Professor of Primary Care Medicine and Honorary Consultant NHS Fife
Understanding and improving healthcare quality and safety, particularly in relation to prescribing and multimorbidity
Quality, Safety and Informatics Research Group
Kirsty Semple Way
+(44) 01382 383740
Professor Guthrie is currently Professor of Primary Care Medicine at the University of Dundee Medical School where he leads the Quality, Safety and Informatics Research Group, which conducts applied research to translate basic and clinical research into effective and reliable clinical practice. He was previously a Medical Research Council Health Services Research Fellow at University of Edinburgh, an National Institute for Health Research post-doctoral research fellow at University of Dundee, and a 2006/7 Commonwealth Fund Harkness Fellow in Healthcare Policy at University of California San Francisco where he was also a Visiting Professor in 2010. His main research interests are the quality and safety of healthcare, particularly in primary care and currently focused on prescribing and the organisation of healthcare. Professor Guthrie is a mixed methods researcher and collaborate with researchers from a wide range of disciplines and institutions. He regularly reviews for various grant-making bodies and journals, contribute to undergraduate and postgraduate medical teaching, and supervise and examine MSc and PhD students in Dundee and other universities.
As well as conducting research, Professor Guthrie practices clinically in a general practice in Cardenden in NHS Fife, and is a member of a number of National Health Service advisory bodies, including the National Institute for Health and Clinical Excellence Quality and Outcomes Framework Indicators Advisory Committee (which recommends which quality indicators should be included in the UK primary care pay for performance programme) where he chairs the Methods, Retirement, Thresholds and Review Sub-committee. In 2014, he was appointed the Scottish Primary Care Research Champion by Scottish Government Chief Scientist Office, and was appointed by NICE to chair the guideline development group for the NICE Clinical Guideline on Multimorbidity.
My main research interests are the quality and safety of healthcare, particularly in primary care and currently focused on prescribing and the organisation of healthcare. I am a mixed methods researcher and collaborate with researchers from a wide range of disciplines and institutions.
Current research grants
Guthrie B, Payne K, McCowan C, Wilson M, Stokes T, Sutton M, Alderson P, Treweek S. Better guidelines for better care: accounting for multimorbidity in clinical guidelines. NIHR Health Services and Delivery Research Programme. Oct 2012 to April 2015. £487,999
Guthrie B, Rees C, Dowell J. UK Clinical Aptitude Test (UKCAT) Research Data Management. UKCAT Consortium Apr 2011 to Mar 2014 £91,339
Main fellowship supervisor or mentor
Hernandez Santiago V, Guthrie B, Davey PG, Marwick CA. A multilevel analysis of the impact of changes in antimicrobial prescribing on antimicrobial resistance. Chief Scientist Office Clinical Academic Fellowship for Dr Virginia Hernandez Santiago. Jan 2013 to Dec 2016. £232,847
van der Pol M, Elliott B, Dusheiko M, Guthrie B, Jorm L, Leyland A, Olajide D. Avoidable Scottish Hospitalisations (ASH). Chief Scientist Office, Scottish Government Health Department. Jul 2013 to Jun 2015. £187,820
Salisbury C, Hollinghurst S, Mercer S, Bower P, Guthrie B, Brookes S, Heawood A, Rafi I, Mann C, Gjini A. Improving the management of patients with multimorbidity in general practice. NIHR Health Services and Delivery Research Programme. £1,890,000
Renfrew M (CI), Guthrie B (coapplicant). Scottish Improvement Science Research, Development And Knowledge Translation Collaborating Centre (SISCC). Chief Scientist Office, Scottish Funding Council, NHS Health Improvement Scotland, The Health Foundation. £3,500,000
Grant S, Ring A, Mclean G, Guthrie B, Gabbay M, Mair F, Watt G, Heaney D, O’Donnell, C. Soft governance, restratification and the 2004 general medical services contract: the case of UK primary care organisations and general practice teams. Sociology of Health and Illness 2015 37(1);30-51
Wallace E, Salisbury C, Guthrie B, Lewis C, Fahey T, Smith SM. Clinical review: managing patients with multimorbidity in general practice. BMJ 2015;350:h176
Heath C, Mercer SW, Guthrie B. Vascular co-morbidities in younger people with dementia: a cross-sectional population based study of 616,245 middle-aged people in Scotland. Journal of Neurology, Neurosurgery and Psychiatry 2014 online first 0:1–6. doi:10.1136/jnnp-2014-309033.
Smith DJ, Court H, Mclean G, Martin D, Langan J, Gunn J, Guthrie B, Mercer SW. Depression and multimorbidity: cross-sectional study of 1,751,841 patients in primary care. Journal of Clinical Psychiatry 2014;75(11): 1202-1208.
Guthrie B, Dreischulte T. Quality in primary care. BMJ 2014 349: g6485
Van Hecke O, Guthrie B. Oral ketamine analgesia in chronic pain and problematic rise in blood pressure. BMJ Case Report 2014 doi:10.1136/bcr-2014-207836
Barnett KN, Bennie M, Treweek S, Robertson C, Petrie DJ, Ritchie LD, Guthrie B. Effective Feedback to Improve Primary Care Prescribing Safety (EFIPPS) a pragmatic three-arm-cluster randomised trial: designing the intervention (clinicaltrials.gov registration NCT01602705). Implementation Science 2014:9(1);133
McLean G, Gunn J, Wyke S, Guthrie B, Watt GCWW, Blane DN, Mercer SW. The influence of socioeconomic deprivation on multimorbidity at different ages. BJGP 2014;64:e440-e447.
Simpson RJ, McLean G, Guthrie B, Mair F, Mercer SW. Physical and mental health comorbidity is common in people with multiple sclerosis: nationally representative cross-sectional population database analysis. BMC Neurology 2014;14(1):128
Ruscitto R, Smith B, Guthrie B. Changes in opioid and other analgesic use 1995-2010: repeated cross-sectional analysis of dispensed prescribing for a large geographical population in Scotland. European Journal of Pain 2014 online early http://onlinelibrary.wiley.com/doi/10.1002/ejp.520/abstract
Jones NRV, Fischbacher CM, Guthrie B, Leese G, Lindsay RS, McKight JA, Perason D, Philip S, Sattar N, Wild SH for the Scottish Diabetes Research Network Epidemiology Group. Factors associated with statin treatment for the primary prevention of cardiovascular disease in people within 2 years following diagnosis of diabetes in Scotland, 2006–2008. Diabetic Medicine 2014 early view DOI: 10.1111/dme.12409
Marwick C, Guthrie B, Pringle J, Evans J, Nathwani D, Donnan P, Davey P. A multifaceted intervention to improve sepsis management in general hospital wards with evaluation using segmented regression of interrupted time series. BMJ Qual Saf 2014 23(12): e2. http://qualitysafety.bmj.com/content/early/2013/11/20/bmjqs-2013-002176.abstract?sid=e5185e49-b991-4b29-a375-c51e139ec325
Dreischulte T, Madhok V, Barnett K, Guthrie B. Oral anticoagulation and antiplatelet treatment in relation to stroke risk in patients with atrial fibrillation: a population database analysis. European Journal of General Practice 2014; 20(3):181-189.
O’Brien R, Wyke S, Watt GCM, Guthrie B, Mercer SW. The ‘everyday work’ of living with multimorbidity in socio-economically deprived areas of Scotland. Journal of Comorbidity 2014;4(1):1-10.
McMurdo MET, Witham MD, Johnston D, Struthers A, Guthrie B, Matthew K. Identifying older heart failure patients with major depression in primary care: a feasibility study. International Journal of Geriatric Psychiatry 2014; 29: 546-9.
Guthrie B, Morales D. What happens when pay for performance stops? BMJ 2014;348:g1413
Morales D, Lipworth B, Guthrie B, Jackson C, Donnan P, Santiago VH. Risk of acute selective NSAID or COX-2 inhibitor exposure in aspirin exacerbated respiratory disease: meta-analysis of controlled clinical trials. Journal of Allergy and Clinical Immunology 2014: 2014; 134: 40-45
Grant S, Guthrie B, Entwistle VA, Williams B. Dimensions of culture in primary care medical practices: insights from a systematic literature search and meta-ethnography of qualitative research from the UK, US, Canada, Australia and New Zealand. Journal of Health Organisation and Management 2014; 28(1): 21 - 40.
Grant A, Guthrie B, Dreischulte T. Developing a complex intervention to improve prescribing safety in primary care: mixed methods feasibility and optimisation pilot study. BMJ Open 2014;4:1
Marwick C, Guthrie B, Pringle JAC, McLeod SR, Evans JMM, Davey PG. Identifying which septic patients have increased mortality risk using severity scores: a cohort study. BMC Anaesthesiology 2014;14:1.
Sumukadas D, McMurdo MET, Mangoni AA, Guthrie B. Temporal trends in anticholinergic medication prescription in older people: repeated cross-sectional analysis of population prescribing data. Age and Ageing 2014:43(4);515-521.
Smith D, Martin D, Mclean G, Langan J, Guthrie B, Mercer SW. Multimorbidity in bipolar disorder and under-treatment of cardiovascular disease: cross sectional study. BMC Medicine 2013;11:263
Sumukadas D, McMurdo MET, Mangoni AA, Guthrie B. Temporal trends in anticholinergic medication prescription in older people: repeated cross-sectional analysis of population prescribing data. Age and Ageing 2013 Advance Access Dec 2013 doi: 10.1093/ageing/aft199
Lawson K, Mercer S, Wyke S, Grieve E, Guthrie B, Watt G, Fenwick E. Double trouble: The impact of multimorbidity and deprivation on preference-weighted health related quality of life a cross sectional analysis of the Scottish Health Survey. International Journal for Equity in Health 2013, 12(1):67.
Guthrie B, Clark SA, Reynish EL, Morales DR, McCowan C. Differential impact of two risk communications on antipsychotic prescribing to people with dementia in Scotland: segmented regression time series analysis 2001-2011. PLoS One 2013;8(7): e6897.
Mathieson L, Severn A, Guthrie B. Monitoring and adverse events in relation to ACE inhibitor/angiotensin receptor blocker initiation in people with diabetes in general practice: a population database study. Scottish Medical Journal 2013;58, 69-76.
Smith, DJ, Langan J, McLean M, Guthrie B, Mercer SW. Schizophrenia is associated with excess multiple physical-health comorbidities but low levels of recorded cardiovascular disease in primary care: cross-sectional study. BMJ Open 2013;3(4).
Duffy MA, Hernandez Santiago V, Orange G, Davey PG, Guthrie B. Prior trimethoprim prescription and trimethoprim resistance in childhood urinary tract infections: multilevel modelling of population data 2004-2009. British Journal of General Practice 2013; 623: e238-e243
Payne RA, Abel GA, Guthrie B, Mercer SW. The impact of physical multimorbidity, mental health conditions and socioeconomic deprivation on unplanned hospital admissions: a retrospective cohort study. Canadian Medical Association Journal 185:E221-E228: online publication ahead of print Feb 2013
Saunders, C, Byrne CD, Guthrie B, Lindsay R, McKnight J, Philip S, Sattar N, Walker JJ, Wild SH on behalf of the Scottish Diabetes Research Network Epidemiology Group. External validity of randomised controlled trials in glycaemic control and the influence on vascular disease: how representative are participants? Diabetic Medicine 2013;30(3);300-308
Morales DR, Jackson C, Fielding S, Guthrie B. Long acting β-agonist prescribing in people with asthma in primary care. Thorax 2013;68:192-194
McCowan C, Magin P, Clark S, Guthrie B. An observational study of psychotropic drug use in older patients resident in their own home or in care. Age and Ageing 2013; 42(1):51-56
Hughes L, McMurdo M, Guthrie B. Guidelines for people not for diseases: the challenges of applying UK clinical guidelines to people with multimorbidity. Age and Ageing 2013; 42(1): 62-69
Grant A, Treweek S, Dreischulte T, Foy R, Guthrie B. Process evaluations for cluster-randomised trials of complex interventions: a proposed framework for design and reporting. Trials 2013;14:15
Moskovitz D, Guthrie B, Bindman AB. The Role of Data in Health Care Disparities in Medicaid Managed Care. Medicare and Medicaid Research Review 2012 2(4): E1-E15.
Guthrie B, Treweek S, Petrie D, Barnett K, Ritchie LD, Robertson C, Bennie M. Protocol for the Effective Feedback to Improve Primary Care Prescribing Safety (EFIPPS) study: a cluster randomised controlled trial using ePrescribing data (clinicaltrials.gov registration NCT01602705). BMJ Open 2012; 2(6)
Guthrie B, Payne K, Alderson P, McMurdo MET, Mercer SW. Adapting clinical guidelines to take account of multimorbidity. BMJ 2012;345:e6341
Mercer SW, Gunn J, Bower P, Wyke S, Guthrie B. Managing patients with mental and physical health comorbidity. BMJ 2012;345:e5559
Grant A, Dreischulte T, Treweek S, Guthrie B. Protocol of a mixed methods evaluation of a cluster randomised trial to improve the safety of NSAID and antiplatelet prescribing: Data-driven quality improvement in primary care (DQIP). Trials 2012; 13:154
Smith BH, Guthrie B, Sullivan FM, Morris AD. A thesis that still warrants defence and promotion: Commentary on Mackenzie J. A defence of the thesis that “The opportunities of the general practitioner are essential for the investigation of disease and the progress of medicine”. Br Med J 1921 1 (3153) 797-804. International Journal of Epidemiology 2012; 41(6): 1518-1522
Colhoun HM, Livingstone SJ, Looker HC, Morris AD, Wild SH, Lindsay RS, Reed C, Donnan PT, Guthrie B, Leese GP, McKnight J, Pearson DWM, Pearson E, Petrie JR, Philip S, Sattar N, Sullivan FM, McKeigue P for the Scottish Diabetes Research Network Epidemiology Group. Hospitalised Hip Fracture Risk with Rosiglitazone and Pioglitazone Use Compared with other Anti-diabetic Drugs. Diabetologia 2012; 55(11): 2929-2937
Mercer S, Guthrie B, Furler J, Watt G, Hart JT. Multimorbidity and the inverse care law in primary care. BMJ 2012;344:e4152
Barnett K, Mercer S, Norbury M, Watt G, Wyke S, Guthrie B. The epidemiology of multimorbidity in a large cross-sectional dataset: implications for health care, research and medical education. The Lancet 2012: 380; 37-43
Dreischulte T, Guthrie B. High-risk prescribing and monitoring in primary care: how common is it, and how can it be improved? Therapeutic Advances in Drug Safety 2012; 3(4): 175-184
Murphy D, Guthrie B, Sullivan S, Mercer S, Russell A, Bruce D. Insightful Practice: a useful measure for professional revalidation. BMJ Quality and Safety 2012;21(8);649-656
Dreischulte T, Grant A, McCowan C, McAnaw J, Guthrie B. Quality and safety of medication use in primary care: consensus validation of a new set of explicit medication assessment criteria and prioritisation of topics for improvement. BMC Clinical Pharmacology 2012:12;5 doi:10.1186/1472-6904-12-5
Dreischulte T, Grant A, Donnan P, McCowan C, Davey P, Petrie D, Treweek S, Guthrie B. A cluster randomised stepped wedge trial to evaluate the effectiveness of a multifaceted IT-based intervention in reducing high-risk prescribing of non-steroidal anti-inflammatory drugs and antiplatelets in primary medical care: The DQIP study protocol. Implementation Science 2012;7:24
Roland M, Guthrie B, Colin Thomé D. Primary care in the UK. Journal of the American Board of Family Medicine Nov 2011 The Journal of the American Board of Family Medicine 25: S6-S11
Guthrie B, McCowan C, Davey P, Simpson C, Dreischulte T, Barnett K. High-risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross-sectional population database analysis in Scottish general practice. BMJ 2011;342:d3514
Morales DR, Guthrie B, Lipworth BJ, Donnan PT, Jackson C. Prescribing of β-adrenoceptor antagonists in asthma: an observational study. Thorax 2011:66(6);502-506
Lockhart P, Guthrie B. Trends in antidepressant prescribing 1995 - 2007: a longitudinal population database analysis. British Journal of General Practice 2011 61(590);e565-e572
Roland M, Rao SR, Sibbald B, Hann M, Harrison S, Walter A, Guthrie B, Desroches C, Ferris TG, Campbell EG. Professional values and reported behaviours of doctors in the United States and United Kingdom: quantitative survey. BMJ Quality & Safety 2011 20(6): 515-521
Norbury M, Fawkes N, Guthrie B. The GP contract, influenza immunisation and inequalities: a retrospective population database analysis. British Journal of General Practice 2011:61(588):379-85
O'Brien, R., S. Wyke, Guthrie B, Watt G, Mercer S. An ‘endless struggle’: a qualitative study of general practitioners’ and practice nurses’ experiences of managing multimorbidity in socio-economically deprived areas of Scotland. Chronic Illness 2011 7(1): 45-59.
Guthrie B, Auerbach G, Bindman A. Health plan competition for Medicaid enrolees based on performance does not improve quality of care. Health Affairs 2010:29; 1507-1516
Guthrie B, Clark S, McCowan C. The burden of psychotropic drug prescribing in people with dementia: a population database study. Age and Ageing 2010:39; 637-642
Sutton M, Elder R, Guthrie B, Watt G. Record rewards: the effect on risk factor monitoring of new financial incentives for UK general practices. Health Economics 2010: 19(1); 1-13
2009 and earlier
Guthrie B, Emslie-Smith A, Morris AD. Which people with type 2 diabetes achieve good control of intermediate outcomes? Population database study in a UK region. Diabetic Medicine 2009: 26(12); 1269-1276
Greene A, Pagliari C, Cunningham S, Donnan P, Evans J, Emslie-Smith A, Morris A, Guthrie B. Do managed clinical networks improve quality of diabetes care? Evidence from a retrospective mixed methods evaluation. Quality and Safety in Healthcare 2009: 18; 456-461
Grant S, Huby G, Watkins F, Checkland K, McDonald R, Davies HTO, Guthrie B. The impact of pay-for-performance on professional boundaries in UK general practice: an ethnographic study. Sociology of Health and Illness 2009;31(2):229-245
McLean G, Guthrie B, Watt G, Gabbay M, O'Donnell CA. Practice postcode versus patient population: a comparison of data sources in England and Scotland. International Journal of Health Geographics 2008, 7:37
Guthrie B. Measuring the quality of healthcare systems using composites. BMJ 2008;337:a639
Guthrie B, Saultz J, Freeman G, Haggerty J. Continuity of care matters: time to make it a policy and organisational priority. BMJ 2008;337:a867
Huby G, Guthrie B, Grant S, Watkins F, Checkland K, MacDonald R, Davies H. Whither British General Practice after the 2004 GMS contract? Stories and realities of change in four UK general practices. Journal of Health Organisation and Management 2008: 22: 63-78
Checkland K, Harrison S, McDonald R, Grant S, Campbell S, Guthrie B. Biomedicine, holism and general medical practice: responses to the 2004 General Practitioner contract. Sociology of Health and Illness. 2008;30:788-803
Guthrie B, Love T, Kaye R, MacLeod M, Chalmers M. Modelling the effectiveness of routine mortality monitoring in detecting mass murder in UK General Practice. British Journal of General Practice 2008; 58: 311-317.
Evans JMM, Guthrie B, Pagliari HC, Greene A, Morris AD, Cunningham S, Donnan PT. Do General Practice characteristics influence uptake of an IT innovation in primary care? Informatics in Primary Care 2008;16:3-8
Mclean G, Sutton M, Guthrie B. Differences in the quality of medical care services by remoteness from urban settlements. Quality and Safety in Healthcare 2007;16:446-449
Guthrie B, Inkster M, Fahey T. Tackling therapeutic inertia: role of treatment data in quality indicators. BMJ 2007;335:542-544
Campbell NC, Murray E, Darbyshire J, Emery J, Farmer A, Griffiths F, Guthrie B, Lester H, Wilson P, Kinmonth AL. Designing and evaluating complex interventions to improve health care. BMJ 2007; 334: 455-459
McLean G, Sutton M, Guthrie B. Differences in the quality of primary medical care for CVD and diabetes across the NHS: evidence from the Quality and Outcomes Framework. BMC Health Services Research 2007; 7:74
Guthrie B, McLean G, Sutton M. Workload and reward in the Quality and Outcomes Framework of the 2004 General Practice contract. BJGP 2006; 56; 842-847
McLean G, Sutton M, Guthrie B. Deprivation-related variation in primary care treatment: evidence from the Quality and Outcomes Framework in Scotland. Journal of Epidemiology and Community Health, 2006; 60:917-922.
Guthrie B, Wyke S. Access and continuity in UK general practice: a qualitative study of general practitioners’ and patients’ perceptions of when and how they matter. BMC Family Practice 2006; 7: 11
Guthrie B, Love T, Fahey T, Morris A, Sullivan F. Control, compare and communicate: designing control charts to efficiently summarise data from multiple quality indicators. Quality and Safety in Health Care 2005; 14: 450-454
Although research is the focus of my academic activity, I maintain a regular teaching commitment at both undergraduate and postgraduate level. I completed the University of Dundee Learning, Teaching and Assessment in Higher Education module in 2010 and am an Associate Member of the Higher Education Academy.
- 4th year project and summer studentship supervision
- Tutor on various primary care led areas of the undergraduate course
- 2006-2009 External Examiner, MSc in International Primary Healthcare, University College London
- 2007 to date, PhD External Examiner on a number of theses in Scotland, England and Eire
- 1999-date designed and run NHS Education Scotland Continuing Professional Development courses on Evidence Based Medicine, Medicine and the Internet, and Critical Reading and Thinking
- 1999-2005 designed and ran Evidence Based Medicine and Searching for Information/Knowledge Management teaching for GP Registrar groups in three Scottish Regions
Sean Macbride-Stewart. Measuring and improving primary care prescribing quality and safety using routine data. Started 2014, ongoing.
Xinyu Zhang. Measuring the safety of commonly prescribed drugs. Started 2013, ongoing.
Virginia Hernandez Santiago. A multilevel analysis of the impact of changes in antimicrobial prescribing on antimicrobial resistance. Ongoing.
Daniel Morales. Measuring the risk of β-blocker and NSAID prescribing in asthma. Completed 2015.
Debbie Baldie. What scope is there to improve the use of patient experience feedback data for quality improvement in primary care? Ongoing.
Anne Duguid. Managed clinical and care networks (MCNs) and work: an ethnographic study for non-prioritised clinical conditions in NHS Scotland. Completed 2012.
Charis Marwick. Design, implementation and primary evaluation of a complex intervention to improve the management of sepsis in general hospital wards. Completed 2011.
Heather Milne. Linking professional organisations of health care to patients’ perceptions and experiences of chronic illness. A discussion of health services for type 2 diabetes in Scottish primary care. Completed 2010.
Faranak Ansari. Evaluation and management of hospital antibiotic use. Completed 2010.
Selected recent presentations
- June 2014. DECIDE conference: Better clinical guidelines, better healthcare decisions. Invited opening plenary. “How useful are evidence-based guidelines to primary care?”
- May 2014. University of Bristol. Invited seminar. “Prescribing safety in a world of multimorbidity.”
- March 2014. NIHR Scottish Age and Ageing Speciality Group. Invited seminar. “People not diseases. The challenges of applying UK clinical guidelines to people with multimorbidity.”
- November 2013. St Andrews Medical School. Invited seminar. “Using routine data for research across the translational spectrum.”
- October 2013. British Geriatrics Society Scotland autumn meeting Glasgow. Invited presentation – “Polypharmacy and changing emphasis towards the end of life”
- October 2013. REPOSI International Seminar on Multimorbidity, Milan Italy. Invited presentation – “New approaches for clinical trials and guidelines”.
- July 2013. Australian Commission on Safety and Quality and Healthcare, Sydney Australia. “Multimorbidity and polypharmacy: emerging challenges in primary care.”
- July 2013. Royal Australian College of General Practitioners workshop, Primary Health Care Research Conference, Sydney Australia. “Resourcing practices to manage patients with complex multimorbidity.”
- July 2013. Patient Safety Collaboratives Symposium, Primary Health Care Research Conference, Sydney Australia. “The Scottish Patient Safety Programme in Primary Care.”
- July 2013. Multimorbidity Symposium, Primary Health Care Research Conference, Sydney Australia. “The rising tide of multimorbidity and polypharmacy.”
- July 2013. University of Melbourne. “Use of routinely collected data for research in general practice and primary care.”
- July 2013. Primary Health Care Research Information Service, Flinders University, Adelaide. “Allies in research, policy and practice: what can we do about multimorbidity?”
- July 2013. Centre for Remote Health, Alice Springs. “Multimorbidity and polypharmacy: emerging challenges in primary care.”
- May 2013. Scottish Government Health Directorates Multimorbidity Workshop. “Multimorbidity in Scotland.”
- March 2013. University of Zurich. Invited presentation. “Multimorbidity and polypharmacy in UK primary care: from epidemiology to interventions.”
- February 2013. Multimorbidity and the Last Phase of Life conference, Edinburgh. “Making guidelines work for people with multimorbidity.”
- October 2012 Society for Academic Primary Care Annual Scientific Meeting, Glasgow. “The rising tide of polypharmacy and potentially serious drug interactions 1995-2010: repeated cross-sectional analysis of dispensed prescribing in one region.”
- October 2012 Society for Academic Primary Care Annual Scientific Meeting, Glasgow. “The impact of the 2004 and 2009 regulatory warnings on antipsychotic prescribing to older people with dementia: segmented regression time series analysis of general practice clinical data 2001-2011”
- April 2012 Scottish Government Health Department Dementia Strategy Group. Invited presentation – “Time trends in psychoactive prescribing to people with dementia in Scotland 2001-2011”
- May 2011 Commonwealth Fund Policy Forum, Washington DC. Invited presentation - “Improving Patient Safety Across An Entire National Health System: The Scottish Patient Safety Programme and the Safety Improvement in Primary Care Collaborative”
- May 2011 Agency for Healthcare Research and Quality, Washington DC. Invited presentation – “Improving patient safety in primary care”
- April 2011 Agency for Healthcare Research and Quality/Commonwealth Fund/American Academy of Family Practitioners workshop on International Learning on Increasing the Value and Effectiveness of Primary Care – “Quality and Safety in UK Primary Care”
- June 2010 Scottish Government Health Department – “Using primary care data for quality and safety improvement: high risk prescribing in Scottish general practice - an analysis of data from 315 (30%) of Scottish practices"
- Oct 2009 Royal Australian College of General Practitioners Annual Conference, Perth, Australia Invited keynote address – “What kind of continuity and what kind of access are best for General Practice?”