naloxone, as well as overdose experiences amongst Somerset Drug and Alcohol Service (SDAS) users. Post launch, I was responsible for follow-ups with the 23 pharmacies that had signed up so far. This was to ensure all participating members of the pharmacy teams … Read more
by David Kessler, Professor of Primary Care, Centre for Academic Mental Health and Centre for Academic Primary Care, University of Bristol
In 2017 I wrote a blog for World Mental Health Day. I wrote about the increased societal openness about mental illness over my clinical lifetime, the impact of the widespread availability of talking therapies through IAPT (now renamed NHS Talking Therapies) and described some of the work we had been doing in Bristol and what we planned to do. I talked about research into treatment resistant depression and the threshold for starting antidepressant drugs. What’s happened since in our world, and have we made any progress?
It’s hard to escape the COVID pandemic, but it’s also hard to assess its impact on mental health. The COVID-19 Mental Disorders Collaborators concluded that throughout 2020 the pandemic led to a global increase of over 25% … Read more
By Dr Ola Abdellatif, Primary Care Academic Collaborative (PACT) and Dr Jessica Watson, Centre for Academic Primary Care, University of Bristol
Rates of blood testing in general practice have increased over the past two decades in the UK. The reasons why are not entirely clear. Researchers from the University of Bristol, led by Dr Jessica Watson, joined forces with PACT – a collaborative of GP clinicians interested in research – to investigate who requests tests and why, and what the outcomes are. Why Test? Is their first study, which benefited from the unique access to clinical records facilitated by PACT. In this blog, Dr Ola Abdellatif, a GP trainee at the time of the study (now a salaried GP) and PACT member, together with Dr Jessica Watson, a GP and NIHR Clinical Lecturer in General Practice at the Centre for Academic Primary Care, University of Bristol and … Read more
by Dr Helen Cramer, Senior Research Fellow, Centre for Academic Primary Care, University of Bristol
The importance of providing support for victims and survivors of domestic abuse has long been established and a considerable body of research shows what effective support should look like. How to engage with perpetrators of domestic abuse is less well understood. There are a range of interventions of different lengths and purposes such as shorter ones to assess risk, and containment and disruption approaches for the highest risk perpetrators to try to manage that risk.
For lower risk perpetrators, longer (e.g. six month) group programmes aiming to reduce abusive behaviour and offering support to the partners and ex-partners alongside are recommended by Respect, a UK membership organisation that sets standards and accredits perpetrator programmes. However, the evidence for these group programmes is uncertain and there are extensive methodological challenges to … Read more
by Dr Mairead Murphy, Honorary Research Fellow, Centre for Academic Primary Care, University of Bristol and Evaluation Lead, South West Academic Health Science Network
“I think everyone’s been in the situation where they go to a doctor to talk about something that they find hard to talk about or they might find it difficult to voice their concerns.”
“I just couldn’t get a word in edgewise, sometimes you find you’ve just arrived and the GP is writing the prescription you know?”
These are some of the things patients said to us when we interviewed them for the Consultation Open and Close (COAC) study. Patients felt that, in the 10-minute consultation, particularly when it was by telephone, the GP did not always have time to get to the root of their problems.
This is not new or surprising. The 10-minute GP consultation is the shortest in Europe… Read more
By Dr Tanuka Palit, NIHR Academic Clinical Fellow in Primary Care, Centre for Academic Primary Care, University of Bristol
“You matter because you are you, and you matter to the end of your life. We will do all we can not only to help you die peacefully, but also to live until you die.” Dame Cicely Saunders
Many people express a wish to die at home. The proportion of deaths that occurred in the community (including private homes and care homes) rose significantly during the pandemic and has been sustained. As a consequence, the need to fund and improve our community palliative care services has never been more important. Earlier this year, this was recognised by a change in the Health and Social Care Bill to fund palliative care services in all areas. This will hopefully remove the postcode lottery that currently exists in the UK for … Read more
By Dr Alyson Huntley, Senior Research Fellow in Evidence Synthesis, Centre for Academic Primary Care, University of Bristol
World Heart Day on 29 September 2022 aims to inform people that cardiovascular disease, including heart failure and stroke, is the world’s leading cause of death, claiming 18.6 million lives each year. It also aims to highlight the actions that individuals can take to prevent and control heart disease. Alyson Huntley describes how researchers at the Centre for Academic Primary Care are refocusing priorities to ensure that the needs of people living with heart failure are at the centre of their work.
We aim to put people with heart failure at the centre of our research. A recent collaborative project with other universities highlighted the unmet needs of people living with heart failure. The priority setting process brought clinicians, patients and families/carers together on an equal footing to … Read more