My research started with an MD on the health and health care of Traveller Gypsies. This was followed by studies on the development and implementation of clinical guidelines, the management of chronic respiratory and cardiovascular conditions in primary care and the health impact of domestic violence. My current research programmes focus on the diagnosis and management of stable heart disease and health care responses to domestic violence. My main methodological expertise is in randomised controlled trials and systematic reviews. I collaborate with epidemiologists and social scientists on cohort and qualitative studies respectively.
I trained at Guy's Hospital medical school, qualifying in 1982. This followed a BSc in Biology and Philosophy from the University of Sussex. I trained as a GP and was a principal in Hackney, east London for 21 years until I moved to Bristol in 2007. I held the chair of primary care research and development at Barts and the London (QMUL) until 2008. I have chaired 4 NICE clinical guidelines (Lipid management in type II diabetes, Falls in older people, Secondary prevention of MI, Domestic violence and abuse) and the WHO intimate partner violence guideline development group.
My current domestic violence research is dominated by disseminating (and implementing where appropriate) the findings of the:
In collabortion with the Centre for Gender Violence Research (UoB) and Institute of Psychiatry (KCL) I have applied for a new programme grant (RE-PROVIDE) focusing on trialing of a perpetrator group intervention and broadening the IRIS programme (http://www.irisdomesticviolence.org.uk/iris/) to children and perpetrators.
I supervise 2 PhDs on domestic violence, one on the needs of migrant women (Nadia Khelaifat) and the other on the sustainability of the IRIS programme (Anna Dowrick).
Outside of England, I am a co-investigator in the Police to Primary Care study led by Mhairi.MacKenzie at the University of Glasgow, and a in the EU-funded IMPLEMENT programme http://www.psytel.eu/implement/project-team.html
On the cardiovascular front, I am the Bristol PI for BARACK-D http://www.phc.ox.ac.uk/research/clinical-trials/column-1/barack-d
and collaborate on other studies: http://www.bristol.ac.uk/primaryhealthcare/researchthemes/disease-management/cvd.html
I supervise a PhD on shared decision making with patients with hypertension or cardiac failure (Rachel Johnson)
Cardiovascular health - in particular the diagnosis and management of angina and using cardiovascular risk as a basis of treatment decisions. I am particularly concerned about inequitable care. I have conducted trials, cohort and qualitative studies in this area and chaired the NICE post-MI guidelines group Domestic violence - in particular the response of health care professionals to survivors of partner abuse. I have conducted systematic reviews and trials in this area and have written international guidelines for primary care. Clinical guidelines and quality of health care - in particular the validity of guidelines and their implementation in primary care. I have chaired three UK national guideline groups.
View complete publications list in the University of Bristol publications system
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