SAPC Conference Programme 2015

EVIDENCE AND INNOVATION IN PRIMARY CARE 8th-10th July 2015 University of Oxford

44th Annual Conference of the Society for Academic Primary Care

PROGRAMME

www.sapc.ac.uk

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CONFERENCE COMMITTEE Nuffield Department of Primary Care Health Sciences, University of Oxford

Dr Helen Ashdown

Dr Helen Atherton

Dr Daniel Lasserson

Miss Sarah Morrish

Professor Richard Hobbs

Professor Susan Jebb

Professor Richard McManus

Mr Dan Richards-Doran

Conference organisers Sue Stewart and Sharon Pidgeon, SAPC www.sapc.ac.uk Tel: 01865 331839

“Radcliffe Primary Care” The new building for the Nuffield Department of Primary Care Health Sciences.

Opens in November 2015.

WELCOME Welcome to the 44th Annual Conference of the Society for Academic Primary Care.

It’s a real pleasure for the Nuffield Department of Primary Care Health Sciences to be able to host this event and to welcome you to the University of Oxford. We hope that the science will stimulate your thinking and the surroundings inspire you at this lovely time of year. Please take a moment to have a look at our new building, in the Old Radcliffe hospital outpatients, next door to the conference centre on the Woodstock Road, which is just finishing its renovations before we move in this autumn.

There has never been a more important time for academic primary care to showcase its contribution to the field and all that it can offer to improve health outcomes. Our theme this year, ‘Evidence and Innovation’ reflects firstly, the creativity that resides within the primary care community to identify solutions to the issues we see at first hand and secondly, the importance of good science to underpin decisions about investment in effective interventions.

We hope that the programme will help you to feel at home at SAPC this year. We have three acclaimed keynote speakers; Simon Stevens setting out the opportunities for primary care as part of the 5 year forward view for the NHS; Rona MossMorris on the opportunities to use behavioural approaches to support patients with functionally unexplained syndromes and Bruce Guthrie reflecting on the challenge of managing multi-morbidity. We are honoured to be hosting the 2nd Helen Lester Memorial Lecture on Wednesday evening and delighted to welcome Carolyn Chew-Graham to give this public address.

The remainder of the programme is filled with contributions from SAPC members and guests. We have received more submissions than ever before, demonstrating the continuing energy and investment in primary care research in the face of all the challenges facing our sector, and ensuring that we have a programme packed with interesting new data.

We have 90 oral presentations, and we have included a further 112 of the shorter elevator pitches that worked so well last year. Back by popular demand are the ‘Dangerous Ideas’ and of course the SIGs which cut across a breadth of interests within the Society. We make no apologies for a packed scientific programme but we have tried to help you navigate your way through with clearly labelled sessions and colour coded abstracts to identify themes which may cut across sessions, such as international research, education, health services and policy or the applied research which is ‘ready-to-use’ in practice now.

We all know how important the social programme is to the networking opportunities and overall experience of a meeting.

On Wednesday evening we hope you will join us for drinks and canapés at the Natural History Museum where you can walk with dinosaurs. The conference dinner will be in the gothic splendour of Keble College. Whether or not you attend dinner, please join us afterwards in the bar for drinks and dancing. For those with inexhaustible supplies of energy, you may wish to join the run round the parks or a more gentle summer evening walk to the Botanical Gardens where you will be treated to a private tour led by the acting Director, with particular emphasis on the exotic plants used in medicine over the centuries.

It has been my pleasure to Chair the organising committee this year and my thanks go to my colleagues in the department who have worked with me to plan the meeting with energy and enthusiasm. We owe a huge debt of gratitude to Sue Stewart for nurturing the SAPC annual meeting over many years and, together with Sharon Pidgeon, she has brought our plans to life. Thank you.

Professor of Diet and Population Health, Nuffield Department of Primary Care Health Sciences, University of Oxford

www.phc.ox.ac.uk | @OxPrimaryCare

CONTENTS

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Programme 5 Keynote speakers 16 Poster Programme 18 Mini-symposia 23 Workshops 25 Social programme and optional activities 26 Peer review 28 Conference information 29 Exhibitors and sponsors 30 Presenter index 31 Map

inside back cover

Venue plan

outside back cover

Abstracts can be found on the conference app and on the SAPC conference website.

Wednesday 8th July 2015 - All sessions take place in the Andrew Wiles Building

Morning

HODs / HOTs / Former HODs - see programme pages

10.30-12.00

SAPC pre-conference workshops - see programme pages

11.45-12.45

Special Interest Groups - see programme pages

12.00-13.00 LUNCH 13.00 -13.40 WELCOME AND OPENING SESSION

Including presentations of distinction 13.50-15.20

Parallel session 1 Oral sessions, mini-symposium and workshop - see programme pages

15.20-15.45

TEA BREAK and poster discussion session 1

15.45-16.30

Plenary 1 - Simon Stevens, CEO NHS England

16.40-17.30

Elevator pitch session 1 - see programme pages

17.45-18.30

The 2nd Helen Lester Memorial Lecture Carolyn Chew-Graham, Keele University

18.30-20.00

Drinks reception for conference delegates Oxford University Museum of Natural History

19.30

Optional event: Skeptics in the Pub - see programme pages

Thursday 9th July 2015 - All sessions take place in the Andrew Wiles Building

08.00-08.55

Breakfast meeting Primary Healthcare Scientists (PHoCuS) group - Room L4

09.00-09.45

Plenary 2 - Rona Moss-Morris, Institute of Psychiatry, King’s College London

09.45-10.45

Most Distinguished Papers from Australia and USA and Yvonne Carter Award

10.45-11.15

COFFEE BREAK - Primary healthcare scientists (PHoCuS) group gathering C1

11.15-12.45

Parallel session 2 Oral sessions, mini-symposium and workshop - see programme pages

12.45-14.15

LUNCH and poster discussion session 2

13.10-14.10

SAPC AGM - Room L2

14.15-15.45

Parallel session 3 Oral sessions, mini-symposium and workshop - see programme pages

15.45-16.15

TEA BREAK and poster discussion session 2

16.15-17.15

Elevator pitch session 2 including Dangerous Ideas - see programme pages

17.15/30

Optional activities - see programme pages

19.00-24.00 Conference Dinner - dress: lounge suits

Keble College

Friday 10th July 2015 - All sessions take place in the Andrew Wiles Building

09.00-09.45

Plenary 3 - Bruce Guthrie, University of Dundee

10.00-11.00

Elevator pitch session 3 - see programme pages

11.00-11.30

COFFEE BREAK and poster discussion 3

11.30-12.30

Parallel session 4 Oral sessions, mini-symposium and workshop - see programme pages

12.35-13.00

CONFERENCE PRIZE GIVING SESSION

13.00

Packed lunch

13.30-15.00

Workshops and Special Interest Groups - see programme pages 5

6 P = Practice

I = International health

E = Education

S = Health services

Parallel session 1A Cancer Room: L1 Chair: Brendan Delaney

1A.1 Clinical features of metastatic cancer in primary care; a case-control study using medical records Willie Hamilton P

1A.2 Blood CEA levels for detecting recurrent colorectal cancer: a Cochrane Diagnostic Test Accuracy review Brian Nicholson

PARALLEL SESSIONS 1 13.50-15.20

13.50

14.05

1B.2 Feasibility of a randomized trial comparing different emollients for childhood eczema: findings from Choice of Moisturiser in Eczema Treatment (COMET) study Matthew Ridd

1B.1 Frequency and risk factors for hospital readmission of very preterm infants to age one year Buthaina Ibrahim

Parallel session 1B Child health Room: L2 Chair: Sonia Saxena

1C.2 The potential for alternatives to face to face consultations in UK Primary Care: thematic analysis of free text responses to a scoping survey Helen Atherton P S

1C.1 The tick and the talk: do patients’ survey responses relate to their narrated experience of primary care consultations?

Jennifer Newbould P

Parallel session 1C Delivery of General Practice Room: L3 Chair: John Campbell

1D.2 Trends in long-term opioid prescribing in primary care patients with musculoskeletal conditions: an observational database study John Bedson

1D.1 The rise and fall of potentially inappropriate prescribing: trends and interaction with polypharmacy over 15 years in primary care in Ireland Frank Moriarty

Parallel session 1D Prescribing Room: L4 Chair: Jeremy Dale

Aim This symposium is designed to provide an account of a range of approaches, including traditional and newer metrics, to the assessment of the impact of published, peer-reviewed research. Attendees will learn about this and have the opportunity to discuss how the dissemination and uptake of research is likely to be measured in the future.

Parallel session 1E Mini-symposium 1- How can research impact be measured?

Room: L5 Chair: Roger Jones

Aim and intended outcome / educational objectives Following a well-attended workshop at SAPC in 2011 on pilot and

Facilitators: Sandra Eldridge Queen Mary University of London Christine Bond University of Aberdeen Gillian Lancaster University of Lancaster Mike Campbell University of Sheffield

Parallel session 1F Workshop 1 - Understanding, reporting and conducting pilot and feasibility trials Room: L6

13.25 Plenary1.2 Randomised Controlled Trial Testing Physiotherapy-Led Exercise and Ultrasound-Guided Corticosteroid Injection for Subacromial Impingement Syndrome: The SUPPORT Trial

Nadine Foster

13.10 Plenary1.1 Should antivirals be added to steroids in the treatment of severe, early Bell’s Palsy?

Frank Sullivan

13.00-13.40 WELCOME AND OPENING SESSION Room: L1 Chairs: Richard Hobbs and Susan Jebb (video relay in L2)

Presentations of distinction - selected from the highest scoring abstracts

12.00-13.00 LUNCH

11.45-12.45 Special Interest Groups

Behaviour change Room: C4

Health Literacy Room: C2 Palliative care: “Where next for primary palliative care? A workshop with a blank canvas” Room: C3

10.30-12.00 SAPC pre-conference workshops

1: Becoming an independent researcher Room: L6

2: What to do when a journalist calls? Room: C1

08.30-11.45 HODs meeting part 2 Room: L4 08.30-11.45 HOTs meeting Room: L5 10.30-11.30 Old HODs Room: C2

TIME LOCATION

Key - The coloured spots within the programme correspond to the categories or topics opposite:

PROGRAMME: WEDNESDAY 8TH JULY 2015

7

1A.5 The influence of first impressions on the diagnosis of early cancers by GPs Olga Kostopoulou

14.50

1A.6 Analysis of the Free Text Comments from the International Cancer Benchmarking Partnership 4 (ICBP4) Survey Rachel Parsonage

1B.6 The value of point-of-care CRP testing in acutely ill children presenting to out-of-hours services Ann Van den Bruel

1B.5 Prevalence of, and risk factors for, antimicrobial resistance in paediatric urinary bacteria - a systematic review and meta-analysis Ashley Bryce

S

1B.4 Patient reported GP access and out of hours emergency department visits in children. A national population based study Elizabeth Cecil

I

1B.3 Confidential enquiry into child deaths is associated with a reduction in child mortality in Africa Merlin Willcox

1C.6 Strategies to recruit and retain general practitioners: a systematic review Puja Verma S

1C.5 Evidence-based policy-making and the ‘art of commissioning’ how English healthcare commissioners access, use and transform information and academic research in ‘real life’ decision-making: An empirical qualitative study Lesley Wye S

1C.4 Assessing the public’s willingness to provide informed consent for their identifiable medical records to be accessed for different types of research Gemma Lasseter

1C.3 Patients’ reports and evaluations of patient safety in English general practices: a cross-sectional study Ignacio Ricci-Cabello P

1D.6 An investigation if the cost-effectiveness of medication monitoring in UK primary care: a case study of amiodarone Vladislav Berdunov

1D.5 Changes in adolescent poisonings in the UK over the past 20 years: a population based cohort study Edward Tyrrell

1D.4 Chinese herbal medicine for oligomenorrhoea and amenorrhoea in polycystic ovary syndrome: A randomised feasibility study in the United Kingdom Lily Lai

1D.3 Antibiotic prescribing and patient satisfaction in primary care: a cross-sectional analysis of national patient survey data and prescribing data in England Mark Ashworth

How the system works and what it offers to the healthcare research community.

Jean Liu, product development manager at Altmetric

Experiences in assessing the impact of primary care research Paul Little, member of the HEFCE REF primary care panel

Speakers: “Traditional” measurement and outcomes of the journal impact factor for the BJGP and measures of activity on the journal’s website such as downloads and page views.

Roger Jones, BJGP Editor and BJGP Web Editor Erika Niesner

w use participants’ pilot and feasibility trials to exemplify good practice in reporting, design and conduct

w present the CONSORT extension for pilot randomised trials, particularly focusing on where this differs from the main CONSORT statement

w introduce participants to an overarching conceptual framework for defining pilot and feasibility studies conducted in preparation for a randomised controlled trial of effectiveness

feasibility studies, we have been developing an extension to the CONSORT statement for pilot trials, and an overarching framework for defining these studies. In this workshop we aim to:

Elevator pitch session 1A Musculoskeletal Room: L1 Chair: Christian Mallen

EP1A.1 Optimising outcome prediction in primary care: Use of longitudinal data in prognosis research Gemma Mansell

ELEVATOR PITCH SESSIONS 1 16.40-17.30

16.40-17.30

EP1C.1 A qualitative exploration of the experience of living with epilepsy in the mid-west region of Ireland Breda Carroll

EP1B.1 Shared decision making in consultations when an option grid is introduced. Is the OG an artificial interruption in an otherwise artful consultation? A discourse analysis Katie Phillips P

Elevator pitch session 1C Long term conditions Room: L3 Chair: Andrew Wilson

Elevator pitch session 1B Consultation and communication Room: L2 Chair: Chris Salisbury

EP1D.1 What are medical students’ fears and concerns about communicating with patients?

Crea Carberry

Elevator pitch session 1D Education Room: L4 Chair: Joe Rosenthal

E

EP1E.1 Identification of priority areas for adult vaccine safety: mixed methods analysis of patient safety incidents reports from Primary Care in England and Wales (2003-2013) Huw Prosser Evans

Elevator pitch session 1E Infection Room: L5 Chair: Jeremy Horwood

EP1F.1 “To have, to hold, from this day forward”: Research Nurses’ views regarding the retention of trial participants A Daykin

Elevator pitch session 1F Miscellaneous Room: L6 Chair: Jane Roberts

15.45-16.30 Plenary 1 Room L1 Chair: Richard Hobbs (video relay L2)

Simon Stevens, CE NHS England The role of primary care in the NHS future plan

15.20-15.45 TEA BREAK and poster discussion session 1

15.05

1A.4 Evaluating the usefulness of longitudinal CEA measurements to detect colorectal cancer recurrence Bethany Shinkins

14.35

P

1A.3 A comparative qualitative study of patients’ experiences of cancer diagnosis in England, Denmark and Sweden John MacArtney

14.20

8

P

EP1B.7 Communication about heavy menstrual bleeding; is this the last taboo subject?

Gail Prileszky

EP1B.6 Caring for the patient, caring for the record: an ethnographic study of ‘back office’ work in upholding quality of care in general practice Deborah Swinglehurst

EP1B.5 The iMpact on practice, oUtcomes and costs of New ROles for health care professionalS: results from the MUNROS study Christine Bond

EP1B.4 A mixed methods study examining the influence of general practice and nurse consultation characteristics on patient satisfaction and enablement Jane Desborough

P

EP1B.3 A Health Check for Rural General Practice in Scotland Sarah Mills P

EP1B.2 The potential for alternatives to face to face consultations in UK Primary Care: a realist review Helen Atherton P S

EP1C.7 Difficulty in accessing data from randomised trials of drug treatment in heart failure: a call for action Pieter MacKeith

EP1C.6 Atrial fibrillation screening in Irish general practice: a large scale feasibility trial Gerard Bury

EP1C.5 Have non-vitamin K antagonist oral anticoagulants made an impact in terms of stroke prevention in atrial fibrillation? An analysis of the UK cohort of the GARFIELD-AF registry Patricia Apenteng

EP1C.4 Mapping the Evolution of a Digital Health Programme towards Innovation in Primary Care: Living It Up Ruth Agbakoba

EP1C.3 The contribution of a process evaluation to explain the results of a cluster randomized controlled trial for people with depression in long-term physical conditions Peter Coventry

EP1C.2 Physical activity for the prevention and treatment of major chronic disease: An overview of systematic reviews David Nunan P

P = Practice

E

EP1D.7 What are the learning needs of medical students when addressing obesity in a primary care consultation and how might they be addressed?

Kathleen Leedham-Green

E

EP1D.6 Evaluation of an on-line learning module to improve Prescribing in Primary Care E Richard Knox

EP1D.5 Retrospective Review of Prescriptions issued by GPs in Training - the initial stages of a pilot study Richard Knox

EP1D.4 The effect of the final year primary care attachment on medical students’ attitudes towards a career in GP E Sammy Mansour

EP1D.3 Developing an educational intervention for junior doctors at FY1/FY2 level working with patients with medically unexplained symptoms (MUS) Katherine Yon

S = Health services

EP1E.5 Are chlamydia related bacteria associated with miscarriage or preterm birth? Community-based prospective cohort study Pippa Oakeshott

EP1E.4 IMPACT-PC (Improved Management of Patients with Chlamydia and Gonorrhoea diagnosed in Primary Care Trial) - pilot feasibility study, Bristol 2015 Petra Manley

EP1E.3 A study of patients’ and GPs’ attitudes towards delayed antibiotic prescribing for suspected urinary tract infections Akke Vellinga P

EP1E.2 Low coverage of childhood vaccinations in London: What is the role of general practice factors?

Manju Varshaa Gopalamurugan

E = Education

EP1D.2 The local context of the undergraduate GP placement- are we educating our students within deprived areas? The characteristics of one large network of teaching practices E Fiona Magee

I = International health

P

EP1F.7 Women’s experience of meaningful change following domestic abuse: a qualitative study nested in a trial of a specialist psychological advocacy intervention (the ‘PATH’ trial) Maggie Evans

EP1F.6 What should never happen in General Practice? A focus group study exploring the concept of Never Events in General Practice and enablers and barriers to their implementation in practice P Rebecca Morris

EP1F.5 Unscheduled Admissions for Suspected Seizures in the NHS in England 2007-2013 Jon Dickson

EP1F.3 “We’ve all been passed from pillar to post”: Patient experiences of living with Joint Hypermobility Syndrome Rohini Terry

EP1F.2 Complementary and Alternative Medicine use by participants in the PACE Trial George Lewith

18.30-20.00 Drinks reception - Oxford University Museum of Natural History

Drinks and canapes with entertainment from In the Pink

19.30 Skeptics in the Pub - the AllTrials Campaign

please sign up at the registration desk

17.45-18.30 THE 2ND HELEN LESTER MEMORIAL LECTURE Room: L1

Carolyn Chew-Graham (video relay in L2) Making a difference for people with mental health problems

EP1A.7 Modifying the STarT Back tool for use with patients with other musculoskeletal conditions: does it work?

P Jonathan Hill

EP1A.6 Exploring shared decision-making in prescribing analgesia for musculoskeletal pain in primary care consultations Catherine Hyde

EP1A.5 Prevalence of CVDrelated comorbidity in ankylosing spondylitis, psoriatic arthritis and psoriasis: A matched retrospective cohort study Nadeem Ahmed

EP1A.4 Supporting the SelfManagement of Low Back Pain in Primary Care: The Development of the ‘SupportBack’ Internet Intervention Rosie Stanford

EP1A.3 Temporal trend of annual consultation incidence of osteoarthritis between 1992 and 2013 in primary care in England: estimates from the Clinical Practice Research Datalink Dahai Yu

EP1A.2 Musculoskeletal (MSK) and Sport and Exercise Medicine (SEM) in General Practice (GP): A Novel GP-based clinic Neil Heron

Key - The coloured spots within the programme correspond to the categories or topics opposite:

PROGRAMME: WEDNESDAY 8TH JULY 2015 (CONTINUED)

2A.1 The ‘One in a Million’ study: Creating a database of primary care consultations and linked data Rebecca Barnes

2A.2 Rating communication in GP consultations: do patients and experienced trained raters agree?

Gary Abel

11.15

11.30

P

Parallel session 2A Methodology Room: L1 Chair: Sarah Purdy

2B.2 Using home BP with the new JBS guidelines: estimation of CVD risk Richard Stevens

2B.1 “He’s overweight and smokes too much, but his blood pressure seems fine?!” - A systematic review of factors which predict masked hypertension in Primary Care James Sheppard

Parallel session 2B Hypertension Room: L2 Chair: David Fitzmaurice

P

P

P

2C.2 Computerised cognitive behaviour therapy (cCBT) as a treatment for depression in primary care (The REEACT trial): a large scale pragmatic randomised controlled trial Simon Gilbody

2C.1 The effectiveness and cost-effectiveness of the Healthlines telehealth service for depression: randomised controlled trial Chris Salisbury

Parallel session 2C Mental health Room: L3 Chair: Carolyn Chew-Graham

2D.2 How parents and clinicians communicate about the ‘problem’ when children have an acute RTI Christie Cabral

2D.1 Investigating the effect of upper respiratory tract microbiology and antibiotic treatment on illness prognosis in children presenting to primary care with respiratory tract infection: results from the NIHR ‘TARGET’ Cohort Study Hannah Christensen

Parallel session 2D Respiratory tract infection Room: L4 Chair: Chris Butler

Speakers: Exploring the quality of life and well-being of men with prostate cancer and their partners and gaps in service provision: findings from a qualitative meta-synthesis.

Carol Rivas and Richard Wagland, University of Southampton

Aim: to consider the main issues facing patients and their families in the survivorship phase of their journey, and to consider what role primary care could/should have in optimising care provision in the period following the end of initial treatment.

Parallel session 2E Mini-sympoisium 2 - Optimising prostate cancer survivorship care where does primary care fit in?

Room: L5 Chair: Clare Wilkinson

COFFEE BREAK - Primary healthcare scientists group gathering over coffee in C1 - please pick up a coffee before joining the group

PARALLEL SESSIONS 2 11.15-12.45

10.45-11.15

Yvonne Carter Award for Outstanding Young Researcher 2015 Heart Failure: A Primary Care Problem

Clare J Taylor, University of Birmingham

Sophie Park, University College London was highly commended by the panel of judges representing RCGP and SAPC

09.45-10.45 NAPCRG/SAPC award winner from the North American Primary Care Group Annual Meeting 2014 Effectiveness of a quality improvement intervention on potentially inappropriate prescribing in older patients in primary care: a cluster randomised controlled trial (the OPTI-SCRIPT study)

Barbara Clyne, Royal College of Surgeons in Ireland

Most distinguished paper from the Primary Health Care Research Conference 2014 (Australia) Family-centered brief intervention for improving physical activity, nutrition and reducing cardiovascular disease risk in family medicine patients: a randomised trial

Felicity Goodyear-Smith, University of Auckland, New Zealand

Educational objectives / Intended outcome: w Improved understanding of the importance of research context and the marked heterogeneity of effect between sites in most LMIC quality improvement initiatives

Aims: w To discuss research on quality improvement in PHC in Low and Middle income Countries w To discuss how to develop and promote trial methodologies which take better account of research context in LMICs, providing evidence about what will work where.

Parallel session 2F Mini-sympoisium 3 - Quality improvement in Primary Health Care in Low and Middle Income Countries - research outcomes

09.00-09.45 Plenary 2 Room L1 Chair: Christian Mallen (video relay in L2) Rona Moss-Morris, Institute of Psychiatry, King’s College London Supporting people with medically unexplained symptoms

08.00-08.55 PHoCuS group meeting (Primary Healthcare Scientists) Room: L4 Chairs: Christine Bond and Sandra Eldridge

TIME LOCATION

PROGRAMME: THURSDAY 9TH JULY 2015

9

10

2A.4 Implementation of the TRANSFoRm evidence service supporting diagnosis in primary care Derek Corrigan

2A.5 An approach to developing successful trial follow-up procedures Caroline Free

2A.6 Constructive explanations: a taxonomy of explanation components for medically ‘unexplained’ symptoms LaKrista Morton

12.00

12.15

12.30

P

2C.6 Changes in antidepressant prescribing for patients with depression in English primary care 2003-2013: time trend analyses of effects of the NICE depression guidelines, and the GP contract quality and outcomes framework (QOF) Tony Kendrick

2C.5 Exploration of the utility of co-morbid depression as a prognostic marker in patients with heart failure: Findings from a community cohort in the United States Bhautesh Jani I

2C.4 Long-term effectiveness and cost-effectiveness of cognitive behavioural therapy as an adjunct to pharmacotherapy for treatment resistant depression in primary care: follow-up of the CoBalT trial Nicola Wiles

2C.3 Mental health interventions and future major depression among primary care patients with subthreshold depression Sandra Davidson

14.15

P

2D.6 A PRImary care randomised trial of an internet intervention to Modify Influenza-like illness and respiratory infection Transmission (PRIMIT trial.)

Paul Little

P

2D.5 Oral Steroids for Acute Cough (OSAC): a multi-centre, placebo controlled, randomised trial Alastair Hay

2D.4 “It’s safer to ...” Safety for parents consulting and clinicians prescribing antibiotics for children with respiratory tract infections: an analysis across four linked qualitative studies P Christie Cabral

S = Health services

Discussion will be held after the presentations.

A system re-design project facilitating the safe discharge of stable survivors to primary care.

Key elements: (1) an automated PSA surveillance system linking secondary and primary care; (2) person-centred holistic needs assessment and patient-held care plan review; (3) a nurse-led out-ofhospital individualised intervention (TOPCAT-P pilot trial).

Andrei Stanciu, Bangor University: Prostate Cancer Follow-up in North Wales

The role of primary care in prostate cancer follow-up: findings from PROSPECTIV - a pilot trial of a nurse-led psycho-educational intervention delivered in primary care Eila Watson, Oxford Brookes University

E = Education

2D.3 Factors influencing the clinician’s ‘gut feeling that something is wrong’ and the subsequent relationship with their treatment behaviour for children presenting to primary care with cough and RTI P Sophie Turnbull

I = International health

Merlin Willcox: In what conditions do death reviews lead to reductions in maternal and child mortality in Sub-Saharan Africa?

David Mant: Demand-led financing to reduce maternal mortality in Mozambique - is it the right context?

Speakers: Claire Blacklock: Impact of contextual factors on the effect of interventions to improve health worker performance in sub-Saharan Africa: review of randomised clinical trials

w Agreement on joint working to develop a funding application to support further work in this area

3A.1 Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: Qualitative study of at-risk immigrant communities and healthcare professionals Lorna Sweeney

3B.1 Is case management of ‘at-risk’ patients in primary care effective? A systematic review and meta-analysis Jonathan Stokes P

3C.1 Cost-effectiveness of a telehealth intervention to reduce CVD risk: Lifetime simulation modelling using QRISK2 Padraig Dixon

3D.1 How common are giant cell arteritis symptoms in patients with polymyalgia rheumatica?: results from an incident primary care cohort Christian Mallen

Aim and intended outcome The aim is to increase understanding among participants of strategies to successfully translate researchevaluated complex interventions into routine organisation and

Room: L5

(mis)translating organisational interventions from research to practice: experience from three large trials of complex interventions to improve primary care prescribing safety

Parallel session 3E Mini-symposium 4 - Successfully

Facilitators: Martin Ashton-Key, NIHR Evaluation Trials and Studies Coordinating Centre (NETSCC) Kate Dowson, NETSCC

Parallel session 3F Workshop 3 - Enhancing your career through working with the National Institute for Health Research (NIHR) Room: L6

SAPC making a difference featuring the AGM Room: L2

2B.6 The inter-arm difference in blood pressure and mortality: systematic review and meta-analysis Christopher Clark

2B.5 All in the timing? Patients and clinicians views on the optimum schedules for self-monitoring of blood pressure Sabrina Grant

2B.4 Variability in blood pressure: true effect or much ado about nothing? A systematic review and meta-analysis of the influence of blood pressure mean and variability on outcomes Sarah Stevens

2B.3 Accuracy of self-monitored blood pressure for diagnosing hypertension in primary care David Nunan

P = Practice

PARALLEL Parallel session 3A Parallel session 3B Parallel session 3C Parallel session 3D SESSIONS 3 Infectious diseases Health services Cardiovascular disease Musculoskeletal 14.15-15.45 Room: L1 Room: L2 Room: L3 Room: L4 Chair: Paul Little Chair: Trish Greenhalgh Chair: Mark Ashworth Chair: Elaine Hay

13.10-14.10

12.45-14.15 LUNCH and poster discussion

2A.3 Is a pilot study useful to determine the size of a cluster randomised trial?

Sally Kerry

11.45

Key - The coloured spots within the programme correspond to the categories or topics opposite:

PROGRAMME: THURSDAY 9TH JULY 2015 (CONTINUED)

11

3A.4 Which women treated first symptomatically for a urinary tract infection (UTI) are later prescribed an antibiotic?

Ildiko Gagyor P

3A.5 The Point Of carE testing for urinary Tract Infection in primary Care (POETIC) study: A randomised controlled trial of the clinical and cost effectiveness of Flexicult point of care urine culture Tim Pickles

3A.6 HPV vaccination- what impact on cervical cancer can we expect?

Claire Rees

15.00

15.15

15.30

ELEVATOR PITCH SESSIONS 2 16.15-17.15

S

S

3B.6 The use of linked health and mortality data to inform injury prevention strategies Ruth Baker

3B.5 How could a Patient-Reported Outcome Measure (PROM) for Long-term Conditions (LTCs) improve Patient Care? Patients’ and Health and Social Care Stakeholders’ Perspectives Caroline Potter

3B.4 Investigating the relationship between quality of primary care and premature mortality in England: a spatial whole-population study Evangelos Kontopantelis

3B.3 Primary care and demand on Emergency Departments: understanding the role of access through an ethnographic study of GP practices Fiona MacKichan

3B.2 Access to general practice and the route of emergency admission to hospital: retrospective analysis of national hospital administrative data Thomas Cowling

Elevator pitch session 2B Prescribing Room: L5 Chair: Tony Avery

EP2B.01 Variation between practices in high-risk prescribing: multilevel modelling study of six indicators over five years in 190 practices Bruce Guthrie

EP2A.01 Bisphosphonates and risk of stroke: self controlled case series study Zahid Asghar

P

EP2C.01 Adverse outcomes in older adults attending emergency department: a systematic review and meta-analysis of the Identification of Seniors At Risk (ISAR) screening tool Yannick Gilleit

Part 4: Interactive component Audience narratives

EP2D.01 Age-related smoking status in patients with Chronic Obstructive Pulmonary Disease (COPD) stratified by severity of airflow obstruction: an observational cohort study using the Hampshire Health Record Analytical database (HHRA) Lynn Josephs

The workshop will provide an overview of the NIHR and highlight opportunities for professional development, research funding opportunities and improving patient care through engagement with the organisation. The intended outcome for participants is that they understand how working with the NIHR can benefit both clinicians and patients and can apply this directly to their current role.

Aim and intended outcome: We are proposing to run a workshop for GPs at all career stages wishing to develop their professional skills and research interests.

Should doctors diagnose poverty?

Andrew Moscrop

We should embrace and use self-disclosure Bruce Arroll

Dangerous ideas Room: L2 Chair: Bob McKinley

Part 3: An honest account of translational strategies and what has actually got implemented so far including how NHS implementation differs from the interventions trialled Tony Avery and Bruce Guthrie

Part 2: Brief summary of the three prescribing interventions trialled and their effectiveness Tony Avery, Bruce Guthrie and Tobias Dreischulte

Part 1: What does the literature tell us about strategies to promote successful translation? A brief review of barriers and facilitators of translation into policy and practice, and strategies to maximise translation Bruce Guthrie

practice, including understanding of strategies which increase the likelihood of translation and discussion of the range of outcomes which count as ‘success’.

Elevator pitch session 2D Respiratory Room: L4 Chair: Mike Thomas

3D.6 Developing a theory-informed intervention using primary care clinicians’ perceptions of stratified care for musculoskeletal conditions Ben Saunders

3D.5 Primary care based sepsis aftercare improves musculoskeletal function Konrad Schmidt

3D.4 Evaluating the impact of using an Option Grid for osteoarthritis of the knee in an interface musculoskeletal clinic: a stepped wedge trial Tim Pickles

3D.3 Evaluating the use of an Option Grid® for knee osteoarthritis for patients who are from a socially disadvantaged population. Qualitative interviews from a stepped wedge implementation trial (TOGA Study) Fiona Wood

3D.2 On a learning curve: Interviews with clinicians using Option Grids® to facilitate SDM with patients with osteoarthritis of the knee Fiona Wood

Elevator pitch session 2C Older adults/elderly and mental health Room: L3 Chair: Tony Kendrick

3C.6 Patient Experiences of the Clinical Pathway for Diagnosing Heart Failure in Primary Care Clare J Taylor

3C.5 The effectiveness and cost-effectiveness of telehealth for reducing cardiovascular risk in patients at high risk: randomised controlled trial Chris Salisbury

3C.4 Performance of cardiovascular risk scores in South Asian populations - a systematic review of the literature Dipesh Gopal

3C.3 The txt4healthyhearts mobile phone based intervention to reduce LDL cholesterol in patients at high risk of a cardiovascular event: intervention development Caroline Free

3C.2 The impact of provision of a cardiovascular disease risk estimate to practitioners or patients: a systematic review and meta-analysis Juliet Usher-Smith

Elevator pitch session 2A Cardiovascular disease Room: L1 Chair: Richard McManus

15.45-16.15 TEA BREAK and poster discussion session 2

3A.3 Diagnosing serious infections in acutely ill children in ambulatory care: diagnostic accuracy of a clinical decision tree together with a point-ofcare C-reactive protein test Jan Verbakel

P

3A.2 Oral corticosteroids for symptom relief of sore throat: a doubleblind randomised placebo controlled trial in UK primary care Gail Hayward

14.45

14.30

12 S

EP2B.10 Evaluating an international webbased intervention to change GP prescribing: a triangulation of mixed methods data Sarah Tonkin-Crine

EP2B.09 Variation in Anticoagulation treatment Between CCGs: Are Demographic Factors to Blame?

Emma Byrne

EP2B.08 Lessons on the failure of the “Better Care Better Value” prescribing indicator for renin-angiotensin system drugs in treating hypertension: a qualitative study from general practitioners’ perspectives Amanj Baker

EP2B.07 Thiazolidinedione drugs and the risk of cancer in patients with diabetes: nested casecontrol studies using a primary care database Carol Coupland

EP2B.06 Interventions for improving medication reconciliation across transitions of care - a systematic review Patrick Redmond

EP2B.05 General Practitioners’ antibiotic prescribing decisions for children with upper respiratory tract infection: a Think-Aloud study Nicola McCleary P

EP2B.04 Prevalence of pre-existing diabetes mellitus in pregnancy and associated prescribing patterns using electronic health records Sonia Coton

EP2B.03 Addressing inequalities in the provision of pharmaceutical services in Scotland: a proof of concept study of telepharmacy in rural Scotland Christine Bond

EP2B.02 What to give the patient who has everything? Development of an intervention to improve prescribing in multimorbidity Carol Sinnott P

EP2C.10 Treatment outcomes in schizophrenia: what people with schizophrenia consider to be important outcomes Helen Lloyd

EP2C.09 How do GPs deal with parents bereaved by suicide? A qualitative study Carolyn Chew-Graham P

EP2C.08 Depression and chronic physical disease: a Q-methodology study of patients with co-morbidity Sarah Alderson

EP2C.07 Multimorbidity and the risk of depression in different ethnic groups Chandra Sarkar

EP2C.06 The role of social relationships in persistent or recurrent depression among primary care patients Sandra Davidson

EP2C.05 The 3D Study: Improving the management of patients with multimorbidity in general practice. Initial observations from the pilot study Katherine Chaplin

EP2C.04 Socio-demographic and lifestyle determinants of multimorbidity in the English Longitudinal Study of Ageing (ELSA) Jose Valderas

EP2C.03 Making Sense Of Dementia Risk And Its Prevention - A Qualitative Process Evaluation Of The In-Mindd Trial P Susan Browne

E = Education

S

P

Health research should be crowd-funded through Kickstarter Sarah Knowles

GP-Uberification: the next generation consultation Oliver van Hecke

Over the counter antibiotics: Letting the genie safely out of the (urine) bottle Kyle Knox

From 19.00 Conference dinner at Keble College to midnight From 19.00 - pre-dinner drinks will be served in the Quad. 20.00 - dinner will be served. Dancing til 23.00. The bar will be open until midnight A limited number of extra tickets can be purchased at the registration desk @£55 each

Sign up for these activities in advance at the registration desk - places are limited for the botanic garden tour

EP2D.09 Enabling patient-centred care in advanced COPD: identifying care and support needs Morag Farquhar

EP2D.08 Feasibility and acceptability of conducting a trial of a C-reactive protein point of care test assisted management strategy for patients presenting with acute exacerbations of chronic obstructive pulmonary disease in UK primary care David Gillespie

EP2D.07 A partnership approach to COPD diagnosis and management in general practice Sarah Dennis

EP2D.06 Over diagnosis of chronic obstructive pulmonary disease in the UKcross sectional analysis of baseline data from Birmingham COPD cohort study Halima Buni

EP2D.05 What are the barriers and facilitators to clinicians’ ability to meet the needs of patients with advanced COPD and their informal carers?

Caroline Moore

EP2D.04 Oral propranolol in people with asthma and anxiety P DR Morales

EP2D.03 COPD readmissions in an urban environment: health service factors Patrick White

even day working in primary care will increase health inequalities and should be resisted John Ford

S = Health services

EP2D.02 Preferences for care and treatment in advanced Chronic Obstructive Pulmonary Disease (COPD) patients: results from a discrete choice experiment Morag Farquhar P

I = International health

EP2C.02 Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR): results of a phase II randomised feasibility study of a multidisciplinary rehabilitation package following proximal hip fracture Nefyn Williams

P = Practice

17.15 Optional activity - University of Oxford botanic garden tour - meet at the conference registration desk, Andrew Wiles Building 17.30 Optional activity - Run around scenic Oxford - meet at Keble College Porter’s Lodge

EP2A.10 Allied health professional-led interventions for improving control of blood pressure in patients with hypertension: A Cochrane systematic review and meta-analysis Christopher Clark

EP2A.09 Bisphosphonates and risk of stroke: matched case-control study Ana Godoy Caballero

EP2A.08 Changes in blood pressure in patients with hypertension receiving usual care in randomised controlled trials: findings from a systematic review and meta-analysis Christopher Clark

EP2A.07 Indirect blood pressure measurement for the diagnosis of hypertension in obese patients: A diagnostic accuracy review Greg Irving

EP2A.06 Rethinking cardiovascular screening: an observational study of workplace wellness kiosks Susannah Fleming

EP2A.05 The prognostic value of B-type natriuretic peptides in chronic heart failure patients - A primary care perspective Milena Kurtinecz

EP2A.04 Hazards of cold spells for incidence of cardiovascular disease in older British men Richard Morris

EP2A.03 Temporal trends in stroke incidence in young people: a systematic review of population based studies Catherine Scott

EP2A.02 How should patients monitor their own blood pressure: a systematic review James Hodgkinson

Key - The coloured spots within the programme correspond to the categories or topics opposite:

PROGRAMME: THURSDAY 9TH JULY 2015 (CONTINUED)

ELEVATOR PITCH SESSIONS 3 10.00-11.00

EP3B.08 Acceptability, reliability and validity of the “Patient Reported Experiences and Outcomes of Patient Safety in Primary Care” (PREOS-PC) instrument Ignacio Ricci-Cabello

EP3A.07 Making ‘Social prescribing’ work: The Links Worker Programme in ‘Deep End’ practices in Glasgow Nai Rui Chng

EP3A.08 Gender inequalities in social support and access to healthcare for cardiovascular risk prevention in the Pakistani community, UK: a qualitative study Farina Kokab

P

EP3B.06 The use of verbal and written consent to review primary care medical records in a randomised controlled trial: Evaluation of a two-stage process Emily Fletcher

EP3B.05 Research impact in the community based health sciences: an analysis of 162 impact case studies submitted to the 2014 Research Excellence Framework (REF) Trisha Greenhalgh

EP3B.04 Risk prediction models for colorectal neoplasia or cancer in symptomatic individuals: a systematic review Thomas Williams

EP3B.03 Internet delivery of a multi-centre randomised controlled trial in general practice Paul Wallace

P

EP3B.07 Encouraging collaborations between researchers and commissioners: a qualitative evaluation of a knowledge mobilisation initiative S Lesley Wye

EP3A.06 Left, Right, Left, Does it Matter which Arm? Ethnic Variations in Clinical Interarm Difference and Relationship to White Coat Effects Claire Schwartz

EP3A.05 Mortality rates amongst patients on opiate substitution treatment - comparing those on methadone or buprenorphine medications Colin Steer P

EP3A.04 How do White British and Pakistani people rate communication within simulated GP-patient consultations? A national experimental vignette study Jenni Burt

EP3A.03 What do we know about the involvement of minority ethnic groups in health and social care research?

A systematic review Shoba Dawson

EP3B.02 Does patient and public involvement have an impact on general practice? A participatory action research study Jess Drinkwater

EP3B.01 Quantifying the value of aspects of personalised care: development of a Discrete Choice Experiment around support for self-management of chronic pain Christopher Burton

EP3A.01 Improving access to primary care for deprived older people living in rural areas: a mixed method study John Ford S

EP3A.02 Digital health interventions for people with low health literacy: An international trial of web-based materials to promote physical activity amongst people with type-2 diabetes Ingrid Muller

Elevator pitch session 3B Methodology Room: L2 Chair: Kerry Hood

Elevator pitch session 3A Vulnerable groups Room: L1 Chair: Mike Moore

EP3C.09 A qualitative study exploring barriers and facilitators to presenting to primary care among smokers Julie Walabyeki

EP3C.08 A longitudinal study of smoking cessation among primary care patients with depressive symptoms Sandra Davidson

EP3C.07 Development of the Smoking Treatment Optimisation in Pharmacies (STOP) Intervention: Integration of four elements Liz Steed

EP3C.06 The impact of the 2012 QOF revision on the provision of smoking cessation support in UK primary care Paul Aveyard

EP3C.05 Motivational interviewing for smoking cessation: an update Nicola Lindson-Hawley

I

EP3D.10 Relating Prescribing to Use of Unscheduled Care for Pain-Related Presentations in Patients with Cancer in their Last 12 Months of Life P Sarah Mills

EP3D.09 Association between use of the urgent cancer referral pathway and cancer survival: national cohort study Thomas Round

EP3D.08 Circulating vitamin D concentrations and breast cancer risk: A pooled analysis of 17 cohorts Toqir Mukhtar

EP3D.07 A randomised controlled trial of the detection in blood of autoantibodies to tumour antigens as a casefinding method in lung cancer using the EarlyCDT-Lung test in Scotland (ECLS) Frank Sullivan

EP3D.05 Detecting recurrence of colorectal cancer following five years of scheduled CEA and CT - An economics analysis from the Follow-up after Colorectal Surgery (FACS) Randomized Clinical Trial Yaling Yang

EP3D.04 Pre-diabetes: Should we screen for it and if so, how and what should we offer to those who screen positive?

Eleanor Barry

EP3C.03 Access to adult weight management in primary care: qualitative interviews with key stakeholders from NHS weight management services in Scotland David Blane EP3C.04 Healthcare professionals’ experiences of supporting participants using an online weight management intervention (POWeR): A qualitative study Emily Smith

EP3D.03 Liver Function Testing (LFT) in Primary Care: Retrospective Case Note Review of the Management of Patients with Abnormal LFTs Christopher Weatherburn P

EP3D.01 Differential diagnosis generators in UK primary medical care: A feasibility study using the Isabel diagnostic tool Rahul Alam

Elevator pitch session 3D Diagnosis and cancer Room: L4 Chair: Willie Hamilton

EP3C.02 A feasibility study of ‘Simple Steps’ - a general practice based physical activity intervention in pregnancy Neil Heron

EP3C.01 Evaluating implementation fidelity in the PACE-UP (Pedometer and Consultation Evaluation-UP) complex walking intervention Emma Howard

Elevator pitch session 3C Weight management Room: L3 Chair: Susan Jebb

09.00-09.45 Plenary 3 Room L1

Chair: Susan Jebb (video relay in L2)

Bruce Guthrie, University of Dundee

Multimorbidity: new paradigm or the emperor’s new clothes?

TIME LOCATION

PROGRAMME: FRIDAY 10TH JULY 2015

13

14 4C.4 Diagnosis of dementia using the mini-mental state examination in general practice and the community: Cochrane systematic review of diagnostic test accuracy Sam Creavin P

4B.4 The EXPERT study: feasibility randomised controlled trial of an internet-based intervention using patient experience to support selfmanagement of asthma John Powell P

4A.4 Can community healthcare practitioners believe point-of-care tests for haemoglobin and renal function? Agreement study of pointof-care tests and subsequent central laboratory tests for acute frailty syndromes in older adults Jan Verbakel

12.15

4C.3 Awareness and information needs relating to Assistive Technologies among people with dementia, carers and General Practitioners; A qualitative study Lisa Newton

4B.3 The association between emergency admissions for asthma and access to English primary care; national database cross sectional analysis Robert Fleetcroft

4A.3 Urgent need for alternative sampling strategies for electrolytes in primary care: relationship between potassium in primary care samples and ambient temperature on day of collection in a population of 600,000 registered patients Dan Lasserson P

12.00

4C.2 Cast Adrift in the Care System?A Systematic Scoping Review of Care Navigation for Older People with Multimorbidity Jolien Vos P

4B.2 Patient experience of using a digital health application for selfmanagement support in Chronic Obstructive Pulmonary Disease Veronika Williams

P

4C.1 REDIRECT: An analysis of the nature and drivers of avoidable emergency department presentations by the elderly in metropolitan Melbourne, Australia I Danielle Mazza

4A.2 Glucose, blood pressure and cholesterol levels and their relationships to clinical outcomes in type 2 diabetes: a retrospective cohort study David Springate

4A.1 The language of chronic kidney disease diagnosis: a qualitative study of patient experiences and primary care professionals’ views Jeremy Horwood

11.30

Parallel session 4C Elderly care and dementia Room: L3 Chair: Christine Bond

P = Practice

11.45

4B.1 TargetCOPD: A pragmatic randomised controlled trial of targeted case finding for COPD versus routine practice in primary care Rachel Jordan P

Parallel session 4B Respiratory Room: L2 Chair: Alastair Hay

Parallel session 4A Metabolic disease Room: L1 Chair: Helen Stokes-Lampard

PARALLEL SESSIONS 4 11.30-12.30

11.00-11.30 COFFEE BREAK and poster discussion 3

Key - The coloured spots within the programme correspond to the categories or topics opposite:

P

P

4D.4 How can we promote effective engagement with web-based support for weight management?

Lucy Yardley

4D.3 Psychological advocacy towards healing (PATH): A parallel group individually randomised controlled trial of a psychological intervention for survivors of domestic violence and abuse Jayne Bailey

4D.2 What influences women’s preferences for differing medical treatments for heavy menstrual bleeding?

Gail Prileszky

I

A generalizable model of diagnostic knowledge. How to make evidence available in a computable format, and to curate and maintain high quality evidence.

Derek Corrigan, Royal College of Surgeons of Ireland.

Experimental evidence to support diagnostic decision support arising from a recent RCT of simulated cases, showing a 6% absolute improvement in diagnostic accuracy with ‘suggestions’ based on the presenting problem. Impact on diagnostic accuracy of a full evaluation of the DSS in a controlled before-after study with GPs, using actors as simulated patients.

Olga Kostopoulou, King’s College London.

Facilitators T Greenhalgh, University of Oxford C Jackson, University of Queensland, Australia J Smith, Director of Policy, The Nuffield Trust, London

Speakers The problem of diagnostic error, and why it is difficult to move to evidence-based diagnosis. Terminologies, classifications and types of evidence. What a LHS is and how it could solve the problem of collecting diagnostic evidence.

Brendan Delaney, King’s College London.

To involve workshop participants in applying the principles of cocreation to their current research programmes.

To share successful ‘research into practice’ initiatives involving chronic disease management and quality improvement, utilising the co-creation approach.

Aims and Objectives: To introduce the co-creation approach, linking researchers and end-users in embedding research into practice.

Parallel session 4F Workshop 4 - Co-creation of knowledge in primary care: researchers really can change the world - if they embrace new paradigms!

Room: L6

S = Health services

Parallel session 4E Mini-symposium 5 - Implementing a Learning Health System for diagnosis in Primary Care Room: L5

E = Education

4D.1 Effects of a mobile phonebased intervention to support post-abortion family planning in Cambodia Chris Smith

Parallel session 4D Women’s health Room: L4 Chair: Pippa Oakeshott

I = International health

PROGRAMME: FRIDAY 10TH JULY 2015 (CONTINUED)

15

The learning objectives of this workshop are: (i) to gain a better understanding of what PROMs are (and what they are not); (ii) to be able to complete, administer score and interpret different types of PROMs; (iii) to be able to identify and appraise PROMs for use in Primary Care; (iv) to know best practice and the supporting evidence for their use in Primary Care; and (v) to learn from hands on ongoing experience of routinely using PROMS to patients with multiple conditions in GP surgeries in the South West.

Skin/dermatology - please note this SIG has been cancelled

Personal care - Room: C1 Genetics - Room: C2 Education research - Room: C3 PHoCuS group champions - Room: C4

Special Interest Groups

See you at the next SAPC annual conference in Dublin 6-8 July 2016

Objectives 1. Shared understanding of the barriers and facilitators to implementing a robust curriculum focused on compassionate care 2. Shared understanding of the benefits of delivering a comprehensive curriculum focused around compassionate care 3. Collaboration for educational research focused on education of compassion in the primary care curriculum

Aim and Objectives Patient Reported Outcome Measures (PROMs) are health status assessments elicited from the patients themselves. The new NHS Outcomes Framework places PROMs among the key measures of performance of the National Health Services., but there has so far been limited evidence on their use in Primary Care.

Facilitators: Jose Valderas, University of Exeter Medical School Ian Porter, University of Exeter Medical School

Facilitators: Richard Knox, University of Nottingham Rodger Charlton, University of Nottingham Jane Coomber, University of Nottingham

Aim To explore ways of meaningfully delivering a curriculum of compassionate care in primary care to our undergraduate medical students and postgraduate trainees.

Workshop 6 Using PROMs in Primary Care in theory and practice Room: L5

Workshop 5 Educating for compassion in primary care Room: L4

13.30-15.00 Workshops and Special Interest Groups

13.00 Packed lunch

SAPC ASM 2016 presentation - Royal College of Surgeons in Ireland, Dublin

Prize giving

12.35-13.00 Closing Session Room L1

Chair: Richard Hobbs

KEYNOTE SPEAKERS Wednesday 8th July 15.45 - 16.30

Simon Stevens CEO NHS England

The role of primary care in the NHS future plan Simon Stevens became CEO of NHS England on 1 April 2014. He has previously spent fifteen years working in the NHS and UK public service, and eleven years internationally. He joins NHS England from UnitedHealth Group, where as president of its global health division he has led health services in the United States, Europe, Brazil, India, China, Africa, and the Middle East. Previously he was the organisation’s Medicare CEO, commissioning publiclyfunded health care for millions of older Americans.

From 1997 to 2004 Simon was the Prime Minister’s Health Adviser at 10 Downing Street, and policy adviser to successive Health Secretaries at the UK Department of Health. Prior to that he held a number of senior NHS roles in the North East, London and the South Coast - leading acute hospitals, mental health and community services, primary care and health commissioning. Simon joined the NHS through its Graduate Training Scheme in 1988.

Simon currently volunteers as a member of the board of directors of the Commonwealth Fund, an international health philanthropy. He has previously also served as a trustee of the Kings Fund and a director of the Nuffield Trust, as well as a local councillor for Brixton and a visiting professor at the London School of Economics.

17.45 - 18.30 The 2nd Helen Lester Memorial Lecture.

Professor Carolyn Chew-Graham Keele University

Making a difference for people with mental health problems Carolyn Chew-Graham is a GP Principal in Central Manchester, Professor of General Practice Research at Keele University, and Honorary Professor of Primary Care Mental Health at South Staffs and Shropshire Foundation Trust.

Her main areas of interest and expertise include the management of patients with depression, multi-morbidity and unexplained symptoms. She has qualitative research methods expertise, drawing on theories from both social sciences and psychology, but always with a focus on clinical practice.

She is the Royal College of General Practitioners ‘Curriculum Advisor, Mental Health’, on a number of National Institute for Health Research funding panels, and currently a member of the NICE Clinical Guideline Groups Depression (update) and Multi-morbidity - work which directly impacts on commissioning decisions and patient care.

Carolyn says “most importantly, I am a wife and mother”.

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Thursday 9th July 09.00 - 09.45

Professor Rona Moss-Morris Institute of Psychiatry, King’s College London

Supporting people with medically unexplained symptoms Rona Moss-Morris is Professor of Psychology as Applied to Medicine. She is head of the Health Psychology Section at the renowned Institute of Psychiatry, Psychology and Neuroscience, King’s College London. She is National Advisor to NHS England for Increasing Access to Psychological Therapies for People with Long Term and Medically Unexplained conditions.

She has been researching psychological factors that affect symptom experience and adjusting to chronic conditions for the past 20 years. This research has been used to design cognitive behavioural interventions, including web based interventions, for a range of patient groups. Randomised controlled trials to test the efficacy of these interventions form a key component of her research.

Professor Moss-Morris’s work has been published in leading medical and psychology journals and texts including the Lancet, BMJ, Psychological Medicine, and Journal of Consulting and Clinical Psychology. She was Editor-in-Chief of Psychology and Health, the principal European health psychology journal from 2006-2010.

Friday 10th July

09.00 - 09.45

Professor Bruce Guthrie University of Dundee

Multimorbidity: new paradigm or the emperor’s new clothes?

Bruce Guthrie is Professor of Primary Care Medicine at the University of Dundee Medical School where he leads the Quality, Safety and Informatics Research Group, which conducts applied research to translate basic and clinical research into effective and reliable clinical practice. He was previously an MRC Health Services Research Training Fellow in Edinburgh, an NIHR/CSO Postdoctoral Research Fellow in Dundee, and a Harkness Fellow in Healthcare Policy at the University of California, San Francisco. His research interests focus on the definition, measurement and improvement of quality and safety. His current work primarily examines prescribing safety and multimorbidity, including developing and testing complex interventions in both fields.

As well as conducting research, he practices clinically in a socioeconomically deprived area of Scotland, and is a member of a number of NHS advisory bodies, including chairing the guideline development group for the NICE guideline “Multimorbidity: Clinical Assessment and Management”. http://medicine.dundee.ac.uk/staff-member/professor-bruce-guthrie 17

POSTER PROGRAMME

Key - The coloured spots within the programme correspond to the categories or topics opposite:

POSTER SESSION 1 - Wednesday 8th July Set-up: between 10.30 and 12.00 Discussion during afternoon break Poster to be taken down: after 16.00 and before 18.00.

P1.01 A Comparison of General Practitioners and Hospital Doctors Selfreported Confidence and Competence in Palliative Care

I

People With Chronic Disease

Christopher Williamson

P1.03 L-HOP: Lung Health of OPiate usersA pilot study to assess the feasibility of assessment of respiratory health in opiate misusers attending a specialist community based clinic

Caroline Mitchell

P1.18 Developing enabling health care partnerships between nurses and patients in general practice

Jane Desborough P1.19 Risk Management of Medicines Saad Shakir

P1.04 Reduced salt intake for heart failure Kamal Mahtani P1.05 Key Concepts in Qualitative Research Methodology for Academic GPs: A Literature Review

P1.20 Digital access for patients: quality and service outcomes of online history taking

Richard Sills

Liz Walton

following the prescription of antidepressants P

and aspirin and the use of proton pump inhibitors for gastro-duodenal protection in the UK: a cross-sectional study using the CPRD database

Yana Vinogradova

P1.07 Should GPs avoid ethics?

Andrew Papanikitas

P1.22 Title: The impact of group work as a method of service delivery

P1.08 Comparing what patients value and what they experience in

Abigail Barkham

by Community Matrons to support those living with multiple long-term conditions: a grounded theory analysis

English general practice: a cross-sectional survey S

S

P1.23 Understanding symptom appraisal and help-seeking in people with symptoms suspicious of pancreatic cancer: a qualitative interview study

P1.09 A new means to promote organ donation : Doctors’ views on discussing organ donation in the primary care setting - A qualitative study P

P1.10 Access to healthcare for long-term conditions in women involved in street-based prostitution: a qualitative study

Katie Mills

P

P1.24 Stroke survivors and their families receive information and support from an online forum through personal or family participation: insight from 2,349 users of the Talkstroke forum

Anna De Simoni

Anna Taylor

P1.25 The prevention of Acute Kidney Injury: A qualitative study

P1.11 The development of an organisational checklist to measure the

exploring the implementation of ‘sick day rules’ in primary care

implementation of Person Centred Integrated Care

Jane Horrell

S

P1.21 Trends in the use of non-steroidal anti-inflammatory drugs

P1.06 An audit investigating the frequency of follow up consultation

Jennifer Rea

P

P1.17 The Role of Health Literacy In The Health Management Of Older

cancer: a shift to the right finding on younger age in Indonesia

Coral Sirdifield

E

P1.16 The development and evaluation of an e-learning module on Victoria Tzortziou Brown

P1.02 Demographic differences of right-sided and left-sided colorectal

Robert Vaughan

P1.15 Stroke Prevention by Medical Students Jake Scott

shoulder pain for General Practitioners (GPs) using ADDIE methodology

Sarah Mills

Oryza Gryagus Prabu

P1.14 Developing family practice research and academic capacity in Greece I Christos Lionis

Rebecca Morris S

P1.12 Career-long clinical supervision to improve the quality and safety of patient care: a response to Berwick and Francis

P1.26 An exploration of the psychological impact and adaptation postmyocardial infarction in UK South Asians

Mimi Bhattacharyya

Jonathon Tomlinson

P1.27 Benefit of a process evaluation during the pilot phase of a cluster P1.13 The impact of incident polymyalgia rheumatica on intimate and

randomised controlled trial to improve management of multi-morbidity in primary care - the 3D study

sexual relationships: results from an incident primary care cohort

Sara Muller 18

P

Cindy Mann

P = Practice

I = International health

E = Education

S = Health services

P1.28 The association between changes in practice and practice

P1.42 The use of Gamification in Health Care apps to modify Health

population characteristics and difference in self-referred discharged Emergency Department attendance between 2009/10 and 2012/13: a longitudinal study

Behaviour - a review and content analysis

Elizabeth Edwards

Peter Tammes

S

P1.43 Patient Values and Patient Experiences in English General Practice: A Comparison by Patient Characteristics

P1.29 Anticipatory care planning using electronic Key Information

Ana Godoy Caballero

Summaries; a mixed methods study

Julia Tapsfield

S

P1.44 The Development of the Patient Safety Toolkit for General Practices in England

P1.30 Trends in kidney function assessments in Oxfordshire between

Brian Bell

P

1985-2013, too much testing?

Jason Oke

P1.45 How do research participants respond to questionnaires on

P1.32 The association between long-term opioid use for chronic

sensitive topics?: A case study of a self-report scale used in domestic violence and health research, using thinkaloud cognitive interviewing

non-cancer pain (CNCP) in women and endocrine side effects: a comprehensive systematic review of the literature

Maggie Evans

Emily Wersocki

P1.46 Non-Steroidal Anti-Inflammatory Drugs Associated Adverse

P1.33 Exploring Innovative Community Education Placements (ICEPs)

Events on Renal Function - a Systematic Review and Meta-analysis of Observational Studies

for junior doctors in training

Xinyu Zhang

Melvyn Jones

P

E

P1.34 Evidence-­Based Recommendations for the Reduction of Polypharmacy in

POSTER SESSION 2 - Thursday 9th July

Yolanda Martinez

Set-up: between 08.00 and 10.00 Discussion during lunch and afternoon break Poster to be taken down: after 16.30 and before 18.00

P1.35 The Primary Care Practice Improvement Tool (PC-PIT):

P2.01 Inflammatory biomarkers as a predictor of exacerbation frequency

Development and trial of an approach to improve organisational performance in Australian primary health care

in COPD: a systematic review of biomarkers applicable to primary care

Older People with Multiple Chronic Conditions: A Set of Systematic Reviews.

Lisa Crossland-Pafumi

Helen Ashdown I

S

P1.36 Screening and case finding for major depressive disorder with the Patient Health Questionnaire (PHQ-9): a diagnostic meta-analysis

Andrew S Moriarty

P2.02 Quantification of the risk of cervical cancer in symptomatic primary care patients

Sarah Walker

P

P

P1.37 Patient experience measures for Person-Centred Integrated Care (PCIC) S Thava Priya Sugavanam

P2.03 Risk prediction models for colorectal neoplasia and cancer: a systematic review

Juliet Usher-Smith

P1.38 Psychoeducational interventions for informal caregivers of people

P2.04 Broadening the reach of quality improvement: what can be learnt

with dementia: a systematic review

from rural and remote Australian Indigenous primary health care services that dramatically improve their performance in response to continuous quality improvement?

Despina Laparidou

P

P1.39 Scenario-based training increases confidence of pre-graduation

Sarah Larkins

I

medical students

Nick Breen

E

P1.40 What have we learnt about the design, implementation and use of

P2.05 Outcomes arising from Primary Care: A Delphi Consensus Study Mairead Murphy

written action plans in children with long term conditions in primary care?

Systematic review and qualitative synthesis of the literature

P2.06 Young people’s views and experiences of a mobile phone texting

Andrea Waldecker

Rebecca French

P1.41 Clinical characteristics of pertussis-associated cough: a

P2.07 Transformations in General Practice: Using Narrative to explore

diagnostic accuracy systematic review

Abigail Moore

intervention to promote safer sex behaviours

workforce retention P

Jennifer Napier

S

19

POSTER PROGRAMME

Key - The coloured spots within the programme correspond to the categories or topics opposite:

P2.08 Unexplained physical symptom severity in patients attending nine

P2.21 An exploratory study of the acceptability and perceived value of

general practices in London: cross-sectional study

electronic multi-compartment medication devices to inform a subsequent RCT of their effect on medication adherence

Kethakie Sumathipala

Christine Bond P2.09 The potential for community-based alternative care pathways for patients after suspected seizures - a literature review

P2.22 A Mindfulness-based programme for patients with chronic pain:

Hannah Dudhill

findings from the questionnaires

Christine Bond

P

P2.10 Self-monitoring blood pressure in hypertension, patient and provider perspectives; a systematic review and thematic synthesis

P2.23 BATHE (Bath Additives in the Treatment of Childhood Eczema):

Benjamin Fletcher

protocol for multicentre randomised controlled trial in primary care

Miriam Santer P2.11 Implementing cross-cultural communication guidelines and training initiatives on the ground: A participatory study exploring <i>implementation work </i>with multiple stakeholders in five European primary care settings

Katja Gravenhorst

P2.24 Adaptable, pragmatic approach to facilitate research in practice: the FORM-2C strategy

Mary Selwood I

P2.25 An Overview of Systematic Reviews of Health Technologies to P2.12 Establishing the potential validity of English GP Patient Survey

Reduce Unplanned Hospital Admissions among Adults

items evaluating out-of-hours care

Niklas Bobrovitz

Suzanne Richards P2.13 Effect of health status on GP patient survey results Charlotte Weston

S

S

P2.26 Patient benefits of empathy and expectations: preliminary results from a systematic review and meta-analysis S

Jeremy Howick

P2.14 Mr Grumpy becomes Mr Happy: Effective sleep treatment using

P2.27 Post-marketing withdrawal of medicinal products because of

Community Pharmacists

adverse drug reactions: a systematic review

Rebecca Porter

Igho Onakpoya

P2.15 Measuring the impact of financial incentives on the implementation

P2.28 Case-finding for anxiety and/or depression and joint pain in Long

of screening and brief alcohol interventions in UK primary care: a mixed methods investigation

Term Conditions: The ENHANCE Study

Valerie Tan

Amy Oâ&#x20AC;&#x2122;Donnell

P2.29 The role of professional interpreters in shared decision making P2.16 Treatment outcomes in schizophrenia: service user perspectives

consultations: a discourse analysis

and experiences of treatment and services

Katie Phillips

P

Helen Lloyd P2.17 Getting the balance right: the use and consequences of different

P2.30 impact analysis of clinical prediction rules relevant to primary care Maike Uijen

conversational strategies in sequential sessions of the NHS community pharmacy smoking cessation service

P2.31 Patient participation in undergraduate medical education in

Carol Rivas

general practice

Sophie Park

E

P2.18 Smoking Treatment Optimisation in Pharmacies (STOP) - what factors affect smoker recruitment and retention in the NHS community pharmacy stop smoking service?

P2.32 Application of a novel approach to medication review in post-

Ratna Sohanpal

Carol Sinnott

P2.19 Determinants and survival outcomes of exclusion from the

P2.33 Adverse Childhood Experience and Health Service Utilisation:

UKâ&#x20AC;&#x2122;s primary care pay-for-performance programme: a retrospective cohort study

findings from a primary care-based study.

David Springate

graduate training in General Practice E

Carol Sinnott S

P2.34 Maternal vitamin D concentration and its association with dietary P2.20 Ethnic variation and risk of COPD: what is the role of smoking intensity?

Alexander Gilkes 20

intake

Fariba Aghajafari

P

P = Practice

I = International health

E = Education

S = Health services

P2.35 The risk of injuries in children and young people with attention-

P3.05 Global analysis of primary care research internationally Frank Sullivan

deficit hyperactivity disorder (ADHD) compared to children and young people without

Vibhore Prasad

I

P3.06 A double blind randomised controlled trial of Chinese herbs for the treatment of recurrent urinary tract infections (RUTIs); a feasibility study

P2.36 The association between literacy and health behaviours - a cross

Andrew Flower

sectional analysis

Kay Benyon

P3.07 Frequency of Renal Monitoring with Cystatin-C and Creatinine: the FORM-2C study

P2.37 Variation in time-lags for recruitment tasks in primary care: impact

Mary Selwood

on study delivery and potential solutions

Morag Farquhar

P3.08 How do staff from GP out-of-hours services use patient feedback to drive quality improvement? A qualitative interview study

P2.38 Lay perspectives on GPs’ use of electronic decision support tools

Suzanne Richards

S

for cancer during consultation

Julie Walabyeki

P3.09 To self-disclose or not self-disclose - that is our question.A systematic review of clinical self-disclosure

Bruce Arroll

P2.39 Measuring health care professionals’ attitudes towards receiving patient feedback: the development of the Value of Patient Feedback Scale

Jenni Burt

P3.11 Applicability of the Health Information Technology Acceptance

P2.40 Additive impact of the 7 and 13-valent pneumococcal conjugate

Model in assessing readiness of older patients with multiple chronic diseases to adopt telecare - qualitative study

Jolien Vos

vaccination programmes on hospital admissions for pneumonia and empyema in children in England: a time-series analysis 2001-14

Christina Atchison

P3.12 Consequences of how FMS/CWP is positioned within the

P2.41 Text messaging to increase safer sex behaviours: The development

Victoria Silverwood

S

curriculum - perspectives of medical students: a qualitative study

of a theory and evidence based intervention

E

P3.13 The use of action research to design a self-management program

Caroline Free

among hypertensive patients in Thailand

P2.42 Key stakeholder views of consent for research participation during acute or emergency treatment: a rapid review

Nithra Kitreerawutiwong

I

P3.14 Defence medical services GP specialty registrars’ success-

Nina Gobat

satisfaction paradox: a qualitative exploration

Toby Holland

POSTER SESSION 3 - Friday 10th July

E

Set-up: between 08.00 and 09.30 Discussion during morning break Poster to be taken down: after 13.30 and before 14.00.

P3.15 An Educational Intervention for Overdose Prevention and

P3.01 Why does telehealth for long term conditions have only modest

P3.16 Why do adults with palliative care needs present to the emergency

Naloxone Distribution by General Practice Trainees

Gerard Bury

effects?

Chris Salisbury

S

department? A systematic review of the literature

Emilie Green

P3.02 The development of family medicine around the world: What have

P3.17 Depression and anxiety: impact on service use in patients with

we learned?

advanced Chronic Obstructive Pulmonary Disease

Katherine Rouleau

I

P

Carole Gardener

P3.03 Specifying the Content of Home-Based Behaviour Change

P3.18 Modified Prescription Event Monitoring: Detecting Adverse Drug

Interventions for Frail Older People: A Systematic Review

Events In Primary Care

Ana Jovicic

Saad Shakir

P3.04 Using Clinical Codes to Record Research Activity in a Primary

P3.19 What do parents want? Respite care needs for children and young

Care Environment

people with high level, complex support needs

Simon Wathall

Gail Prileszky 21

POSTER PROGRAMME P3.20 Antivirals for influenza-Like Illness? an rCt of Clinical and Cost

P3.33 A general practice population study investigating awareness of

effeciveness in primary CarE (ALIC4E). Work Package 4 of the PREPARE (Platform foR European Preparedness Against (Re-)emerging Epidemics Programme Grant

potential cancer symptoms in smokers and never-smokers

Johanna Cook

P3.34 Testing innovation in primary care commissioning: quantitative

Julie Walabyeki

P

evaluation of the Greater Manchester Primary Care Demonstrators

P3.21 Challenges faced in providing scenario-based training to senior

Jonathan Stokes

S

medical students (2010-2015)

Nick Breen

E

records: mental and physical health in Lambeth

P3.22 Evidence for strategies that improve recruitment and retention of

Charlotte Woodhead

adults aged â&#x2030;Ľ65 years to observational studies and randomised trials: a systematic review

P3.36 Defining cases of anxiety and depression using primary care data:

Rosie J. Lacey

an external validation

P3.23 Does mindfullness-based cognitive therapy (MBCT) for recurrent depression also improve physical health in patients with mental-physical multimorbidity? A qualitative evaluation

Stewart Mercer P3.24 Patient and caregiver experiences of utilising out of hours primary care for cancer pain

Rosalind Adam

S

John Macleod P3.37 A study of the relationship between Blood Pressure control and depressive symptoms in risk prediction in patients with cardiometabolic disease

Bhautesh Jani P3.38 New migrant health beliefs, values and experiences - findings from a qualitative study

P3.25 Primary care consultation rates among people with and without severe mental illness: a UK cohort study using the Clinical Practice Research Database

Evangelos Kontopantelis

P3.35 Linking general practice and secondary mental health care

S

Antje Lindenmeyer

I

P3.39 Engaging primary care systems in digital health technology Siobhan Oâ&#x20AC;&#x2122;Connor

S

P3.26 The development of a Patient Reported Experience Measure (PREM) for use in UK ambulance services

P3.40 Health Promotion Interventions for Mild Frailty: a Systematic

Fiona Togher

Review

Celia Belk P3.27 Early Identification of familial hypercholesterolaemia in general practice with the use of patient -specific reminders: Focus group of General Practitioners

Jennifer Tranter

P3.41 Improving referral rates to child weight management services new approaches to tackling childhood obesity in Primary Care P

P3.28 Multimorbidity and functional decline in community-dwelling

P3.42 Caring for people living with and beyond cancer: an online survey

adults: a systematic review

of English GPs

Aine Ryan

Juliet Usher-Smith

P3.29 Teaching medical students about obesity - the integral role of GP tutors E Rebecca Pound P3.30 Association between polymyalgia rheumatica and depression: a P

P3.31 Workload and efficiency effects of a GP telephone consulting led system S Richard Sills P3.32 Can predictors of successful clinician and GP practice recruitment be established? Analysis from a large primary care prospective cohort study of children with acute cough and RTI

Niamh M Redmond 22

P3.43 Developing a quality control framework for mobile app based health behaviour change interventions: Adapting the NICE behaviour change guidance

Caroline Mitchell

systematic review

Arani Vivekanantham

Sean Perera

P3.44 Quality and Impact of Patient and Public Involvement in Primary Care Research: Results of a Survey of Researchers

Steven Blackburn

P

MINI SYMPOSIA Wednesday 8th July 13.50 - 15.20 Room L5 Parallel 1E Mini-symposium 1 - How can research impact be measured?

Aim: This symposium is designed to provide an account of a range of approaches, including traditional and newer metrics, to the assessment of the impact of published, peer-reviewed research. Attendees will learn about this and have the opportunity to discuss how the dissemination and uptake of research is likely to be measured in the future.

Speakers: “Traditional” measurement and outcomes of the journal impact factor for the BJGP and measures of activity on the journal’s website such as downloads and page views.

The role of primary care in prostate cancer follow-up: findings from PROSPECTIV - a pilot trial of a nurse-led psycho-educational intervention delivered in primary care Eila Watson, Oxford Brookes University A system re-design project facilitating the safe discharge of stable survivors to primary care. Key elements: (1) an automated PSA surveillance system linking secondary and primary care; (2) person-centred holistic needs assessment and patient-held care plan review; (3) a nurse-led out-ofhospital individualised intervention (TOPCAT-P pilot trial).

Andrei Stanciu, Bangor University: Prostate Cancer Follow-up in North Wales Discussion will be held after the presentations.

Intended audience: GPs, practice/community nurses, researchers, trial methodologists, policy makers, health service managers

11.15 - 12.45 Room L6

Roger Jones, BJGP Editor and BJGP Web Editor Erika Niesner,

Parallel 2F Mini-symposium 3 - Quality improvement in Primary Health Care in Low and Middle Income Countries - managing context

Experiences in assessing the impact of primary care research.

Paul Little, member of the HEFCE REF primary care panel

Aims:

How the system works and what it offers to the healthcare research community.

Jean Liu, product development manager at Altmetric Discussion will follow each presentation and a final summing up will attempt to capture a future vision of research impact assessment.

The intended audience includes anyone with an interest in writing, reading and implementing primary care research

F To

discuss research on quality improvement in PHC in Low and Middle income Countries F To

discuss how to develop and promote trial methodologies which take better account of research context in LMICs, providing evidence about what will work where.

Educational objectives /Intended outcome:

Thursday 9th July

understanding of the importance of research context and the marked heterogeneity of effect between sites in most LMIC quality improvement initiatives

11.15 - 12.45 Room L5

F Agreement

Parallel 2E Mini-symposium 2 - Optimising prostate cancer survivorship care - where does primary care fit in?

Speakers:

Aim: to consider the main issues facing patients and their families in the survivorship phase of their journey, and to consider what role primary care could/should have in optimising care provision in the period following the end of initial treatment.

Chaired by Clare Wilkinson, Professor Primary Care, Bangor University

Speakers: Exploring the quality of life and well-being of men with prostate cancer and their partners and gaps in service provision: findings from a qualitative meta-synthesis.

Carol Rivas and Richard Wagland, University of Southampton

F Improved

on joint working to develop a funding application to support further work in this area

Claire Blacklock: Impact of contextual factors on the effect of interventions to improve health worker performance in sub-Saharan Africa: review of randomised clinical trials David Mant: Demand-led financing to reduce maternal mortality in Mozambique - is it the right context?

Merlin Willcox: In what conditions do death reviews lead to reductions in maternal and child mortality in SubSaharan Africa?

Intended audience: GPs/Primary health care researchers interested in global health and trial methodology for assessing quality improvement initiatives in LMICs

23

MINI SYMPOSIA Thursday 9th July 14.15 - 15.45 Room L5 Parallel 3E Mini-symposium 4 - Successfully (mis) translating organisational interventions from research to practice: experience from three large trials of complex interventions to improve primary care prescribing safety

Aim and intended outcome: The aim is to increase understanding among participants of strategies to successfully translate research-evaluated complex interventions into routine organisation and practice, including understanding of strategies which increase the likelihood of translation and discussion of the range of outcomes which count as ‘success’.

Part 1: What does the literature tell us about strategies to promote successful translation? A brief review of barriers and facilitators of translation into policy and practice, and strategies to maximise translation Bruce Guthrie Part 2: Brief summary of the three prescribing interventions trialled and their effectiveness Tony Avery, Bruce Guthrie and Tobias Dreischulte

Speakers: The problem of diagnostic error, and why it is difficult to move to evidence-based diagnosis. Terminologies, classifications and types of evidence. What a LHS is and how it could solve the problem of collecting diagnostic evidence.

Brendan Delaney, King’s College London.

Experimental evidence to support diagnostic decision support arising from a recent RCT of simulated cases, showing a 6% absolute improvement in diagnostic accuracy with ‘suggestions’ based on the presenting problem. Impact on diagnostic accuracy of a full evaluation of the DSS in a controlled before-after study with GPs, using actors as simulated patients.

Olga Kostopoulou, King’s College London.

A generalizable model of diagnostic knowledge. How to make evidence available in a computable format, and to curate and maintain high quality evidence.

Derek Corrigan, Royal College of Surgeons of Ireland.

Part 3: An honest account of translational strategies and what has actually got implemented so far including how NHS implementation differs from the interventions trialled Tony Avery and Bruce Guthrie

Discussion including opportunity for hands-on with the decision support system (DSS) integrated with the InPS Vision3 EHR.

Part 4: Interactive component Audience narratives

Highly multidisciplinary symposium bringing together clinicians, researchers, psychologists, statisticians and informatics experts interested in improving patient safety with respect to diagnosis.

Intended audience: Researchers at any career stage, commissioners and clinicians.

Friday 10th July 11.30 - 12.30 Room L5 Parallel 4E Mini-symposium 5 - Implementing a Learning Health System for diagnosis in Primary Care

Aim: Diagnosis is one of the primary tasks of the GP, diagnostic error is also the single greatest reason for litigation against GPs. Decision support is one possible intervention to help with this task, but existing systems lack evidence-based content, integration with the electronic health record (EHR), and have been designed with no regard for either the cognitive tasks of the GP or the human-computer interface needed to support them.

Further, conducting large studies to develop diagnostic evidence is notoriously difficult and costly. Such a problem is an ideal target for the ‘Learning Health 24

System’ (LHS), describing a digital infrastructure that supports research and knowledge translation activities as part of routine health IT. FP7-TRANSFoRm, an EU large collaborative project has supported the development of a LHS for diagnosis in primary care that will have completed its evaluation by May this year.

Intended audience:

WORKSHOPS Workshop 1

Aim and intended outcome

Wednesday 8th July, 13.50 - 15.20, Room L6

To introduce the co-creation approach, linking researchers and end-users in embedding research into practice.

Understanding, reporting and conducting pilot and feasibility trials

To share successful ‘research into practice’ initiatives involving chronic disease management and quality improvement, utilising the co-creation approach.

Facilitators: Sandra Eldridge, Queen Mary University of London Christine Bond, University of Aberdeen Gillian Lancaster, University of Lancaster Mike Campbell, University of Sheffield

To involve workshop participants in applying the principles of co-creation to their current research programmes.

Aim and intended outcome/educational objectives

Following a well-attended workshop at SAPC in 2011 on pilot and feasibility studies, we have been developing an extension to the CONSORT statement for pilot trials, and an overarching framework for defining these studies. In this workshop we aim to: introduce participants to an overarching conceptual framework for defining pilot and feasibility studies conducted in preparation for a randomised controlled trial of effectiveness

Intended audience:

Researchers, clinicians, managers, and policy makers interested in increasing research impact via co-creation methodologies that build value with key stakeholders and end-users.

Workshop 5 Friday 10th July, 13.30 - 15.00, Room L4

F

Educating for compassion in primary care

present the CONSORT extension for pilot randomised trials, particularly focusing on where this differs from the main CONSORT statement

Facilitators Richard Knox, University of Nottingham Rodger Charlton, University of Nottingham Jane Coomber, University of Nottingham

F

use participants’ pilot and feasibility trials to exemplify good practice in reporting, design and conduct F

Aim

Intended audience

To explore ways of meaningfully delivering a curriculum of compassionate care in primary care to our undergraduate medical students and postgraduate trainees.

The workshop will appeal to experienced and novice trialists from clinical and non-clinical disciplines.

It would be helpful if participants could bring with them details of any pilot trials they have been/will be involved with to aid discussion as outlined above.

Workshop 2 - Please note there is no workshop 2

Workshop 3 Thursday 9th July, 14.15 - 15.45, Room L6 Enhancing your career through working with the National Institute for Health Research (NIHR)

Objectives

1. Shared understanding of the barriers and facilitators to implementing a robust curriculum focused on compassionate care 2. Shared understanding of the benefits of delivering a comprehensive curriculum focused around compassionate care 3. Collaboration for educational research focused on education of compassion in the primary care curriculum Intended audience:

Educators involved in undergraduate and postgraduate training in general practice, practitioners and researchers with an interest in compassion.

Workshop 6

Facilitators Martin Ashton-Key, NIHR Evaluation Trials and Studies Coordinating

Friday 10th July, 13.30 - 15.00, Room L5

Centre (NETSCC) Kate Dowson, NETSCC

Using PROMs in Primary Care in theory and practice

Aim and intended outcome:

Facilitators Jose Valderas, University of Exeter Medical School Ian Porter, University of Exeter Medical School

We are proposing to run a workshop for GPs at all career stages wishing to develop their professional skills and research interests. The workshop will provide an overview of the NIHR and highlight opportunities for professional development, research funding opportunities and improving patient care through engagement with the organisation. The intended outcome for participants is that they understand how working with the NIHR can benefit both clinicians and patients and can apply this directly to their current role.

Intended audience:

The workshop will be of interest to GPs at all career stages wishing to develop their professional skills and research interests.

Workshop 4 Friday 10th July, 11.30 - 12.30, Room L6 Co-creation of knowledge in primary care: researchers really can change the world - if they embrace new paradigms!

Facilitators T Greenhalgh, University of Oxford C Jackson, University of Queensland, Australia J Smith, Director of Policy, The Nuffield Trust, London

Aim and Objectives

Patient Reported Outcome Measures (PROMs) are health status assessments elicited from the patients themselves. The new NHS Outcomes Framework places PROMs among the key measures of performance of the National Health Services, but there has so far been limited evidence on their use in Primary Care.

The learning objectives of this workshop are: (i) to gain a better understanding of what PROMs are (and what they are not); (ii) to be able to complete, administer score and interpret different types of PROMs; (iii) to be able to identify and appraise PROMs for use in Primary Care; (iv) to know best practice and the supporting evidence for their use in Primary Care; and (v) to learn from hands on ongoing experience of routinely using PROMS to patients with multiple conditions in GP surgeries in the South West.

Intended audience

This workshop is targeted to anyone who may be interested in obtaining knowledge on how to implement PROMs in clinical practice. Participants from a multidisciplinary background will be welcomed. No prior knowledge of any aspect of PROMs is required. Participants with substantial previous knowledge of the topic may find updates on repositories of instruments, appraisal tools and discussion of research needs in the area of interest.

25

SOCIAL PROGRAMME

Wednesday 8th July 2015 18.30 to 20.00 Drinks with the Dinosaurs Reception at the Oxford University Museum of Natural History Mingle with colleagues, ancient relics and dinosaurs in one of Oxfordâ&#x20AC;&#x2122;s most spectacular examples of neo-Gothic architecture.

Drinks and canapĂŠs served.

Entertainment by a cappella group In The Pink Dress: as you wish Ticket included in the registration fee.

Dining out - please make your own arrangements for dining out after the drinks reception. A list of restaurant suggestions is available at the registration desk.

Optional - Skeptics in the Pub

The AllTrials campaign calls for all past and present clinical trials to be registered and their full methods and summary results to be reported - half of all trials go unpublished.

Please sign up in advance at the registration desk.

19.30: The Wig & Pen, 9-13 George Street, Oxford OX1 2AU Skeptics in the Pub: the AllTrials Campaign Professor Carl Heneghan, Centre for Evidence-Based Medicine, University of Oxford.

A co-founder of the popular initiative, Professor Carl Heneghan discusses how the campaign is making progress by leaps and bounds, and issues raised in the five years spent obtaining the unpublished evidence for Tamiflu, as well as the implications for health care and general practice in the future.

Free event; attendees may buy dinner in the pub.

Thursday 9th July 2015 Optional activities 17:15-18:30 Join either a tour of the University of Oxford botanic garden or a run around scenic Oxford.

Please sign up for these events at the registration desk - places are limited.

University of Oxford botanic garden tour 17.15 meet at the SAPC Conference registration desk, Andrew Wiles Building Founded in 1621 as a physic garden growing plants for medicinal research, the University of Oxford Botanic Garden is the oldest in Britain. It has inspired famous Oxford authors including Lewis Carroll, J.R.R.Tolkien, Evelyn Waugh and Philip Pullman. Set in a beautiful riverside location, it now houses a diverse range of plants, and in July will have spectacular floral displays. Of particular interest to our conference, it is also home to a modern medicinal plant collection organised by disease area. The tour of the garden will be given by Dr Stephen Harris, who is Acting Director of the garden, Druce Curator of the Oxford University Herbaria and University Research Lecturer, and will be a general tour but with a particular focus on medicinal plants.

The walking route to the garden from the conference venue will also take in some major sights of Oxford including the Bodleian Library, Radcliffe Camera and Bridge of Sighs.

We will leave the foyer of the conference venue - Andrew Wiles building - at 5.15pm promptly to walk to the garden, and will aim to be back in the vicinity of the accommodation for about 6.45pm. The tour is free for conference delegates, but numbers are limited so please book a place in advance by signing up at the registration desk.

26

Oxford city sights run 17.30-17.40 - meet at Keble College Porter’s Lodge A route taking in the famous historic buildings and parks of Oxford city centre, including the Bodleian Library, Radcliffe Camera and Bridge of Sighs. The run will be about 8 km/5 miles, with a shorter circuit (approx. 4km/2.5 miles) option.

Conference Dinner at Keble College 19.00-midnight From 19.00 pre-dinner drinks will be served in the Liddon Quad, followed at 19:45 by a formal fourcourse college dinner under the tall arched ceiling and stained glass windows of Oxford’s longest Hall, opened in 1878.

Disco after dinner in Keble College’s ‘goldfish bowl’ bar (the music will end at 23.00 and the bar will remain open until midnight).

Dress code: Lounge suits We encourage you to dress for the occasion to mark this highlight of the social programme.

A limited number of tickets are still available at £55 per person from the registration desk.

27

PEER REVIEW Scientific Committee: Susan Jebb (chair), Helen Ashdown, Helen Atherton, Dan Lasserson, Richard McManus, This year 383 abstracts were received including 354 presentation abstracts, 10 workshops, 8 mini-symposia and 11 dangerous ideas. All abstracts were peer reviewed by at least two reviewers. Reviewers scored each abstract on five areas using a six-point scale. The areas considered when scoring were: aim and rationale for the study, justification of the approach, application of the approach, presentation of results/findings, importance of the scholarship.

starting point for discussion about acceptance by the Programme Committee. The abstract scores dominated the Committee decision making but were not the sole criterion. The Committee also considered the suitability for oral or poster presentation and the overall balance and fit of the programme. The final programme consists of: 5 workshops, 4 mini-symposia, 132 posters, 112 elevator pitches and 90 oral presentations including 2 distinguished abstracts selected for presentation in the prize plenary session on Wednesday.

The programme was compiled by the Scientific Committee.

There were no appeals.

A mean score was obtained for each abstract using the scores assigned to it by each peer reviewer. If two scores varied by more than 8 points the abstract was assessed by a third reviewer. The abstracts were ranked according to mean score, and this ranking was then used as a

Peer reviewers were drawn from the SAPC membership following nominations by Heads of Department and a request for volunteers with experience of reviewing.

The Scientific Committee thanks the peer reviewers for their valuable contribution:

Asmaa Abdelhamid

Susannah Fleming

Michelle Marshall

Ignacio Ricci-Cabello

Christine Aâ&#x20AC;&#x2122;Court

Emily Fletcher

Kamal Mathani

Matthew Ridd

Sue Ashby

Simon Gay

John McBeth

Miriam Santer

Helen Ashdown

Alison Gregory

RK McKinley

Niroshan Siriwardena

Helen Atherton

Willie Hamilton

Richard McManus

Opeyemi Babatunde

Antonia Hardcastle

Sarah Mills

Maggie Bartlett

Alastair Hay

Michael Moore

David Blane

Richard Hayward

Andrew Morden

Jenni Burt

Julia Hiscock

Rebecca Morris

Paul Campbell

Alyson Huntley

Sara Muller

Melanie Chalder

Catherine Hyde

Richard Neal

Carolyn Chew-Graham

Judith Ibison

Barbara Nicholl

Alison Clements

Rachel Johnson

Diane Owen

Carol Coupland

Kelvin Jordan

Amanda Owen-Smith

Carole Crawford

Sally Kerry

Rupert Payne

Jacqueline Crowther

Nada Khan

Rafael Perera

Margaret Cupples

Lily Lai

Cath Quinn

Nefyn Williams

Chris Dowrick

Dan Lasserson

Farhan Abdul Raul

Andrea Williamson

Kate Dunn

Rosa Lau

Niamh Redmond

Andy Wilson

Hazel Everitt

Fiona MacKichan

Joanne Reeve

Fiona Wood

Sarah Smithson Ann Sunderland Peter Tammes Athina Tatsioni Sarah Tonkin-Crine Ann Van den Bruel

28

Danielle van der Windt Oliver van Hecke Akke Vellinga Yana Vinogradova Scott Wilkes

CONFERENCE INFORMATION Conference app

Internet and Email

The SAPC conference app is available to download from the app Store or Play Store on to Apple and Android devices. The full programme and all the abstracts (oral presentations, elevator pitches and posters) can be found on the app along with most of the information in this book.

Free WiFi is available throughout the University: please request a password at the registration desk. If you have access to Eduroam you should be able to use this.

Press Attendance - Notice to Presenters and Authors

Places may be pre-booked at the registration desk for Workshops, Special Interest Groups (SIGs) and Wednesday and Thursday evening optional activities: see the social programme pages.

There may be journalists attending the conference.

Journalists will be asked by the organisers to identify themselves to presenters and presenters should notify the journalist if they do not wish their work to be reported.

Presenters may also like to let the chair of their session know if they do not wish their work to be reported and ask journalists to identify themselves in the session.

Speaker Preview Room C5

Publication of Abstracts

Presentations should be taken to the Speaker Preview Room, C5, at least one hour before the start of the session in which you are presenting so that they can be remotely transferred into the appropriate session room. If you have already submitted your presentation by email you may review and update it in this room.

At present there are no plans to publish the abstracts as a supplement to a journal.

Parallel Oral and Elevator Pitch Sessions

Attendance Certificates

Session chairs and speakers are requested to go to the room where the session will take place at least 10 minutes before the start time to meet each other and familiarise themselves with the audio-visual equipment. A member of the conference staff team will be present during the session to assist.

If you wish to receive an attendance certificate please complete the Survey Monkey evaluation form where you can request one at the end of the questions. The link will be emailed to conference delegates on Monday 13th July: https://www.surveymonkey.com/s/CDDNWLK

Pre-book Workshops, Special Interest Groups (SIGs) and Wednesday and Thursday evening optional activities

The conference abstracts can be found on the SAPC app and on-line at www.sapc.ac.uk via the conference programme.

Time slots: Oral presentations in parallel sessions: 10 minutes presentation and 5 minutes Q&A Elevator pitch presentations: 3 minutes presentation and 2 minutes Q&A. The next speaker should get ready to present during the Q&A of the previous speaker.

Please keep to time!

Poster Presenters Please see the presenter index for your poster board number or enquire at the registration desk.

Poster session 1 - Wednesday 8th July Set-up: between 10.30 and 12.00 Discussion during afternoon break Poster to be taken down: after 16.00 and before 18.00.

Poster session 2 - Thursday 9th July Set-up: between 08.00 and 10.00 Discussion during lunch and afternoon break Poster to be taken down: after 16.30 and before 18.00 Poster session 3 - Friday 10th July Set-up: between 08.00 and 09.30 Discussion during morning break Poster to be taken down: after 13.30 and before 14.00.

29

EXHIBITORS AND SPONSORS We are grateful to Swiss Medical Press GmbH for sponsoring the delegate bags.

Exhibitors

Clinical Practice Research Datalink www.cprd.com

Swiss Medical Press GmbH Swiss Medical Press is a Swiss-based communications company that specialises in creating, developing and delivering medical, scientific and technical information to the healthcare, educational and professional domains.

They also publish the Journal of Comorbidity: an international, open-access, peer-reviewed journal for original clinical and experimental research articles, guidelines, editorials, commentaries, policies, protocols, and critical review articles on the pathophysiology, diagnosis, prevention and management of comorbidity.

The journal provides a forum for scientists, researchers and healthcare professionals to share their research, experience and insight into diverse aspects of medicine in order to optimise the management of patients with comorbidity/multimorbidity.

More information can be found at: www.swissmedicalpress.com; www.jcomorbidity.com or connect on Twitter @JComorbidity.

Healthtalk.org Provides free, reliable information about health issues, by sharing people’s real-life experiences.People share their stories about cancer, autism, motor-neurone disease, drugs, pregnancy, depression and much more. www.healthtalk.org National Institute for Health Research (NIHR) Infrastructure Oxford F NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Oxford Provides high quality research-based evidence to inform rapid implementation of new services, research and innovation both locally, countrywide and internationally. www.clahrc-oxford.nihr.ac.uk F NIHR

Diagnostic Evidence Co-operative Oxford A national resource for identifying, evaluating and implementing in vitro diagnostic tests in primary care. www.oxford.dec.nihr.ac.uk

F NIHR Oxford Biomedical Research Centre A partnership that brings together the research expertise of the University of Oxford and the clinical skills of staff of Oxford University Hospitals NHS Trust with the aim of supporting translational research 30

The Clinical Practice Research Datalink (CPRD) is a secure, world-class e-health research system with over 25 years’ experience in the field of public health research.

CPRD is jointly provided and funded by the National Institute for Health Research (NIHR) in partnership with the Medicines and Healthcare products Regulatory Agency (MHRA).

CPRD realises the research potential of anonymised NHS healthcare and demographic datasets from primary and secondary care as well as from specific disease registries and associated population data sets. CPRD’s services are designed to maximise the way this unique, national level real world resource can enable many types of observational research and deliver outputs that are beneficial to improving and safeguarding public health.

These data have a proven track record in the field of Observational and Health Outcomes Research but its use in services associated with clinical trials and interventional studies is relatively recent. This is an area of research where the essential key to success is fast access to very large data sets. Capabilities include real world fast and efficient feasibility, protocol optimisation and patient recruitment for clinical trials.

and innovation to improve healthcare for patients. www.oxfordbrc.nihr.ac.uk NIHR Clinical Research Network: Thames Valley and South Midlands Helps to increase the opportunities for patients to take part in clinical research, ensures that studies are carried out efficiently, and improves the environment for commercial contract clinical research in the NHS in the Thames Valley and South Midlands area. www.crn.nihr.ac.uk/thamesvalley-and-south-midlands/ Royal College of General Practitioners The professional membership body for family doctors in the UK and overseas, committed to improving patient care, clinical standards and GP training. www.rcgp.org.uk University of Oxford Postgraduate Programme in Evidence-Based Health Care Studies Offers a range of professional development opportunities including short courses in health sciences and evidencebased health care, and MSc and DPhil programmes. www.conted.ox.ac.uk/ebhc

PRESENTER INDEX Abel, Gary

2A.2

Methodology

Thursday

Adam, Rosalind

P3.24

Poster session 3

Friday

Agbakoba, Ruth

EP1C.4

Long term conditions

Wednesday

Aghajafari, Fariba

P2.34

Poster session 2

Thursday

Ahmed, Nadeem

EP1A.5

Musculoskeletal

Wednesday

Alam, Rahul

EP3D.01

Diagnosis and cancer

Friday

Alderson, Sarah

EP2C.08

Older adults/Elderly and Mental health

Thursday

Apenteng, Patricia

EP1C.5

Long term conditions

Wednesday

Arroll, Bruce

P3.09

Poster session 3

Friday

Asghar, Zahid

EP2A.01

Cardiovascular disease

Thursday

Ashdown, Helen

P2.01

Poster session 2

Thursday

Ashworth, Mark

1D.3

Prescribing

Wednesday

Atchison, Christina

P2.40

Poster session 2

Thursday

Atherton, Helen

1C.2

Delivery of General Practice

Wednesday

Atherton, Helen

EP1B.2

Consultation & communication

Wednesday

Aveyard, Paul

EP3C.06

Weight management

Friday

Bailey, Jayne

4D.3

Womenâ&#x20AC;&#x2122;s health

Friday

Baker, Amanj

EP2B.08

Prescribing

Thursday

Baker, Ruth

3B.6

Health services

Thursday

Barkham, Abigail

P1.22

Poster session 1

Wednesday

Barnes, Rebecca

2A.1

Methodology

Thursday

Barry, Eleanor

EP3D.04

Diagnosis and cancer

Friday

Bedson, John

1D.2

Prescribing

Wednesday

Belk, Celia

P3.40

Poster session 3

Friday

Bell, Brian

P1.44

Poster session 1

Wednesday

Benyon, Kay

P2.36

Poster session 2

Thursday

Berdunov, Vladislav

1D.6

Prescribing

Wednesday

Bhattacharyya, Mimi

P1.26

Poster session 1

Wednesday

Blackburn, Steven

P3.44

Poster session 3

Friday

Blane, David

EP3C.03

Weight management

Friday

Bobrovitz, Niklas

P2.25

Poster session 2

Thursday

Bond, Christine

EP1B.5

Consultation & communication

Wednesday

Bond, Christine

EP2B.03

Prescribing

Thursday

Bond, Christine

P2.21

Poster session 2

Thursday

Bond, Christine

P2.22

Poster session 2

Thursday

Breen, Nick

P1.39

Poster session 1

Wednesday

Breen, Nick

P3.21

Poster session 3

Friday

Browne, Susan

EP2C.03

Older adults/Elderly and Mental health

Thursday

Bryce, Ashley

1B.5

Child health

Wednesday

Buni, Halima

EP2D.06

Respiratory

Thursday

Burt, Jenni

EP3A.04

Vulnerable groups

Friday

Burt, Jenni

P2.39

Poster session 2

Thursday 31

PRESENTER INDEX

32

Burton, Christopher

EP3B.01

Methodology

Friday

Bury, Gerard

EP1C.6

Long term conditions

Wednesday

Bury, Gerard

P3.15

Poster session 3

Friday

Byrne, Emma

EP2B.09

Prescribing

Thursday

Cabral, Christie

2D.2

Respiratory tract infection

Thursday

Cabral, Christie

2D.4

Respiratory tract infection

Thursday

Carberry, Crea

EP1D.1

Education

Wednesday

Carroll, Breda

EP1C.1

Long term conditions

Wednesday

Cecil, Elizabeth

1B.4

Child health

Wednesday

Chaplin, Katherine

EP2C.05

Older adults/Elderly and Mental health

Thursday

Chew-Graham, Carolyn

EP2C.09

Older adults/Elderly and Mental health

Thursday

Chng, Nai Rui

EP3A.07

Vulnerable groups

Friday

Christensen, Hannah

2D.1

Respiratory tract infection

Thursday

Clark, Christopher

2B.6

Hypertension

Thursday

Clark, Christopher

EP2A.10

Cardiovascular disease

Thursday

Clark, Christopher

EP2A.08

Cardiovascular disease

Thursday

Cook, Johanna

P3.20

Poster session 3

Friday

Corrigan, Derek

2A.4

Methodology

Thursday

Coton, Sonia

EP2B.04

Prescribing

Thursday

Coupland, Carol

EP2B.07

Prescribing

Thursday

Coventry, Peter

EP1C.3

Long term conditions

Wednesday

Cowling, Thomas

3B.2

Health services

Thursday

Creavin, Sam

4C.4

Elderly care/dementia

Friday

Crossland-Pafumi, Lisa

P1.35

Poster session 1

Wednesday

Davidson, Sandra

2C.3

Mental health

Thursday

Davidson, Sandra

EP2C.06

Older adults/Elderly and Mental health

Thursday

Davidson, Sandra

EP3C.08

Weight management

Friday

Dawson, Shoba

EP3A.03

Vulnerable groups

Friday

Daykin, A

EP1F.1

Miscellaneous

Wednesday

De Simoni, Anna

P1.24

Poster session 1

Wednesday

Dennis, Sarah

EP2D.07

Respiratory

Thursday

Desborough, Jane

EP1B.4

Consultation & communication

Wednesday

Desborough, Jane

P1.18

Poster session 1

Wednesday

Dickson, Jon

EP1F.5

Miscellaneous

Wednesday

Dixon, Padraig

3C.1

Cardiovascular disease

Thursday

Drinkwater, Jess

EP3B.02

Methodology

Friday

Dudhill, Hannah

P2.09

Poster session 2

Thursday

Edwards, Elizabeth

P1.42

Poster session 1

Wednesday

Evans, Maggie

EP1F.7

Miscellaeneous

Wednesday

Evans, Maggie

P1.45

Poster session 1

Wednesday

Farquhar, Morag

EP2D.09

Respiratory

Thursday

Farquhar, Morag

EP2D.02

Respiratory

Thursday

PRESENTER INDEX Farquhar, Morag

P2.37

Poster session 2

Thursday

Fleetcroft, Robert

4B.3

Respiratory

Friday

Fleming, Susannah

EP2A.06

Cardiovascular disease

Thursday

Fletcher, Benjamin

P2.10

Poster session 2

Thursday

Fletcher, Emily

EP3B.06

Methodology

Friday

Flower, Andrew

P3.06

Poster session 3

Friday

Ford, John

EP3A.01

Vulnerable groups

Friday

Foster, Nadine

Plenary1.2 Opening session

Free, Caroline

2A.5

Methodology

Thursday

Free, Caroline

3C.3

Cardiovascular disease

Thursday

Free, Caroline

P2.41

Poster session 2

Thursday

French, Rebecca

P2.06

Poster session 2

Thursday

Gagyor, Ildiko

3A.4

Infectious diseases

Thursday

Gardener, Carole

P3.17

Poster session 3

Friday

Gilbody, Simon

2C.2

Mental health

Thursday

Gilkes, Alexander

P2.20

Poster session 2

Thursday

Gilleit, Yannick

EP2C.01

Older adults/Elderly and Mental health

Thursday

Gillespie, David

EP2D.08

Respiratory

Thursday

Gobat, Nina

P2.42

Poster session 2

Thursday

Godoy Caballero, Ana

EP2A.09

Cardiovascular disease

Thursday

Godoy Caballero, Ana

P1.43

Poster session 1

Wednesday

Gopal, Dipesh

3C.4

Cardiovascular disease

Thursday

Gopalamurugan, Manju Varshaa EP1E.2

Infection

Wednesday

Grant, Sabrina

2B.5

Hypertension

Thursday

Gravenhorst, Katja

P2.11

Poster session 2

Thursday

Green, Emilie

P3.16

Poster session 3

Friday

Greenhalgh, Trisha

EP3B.05

Methodology

Friday

Guthrie, Bruce

EP2B.01

Prescribing

Thursday

Hamilton, Willie

1A.1

Cancer

Wednesday

Hay, Alastair

2D.5

Respiratory tract infection

Thursday

Hayward, Gail

3A.2

Infectious diseases

Thursday

Heron, Neil

EP1A.2

Musculoskeletal

Wednesday

Heron, Neil

EP3C.02

Weight management

Friday

Hill, Jonathan

EP1A.7

Musculoskeletal

Wednesday

Hodgkinson, James

EP2A.02

Cardiovascular disease

Thursday

Holland, Toby

P3.14

Poster session 3

Friday

Horrell, Jane

P1.11

Poster session 1

Wednesday

Horwood, Jeremy

4A.1

Metabolic disease

Friday

Howard, Emma

EP3C.01

Weight management

Friday

Howick, Jeremy

P2.26

Poster session 2

Thursday

Hyde, Catherine

EP1A.6

Musculoskeletal

Wednesday

Ibrahim, Buthaina

1B.1

Child health

Wednesday

Wednesday

33

PRESENTER INDEX

34

Irving, Greg

EP2A.07

Cardiovascular disease

Thursday

Jani, Bhautesh

2C.5

Mental health

Thursday

Jani, Bhautesh

P3.37

Poster session 3

Friday

Jones, Melvyn

P1.33

Poster session 1

Wednesday

Jordan, Rachel

4B.1

Respiratory

Friday

Josephs, Lynn

EP2D.01

Respiratory

Thursday

Jovicic, Ana

P3.03

Poster session 3

Friday

Kendrick, Tony

2C.6

Mental health

Thursday

Kerry, Sally

2A.3

Methodology

Thursday

Kitreerawutiwong, Nithra

P3.13

Poster session 3

Friday

Knox, Richard

EP1D.5

Education

Wednesday

Knox, Richard

EP1D.6

Education

Wednesday

Kokab, Farina

EP3A.08

Vulnerable groups

Friday

Kontopantelis, Evangelos

3B.4

Health services

Thursday

Kontopantelis, Evangelos

P3.25

Poster session 3

Friday

Kostopoulou, Olga

1A.5

Cancer

Wednesday

Kurtinecz, Milena

EP2A.05

Cardiovascular disease

Thursday

Lacey, Rosie J.

P3.22

Poster session 3

Friday

Lai, Lily

1D.4

Prescribing

Wednesday

Laparidou, Despina

P1.38

Poster session 1

Wednesday

Larkins, Sarah

P2.04

Poster session 2

Thursday

Lasserson, Dan

4A.3

Metabolic disease

Friday

Lasseter, Gemma

1C.4

Delivery of General Practice

Wednesday

Leedham-Green, Kathleen

EP1D.7

Education

Wednesday

Lewith, George

EP1F.2

Miscellaneous

Wednesday

Lindenmeyer, Antje

P3.38

Poster session 3

Friday

Lindson-Hawley, Nicola

EP3C.05

Weight management

Friday

Lionis, Christos

P1.14

Poster session 1

Wednesday

Little, Paul

2D.6

Respiratory tract infection

Thursday

Lloyd, Helen

EP2C.10

Older adults/Elderly and Mental health

Thursday

Lloyd, Helen

P2.16

Poster session 2

Thursday

MacArtney, John

1A.3

Cancer

Wednesday

MacKeith, Pieter

EP1C.7

Long term conditions

Wednesday

MacKichan, Fiona

3B.3

Health services

Thursday

Macleod, John

P3.36

Poster session 3

Friday

Magee, Fiona

EP1D.2

Education

Wednesday

Mahtani, Kamal

P1.04

Poster session 1

Wednesday

Mallen, Christian D

3D.1

Musculoskeletal

Thursday

Manley, Petra

EP1E.4

Infection

Wednesday

Mann, Cindy

P1.27

Poster session 1

Wednesday

Mansell, Gemma

EP1A.1

Musculoskeletal

Wednesday

Mansour, Sammy

EP1D.4

Education

Wednesday

PRESENTER INDEX Martinez, Yolanda

P1.34

Poster session 1

Wednesday

Mazza, Danielle

4C.1

Elderly care/dementia

Friday

McCleary, Nicola

EP2B.05

Prescribing

Thursday

Mercer, Stewart

P3.23

Poster session 3

Friday

Mills, Katie

P1.23

Poster session 1

Wednesday

Mills, Sarah

EP1B.3

Consultation & communication

Wednesday

Mills, Sarah

EP3D.10

Diagnosis and cancer

Friday

Mills, Sarah

P1.01

Poster session 1

Wednesday

Mitchell, Caroline

P1.03

Poster session 1

Wednesday

Mitchell, Caroline

P3.43

Poster session 3

Friday

Moore, Abigail

P1.41

Poster session 1

Wednesday

Moore, Caroline

EP2D.05

Respiratory

Thursday

Morales, DR

EP2D.04

Respiratory

Thursday

Moriarty, Andrew S

P1.36

Poster session 1

Wednesday

Moriarty, Frank

1D.1

Prescribing

Wednesday

Morris, Rebecca

EP1F.6

Miscellaneous

Wednesday

Morris, Rebecca

P1.25

Poster session 1

Wednesday

Morris, Richard

EP2A.04

Cardiovascular disease

Thursday

Morton, LaKrista

2A.6

Methodology

Thursday

Mukhtar, Toqir

EP3D.08

Diagnosis and cancer

Friday

Muller, Ingrid

EP3A.02

Vulnerable groups

Friday

Muller, Sara

P1.13

Poster session 1

Wednesday

Murphy, Mairead

P2.05

Poster session 2

Thursday

Napier, Jennifer

P2.07

Poster session 2

Thursday

Newbould, Jennifer

1C.1

Delivery of General Practice

Wednesday

Newton, Lisa

4C.3

Elderly care/dementia

Friday

Nicholson, Brian

1A.2

Cancer

Wednesday

Nunan, David

2B.3

Hypertension

Thursday

Nunan, David

EP1C.2

Long term conditions

Wednesday

Oakeshott, Pippa

EP1E.5

Infection

Wednesday

Oâ&#x20AC;&#x2122;Connor, Siobhan

P3.39

Poster session 3

Friday

Oâ&#x20AC;&#x2122;Donnell, Amy

P2.15

Poster session 2

Thursday

Oke, Jason

P1.30

Poster session 1

Wednesday

Onakpoya, Igho

P2.27

Poster session 2

Thursday

Papanikitas, Andrew

P1.07

Poster session 1

Wednesday

Park, Sophie

P2.31

Poster session 2

Thursday

Parsonage, Rachel

1A.6

Cancer

Wednesday

Perera, Sean

P3.41

Poster session 3

Friday

Phillips, Katie

EP1B.1

Consultation & communication

Wednesday

Phillips, Katie

P2.29

Poster session 2

Thursday

Pickles, Tim

3A.5

Infectious diseases

Thursday

Pickles, Tim

3D.4

Musculoskeletal

Thursday 35

PRESENTER INDEX

36

Porter, Rebecca

P2.14

Poster session 2

Thursday

Potter, Caroline

3B.5

Health services

Thursday

Pound, Rebecca

P3.29

Poster session 3

Friday

Powell, John

4B.4

Respiratory

Friday

Prabu, Oryza Gryagus

P1.02

Poster session 1

Wednesday

Prasad, Vibhore

P2.35

Poster session 2

Thursday

Prileszky, Gail

4D.2

Womenâ&#x20AC;&#x2122;s health

Friday

Prileszky, Gail

EP1B.7

Consultation & communication

Wednesday

Prileszky, Gail

P3.19

Poster session 3

Friday

Prosser Evans, Huw

EP1E.1

Infection

Wednesday

Rea, Jennifer

P1.09

Poster session 1

Wednesday

Redmond, Niamh M

P3.32

Poster session 3

Friday

Redmond, Patrick

EP2B.06

Prescribing

Thursday

Rees, Claire

3A.6

Infectious diseases

Thursday

Ricci-Cabello, Ignacio

1C.3

Delivery of General Practice

Wednesday

Ricci-Cabello, Ignacio

EP3B.08

Methodology

Friday

Richards, Suzanne

P2.12

Poster session 2

Thursday

Richards, Suzanne

P3.08

Poster session 3

Friday

Ridd, Matthew

1B.2

Child health

Wednesday

Rivas, Carol

P2.17

Poster session 2

Thursday

Rouleau, Katherine

P3.02

Poster session 3

Friday

Round, Thomas

EP3D.09

Diagnosis and cancer

Friday

Ryan, Aine

P3.28

Poster session 3

Friday

Salisbury, Chris

2C.1

Mental health

Thursday

Salisbury, Chris

3C.5

Cardiovascular disease

Thursday

Salisbury, Chris

P3.01

Poster session 3

Friday

Santer, Miriam

P2.23

Poster session 2

Thursday

Sarkar, Chandra

EP2C.07

Older adults/Elderly and Mental health

Thursday

Saunders, Ben

3D.6

Musculoskeletal

Thursday

Schmidt, Konrad

3D.5

Musculoskeletal

Thursday

Schwartz, Claire

EP3A.06

Vulnerable groups

Friday

Scott, Catherine

EP2A.03

Cardiovascular disease

Thursday

Scott, Jake

P1.15

Poster session 1

Wednesday

Selwood, Mary

P2.24

Poster session 2

Thursday

Selwood, Mary

P3.07

Poster session 3

Friday

Shakir, Saad

P1.19

Poster session 1

Wednesday

Shakir, Saad

P3.18

Poster session 3

Friday

Sheppard, James

2B.1

Hypertension

Thursday

Shinkins, Bethany

1A.4

Cancer

Wednesday

Sills, Richard

P1.20

Poster session 1

Wednesday

Sills, Richard

P3.31

Poster session 3

Friday

Silverwood, Victoria

P3.12

Poster session 3

Friday

PRESENTER INDEX Sinnott, Carol

EP2B.02

Prescribing

Thursday

Sinnott, Carol

P2.32

Poster session 2

Thursday

Sinnott, Carol

P2.33

Poster session 2

Thursday

Sirdifield, Coral

P1.08

Poster session 1

Wednesday

Smith, Chris

4D.1

Womenâ&#x20AC;&#x2122;s health

Friday

Smith, Emily

EP3C.04

Weight management

Friday

Sohanpal, Ratna

P2.18

Poster session 2

Thursday

Springate, David

4A.2

Metabolic disease

Friday

Springate, David

P2.19

Poster session 2

Thursday

Stanford, Rosie

EP1A.4

Musculoskeletal

Wednesday

Steed, Liz

EP3C.07

Weight management

Friday

Steer, Colin

EP3A.05

Vulnerable groups

Friday

Stevens, Richard

2B.2

Hypertension

Thursday

Stevens, Sarah

2B.4

Hypertension

Thursday

Stokes, Jonathan

3B.1

Health services

Thursday

Stokes, Jonathan

P3.34

Poster session 3

Friday

Sugavanam, Thava Priya

P1.37

Poster session 1

Wednesday

Sullivan, Frank

EP3D.07

Diagnosis and cancer

Friday

Sullivan, Frank

Plenary1.1 Opening session

Sullivan, Frank

P3.05

Poster session 3

Friday

Sumathipala, Kethakie

P2.08

Poster session 2

Thursday

Sweeney, Lorna

3A.1

Infectious diseases

Thursday

Swinglehurst, Deborah

EP1B.6

Consultation & communication

Wednesday

Tammes, Peter

P1.28

Poster session 1

Wednesday

Tan, Valerie

P2.28

Poster session 2

Thursday

Tapsfield, Julia

P1.29

Poster session 1

Wednesday

Taylor, Anna

P1.10

Poster session 1

Wednesday

Taylor, Clare J

3C.6

Cardiovascular disease

Thursday

Terry, Rohini

EP1F.3

Miscellaneous

Wednesday

Togher, Fiona

P3.26

Poster session 3

Friday

Tomlinson, Jonathon

P1.12

Poster session 1

Wednesday

Tonkin-Crine, Sarah

EP2B.10

Prescribing

Thursday

Tranter, Jennifer

P3.27

Poster session 3

Friday

Turnbull, Sophie

2D.3

Respiratory tract infection

Thursday

Tyrrell, Edward

1D.5

Prescribing

Wednesday

Tzortziou Brown, Victoria

P1.16

Poster session 1

Wednesday

Uijen, Maike

P2.30

Poster session 2

Thursday

Usher-Smith, Juliet

3C.2

Cardiovascular disease

Thursday

Usher-Smith, Juliet

P2.03

Poster session 2

Thursday

Usher-Smith, Juliet

P3.42

Poster session 3

Friday

Valderas, Jose

EP2C.04

Older adults/Elderly and Mental health

Thursday

Van den Bruel, Ann

1B.6

Child health

Wednesday

Wednesday

37

PRESENTER INDEX

38

van Ginneken, Nadja

P3.10

Poster session 3

Friday

Vaughan, Robert

P1.06

Poster session 1

Wednesday

Vellinga, Akke

EP1E.3

Infection

Wednesday

Verbakel, Jan

3A.3

Infectious diseases

Thursday

Verbakel, Jan

4A.4

Metabolic disease

Friday

Verma, Puja

1C.6

Delivery of General Practice

Wednesday

Vinogradova, Yana

P1.21

Poster session 1

Wednesday

Vivekanantham, Arani

P3.30

Poster session 3

Friday

Vos, Jolien

4C.2

Elderly care/dementia

Friday

Vos, Jolien

P3.11

Poster session 3

Friday

Walabyeki, Julie

EP3C.09

Weight management

Friday

Walabyeki, Julie

P2.38

Poster session 2

Thursday

Walabyeki, Julie

P3.33

Poster session 3

Friday

Waldecker, Andrea

P1.40

Poster session 1

Wednesday

Walker, Sarah

P2.02

Poster session 2

Thursday

Wallace, Paul

EP3B.03

Methodology

Friday

Walton, Liz

P1.05

Poster session 1

Wednesday

Wathall, Simon

P3.04

Poster session 3

Friday

Weatherburn, Christopher

EP3D.03

Diagnosis and cancer

Friday

Wersocki, Emily

P1.32

Poster session 1

Wednesday

Weston, Charlotte

P2.13

Poster session 2

Thursday

White, Patrick

EP2D.03

Respiratory

Thursday

Wiles, Nicola

2C.4

Mental health

Thursday

Willcox, Merlin

1B.3

Child health

Wednesday

Williams, Nefyn

EP2C.02

Older adults/Elderly and Mental health

Thursday

Williams, Thomas

EP3B.04

Methodology

Friday

Williams, Veronika

4B.2

Respiratory

Friday

Williamson, Christopher

P1.17

Poster session 1

Wednesday

Wood, Fiona

3D.2

Musculoskeletal

Thursday

Wood, Fiona

3D.3

Musculoskeletal

Thursday

Woodhead, Charlotte

P3.35

Poster session 3

Friday

Wye, Lesley

1C.5

Delivery of General Practice

Wednesday

Wye, Lesley

EP3B.07

Methodology

Friday

Yang, Yaling

EP3D.05

Diagnosis and cancer

Friday

Yardley, Lucy

4D.4

Womenâ&#x20AC;&#x2122;s health

Friday

Yon, Katherine

EP1D.3

Education

Wednesday

Yu, Dahai

EP1A.3

Musculoskeletal

Wednesday

Zhang, Xinyu

P1.46

Poster session 1

Wednesday

NOTES

NOTES

NOTES

Save the dates in your diary for the

45th Annual Conference of the Society for Academic Primary Care

6th-8th JULY 2016 Dublin Castle, Dame Street, Dublin 2

DEPARTMENT OF GENERAL PRACTICE AND FAMILY MEDICINE HRB CENTRE FOR PRIMARY CARE RESEARCH

www.sapc.ac.uk

Oxford University Museum of Natural History Drinks reception (Wednesday)

St Anneâ&#x20AC;&#x2122;s College Accommodation

Keble College Conference dinner (Thursday) and accommodation

Andrew Wiles Building Mathematical Institute Conference Venue

annual conference 2015 venues

Andrew Wiles Building Mathematical Institute

L3

L2 L1

Café

C1 C2 C3 L6

Lower Ground Floor C5 - Speaker preview C6 - Organisers’ office

L4

L5

C4 C5 C6