2020 SW SAPC Bristol

20:20 vision for primary care

5-6 March 2020 at The Bristol Hotel

SW SAPC regional meeting 2020 Abstract Book 

DOI reference: 10.37361/sw.2020.1.1

DOI LINK: https://sapc.ac.uk/doi/10.37361/sw.2020.1.1

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


5 and 6 March 2020

*Registration closed*:

Abstracts can be viewed online by viewing the schedule (programme) below and clicking on the links to 'Full abstract'.

Visit the conference website for all other information you need prior to attending the conference.



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Day 1 : Thursday 5th March


Registration and coffee






Keynote speaker 1: Professor Sir Sam Everington

1A Access and equity (1) Ballroom 1 Matthew Booker 6 talks
1A.1 Which patients miss booked appointments with their general practice and why? A systematic review Jo Parsons and Carol Bryce Full abstract
1A.2 Is continuity of primary care declining in England? A longitudinal study at practice-level with repeated measures for the years 2012 to 2017 Peter Tammes Full abstract
1A.3 A Quantitative Service Evaluation of a Telephone Outreach Initiative to Enhance the Uptake of NHS Health Checks Nikki Coghill Full abstract
1A.4 Inequalities in place of death associated with deprivation in England Sam Hodgson Full abstract
1A.5 Chinese People within End of Life Care in Community Settings: A Scoping Review Susan Zhao Full abstract
1A.6 How do we offer Improved Access with limited staff? Kim Harman Full abstract
1B Cancer Ballroom 2 Willie Hamilton 4 talks
1B.1 Acceptability, understanding and experience of diagnostic tests for prostate cancer: a qualitative study with GPs Samuel W D Merriel Full abstract
1B.2 Oesophagogastric cancer: Timeliness of diagnosis in patients with pre-existing disease Sarah Price Full abstract
1B.3 Guideline discordant diagnostic care: when do primary care referrals not reflect guidelines for suspected cancer? Gary Abel Full abstract
1B.4 Acceptability, understanding and experience of diagnostic tests for prostate cancer: a qualitative study with patients Samuel W D Merriel Full abstract
1C Education Frank Barnwell Lucy Yardley 5 talks
1C.1 EMPATHICA - Developing an Empathy and Optimism training tool for Healthcare Practitioners Kirsten A. Smith Full abstract
1C.2 Continuing Professional Development for General Practitioners in Myanmar: a pilot programme Kerran Kandola Full abstract
1C.3 GP trainees’ and First5’s preparedness for complaints Olivia Jagger Full abstract
1C.4 What do medical students expect from primary care teaching? Zoe Brown and Lucy Jenkins Full abstract
1C.5 The Development of Palliative Care Education and Training for General Practitioners in Yangon, Myanmar: a workshop success Kerran Kandola Full abstract
1D Diagnosis (1) George White Alastair Hay 5 talks
1D.1 A meta-analysis over multiple thresholds to compare two prediction rules for acute pharyngitis Brian Willis Full abstract
1D.2 A mixed-methods evaluation of a novel microbiological point-of-care test for patients with respiratory tract infections in primary care Tanzeela Y Khalid Full abstract
1D.3 Development of the Birmingham Lung Improvement Studies (BLISS) prognostic score for COPD patients in primary care: data from the Birmingham COPD cohort Andrew P Dickens Full abstract
1D.4 Professionals’ views on using point-of-care CRP testing and delayed antibiotic prescriptions: a focus group study in high antibiotic prescribing general practices Sarah Tonkin-Crine Full abstract
1D.5 Perspectives on laboratory tests in chronic disease monitoring: preliminary results from a survey among GPs across UK Martha MC Elwenspoek Full abstract



Primary Healthcare Scientists (PHoCuS) meeting: for non-medical delegates

2A Access and equity (2) Frank Barnwell Peter Tammes 5 talks
2A.1 Do digital-first consultation models reduce or increase GP workload? Chris Salisbury Full abstract
2A.2 Awareness and use of online appointment booking in general practice: analysis of GP Patient Survey data Mayam Gomez Cano Full abstract
2A.3 Primary care community hubs – what are they for, what do they look like and do they work? A rapid review. Lorna Duncan Full abstract
2A.4 Work in progress: Mind the Gap: Understanding the implications of the digital divide on healthcare inequalities during the NHS digital transformation, for patients with long-term conditions. Ben Ainsworth Full abstract
2A.5 Improving patient access to primary care through a nurse triage system. Megan Elliott Full abstract
2B Skin Ballroom 1 Matt Ridd 6 talks
2B.1 Views and experiences of managing eczema: systematic review and thematic synthesis of qualitative studies Emma Teasdale Full abstract
2B.2 What are the barriers to treatment use amongst parents/carers of children with eczema and young people with eczema: questionnaire survey in primary care, secondary care and social media Katy Sivyer Full abstract
2B.3 A systematic review with a network meta-analysis of topical treatments for acne Emma Maund Full abstract
2B.4 Validation of the RECAP measure of eczema long-term control Alisha Bhanot Full abstract
2B.5 How does the elicitation and exploration of parent treatment preferences effect the conduct of primary care trials with children: a secondary qualitative analysis of baseline visits within the Best Emollient for Eczema (BEE) trial. Grace Boyd Full abstract
2B.6 The Eczema Care Online (ECO) trial RCT protocol: how clinical and cost-effective are two online interventions to support eczema self-care? Mary Steele Full abstract
2C Domestic Violence Ballroom 2 Eszter Szilassy 4 talks
2C.1 Domestic violence screening in pregnancy and postpartum in Coventry and Warwickshire; an investigation into barriers. Caitlin Edwards Full abstract
2C.2 Domestic abuse (DA) amongst female doctor parents: a qualitative study. Emily Donovan Full abstract
2C.3 What are women's experiences of the IRIS programme? A thematic analysis of free text quotations from service users for the year April 2018 - March 2019 Sophie Lloyd Full abstract
2C.4 How does the media effect domestic violence in India? Samya Sarfaraz Full abstract
2D Respiratory George White Christie Cabral 5 talks
2D.1 The At-Risk Registers Integrated into primary care to Stop Asthma crises in the UK (ARRISA-UK) trial: Has the ARRISA-UK intervention led to perceived improvements in the management of ‘at-risk’ asthma patients in primary care? Saumil Hiremath Full abstract
2D.2 Retrospective treatment outcome study of treatment seeking for cough in China Xiao-Yang (Mio) Hu Full abstract
2D.4 The At-Risk Registers Integrated into primary care to Stop Asthma crises in the UK (ARRISA-UK) trial: How has the ARRISA-UK intervention been experienced and acted upon by different types of GP practices? A longitudinal, comparative case study Charlotte Reburn Full abstract
2D.5 EXCALIBUR: Treating Acute EXacerbation of COPD with Chinese HerbAL MedIcine to aid AntiBiotic Use Reduction Tom Oliver Full abstract
2D.6 What clinical signs, symptoms, and investigations are associated with poor prognosis in children with respiratory tract infections? George Edwards Full abstract

Poster viewing/refreshments

3A Diagnosis (2) Ballroom 1 Sam Merriel 6 talks
3A.1 “If it’s less than twenty, you can turn around and say “computer says no””; Clinician perspectives on access to CRP testing in primary care out of hours bases. Sharon Dixon Full abstract
3A.2 To what extent do patients and GPs have a shared understanding of blood testing in primary care? Jessica Watson Full abstract
3A.3 Non-contact thermometers: a method comparison study assessing agreement with electronic axillary and infrared tympanic thermometers. Gail Hayward Full abstract
3A.4 Rapid antigen test to detect strep A infection in patients with sore throat: evidence from a pathfinder NHS Sore Throat Test & Treat service in community pharmacies in Wales Efi Mantzourani Full abstract
3A.5 Impact of a Pathfinder Sore Throat Test & Treat service in community pharmacies on GP sore throat related consultation rates Efi Mantzourani Full abstract
3A.6 Diagnosis of peripheral arterial disease in primary care: a survey of general practitioners in England Judit Konya Full abstract
3B Urgent and out of hours care Frank Barnwell Alyson Huntley 5 talks
3B.1 Primary care streaming in emergency departments and perceived mechanisms for effectiveness Michelle Edwards Full abstract
3B.2 How are paramedics deployed in general practice and what are the perceived benefits and drawbacks? A mixed methods scoping study Matthew Booker Full abstract
3B.3 Are National Early Warning Scores calculated in primary care associated with clinical outcomes during subsequent secondary care admissions? Lauren Scott Full abstract
3B.4 PERCH – Preliminary Exploration of the Role of paramedics in Care Homes Mark Kingston Full abstract
3B.5 Senior clinical and business managers’ perspectives on how different funding mechanisms and models of employing GPs in or alongside EDs influence wider system outcomes. Qualitative Study. Mazhar Choudhry Full abstract
3C Multimorbidity/Health services research Ballroom 2 Chris Salisbury 6 talks
3C.1 Characteristics, service use and mortality of clusters of multimorbid patients in England: a population-based study Rupert Payne Full abstract
3C.2 'Bridging Gaps'- use of a coproduction approach to improve experiences accessing primary care for women with complex needs Helen Mcgeown Full abstract
3C.3 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 synthesis involving theory-building workshops, systematic and iterative literature searches Rebecca-Jane Law Full abstract
3C.4 What are the challenges to managing multimorbidity in the elderly, from both GP and patient perspectives? Emily Brown Full abstract
3C.5 How do we evaluate social prescribing interventions: a utilisation-focused approach Emma Ladds Full abstract
3C.6 Can a Primary Care Network deliver the NHS Long Term Plan? Kim Harman Full abstract
3D Cardiovascular George White Rachel Johnson 6 talks
3D.1 Group-delivered interventions to improve control of blood pressure in hypertension Nataliya Makukha Full abstract
3D.2 Arm Based on LEg blood pressures (ABLE-BP): Can leg blood pressure measurements predict brachial blood pressure? An individual participant data meta-analysis from the INTERPRESS-IPD Collaboration Sinead McDonagh Full abstract
3D.3 Home and Online Management and Evaluation of Blood Pressure (HOME BP): Main results from a randomised controlled trial Richard McManus Full abstract
3D.4 Patients’ views about screening for atrial fibrillation (AF): a qualitative study in primary care Christopher Wilcox Full abstract
3D.5 Systolic inter-arm blood pressure difference and cognitive decline: Findings from the INTERPRESS-IPD Collaboration Christopher E Clark Full abstract
3D.6 Two year outcomes of patients with newly diagnosed atrial fibrillation: UK findings from the GARFIELD-AF registry Patricia Apenteng Full abstract

Optional recreational activity


Drinks reception


Conference dinner

Day 2 : Friday 6th March


Registration and coffee




Keynote speaker 2: Dr Helen Atherton

4A Public health/lifestyle Ballroom 1 Carolyn Wallace 5 talks
4A.1 Effectiveness of physical activity promotion and exercise referral in primary care: a systematic review and meta-analysis of randomised controlled trials Jean-Pierre Laake Full abstract
4A.2 What influences men's engagement with weight loss services? A qualitative study. Megan Elliott Full abstract
4A.3 Engagement of parkrun event teams in linking with GP practices to support patient and staff participation in local 5km events Joanna Fleming Full abstract
4A.4 Household transmission of antibiotic resistant and susceptible bacteria: a systematic review Niamh Roberts Full abstract
4A.5 The parkrun practice: an investigation of how GP practices use their websites in the promotion of parkrun to patients Rebecca Mensah Full abstract
4B Complexity/long-term conditions Ballroom 2 Jessica Watson 6 talks
4B.1 The difficulty of measuring and communicating breathlessness-a cognitive interview study Alice Malpass Full abstract
4B.2 Practice experiences of the At-Risk Registers Integrated into primary care to Stop Asthma crises in the UK (ARRISA-UK) intervention: a qualitative study Leon Poltawski Full abstract
4B.3 Exploring patients experience of living with diabetes in Ecuador: preliminary results of focus groups. Jimmy Martin Delgado Full abstract
4B.4 What is the prevalence and impact of osteoporotic vertebral fractures in older women with back pain? Vfrac: Population-based cohort study Tarnjit Khera Full abstract
4B.5 Academic General Practitioners as realist researchers: Lessons learned Freya Davies Full abstract
4B.6 What methods are being used to create an evidence base underlying chronic disease monitoring in primary care? A scoping review Martha Elwenspoek Full abstract
4C Mental health (1) George White Katrina Turner 5 talks
4C.1 Patient and Health Professional experiences of reducing antidepressant medication as part of the REDUCE feasibility RCT Samantha Williams Full abstract
4C.2 REDUCE antidepressant reduction feasibility RCT Tony Kendrick Full abstract
4C.3 Therapeutic interventions to maintain abstinence from recently detoxified, alcohol dependence in primary care: a systematic review and network meta-analysis Hung-Yuan Cheng Full abstract
4C.4 How much change is enough? Evidence from a longitudinal study on depression in UK primary care. Daphne Kounali Full abstract
4C.5 Do primary care patients think it is important to consider anxiety separately from depression? Charlotte Archer Full abstract
4D IT and communication Frank Barnwell Jeremy Horwood 6 talks
4D.1 Parents online exchanges about eczema treatments: qualitative analysis of online discussion forums Bethan Treadgold Full abstract
4D.2 How does the adoption of digital health tools in primary care impact clinician-patient communication? Some lessons from the DECODE study into unintended consequences Andrew Turner Full abstract
4D.3 Optimisation of Eczema Care Online (ECO) a web-based intervention to support self-management: a qualitative think aloud interview study with parents or carers of children with eczema Mary Steele Full abstract
4D.4 Do Electronic Palliative Care Coordination Systems (EPaCCS) increase the chances of a good death? Lucy Pocock Full abstract
4D.5 The use of digital health interventions by people with type two diabetes and implications for health inequalities: A qualitative study Sophie Turnbull Full abstract
4D.6 Access Study: Realist evaluation of patient access to electronic medical test results services in general practice in England. Gemma Lasseter Full abstract


5A Mental health (2) Ballroom 1 Alice Malpass 6 talks
5A.1 GPs’ views and experiences of patients with an at-risk mental state (ARMS) for psychosis Daniela Strelchuk Full abstract
5A.2 CARMEN: Evaluation of a Point of Care Device in improving physical health check uptake in two community mental health teams Joseph Butler Full abstract
5A.3 Improving psychosis prediction using primary care consultation data (MAPPED Study) Sarah Sullivan Full abstract
5A.4 The relationship between antipsychotic prescribing and the proportion of those with psychosis with a care plan: a cross-sectional study of practice-level data in England. Ali Ridha Full abstract
5A.5 Has the increased risk of cardiovascular mortality with Severe Mental Illness (SMI) compared to the general population changed over time? Amanda Lambert Full abstract
5A.6 Do physicians in primary care and mental healthcare professionals in America treat marginalized patients holistically? A literature review. Angel Bierce Full abstract
5B Patient-clinician relationship and communication Frank Barnwell Fiona Wood 6 talks
5B.1 How can primary care clinician’s optimise patient expectations about OA management? An exploratory study investigating patient perspectives about positive framing in the OA consultation. Emily Lyness Full abstract
5B.2 Patient perspectives of empathic and positive communication for osteoarthritis in Primary Care: an analogue study Jane Vennik Full abstract
5B.3 What are GPs perspectives, experiences and challenges when supporting patients with possible endometriosis in primary care? Sharon Dixon Full abstract
5B.4 An Exploration of Compassionate Care from the Perspectives of Older People, Carers and Service Providers Molly Curtis Full abstract
5B.5 Communication between patients and primary care providers after discharge from hospital - a scoping review Rachel Spencer Full abstract
5B.6 Discussions regarding dental recall interval: preferences for shared decision-making in dentistry Hannah Scott Full abstract
5C Prescribing Ballroom 2 Rupert Payne 6 talks
5C.1 The impact of NHS England prescription guidance for Clinical Commissioning Groups on prescribing rates of simple analgesia in primary care. Hannah Reichel Full abstract
5C.2 Amitriptyline at Low-dose and Titrated for Irritable Bowel Syndrome as Second-line Treatment (The ATLANTIS study): A Double-blind Placebo-controlled Trial Hazel Everitt Full abstract
5C.3 Understanding the gap between prescribing guidelines and behaviour: a qualitative study in UK general practice Mary Carter Full abstract
5C.4 Development of a model of clinical medication review for use in clinical practice Deborah McCahon Full abstract
5C.5 Factors predicting the prescribing of statins for the primary preventing of cardiovascular disease: an historical cohort study Samuel Finnikin Full abstract
5C.6 Adverse events associated with a patent Traditional Chinese Medicine (Shufeng Jiedu Capsule) in clinical practice: a systematic review and meta-analysis of randomized controlled trials Xiaoyang Hu Full abstract
5D Infection George White Sarah Tonkin-Crine 5 talks
5D.1 Delayed Antibiotic Prescribing for Respiratory Tract Infections: an Individual Patient Data Meta-Analysis Beth Stuart Full abstract
5D.2 Implementing a centralised nurse-led telephone-based service to manage chlamydia and gonorrhoea infections diagnosed in primary care: mixed methods evaluation Jeremy Horwood Full abstract
5D.3 The early use of Antibiotics for at Risk CHildren with InfluEnza (ARCHIE): a double-blind randomised placebo-controlled trial Kay Wang Full abstract
5D.4 Using evidence-based infographics to increase parents’ understanding about antibiotic use and antibiotic resistance: a proof-of-concept study Oliver Van Hecke Full abstract
5D.5 Clinicians views and experiences of implementing a complex intervention to reduce antibiotic prescribing in children with Respiratory Tract Infections in primary care Clare Clement Full abstract

Keynote speaker 3: Professor David Kessler


Closing speech, prizes. Introduction to South West SAPC 2021.


Packed lunch to take away


The Bristol Hotel

Prince Street

For more information, see the conference website.

Conference team