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Professor Chris Salisbury

Professor Chris Salisbury

Professor Chris Salisbury
M.B.,Ch.B.(Bristol), M.Sc.(Lond.), D.R.C.O.G., FRCGP, MD

Professor in Primary Health Care

Area of research

Provision of primary health care

Office 1.12
Canynge Hall,
39 Whatley Road, Bristol BS8 2PS
(See a map)

+44 (0) 117 3314530

Summary

Professor Chris Salisbury is Professor of Primary Health Care and an NIHR Senior Investigator. He has published 5 books and over 230 research papers on the broad topic of how to improve provision of primary care. He has conducted several high-profile evaluations of new models of care, such as changes in out-of-hours arrangements, NHS walk-in centres, GPs with Special Interests, telehealth for chronic disease management, and the potential of new forms of consultation such as e-consultations. In recent years he has focused on how health care should address the challenge of the growing number of people with multimorbidity.

Professor Salisbury was one of the first to recognise the tension between the increasing standardisation of care for individual chronic diseases, while the ageing population means that many people have several conditions at one time (multimorbidity). He conducted the first study of the epidemiology of multimorbidity in the UK, along with systematic reviews on the prevalence, outcomes and measurement of multimorbidity. His work has shown that multimorbidity is very common particularly in older people, with detrimental effects on their physical and mental health. Patients experience a burden from treatment as well as from illness and they often experience care which is poorly co-ordinated and not sensitive to their individual needs. Professor Salisbury has championed the case for providing more patient-centred care for patients with multimorbidity. He has developed and evaluated interventions to improve chronic disease management, including the largest ever trial of an intervention for patients with multimorbidity – the 3D trial.  The findings from this trial were published in the Lancet in 2018. Professor Salisbury recently co-chaired the MRC call for research on multimorbidity, was a member of the RCGP patient-centred care commission, and is a member of the Taskforce on Multiple Conditions established by the Richmond Group of charities. He is currently involved in a trial of an intervention to improve prescribing for patients with multimorbidity who experience polypharmacy.

Professor Salisbury has been a board member for the NIHR Health Services & Delivery Research programme and the NIHR School for Primary Care Research, chair of the RCGP Scientific Foundation Board and RCGP Research Paper of the Year Panel, and a member of several other national and international boards and advisory bodies. He is currently a member of the NIHR Advanced Fellowships Panel. In December 2018 he gave the prestigious James Mackenzie lecture at the RCGP AGM, entitled ‘Designing health care for the people who need it’ (https://www.youtube.com/watch?v=Y1dydRE-WUA)

Biography

Chris Salisbury MB ChB MSc MD FRCGP trained in Bristol and then spent ten years as a GP in Reading, also working as a GP trainer and postgraduate tutor. In 1995 he was appointed to a senior lecturer post at Imperial College London and in 1997 he became a Fellow of the Royal College of General Practitioners (RCGP). Chris moved to the University of Bristol in 1998 and was promoted to a personal chair as Professor of Primary Health Care in 2004. He holds honorary consultant contracts with NHS Bristol CCG and NHS England. From 1998 to 2017 he worked as a GP at William Budd Health Centre, Knowle West, Bristol, in one of the most deprived areas in the UK. Chris was Head of the Centre for Academic Primary Care, Bristol, from 2010 to 2017. He is currently Head of the Section of Health Care Evaluation in the Department of Population Health Sciences, Bristol Medical School.

Professor Salisbury has been a board member for the NIHR Health Services & Delivery Research programme and the NIHR School for Primary Care Research,, chair of the RCGP Scientific Foundation Board and RCGP Research Paper of the Year Panel, and a member of several other national and international boards and advisory bodies. He is currently a member of the NIHR Advanced Fellowships Panel. In December 2018 he gave the prestigious James Mackenzie lecture at the RCGP AGM, entitled ‘Designing health care for the people who need it’ (https://www.youtube.com/watch?v=Y1dydRE-WUA)

 

 

Teaching

Chris has an active role in teaching at all levels of the curriculum. He supervises a number of medical and non-medical postgraduates undertaking PhDs and MDs. Chris is a fellow of the Higher Education Academy.

Keywords

  • Primary Care
  • General Practice
  • Access to health care
  • Patient experience of health care
  • Improving the quality and cost of primary care
  • Generalism
  • Management of long term conditions
  • doctor-patient relationship
  • continuity of care
  • multimorbidity

Skills

  • Patients with multimorbidity (multiple long term conditions)

Processes and functions

  • Delivery of primary care

Methodologies

  • Randomised controlled trials
  • particularly in mixed method studies combining with economic analyses and qualitative methods

Expertise

I am Professor of Primary Health Care and head of the Centre for Academic Primary Care. I am also a practising GP, working in a disadvantaged area of Bristol. I am a Fellow of the Royal College of General Practitioners and on the board or executive of several organisations including the NIHR School for Primary Care Research, the NIHR Health Services Research Board, and the Society for Academic Primary Care. My research interests relate to the organisation and delivery of primary health care and core values of primary care, such as access to health care, the doctor-patient relationship, generalism vs. specialism and co-ordination of care. This has led to studies of out-of-hours care, NHS Walk-in Centres, nurse practitioners, GPs with special interests, and appointment systems. I am currently leading a large programme of research on the potential role of telehealth in helping people with long term health conditions.

  • primary health care
  • general practice
  • organisation of health care
  • Selected publications

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    Recent publications

    View complete publications list in the University of Bristol publications system

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