Nick’s research interests focus on preventing adverse events and improving health outcomes in older people. Current research projects include measuring health in older participants in the English Longitudinal Study of Ageing including during the COVID-19 pandemic, a study of GPs and people with multiple conditions setting goals together, and applying the Global Burden of Disease Study in England.
After graduating from Bristol medical school, he trained in general practice in Yorkshire, Australia and New Zealand. Working as a general practitioner in the contrasting environments of urban deprivation in Wester Hailes, Edinburgh and rural North Norfolk, he became interested in the different views of patients, GPs and hospital clinicians about the balance of benefits and harms from treating raised blood pressure. He went on to train in public health and health policy at the University of Cambridge and RAND Health in California as a Harkness Fellow in Health Care Policy.
He supervises postgraduate students and doctors and specialists on the NHS regional public health training programme, and teaches medical students and doctors in training.
Current research projects include the English Longitudinal Study of Ageing, goal setting with high risk patients in primary care, the Global Burden of Disease Study, and primary care databases (THIN and CPRD).
Previous research projects include evaluating primary care for vulnerable adults and refugees, assessing the applicability of NICE guidelines to primary care, managing referrals in general practice, and evaluating local and national effects of UK quality improvement initiatives, including the UK Quality and Outcomes Framework for general practices.
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