I started working at the University of Manchester in 1993. I am Professor of Primary Care Research in the School of Health Sciences. I am a health services researcher that has published extensively using a range of HSR methodologies on the quality of care and patient safety in general practice, ambulatory and primary (health) care and health care systems, the development and application of quality improvement strategies, and the use of quality indicators, incentives  and other national quality initiatives. I have grant income of £23,250,000 and an H-Index of 35  with >275 publications generating > 20,000 citations.

I was Professor of Primary Care Research at the University of Canberra for 3 years until December 2017 and had an honorary contract as Professor of Primary Care Research at the University of Melbourne for 5 years until December 2017. I was an honorary senior researcher at the University of Heidelberg from 2008-2013.

I am currently an honorary Professor of Primary Care Research at Sefako Makgatho Health Science University (SMU) in Pretoria, South Africa with a focus on CD, NCDs as well as Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS) across Africa and globally.

I have worked with researchers and/or given advice to policy makers in Australia, Bangladesh, Belgium, Brazil, Canada, Denmark, Egypt, France, Germany, Ghana, Holland, Italy, Ireland, Jersey, Mexico, New Zealand, Pakistan, Poland, South Africa, Spain, Sweden, Uganda, Ukraine, USA and across Africa. I have an increasing focus on sub-Saharan Africa, in helping to develop research and policies around quality of care,  quality improvement and patient safety.

I have been Course Unit Lead and taught Primary Health Care on the Manchester MPH since 2007.

I led the grant and established the National Institute for Health and Care Research (NIHR) Greater Manchester Primary Care Patient Safety Translational Research Centre from 1 August 2012- 31 July 2017 (GM PSTRC) and Director of the NIHR Greater Manchester Patient Safety Translational Research Centre (GM PSTRC) from 1 April 2017- 31 May 2021. I have always prioritised capacity development and staff career development.

I have a long-standing personal and professional interest in and commitment to suicide prevention and postvention including research projects, commissioning research and capacity development. This includes strategies to promote mental health and wellbeing generally and also within schools.

I have a long-standing interest in patient and public involvement and engagement as a researcher and leading the NIHR PSTRC grants. In the latter I allocated 8-9% of the 2012-2017 and 2017-2023 PSTRC budgets to PPI-E and capacity building.

My publications include three articles in the New England Journal of Medicine and 14 in the British Medical Journal. I helped develop many of the quality indiciators used in the UK Quality and Outcomes Framework and set up and led the external contractor working with the National Institute of Health and Care Excellence (NICE) to support the ongoing development of indicators for the QOF.  I led the development of Practice  Accreditation scheme working with the Royal College of General Practitioners. I co-developed the European Practice Assessment accreditation scheme, which has received the 2009 award of the European Health Forum Gastein. This award ('European Oscar for healthcare') is given to major innovations in European healthcare. I was Postgraduate Research Tutor for Primary Care from May 2007-April 2015. 

I am a member of multiple NIHR leadership, career and capacity development committees i.e., HEE/NIHR Integrated Clinical Academic/Lectureship Schemes; 2022-2025 Leadership Development/Support Programme; 2022-2025 Emerging Leaders; SPARC & Global SPARC (Deputy Chair); and Academy Forum.

University Senate and General Assembly: 2011-2014

Piperska Rational Prescribing Group (http://www.piperska.org)

I am Professor of Primary Care Resarch. I was University Chief Investigator of the £6,208,281 National Institute for Health and Care Research (NIHR) Greater Manchester Primary Care Patient Safety Translational Research Centre (1 August 2012-31 July 2017), which I set up from scratch, and Director of the £6,699,539 NIHR Greater Manchester Patient Safety Translational Research Centre (1 August 2017-31 May 2021).

My research interests focus on quality and safety of care in ambulatory and primary (health) care, particularly general practice, primary dental care, accreditation, quality assessment and quality improvement, incentivisation/pay-for-performance and patient perspectives. I have an interest in chronic disease management and comorbidity, CDs,NCDs and increasingly AMR and AMS and the appropriate use of antibiotics, globally but especially in Africa.

I have been involved in developing methods of measuring quality including quality indicators and questionnaires. I set up and led the NICE process for developing general practice quality indicators for the £1billion Quality and Outcomes Framework (2009-2011). I am involved in ongoing collaborations with colleagues across Europe, Australia and across Africa. Most of my current research is focused on quality of care in Africa, including CDs, NCDs, the appropriate use of antibiotics, Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS).

I have a long-standing personal and professional interest in and commitment to suicide prevention and postvention including research projects, commissioning research and capacity development. This includes strategies to promote mental health and wellbeing generally and also within schools.

I have worked with researchers and/or given advice to policy makers in Australia, Bangladesh, Belgium, Brazil, Canada, Denmark, France, Germany, Holland, Italy, Ireland, Jersey, Mexico, Poland, South Africa, Spain, Sweden, Ukraine and across Africa, with an increasing focus on sub-Saharan Africa, in helping to develop research and policies around quality of care,  quality improvement and patient safety.

• Primary Care
• Ambulatory care
• Quality of care definition and asessment
• Patient Safety
• AMS and AMR
• Quality improvement
• Accreditation
• Audit/Evaluation
• Qualitative
• Quantitative
• Systematic reviews/evidence based practice

Postgraduate Research Tutor-   Primary Care and Institute of Population Health from April 2007 - March 2015

i have supervised 14 PhD students to completion and as of January 2019, I supervise 3 PhD students at UoM

Primary health care module course lead on MPH

NIHR training lead for NIHR Greater Manchester Primary Care Patient Safety Translational Reseach Centre (2012-2017)

I am Chair of Governors at Vernon Park Primary School in Stockport.

I am Professor of Primary Care Research in the Centre for Primary Care & Health Services Research of the Division of Population Health, Health Services Research and Primary Care. I set up and had a leading role in the National Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Translational Research Centre (GM PSTRC) for nearly 9 years from August 2012.

I qualified with a degree in Public Administration from Leicester Polytechnic  in Leicester in 1987. I then completed a Masters (MA Econ) course in local government at the University of Manchester in 1990. After working for a health authority I joined the University as a researcher in 1993 as a research associate at the Department of General Practice. In 1996 I moved to the National Primary Care Research and Development Centre, where I was a research fellow and then senior research fellow. I then became a Reader in Pimary Care before becoming a Professor of Primary Care Research. I obtained my PhD from the University of Manchester in 2002 on quality of care in general practice.

I am the course leader for the Primary Health Care Module of the Masters in Public Health/Masters in Research. I am deeply committed to an explicit focus on primary care in the MPH. I was postgraduate research tutor for primary care and the Institute of Population Health from 2007-2015

I have held a joint contract at the Department of General Practice, University of Heidelberg, Germany and have held joint Professorial contracts at the University of Nijmegan, the Australian National University, the University of Melbourne and the University of Canberra. I am currently an Honorary Professor of Primary Care at Sefako Makgatho Health Sciences University (SMU) in Pretoria, South Africa.

I worked at the National Primary Care Research and Development Centre between 1996 and 2010 . My main research interests focus on the quality and safety of primary care and across transitions of care and the development and application of quality and safety measures and improvement strategies.

BA (Hons, First), MA (Econ), PhD