Spotlight: Why do people with multiple long-term conditions report worse patient experience in primary care?

A new paper by CCHSR researchers, based on the GP Patient Survey, explores why people with multimorbidity report more negative experiences of care compared to those patients who have none, or one, long-term conditions.

Lords Reform: An unnecessary procedure?

house of lords

As the election looms, what might various parties’ plans for reform of the House of Lords mean for the scrutiny of health and health care related legislation? Conor Farrington, a medical sociologist at CCHSR (but we stole him from political science), raises some concerns.

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Did you catch the anglerfish? Navigating the depths of qualitative research

anglerfish

How should we go about presenting qualitative health services research which is rigorous, rich, but also able to be understood by a wide audience? Jenni Burt argues you should reach the depths, but maybe not tell everyone about it…

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So will pharmacists save the NHS?

Well maybe, but we shouldn’t get too carried away. The RCGP and RPS have produced a joint statement of how pharmacists and GPs could work better together and the news media today are talking about an ‘army’ of pharmacists coming to the rescue of general practice. Should we be greeting the cavalry with open arms? …read more

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So has QOF reduced death rates or not?

The question of whether improving healthcare leads to improvements in health remains an important one. Martin Roland outlines why a recent BMJ analysis on the relationship between QOF and mortality may not take the right approach to answering this.

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Early diagnosis of cancer: advances and new evidence

CCHSR researchers have been busy with a number of new analyses on the early diagnosis of cancer, including the potential impact of delayed diagnosis on survival. Gary Abel summarises our collection of five new papers here

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Is an intensive treatment regimen for newly diagnosed type 2 diabetes patients cost-effective? Economic evaluation of the 5-year results of the ADDITION study.

A new paper in Diabetic Medicine reports an economic evaluation of the ADDITION study, based on the five year follow-up data.  The Anglo-Danish-Dutch study of Intensive Treatment In peOple with screeN detected diabetes (ADDITION) is a prospective randomised controlled trial of screening and intensive treatment of newly diagnosed type-2 diabetes patients. The five-year outcomes, published …read more

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Don’t incentivise withholding of antibiotics!

Don’t prescribe too many antibiotics. And just to make sure you behave, we’ll pay you not to. That’s the latest message GPs are being given by the government. I personally find this very irritating. GPs are well aware of the public health implications of prescribing too many antibiotics, and the consequent risks of antibiotic resistance. …read more

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What can we do to promote person-centred primary care? Response to BMJ spotlight

 Patient centred care invites doctors and patients to work collaboratively to improve the way healthcare is designed and delivered so that it better meets the needs and priorities of patients. Charlotte Paddison reflects on the BMJ spotlight on patient centred care, and asks what this might mean for primary care? How can we get better …read more

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Hunt’s proposed ranking of hospitals on avoidable mortality rates is a bad idea

prussianhorses

Over the weekend it was announced that Jeremy Hunt wanted the NHS to tackle “avoidable deaths” in English hospitals (see this BBC report). On the face of it this seems like a good thing. Plans to review case-notes to see if anything could be learned, and then using these to establish a national rate of …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.