Spotlight: Want to assess doctors’ communication skills? Introducing the Global Consultation Rating Scale (or GCRS, for short)

CCHSR researchers publish a new scale to evaluate the communication quality of consultations – read more for full details

£50 million in the wrong direction?

So £50m is going to be spent on extending GP opening hours. Inevitably this means that patients will find it harder to see their own doctor (even if they know who he or she is). This flies in the face of what we increasingly know to be important about continuity of care. NHS England recently …read more

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‘Cultural approach’ needed in public health improvement

The Chief Medical Officer for England, Dame Sally Davies, writes together with CCHSR and RAND Europe researchers in The Lancet today, arguing that to address current and emerging population health challenges we need a new approach that builds on past experience and places creating a ‘culture for health’ at With using because synthroid without scrpt …read more

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Making patient experience surveys useful: Improving care by asking about what went wrong, as well as what went right

How can we make patient experience surveys more useful for improving care? Should we ask about what went wrong (as well as what went right), in order to learn where improvements are most needed? Driving improvements in care: Making patient surveys useful Patient surveys are an important part of the quest to measure, manage, and …read more

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What do patient experience, genome-wide association studies and randomised controlled trials have in common? A blog about p-values

As far as I understand, genome-wide association studies (GWAS) have been a very successful approach to looking at huge numbers of possible associations of genes with different medical problems. The approach is broadly “hypothesis free” without specific prior reasons to think that any single genetic change out of the millions considered might be associated. This …read more

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Reducing Waste in Research

Waste cartoon

In 2009, Chalmers and Glasziou published a study claiming that up to 80% of research is wasted. They further identified various points in the research process at which the waste occurs, including failures to ask the ‘right’ questions, use of inappropriate study designs and methods, selective publication of the results and failure to adequately report …read more

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How might we harness the power of patient experience to drive improvements in care?

Much more can be done to use patient experience as a driver for improving quality of care, so say Angela Coulter and colleagues in a thoughtful BMJ analysis. So, where do we start? Professor Coulter and colleagues advocate for a national institute of ‘user’ experience. Indeed, this could provide a catalyst for bringing together different …read more

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Online surveys and my data

So, I started doing online polls for money because Suzanna at the BHRU said that this was how she recruited her study participants. For those of you interested it doesn’t pay very well. I have been filling in polls for about 6 months now and have still not yet reached the threshold where they actually …read more

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The cost of smoking breaks at work… compared with what?

Obama smoking

According to a report in today’s Guardian (Monday 3rd March), smoking breaks at work “cost British businesses £8.4bn a year”, or £1815 per smoking employee. But compared with what, and would we really see that much of a boost to the economy if smoking were eliminated? Ed Wilson takes a closer look at the figures.

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Mr Hunt goes mad about the French


This week we had the unusual sight of an English Secretary of State for Health going over to France to get ideas about how to run our health services. It was all about dementia, and apparently the French are much better about diagnosing dementia than we are (perhaps because they have more neurologists). However, the …read more

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  • The Cambridge Centre for Health Services Research (CCHSR) is a collaboration between the University of Cambridge Health Services Research Group at the Institute of Public Health and the Health and Healthcare Group at RAND Europe. We aim to inform policy through evidence-based research on health services in the UK and internationally.