Category Archives: Blog

What explains variations between GP practices in endoscopy activity and urgent referral for suspected cancer? What can we learn from measures of patient experience?

Appropriately suspecting the diagnosis of cancer in primary care is important, but it is also hard. In this work, we looked into some of the factors that that may (or may not) influence decisions about referrals and endoscopic investigations. In our paper just published in the BJGP (British Journal of General Practice), we looked at …read more

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Quality and safety: Reflecting on the state of general practice

The vast majority of English GP practices provide good or outstanding care, according to inspections of 7,365 practices in a new report by the Care Quality Commission. This is welcome news not just for patients, but also for GPs working hard at the front line. Perhaps most impressive is evidence of continual quality improvement, with …read more

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Trouble getting an appointment at your GP surgery? Findings from an evaluation of a ‘telephone first’ approach to demand management in general practice

Martin Roland and Jenny Newbould, Cambridge Centre for Health Services Research It’s certainly an increasingly common problem.  You spend ages trying to get through to your GP surgery, only to be told there is not an appointment for a week or two; maybe even six weeks if you want to see Dr Popular.  So, why …read more

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Process or Outcomes for Quality Measurement?

Whether quality measurement should focus on process or outcomes measures is a perennial dilemma for health policy and health services researchers. Our recent research provides new insights to this old age dilemma. How promptly cancer patients are diagnosed is a prevailing concern for UK population health and healthcare policy. This has led the development of …read more

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Sparkle and joy: a totally one-sided round up of the 46th SAPC ASM (12-14 July 2017, Warwick)

A quick round-up of the highlights of the Society for Academic Primary Care conference in Warwick (12-14 July) by Jenni Burt.

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Looking at the future of diabetes care? Dual-hormone pump therapy at ATTD 2017

I recently travelled to Paris to present at the 10th International Conference on Advanced Technologies & Treatments for Diabetes (ATTD). While the conference is primarily focused on biomedical science and new technologies and treatments, there is also a significant focus on psychosocial aspects of patient interaction with new diabetes technologies such as ‘artificial pancreas’ systems …read more

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What should we do about patient experience in primary care?

I’ve never been a very good long-distance runner, but in finally seeing through our NIHR programme grant on patient experience I feel like I’ve crossed the line at an ultramarathon. In a good way, I hasten to add, with five years’ investigation into the impact and utility of measuring patient experience in primary care resulting, …read more

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Pushing the frontiers of improvement research

This blog was originally published by Mary Dixon-Woods on the Health Foundation’s website which can be found here: Since 2010 the Health Foundation has been investing in and promoting improvement research; the work they have supported has improved care and altered national policy. We are delighted that the Foundation is now investing around £40 million …read more

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What does “good” really mean in patient experience surveys?

Evaluating our experiences can be tricky. I recently completed a two-day training course: the trainer was great, the content engaging and helpful, and I dutifully went down the evaluation form giving glowing reviews all round. In the circumstances, my assessment felt very genuine. Of course, there is the fact that the trainer was still standing …read more

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Understanding patient worries about wasting medical time

If you have ever wondered whether or not your visit to the doctor was really necessary, you are certainly not alone. Studies in the UK have repeatedly shown that worries about ‘wasting the doctor’s time’ are one factor influencing patients’ decisions about whether or not to make a medical appointment. Our work is the first study devoted …read more

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  • The Cambridge Centre for Health Services Research (CCHSR) is a thriving collaboration between the University of Cambridge and RAND Europe. We aim to inform health policy and practice by conducting research and evaluation studies of organisation and delivery of healthcare, including safety, effectiveness, efficiency and patient experience.