SAPC ASM 2019 - Exeter

48th annual scientific meeting

3-5 July 2019 at The Forum, Streatham Campus, University of Exeter

Primary Care: Arriving? Or departing?

Congratulations to the prize winners at the SAPC ASM 2019, Exeter


Abstracts of SAPC ASM 2019 (downloadable pdf)

DOI reference: 10.37361/asm.2019.1.1


Copyright belongs to the authors of the individual abstracts under the creative commons licence


Reports and blogs from the conference

Reflections on a wonderful ASM by Carolyn Chew-Graham, new Chair of SAPC

Conference blog part 1 and part 2 by Domhnall MacAuley, Canadian Medical Association Journal (CMAJ)

Workshop Hot off the Press report

The Exeter Astana statement on primary care


Registration tickets and bursaries

Accommodation - if you have made a booking at Holland Hall student accommodation and need to check details please phone 0300 555 0214 and select option 2 or 5.

Not yet a member of SAPC?  Visit the joining page - become a member to be able to register at the lower member rate fees


Guidance for presenters:



Outline schedule including workshop details

Early career solution room - post-workshop follow up to unanswered questions

Education sessions throughout the conference

Social programme

Pre and Post Conference: Wednesday morning and Friday afternoon meetings and workshops

View the Special Interest Groups taking place on the morning of Wednesday 3rd July

View the Workshops taking place on the afternoon of Friday 5th July (13:30-15:00)

Call for abstracts for information - submission now closed

Abstract submission deadline: Sunday 17th February 2019 - CLOSED 

Author notifications have been sent by email if you hav not yet heard please email

Early bird registration until: Friday 3rd May 2019

Conference chair: Professor John Campbell

Scientific Programme chair: Professor Jose M Valderas

Scientific Programme co-chair: Professor Willie Hamilton CBE

Clinical, organisational, policy, educational and methodological research for the primary care of the future

40th anniversary revisit of the Alma-Ata declaration on primary health care.

Come and join us

The University of Exeter Collaboration for Academic Primary Care (APEx) are delighted to be hosting the 48th Annual Scientific Meeting of the Society for Academic Primary Care (SAPC)

This annual conference showcases the latest research and education in academic primary care from the UK and around the world in keynote presentations, parallel sessions of verbal presentations, posters, workshops and symposia. The programme will also feature lightning presentations (short 5 minute slots), poster pitches, a creative arts stream and "The Solution Room" - an early careers workshop.

The declaration of Alma-Ata of 1978 was of landmark importance in respect of primary care. Not only did the declaration incorporate an important definition of primary health care, but political and strategic action was encouraged for governments around the world. Primary care as a clinical and scientific discipline has continued to develop globally since that time.

Late 2018 sees a renewed vision for primary health care in the WHO Astana declaration, and in light of this, our conference theme considers whether primary care has now “arrived” or is “departing” with important work still to do, areas to develop, and healthcare systems to influence. Globally, primary care still offers great advantages for patients, populations, and the global public at large.

With the ongoing rise of chronic illness, keynotes addressing the challenge of the tide of diabetes and the importance of antimicrobial resistance will provide an important platform for our scientific consideration. Set against this, a view from the inside regarding the revised Alma-Ata declaration will provide the platform for an exciting, probing, and relevant conference exploring the evidence base for our clinical discipline.

We look forward to welcoming you to Exeter in July 2019.


This annual conference brings together junior to senior researchers and educators, from the UK primary care community and from around the world. It is a platform to showcase the latest research on any subjects relating to primary care. 

We welcome some of the world’s most experienced, leading experts in the field of primary care research and education, and we warmly invite students: Medical students, along with nursing, pharmacy, physiotherapy and occupational therapy students; the health service pioneers of the future.

The conference provides a fantastic opportunity for both current and future academics to come together to discuss cutting edge and exciting new research; to help shape the future of primary care.



Wednesday 3rd July opening session 13.00 - 14.00
Thursday 4th July 09.00 - 09.45
Friday 5th July 09.00 - 09.45
6th Helen Lester Memorial Lecture Wednesday 3rd July 17.30 - 18.15 public lecture
Showing : |


Day 1 : Tuesday 2nd July


HODs and HOTs meetings


HODs and HOTs dinner

Day 2 : Wednesday 3rd July



Abstracts of SAPC ASM 2019 (downloadable pdf)


09.00 – 11.45 HODs meeting in the Council Chamber, Northcote House adjacent to the Forum

09.00 – 11.00 HOTs meeting in the Upper Lounge, Reed Hall

11.00 – 12.30 Education symposium in the Upper Lounge, Reed Hall



Registration desks open


Special interest groups - 1. Palliative care and 2. Statistics group 



Special interest groups - 1. Cardiovascular Research, 2. Compassion, 3. Digital technologies, 4. Mental health, 5. Personal care and The Self




Opening session

Opening Iryna Ilnytska

Address by Professor Sir Steve Smith Vice-Chancellor and Chief Executive of the University of Exeter

Plenary 1: Dr Jennifer Dixon  CBE

The New Primary Care; mind the gaps

  Service delivery and staffing shortages in a new age of primary care


1A Mental health 1 Mental health 1 Carolyn Chew-Graham 8 talks
1A.1 Is community pharmacy a missed opportunity in suicide prevention? Hayley Gorton Full abstract
1A.2 What are the mental health needs of the UK Central and Eastern European Community? A mixed-methods involvement and engagement strategy Aaron Poppleton Full abstract
1A.3 “Talking, talking, talking for me, even though it helped me understand, it didn’t heal”: informing development of a trauma-informed mindfulness intervention for supporting survivors of domestic abuse with post-traumatic stress disorder Gemma Halliwell Full abstract
1A.4 Diagnosing and managing work-related mental health conditions in general practice – new Australian Clinical Practice Guidelines Danielle Mazza Full abstract
1A.5 Implementing work-related Mental health guidelines in general PRacticE (IMPRovE): Protocol for a pragmatic stepped-wedged cluster-randomised controlled trial Samantha Chakraborty Full abstract
1A.6a Impact on the use and cost of other services following intervention by an inpatient Pathway Homeless Team in an acute mental health Trust Zana Khan Full abstract
1A.6b Perspectives of clinicians on switching antipsychotics to improve the physical health of people with schizophrenia: a qualitative study Annabel Nash Full abstract
1A.6c A patient-student co-creation quality improvement project raising mental health awareness in an Arab patient population in a primary care setting Nour Houbby, Aida Abdelwahed Full abstract
1B Cardiovascular conditions Seminar room 6 Umesh Chauhan 9 talks
1B.1 STAREE, a randomised controlled trial of atorvastatin vs. placebo for disability free survival and adverse cardiovascular events in the over 70s. Mark Nelson Full abstract
1B.2 Hiding in plain sight: impairments after TIA and minor stroke Grace Turner Full abstract
1B.3 Contrast of results from ASPREE participants previously taking or not taking regular aspirin prior to trial commencement. Mark Nelson Full abstract
1B.4 Is there an association between ethnicity and incidence of dementia post-stroke? A cohort study using the UK Clinical Practice Research Datalink Suhail Ismail Shiekh Full abstract
1B.5 Development and external validation of a novel clinical tool to predict low-density lipoprotein cholesterol (LDL-C) response for Statin OPtimisation (SOP Tool) in parallel population-cohorts in the United Kingdom and Hong Kong Stephen Weng Full abstract
1B.6 Impact of inter-arm blood pressure difference on cardiovascular risk estimation in primary care Sinead McDonagh Full abstract
1B.7a Do these data apply to me? Examining the applicability of trials assessing strategies for optimal management of blood pressure to older patients in UK primary care Mark Lown Full abstract
1B.7b Exercise-Based Cardiac Rehabilitation Improves Exercise Capacity and Health-Related Quality of Life in People with Atrial Fibrillation: A Systematic Review and Meta-Analysis of Randomised and Non-Randomised Trials Jeffrey Lambert Full abstract
1B.7c Can a co-produced, assertive care intervention reduce cardiovascular disease risk in people living with severe mental illness in the primary care setting? The Assertive Cardiac Care Trial Victoria Palmer Full abstract
1C Cancer 1 Seminar room 7&8 Brian Nicholson 7 talks
1C.1 How do patients engage with cancer information? An observational study of GP waiting rooms Joanne Reeve Full abstract
1C.2 Making contacts count? Views of patients and practitioners on cancer risk discussions in primary care: a qualitative interview study David Nicholas Blane Full abstract
1C.3 Using conversation analysis to explore communication of cardiovascular disease and cancer risk in primary care Katie Mills Full abstract
1C.4 A meta-ethnography of cultural influences on cancer-related psychological interventions Dipesh Gopal Full abstract
1C.5 Use of hormone replacement therapy and risk of breast cancer Yana Vinogradova Full abstract
1C.6a SUrvivors' Rehabilitation Evaluation after CANcer (SURECAN): using Acceptance & Commitment Therapy plus physical activity and work support (ACT+) for those who choose them, to help people living with and beyond cancer Stephanie Taylor Full abstract
1C.6b To what extent can Multidisciplinary Diagnostic Centres respond to the referral requirements of patients with non-specific but concerning symptoms? Veronique Poirier Full abstract
1D Women's health Seminar room 12 Danielle Mazza 6 talks
1D.1 Reaching everyone in general practice with the IRIS+ domestic violence training and support programme: Challenges and opportunities Eszter Szilassy Full abstract
1D.2 How can a global research group support research capacity building in low- and middle-income country settings, in the field of violence against women and healthcare research? Claire Hawcroft Full abstract
1D.3 Exploring women’s experiences of perinatal anxiety: a qualitative study. Tom Kingstone Full abstract
1D.4 Systematic review of non-RCT studies to compare the safety of nicotine replacement therapy (NRT) use and smoking in pregnancy Lauren Taylor Full abstract
1D.5 Interconception care in general practice: a qualitative exploratory study Elodie Bernard Full abstract
1D.6 An Exploration of the Views and Training Status of GPs in Ireland on Termination of Pregnancy Following its Legalisation Raymond O'Connor Full abstract
1E Primary health care (Astana Declaration) Tech lab 1 Jose M Valderas 8 talks
1E.1 Primary care transformation – achievable aim or a unicorn in disguise? Kate O'Donnell Full abstract
1E.2 Migration, vulnerability and wellbeing: exploring outcomes and barriers of access for asylum seekers and undocumented migrants Antje Lindenmeyer Full abstract
1E.3 The heterogeneous health state profiles of high-risk healthcare utilizers and their longitudinal healthcare service utilization and mortality patterns Shawn Choon Wee Ng Full abstract
1E.4 Professional Drivers Exposure to Black Carbon in London, the Diesel Exposure Mitigation Study Lois Holliday Full abstract
1E.5 Exploring the variation of patient-reported outcome scores across time for patients with multiple conditions: a mixed methods longitudinal study Antoinette Davey Full abstract
1E.6a Providing care to former refugees through mainstream general practice in Southern New Zealand: what are the perspectives of general practitioners and practice nurses? Tim Stokes Full abstract
1E.6b Area-Level Linkages to Enrich Primary Care Electronic Health Data for Research Tarita Murray-Thomas Full abstract
1E.6c Social prescribing and wellbeing promotion: how to ensure access to all? Nadja van Ginneken Full abstract
1F WORKSHOP Tech lab 2 1 talk
1F.1 Setting up a Primary care Academic Collaborative for Trainees (PACT): Sharing ideas for a proof of concept study Polly Duncan Full abstract
1G Creative - humanities in healthcare Seminar room 10 Rodger Charlton and Christopher Clark 6 talks
1G.1 Poems on Male Eating Disorders (EDs): A Creative Approach to Articulate, Communicate and Understand Male EDs in an Interdisciplinary Therapy and Research Context Gail Allsopp Full abstract
1G.2 The opaque consultation, an illustration of the Doctor as Drug Chris Clark Full abstract
1G.3 The backplot - an academic life through poetry Amanda Howe Full abstract
1G.4 Brian Deborah Swinglehurst Full abstract
1G.5 Living with long-QT syndrome Katharine Wallis Full abstract
1G.6 The Body as Seed (and other poems) Louise Younie Full abstract

TEA BREAK and poster session 1 viewing and discussion

2A Sexual health and contraception Seminar room 6 Julia Bailey 3 talks
2A.1 How effective are general practice interventions aimed at increasing chlamydia testing? A systematic review of behaviour change techniques Sophie Pach Full abstract
2A.2 Contraceptive counselling in areas of high teenage pregnancy: a study of General Practitioners’ insights Greasha Rathnasekara Full abstract
2A.3 What is the place of interactive decision-aids for contraception in primary care? Julia Bailey Full abstract
2B Diabetes Seminar room 1&2 Andrew Farmer 6 talks
2B.1 Deploying glucose and physical activity self-monitoring technologies to people at moderate-to-high risk of developing Type 2 Diabetes: a randomised feasibility trial Maxine Whelan Full abstract
2B.2 SuMMiT-D - Formative development of a mobile-device based system to support type 2 diabetes medication adherence in primary care: qualitative studies with patients and healthcare staff. Nikki Newhouse Full abstract
2B.3 Personalised care for people with type 2 diabetes: Developing a shared decision-making tool embedded in the electronic medical record in primary care. John Furler Full abstract
2B.4a GP-OSMOTIC Study: A randomised controlled trial (RCT) to determine the effect of retrospective continuous glucose monitoring on HbA1c in adults with Type 2 diabetes (T2D) in primary care John Furler Full abstract
2B.4b Development and validation of the DIabetes Severity SCOre (DISSCO): a retrospective cohort study Salwa Zghebi Full abstract
2B.4c Kidney disease progression and the factors influencing progressive loss of kidney function in a primary care population. A retrospective database analysis Jason Oke Full abstract
2C Infections Tech lab 1 Bruce Arroll 6 talks
2C.1 Long-term outcomes of urinary tract infection (UTI) in childhood (LUCI)study: What is the prevalence of renal scarring following childhood UTI? Kathryn Hughes Full abstract
2C.2 Is the reduced primary care use of antibiotics resulting in reduced antimicrobial resistance: a population-based ecological study Ashley Hammond Full abstract
2C.3 New ways to obtain antibiotics – a threat to antimicrobial stewardship? Benedict Hayhoe Full abstract
2C.4a Antibiotic stewardship in general practice: a scoping review of the component parts Lesley Hawes Full abstract
2C.4b Using sequential data assimilation to forecast influenza outbreaks from the Royal College of General Practitioners (RCGP), Research and Surveillance Centre (RSC) network data Sean Cleator Full abstract
2C.4c Do practices exposed to virology sampling training and a dashboard achieve higher rates of flu vaccination? Chris McGee Full abstract
2D Child health Seminar room 12 Jeremy Dale 6 talks
2D.1 PROG CHANGE - was 2D.4a What healthcare interventions exist to help children and young people who disclose bullying? Vibhore Prasad Full abstract
2D.1 Can mindline amendment improve management of childhood eczema in primary care? Fiona Cowdell Full abstract
2D.2 Adolescent Health Provision in the Australian School Setting: perspectives of Primary Care Physicians on their preparedness. Roisin Bhamjee Full abstract
2D.3 What are General Practitioners' views on their role when children and young people disclose a history of bullying in the community? Vibhore Prasad Full abstract
2D.4b How can policy become reality in children’s palliative care? A realist inquiry Sarah Mitchell Full abstract
2D.4c Management of Paediatric Sleep Problems in Primary Care: A Systematic Review Samantha Hornsey Full abstract
2E Workforce Seminar room 7&8 John Campbell 4 talks
2E.1 Coping with General Practice: An exploratory study of the working life of General Practitioners in 2017 Catherine Neden Full abstract
2E.2 What mechanisms support Advance Clinical Practitioners to support Primary Care serving deprived communities Ben Jackson Full abstract
2E.3 Multimorbidity Plus: exploring GP work in deprived areas Marianne McCallum Full abstract
2E.4 Realist Evaluation of Paramedics Deployed in General Practice: The 'READY Paramedics' Study Matthew Booker Full abstract
2F WORKSHOP Tech lab 2 1 talk
2F.1 Early Career Solution Room Jo Butterworth, Emily Fletcher, Judit Konya Full abstract
2G WORKSHOP Seminar room 10 1 talk
2G.1 Hot off the press: the very latest on primary care publishing and open access Roger Jones and Debbie Sharp Full abstract

Conference drinks reception, afterwards free time to dine out with colleagues

Day 3 : Thursday 4th July


Primary Health Care Scientists Meeting (PHoCuS) coffee, tea and pastries available from 07:45

Seminar room 1&2



Plenary 2:

In the Auditorium

Chair: Jose M Valderas

Delivering on the Declaration of Astana: from vision to action on primary health care

 Dr Shannon Barkley, MD, World Health Organisation Technical Officer for Primary Health Care Services and Family Medicine


A reflection on academic primary crae in the light of the Astana Declaration

Jose M Valderas, John Campbell, Jo Butterworth


Most distinguished papers:

Dr Victoria Palmer, best presentation at the annual meeting (2018) of the Australian Association of Academic Primary Care

Dr Anne Gaglioti, best presentation at the annual meeting (2018) of the North American Primary Care Group

Dr Emma Wallace, winner of the Yvonne Carter Award for Outstanding Early Career Researcher 


COFFEE BREAK and poster session 1 viewing and discussion

3A Mental health 2 Seminar room 1&2 Michael Moore 6 talks
3A.1 The role of the General Practitioner in the management of patients with self-harm behaviour in primary care: a systematic review Faraz Mughal Full abstract
3A.2 Prognostic factors for recovery following the diagnosis of a work-related mental health condition: A systematic review Samantha Chakraborty Full abstract
3A.3 Qualitative Evaluation of the e-coachER Randomised Controlled Trial: Participants’ views of the web-based support package for facilitating uptake of Exercise Referral Schemes and maintenance of longer-term physical activity Jeffrey Lambert Full abstract
3A.4a What are the health and wellbeing outcomes of peer-led group-based interventions for adult survivors of sexual abuse and assault, and what are the experiences of participants using these groups? Judit Konya Full abstract
3A.4b How acceptable is a Culturally adapted Manual Assisted Problem solving (C-MAP) intervention for Self-Harm? Therapist and patient participant perspectives. Carolyn A. Chew-Graham Full abstract
3A.4c SHAMIL: British South Asian recruitment into Mental Health Research in the UK Yumna Masood Full abstract
3B Prescribing 1 Seminar room 7&8 Rupert Payne 6 talks
3B.1 Organising polypharmacy: unpacking medicines, unpacking meanings Deborah A Swinglehurst Full abstract
3B.2 Reducing opioid prescribing: a qualitative process evaluation of how general practices responded to enhanced feedback. Su Wood Full abstract
3B.3 Knowledge, perceptions and practices of community pharmacists towards antimicrobial stewardship: a systematic scoping review of survey studies Sajal Kumar Saha Full abstract
3B.4a How, when and why do STOPP/START criteria based interventions improve medicines management for older people: a realist synthesis Jose M Valderas Full abstract
3B.4b Deprescribing of high-dose inhaled corticosteroids in COPD with mild or moderate airflow limitation: what do patients think? Timothy Harries Full abstract
3B.4c The rural dispensing practice – does it achieve better medication adherence and clinical outcomes compared to non-dispensing practices? A cross-sectional analysis of routine data Mayam Gomez Cano Full abstract
3C Quality of care and patient safety Seminar room 6 Niro Siriwardena 7 talks
3C.1 ‘Time to remove the blinkers?’ Exploring patient and primary care practitioner perspectives on quality of care for people with serious mental illness. Katharine Bosanquet Full abstract
3C.2 Is there an association between participation in extended hours and performance outcomes in English general practices? Louis Levene Full abstract
3C.3 Investigating the impact of case-mix on general practice cancer diagnostic outcome indicators Gary Abel Full abstract
3C.4a Could a system of risk-based, continuous, consultation peer-review improve patient safety and clinician learning in general practice? Evaluating 9 years of the BrisDoc Clinical Guardian experience Ian Bennett-Britton Full abstract
3C.4b Targeting acute kidney injury (AKI) to improve patient safety: Patient and carer inputs to design a learning healthcare system Jung Yin Tsang Full abstract
3C.4c Do patients access electronic medical test results services in General Practice in England? Ludivine Garside Full abstract
3C.4d The relationship between general practice funding and patient experience in England: a longitudinal analysis, 2013 – 2016. Mark Ashworth Full abstract
3D Musculoskeletal conditions Seminar room 12 Tess Harris 6 talks
3D.1 A definitive randomised controlled trial (RCT) and economic evaluation of a community-based rehabilitation programme following hip fracture. Fracture in the Elderly Multidisciplinary Rehabilitation - Phase III (FEMuR III) Nefyn Williams Full abstract
3D.2 Monitoring of Hip Injury Patients (MoHIP): Feasibility of using a wearable activity monitor to better understand recovery of mobility in patients who have sustained a hip fracture. Laura Armitage Full abstract
3D.3 Chronic MSK pain and its association with all-cause mortality: a study of 194,419 participants in UK Biobank. Ross McQueenie Full abstract
3D.4a Is Patient Direct Access to NHS Physiotherapy Services Cost-Effective? Miaoqing Yang Full abstract
3D.4b What is the impact over time on GP musculoskeletal workload, of providing a patient direct access to NHS physiotherapy for adults with musculoskeletal conditions in primary care? Annette Bishop Full abstract
3D.4c Patient direct access to musculoskeletal physiotherapy in primary care: perceptions of patients, general practitioners, physiotherapists and clinical commissioners in England Annette Bishop Full abstract
3E Dementia Tech lab 1 Sue Richards 6 talks
3E.1 Can dementia risk be predicted using routine electronic health records? Catharine Morgan Full abstract
3E.2 People living with dementia - what really matters? and why do primary care practitioners need to know? Siobhan Reilly Full abstract
3E.3 Culturally adapting cognitive tests for ethnic minorities: an illustration using the Addenbrooke's Cognitive Examination III for British Urdu speakers Nadine Mirza Full abstract
3E.4a A qualitative study of interprofessional collaborative practice in community based dementia care in Scotland and Japan – the nurse perspective Yui Wakabayashi Full abstract
3E.4b Co-research and involvement of people living with dementia in health services research: Lessons and reflections for primary care Faraz Ahmed Full abstract
3E.4c What are the predictors and patterns of antipsychotic drug use in people with dementia? Hayley Gorton Full abstract
3F WORKSHOP Seminar room 10 1 talk
3F.1 Developing Patient-Centred diagnosis as a tool for the new clinical generalist Joanne Reeve, George Freeman, Norbert Donner-Banzhoff Full abstract
3G WORKSHOP Tech lab 2 1 talk
3G.1 How can decision modelling help us to evaluate the clinical- and cost-effectiveness of diagnostic strategies in primary care? Sam Merriel et al Full abstract

Lunch break 

12:30 - 13:30 SAPC update including the Annual General Meeting

4A Prescribing 2 Tech lab 1 Emma Wallace 6 talks
4A.1 Development and evaluation of a prescribing e-Learning package for GPs Rexhep Hysenagolli Full abstract
4A.2 Medication review in primary care: a patient-user perspective Deborah McCahon Full abstract
4A.3 What types of recommendations do pharmacists make, do GPs action them and do they reduce complexity? Findings from the 3D Study Polly Duncan Full abstract
4A.4 Socio-cultural influences on antibiotic prescribing in China & England: comparative qualitative study Christie Cabral Full abstract
4A.5 An interrupted time series analysis of the Campaign to Reduce Opioid Prescribing primary care feedback intervention. Sarah Alderson Full abstract
4A.6 Incidence, predictors, and prognostic impact of bleeding after hospital discharge following acute coronary syndrome: A cohort study within the Clinical Practice Research Datalink. Nafiu Ismail Full abstract
4B Hypertension Seminar room 1&2 Andrew Murphy 7 talks
4B.1 Comparative efficacy of exercise and anti-hypertensive pharmacological interventions in reducing blood pressure in people with hypertension: A network meta-analysis Andrew W. Murphy Full abstract
4B.2 Can a local intervention for quality improvement for AF and hypertension work better than QOF? A controlled before-after study Timothy Smith Full abstract
4B.3 Apparent treatment resistant hypertension in primary care: the feasibility of assessing adherence to therapy with mass spectrometry-urine analysis in combination with ambulatory blood pressure monitoring. Andrew Murphy Full abstract
4B.4 Inter-arm blood pressure difference: insights into aetiology from the INTERPRESS-IPD collaboration Christopher Clark Full abstract
4B.5a Routinely recorded blood pressures and prognosis in older adults Jane Masoli Full abstract
4B.5b Model of cardiovascular disease in people with reduced kidney function using routine healthcare data Iryna Schlackow Full abstract
4B.5c The association between intimate partner violence and cardiometabolic disease Joht Chandan Full abstract
4C Cancer 2 Seminar room 7&8 Frank Sullivan 6 talks
4C.1 Has lung cancer presentation changed? Sarah Chowienczyk Full abstract
4C.2 The predictive value of unexpected weight loss in adults for cancer in primary care: a matched cohort study using UK electronic health records data from 2000-2014. Brian Nicholson Full abstract
4C.3 Are patients with high-normal platelet counts at increased risk of cancer? The NORMA study. Luke TA Mounce Full abstract
4C.4 Title: Which inflammatory marker tests should be used in primary care? A cohort study using CPRD Jessica Watson Full abstract
4C.5 Nasopharyngeal cancer in primary care: a case-control study using electronic patient records. Tuba Khan and Yusera El-Sockary Full abstract
4C.6 External validation of genetic risk prediction models for incident colorectal cancer using UK Biobank Simon Griffin Full abstract
4D Respiratory conditions Seminar room 6 Steph Taylor 8 talks
4D.1 Predicting the impact of a patient-directed financial incentive on choices of asthma controller inhalers in Australia: a discreet choice experiment and financial impact analysis Nicholas Zwar Full abstract
4D.2 Misuse of antibiotics and asthma medication for acute lower respiratory tract infections in patients with and without asthma in primary care: retrospective cohort study Rachel Denholm Full abstract
4D.3 Initial process evaluation findings from the At-Risk Registers Integrated into primary care to Stop Asthma crises in the UK (ARRISA-UK) trial: practice characteristics, engagement and early experiences of the intervention Jane Smith Full abstract
4D.4 The impact of COPD case finding on clinical care: a prospective analysis of the TargetCOPD trial Shamil Haroon Full abstract
4D.5 HATRIC - Feasibility study of Pelargonium sidoides root extract, EPs®7630 (Kaloba®), for the treatment of acute cough due to lower respiratory tract infection in adults: a double blind, placebo controlled randomised trial. Michael Moore Full abstract
4D.6a IMPlementing IMProved Asthma self-management as Routine Treatment: the IMP2ART programme Steph JC Taylor Full abstract
4D.6b How can we improve access to health care for people with severe chronic obstructive pulmonary disease (COPD) in Southern New Zealand? The perspectives of health professional stakeholders and patients. Tim Stokes Full abstract
4D.6c Primary care interventions to help reduce secondhand smoke exposure: a cross-sectional survey of UK healthcare professionals Jaidev Kaur Full abstract
4E Information technology Seminar room 12 Helen Atherton 6 talks
4E.1 Does Babylon GP at Hand reveal the future of general practice? Chris Salisbury Full abstract
4E.2 A mixed methods systematic review of the effects of patient online self-diagnosing in the ‘smart-phone society’ on the healthcare professional-patient relationship and medical authority Annabel Farnood Full abstract
4E.3 The ViCo Study: Comparing the content and quality of video, telephone and face-to-face consultations: a non-randomised (quasi-experimental) exploratory study Brian McKinstry Full abstract
4E.4 The benefits, challenges and acceptability of video-consultation with patients via the internet in general practice; a qualitative study. Helen Atherton Full abstract
4E.5 Early insights from a qualitative evaluation of a primary care-based clinical decision support system initiative in England. Mark Jeffries Full abstract
4E.6 Lessons from the development and evaluation of a virtual renal clinic Sally Hull Full abstract
4F WORKSHOP Tech lab 2 1 talk
4F.1 From continuity of care to continuity in education: Exploring longitudinal integrated clerkships in the UK Neha Ahuja and co-authors Full abstract
4G WORKSHOP Seminar room 10 1 talk
4G.1 A vision for academic primary care in the UK after the 2018 Astana Declaration for Primary Health Care. Jose M Valderas, John Campbell, Jo Butterworth Full abstract

Tea break and poster discussion


TEA BREAK and poster session 2 viewing and discussion

5A Transitions of care Seminar room 6 Adrian Taylor 4 talks
5A.1 Improving communication to GPs at discharge: the value of a systems approach Nicholas Boddy Full abstract
5A.2 Impact of health and social care interventions on unplanned hospital admissions, timely discharge and well-being of community dwelling older population: A mixed methods meta-review of systematic reviews Shoba Dawson Full abstract
5A.3 From the Care Home to the Hospital: Understanding hospital transfers through the experiences of care home staff Fawn Harrad Full abstract
5A.4 A multicentre randomised controlled trial of an augmented exercise referral scheme using web-based behavioural support in individuals with metabolic, musculoskeletal and mental health conditions: findings from the e-coachER study. Adrian Taylor Full abstract
5B Lightning talks Seminar room 1&2 Gary Abel 6 talks
5B.1 How were migrants and healthcare framed in UK newspapers during the so-called Windrush scandal? Ruby Rathbone Full abstract
5B.2 How do triage-call-handlers in unscheduled care navigate their discretional space in machine-mediated and rule-based telephone interactions? Jens Foell Full abstract
5B.3 GPs should stop making mental health diagnoses or at least use transdiagnostic labels Bruce Arroll Full abstract
5B.4 Understanding Sciatica: How do people with lumbar radicular pain understand their condition and how does this impact on their views regarding treatment? Robert Goldsmith Full abstract
5B.5 Can we use metabolic risk factors to predict significant liver disease in primary care? Helen Jarvis Full abstract
5B.6 Adapting an evidence-based domestic violence intervention for general practice for behaviour change in community pharmacist consultations Natalia Lewis Full abstract
5C Physical exercise Seminar room 12 Matt Ridd 4 talks
5C.1 Brief physical activity interventions in primary care: A systematic review Rebecca Beeken Full abstract
5C.2 Effect of pedometer-based walking interventions on long-term health outcomes: prospective 4-year follow-up of two randomised controlled trials using routine primary care data Teresa J. Harris Full abstract
5C.3 The parkrun practice - an investigation into uptake, engagement and delivery Joanna Fleming Full abstract
5C.4 The effects of pedometer and other step-count monitoring interventions on physical activity: a systematic review and meta-analysis of randomised controlled trials. Umar A R Chaudhry Full abstract
5D Education Tech lab 1 Joanne Reeve 6 talks
5D.1 Overseas GP recruitment: a methodology for comparing international GP training and healthcare contextual data with the UK Emily Fletcher Full abstract
5D.2 The GP Academy. Using medical Education to train and retain GPs Gail Allsopp Full abstract
5D.3 Performance of candidates declaring dyslexia in the MRCGP clinical skills assessment: cross sectional study Zahid Asghar Full abstract
5D.4a A mixed methods study to evaluate the effectiveness of nurse training to deliver an integrated care review for patients with inflammatory rheumatic conditions Daniel Herron Full abstract
5D.4b The transnational virtual classroom as a learning environment for Family Medicine residents in Palestine: residents’ perspectives Hina Shahid Full abstract
5D.4c WITHDRAWN - The Case for Faculty Development Dominic Proctor Full abstract
5E Multimorbidity Seminar room 7&8 Jane Smith 6 talks
5E.1 Multi morbidity in UK general practice- exploring its links with deprivation and life expectancy Melvyn M Jones Full abstract
5E.2 Impact of childhood abuse on prevalence and complexity of multimorbidity Marianne McCallum Full abstract
5E.3 Improving communication to reduce risks to patient safety: what are the barriers and enablers for older people with multimorbidity? Rebecca Hays Full abstract
5E.4a Interventions for involving older patients with multimorbidity in decision-making during primary care consultations: A Cochrane systematic review. Jo Butterworth Full abstract
5E.4b A qualitative focus group study to refine a new intervention 'VOLITION': To facilitate the involvement of older patients with multimorbidity in decision-making about their healthcare during GP consultations. Jo Butterworth Full abstract
5E.4c Development and validation of the Cambridge Multimorbidity Score Rupert Payne Full abstract
5F WORKSHOP Tech lab 2 1 talk
5F.1 Enlarging human understanding through the arts Louise Younie and Deborah Swinglehurst Full abstract
5G WORKSHOP Seminar room 10 1 talk
5G.1 Identifying the top 10 primary care research priorities from SAPC stakeholders using a modified Delphi method. Frank Sullivan and Virginia Hernandez Santiago Full abstract

SAPC Ambassadors meeting in Seminar room 1&2


Optional activities:

17.15 - 18.15 Guided tour of trees and sculpture on campus - meet at the SAPC registration desk

Swimming at the outdoor pool at Cornwall House (until 18:00) - pick up blue wrist bands at the SAPC registration desk at The Forum

17.30 - 18.45 Fun football tournament - open to all ages, abilities - meet at the Sports Park


Conference dinner

Day 4 : Friday 5th July


Plenary 3

Chair: John Campbell

Opening Sally Flint

Professor Andrew Hattersley CBE FRS

The app will see you now - improving clinical care in diabetes

6A Heart failure Seminar room 1&2 Clare J Taylor 5 talks
6A.1 How can we optimise the management of people with Heart Failure with Preserved Ejection Fraction (HFpEF)? a qualitative study. Carolyn Chew-Graham Full abstract
6A.2 The diagnostic accuracy and clinical utility of natriuretic peptide based screening for the detection of incident heart failure in the community: a systematic review and meta-analysis Clare Goyder Full abstract
6A.3 How can shared decision making for hypertension or heart failure be supported? A longitudinal qualitative study Rachel Johnson Full abstract
6A.4a Frailty and co-morbidity in patients with heart failure in primary care: predicting risk of hospitalisation Benedict Hayhoe Full abstract
6A.4b Establishing research priorities to improve the management of patients with advanced heart failure in the community Clare Taylor Full abstract
6B Mental health 3 Seminar room 7&8 Chris Dowrick 4 talks
6B.1 The clinical effectiveness of sertraline in primary care and the influence of depression severity and duration: a pragmatic randomised controlled trial. Gemma Lewis Full abstract
6B.2 Does using a clinical prediction tool to triage and tailor treatment improve outcomes for patients with depressive symptoms? Results of the Target-D randomised controlled trial Jane Gunn Full abstract
6B.3 The effectiveness of the Engager Intervention for male prison leavers with common mental health problems, near to and following release: results from a randomised controlled trial. Richard Byng Full abstract
6B.4 Identifying early signals prior to Bipolar Disorder diagnosis in a UK primary care patient cohort Catharine Morgan Full abstract
6C Cancer 3 Tech lab 1 Richard Neal 6 talks
6C.1 Understanding improvements in cancer diagnosis in primary care: Time trends analysis (2006-2015) of diagnostic routes and emergency presentation sub-type in England Lucy Elliss-Brookes Full abstract
6C.2 Two week wait referrals for possible cancer: how much of the variation between GP practices is due to CCGs and hospital trusts? Chris Burton Full abstract
6C.3 What was the impact of changing NICE suspected-cancer referral guidelines on time to diagnosis of ovarian cancer? Sarah Price Full abstract
6C.4a Understanding GP-help seeking with potential cancer symptoms – the Understanding Symptom Experiences Fully (USEFUL) study Peter Murchie Full abstract
6C.4b Common cancer symptoms at presentation and associated stage at diagnosis Gary Abel Full abstract
6C.4c Why are GPs not using dermoscopy? Nigel Hart Full abstract
6D Undergraduate education Seminar room 6 Alex Harding and Joe Rosenthal 5 talks
6D.1 Awakening Critical Consciousness? Opportunities seized and missed in General Practice teaching. Annalisa Manca Full abstract
6D.2 Promoting active practice: medical students in action Liza Kirtchuk and Niki Jakeways Full abstract
6D.3 What is the role of near-peer mentoring in informing medical students about a career in general practice? Anjali Gondhalekar Full abstract
6D.4a Effectiveness of an “interprofessional diabetes education program” using a collaborative learning system in the Web campus on undergraduate healthcare professional students Mina Suematsu Full abstract
6D.4b Investigating the process of goal setting within feedback given in a teaching module in Phase 1 at Leicester Medical School. Fiona Bermingham Full abstract
6E Consultation Seminar room 12 Richard Baker 6 talks
6E.1 Describing the content of general practice consultations: a national morbidity study Clare Bankhead Full abstract
6E.2 A method for measuring continuity of care in day-to-day general practice. Kate Sidaway-Lee Full abstract
6E.3 How can we measure the complexity of general practice consultations? Chris Salisbury Full abstract
6E.4a Primary care consultations rates among practices using Vision® and EMIS® practice management software systems - an evaluation using the Clinical Practice Research Datalink Tarita Murray-Thomas Full abstract
6E.4b Greater continuity and lower mortality: Is there an effect in primary care? Richard Baker Full abstract
6E.4c Developing a patient-centred template for asthma reviews: an IMP2ART implementation strategy Steph JC Taylor Full abstract
6F WORKSHOP Tech lab 2 1 talk
6F.1 What is a pragmatic trial and how do I do a good one? Sandra Eldridge and Sally Kerry Full abstract
6G WORKSHOP Seminar room 10 1 talk
6G.1 Impact, advocacy and outcomes - applying the evidence base to active change Amanda Howe Full abstract

COFFEE BREAK and poster session 2 viewing and discussion

7A Rheumatological conditions Tech lab 1 Nefyn Williams 6 talks
7A.1 Rheumatological conditions as risk factors for self-harm. A retrospective cohort study James Prior Full abstract
7A.2 Acceptability of a nurse-led integrated primary care review for people with inflammatory rheumatological conditions: a qualitative evaluation Daniel Herron Full abstract
7A.3 Patterns of comorbidity and their effects on mortality in rheumatoid arthritis: a study of 5658 UK Biobank participants Ross McQueenie Full abstract
7A.4a The challenge of diagnosis and the management of fibromyalgia in Primary care Heather Brant Full abstract
7A.4b What is the role of primary care in reducing the decline in physical function and physical activity in people with long-term conditions? Findings from realist theory-building workshops using LEGO® SERIOUS PLAY®. Rebecca-Jane Law Full abstract
7A.4c Gaining insights from mixed methods data integration. Use of a triangulation protocol in the iPOPP pilot trial. Daniel Herron Full abstract
7B Information technology 2 Seminar room 6 Brian McKinstry 6 talks
7B.1 What are primary care professionals’ views on patients’ use of self-monitoring technologies at home? Jacob Andrews Full abstract
7B.2 Patient awareness and use of online services in general practice: the Digital Access Now Survey. Carol Bryce Full abstract
7B.3 Understanding the use of a novel interactive electronic medication safety dashboard inprimary care : a mixed methods study Mark Jeffries Full abstract
7B.4a SUpport through Mobile Messaging and digital health Technology for Diabetes (SuMMiT-D): feasibility study protocol. Cassandra Kenning Full abstract
7B.4b Exploring Online Resources for Childhood Eczema: A Survey of Parents’ Online Resource use and mixed methods analysis of Online Exchanges Bethan Treadgold Full abstract
7B.4c The unexpected consequences of digital health: Lessons from a stakeholder workshop Fiona Hamilton / Lorraine McDonagh Full abstract
7C Ageing Seminar room 1&2 Chris Salisbury 6 talks
7C.1 ASPREE-XT (ASPirin in Reducing Events in the Elderly eXTension) study. Mark Nelson Full abstract
7C.2 How can we better support older people at risk of malnutrition living in the community? A qualitative study exploring the views and practices of older people, carers, primary care and community health professionals Christina Avgerinou Full abstract
7C.3 Does a raised inflammatory marker in primary care predict one-year mortality? A prospective cohort study using CPRD Jessica Watson Full abstract
7C.4a Measuring modifiable functional decline and frailty in Primary Care: Is the eFI a suitable tool? Jessica Bollen Full abstract
7C.4b A patient-orientated hospital discharge summary to promote self-care in older patients: a mixed-method study to determine suitability and outcome measures Alyson Huntley Full abstract
7C.4c Prediction of premature all-cause mortality: prospective general population cohort study comparing machine-learning and standard epidemiological approaches Stephen Weng Full abstract
7D Person-centred care Seminar room 12 Julia Hiscock 6 talks
7D.1 How do healthcare professionals discuss unhealthy behaviours with patients? An ethnographic analysis of NHS Health Checks in general practice Caroline Cupit Full abstract
7D.2 Co-designing an intervention to involve patients in organisational decision making in general practice Jessica Drinkwater Full abstract
7D.3 Longer-term follow up of cognitive behavioural therapy (CBT) for irritable bowel syndrome (IBS): 24 month data from the ACTIB trial Hazel Everitt Full abstract
7D.4a How do patients benefit from social prescribing? Chris Burton Full abstract
7D.4b What’s the point of public involvement in an individual participant data meta-analysis of inter-arm blood pressure difference? Kate Boddy Full abstract
7D.4c Placebos in Primary Care? A Nominal Group Study Explicating GP and Patient Views Dr Mohana Ratnapalan Full abstract
7E Hard to reach groups Seminar room 7&8 Jo Protheroe 6 talks
7E.1 Is it time we looked at the impact of languages in primary care research? Lessons from qualitative research with minority ethnic groups Faraz Ahmed Full abstract
7E.2 Street Medics: An innovative learning opportunity for medical students in a primary care outreach setting  Deidre Walsh and Gemma Ashwell Full abstract
7E.3 Access to healthcare for vulnerable migrants - one year on: How can medical student advocates influence local primary care ? Pooja Seta and Isa Ouwehand Full abstract
7E.4a Delivering primary care to patients who are multiply-excluded Emily Clark Full abstract
7E.4b How do we engage participants from underserved populations with a dementia in primary care research? Sarah Griffiths Full abstract
7E.4c Nonverbal communication between registered nurses and patients in general practice during lifestyle risk reduction conversations Sharon James Full abstract
7F WORKSHOP Tech lab 2 1 talk
7F.1 Cultivating an environment of social accountability: academic primary care for the future Bhakti Visani, Christine Douglass, Sonia Kumar Full abstract
7G WORKSHOP Seminar room 10 1 talk
7G.1 What are the opportunities to foster and nurture Quality Improvement in General Practice for medical students, GP trainees and GPs? Nigel Hart, Ann Wylie, Joanna Bircher Full abstract


In the Auditorium

Chair: John Campbell

CONFERENCE PAPERS OF DISTINCTION selected as the best high scoring abstracts

PP1 How appropriate are current primary care responses to poverty-related mental distress?

Felicity Thomas

PP2 Is chlamydia testing in general practice sustainable when financial incentives and external audit plus feedback are removed? ACCEPt-able: a cluster randomised controlled trial

Anna Wood



SAPC ASM 2020 preview


Lunch boxes served

8A WORKSHOP - Big results from brief consultations... Seminar room 6 1 talk
8A.1 Big results from brief consultations. Using Focussed Acceptance and Commitment therapy (FACT) in primary care Bruce Arroll Full abstract
8B WORKSHOP - "Equivalence" - the evolution of primary care in secure environments Tech lab 2 1 talk
8B.1 'Equivalence' - the evolution of primary care in secure environments Jake Hard Full abstract
8C WORKSHOP - Exploring Primary Care physical activity interventions using LEGO® SERIOUS PLAY® Seminar room 10 1 talk
8C.1 Exploring Primary Care physical activity interventions using LEGO® SERIOUS PLAY® Joe Langley, Rebecca Partridge, Rebecca-Jane Law, Nefyn Williams Full abstract


The Forum, Streatham Campus, University of Exeter

The Forum, Stocker Road, Streatham Campus, University of Exeter

Travelling to the conference  


SAPC conference venues (Google) - The Forum: conference venue and Holland Hall: accommodation,  

Streatham Campus map Area A The Forum, Stocker Road, bulding 3 (conference sessions), Holland Hall (accommodation) building 62 

Car parking

We recommend travelling to Streatham Campus, University of Exeter by train but should you be driving parking is available for free at Holland Hall (student accommodation) or in pay and display car parks on the rest of the Campus from 8am to 6pm Monday to Friday. 

Restaurants in/near Exeter

Exploring Exeter, Topsham and Devon

Conference team

Conference social events

Wed 03 Jul - 18:30 to 20:00
Dress code:
As you wish
Thu 04 Jul - 17:15 to 19:00
Thu 04 Jul - 19:30 to 23:45
Dress code:
Smart casual