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Articles by Matt Sutton
Abstract Background Income is known to be a key driver of job satisfaction, especially when compared with expected income. The pertinence of this for GPs is not fully understood. Aim To examine whether GP job satisfaction and intentions to quit are affected by actual and expected levels of income. Design & setting Repeated cross-sectional study involving GPs in England. The authors analysed responses to four waves of the GP Worklife Survey (a survey of GPs in England), between 2015 and 2021.
Changes in healthcare use and cost associated with referrals to social prescribing link workers in England: a matched case–control cohort study
Keywords Social prescribing Healthcare use Primary care Secondary care Healthcare costs Evidence before this study We systematically searched PubMed, PsycINFO, Cochrane Library, Web of Science, and OpenGrey for studies (including grey literature) published in English between Jan 1, 1980, and March 31, 2025, using the search terms “social prescribing”, “community referral”, “healthcare use” and “healthcare cost”.
UK welfare reform and mental health: growing public health concern
Michael O’Sullivan, Reference Hassell1 Kevin Gale Reference Gomersal2 and Nazerine Anderson Reference Butler3 may not be widely recognised names, but their stories share a tragic commonality: each died by suicide. Inquiries into these deaths highlight longstanding mental health issues and identified difficulties in navigating the UK welfare system as a contributing factor in their deaths.
Domestic and International Health Expenditure and Health and Healthcare Use: Evidence From Mozambique
1 Introduction Although investing public resources in health services is a common public policy tool for maintaining and improving population health, the evidence on the effects of public health spending on health and care is mixed (Chagoma et al. 2025; Gallet and Doucouliagos 2017). Some studies have found that health expenditure increases life expectancy (Akinkugbe and Mohanoe 2009), and decreases child (Farag et al., 2013; Nixon and Ulmann 2006) and maternal mortality (Bokhari et al.
Understanding persistent GP turnover using work and personal characteristics: a retrospective observational study
Abstract Background Rising GP turnover, declining participation rates, and growing workforce pressures threaten the sustainability of general practice. As policy shifts towards community-based care and workforce retention, understanding the job characteristics linked to high turnover is crucial. Aim To examine the relationship between practice-level persistent GP turnover and GP job satisfaction.
Why is it so hard to find a good property manager?
Hey everyone, Full transparency, I'm a property manager myself, and this post is about learning, not pitching anything. I’m always looking to improve what I do, and honestly, the best way I know how to do that is to ask the people I'm serving. What do most property managers get wrong and what do you wish more property managers understood? I’ll go first.
Cabot Watch Company GS Saphire in SS with date.
New for 2016 is CWC's General Service wristwatch. From what I understand, the Britain's Ministry of Defense no longer contracts wristwatches, and the longtime supplier for the G10 has turned to the commercial market. I recently puchased the new GS Sapphire from Silverman's, and give it a thumbs up. These are the changes to the basic GS10 that was issued since 1980. 1. Sapphire crystal 2. 10 year li battery (CR 2016) Ronda Quartz 3. Screw down back 4. 200 meters water resist 5.
Short Delays in Time to First Contact With Community Health Services and Risk of Emergency Hospital Attendance: Retrospective Observational Study
Conflicts of Interest The authors declare no conflicts of interest. Data Availability Statement Data is not available without approval from the data holders. References , , , and . 2025. “Associations Between Early Physician Follow-Up and Post-Discharge Outcomes: A Systematic Review and Meta-Analysis.” Journal of General Internal Medicine 40, no. 7: 1599–1608. , , and . 2025. “Outpatient Follow-Up and 30-Day Readmissions: A Systematic Review and Meta-Analysis.” JAMA Network Open 8, no. 11: e2541272.
Short Delays in Time to First Contact With Community Health Services and Risk of Emergency Hospital Attendance: Retrospective Observational Study
1 Introduction Worldwide, healthcare systems are in crisis with hospitals under increasing pressure due to large elective activity backlogs and unsustainably high bed occupancy (Samadbeik et al. 2024). In countries such as England, the plan is to reduce the burden on hospitals by shifting care to the community (NHS England 2025a).
Scale, Skill‐Mix, and Access Implications of the Production of Appointments by Primary Care Practices in England
1 Introduction The relationship between productivity and the scale of healthcare providers has long been a topic of research.
Distribution and quality of private GP practices in England: a cross-sectional analysis
Distribution and quality of private GP practices in England: a cross-sectional analysis Joseph Hutchinson, Michael Anderson, Harriet Bullen, Zara Kurdo, Matt Sutton British Journal of General Practice 2025; 75 (suppl 1): bjgp25X741753. DOI: 10.3399/bjgp25X741753
Relationship between aspirational income and GP job satisfaction: Repeated cross-sectional study
Relationship between aspirational income and GP job satisfaction: Repeated cross-sectional study Benjamin Walker, Michael Anderson, Ravi Ganepola, Joseph Hutchinson, Jonathan Gibson, Sean Urwin, Katherine Checkland, Matt Sutton British Journal of General Practice 2025; 75 (suppl 1): bjgp25X741885. DOI: 10.3399/bjgp25X741885
Have social prescribing referrals reduced appointment pressures on primary care? Evidence from Electronic Healthcare Records
Have social prescribing referrals reduced appointment pressures on primary care? Evidence from Electronic Healthcare Records Anna Wilding, Efundem Agboraw, Luke Munford, Matt Sutton, John Wildman, Morgan Beeson, Stewart Mercer, Paul Wilson British Journal of General Practice 2025; 75 (suppl 1): bjgp25X741633. DOI: 10.3399/bjgp25X741633
Inequality in the impact of the national social prescribing on population outcomes
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Orthothecium strictum Lorentz and Scapania hyperborea Jørg., new to the British Isles from Lewis, Outer Hebrides, Scotland
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Hospital league tables, targets, and performance incentives should be used with care
Intended for healthcare professionals News & Views Hospital league tables...
Variation in effectiveness of the NHS Diabetes Prevention Programme in people diagnosed with non‐diabetic hyperglycaemia by age, sex, BMI, and deprivation: A matched cohort analysis of 69,801 people - Ravindrarajah - Diabetic Medicine - Wiley Online Libra
What is already known In England, the NHS Healthier You Diabetes Prevention Programme (DPP) is offered to adults with non-diabetic hyper-glycaemia, offering lifestyle advice to help reduce people's risk of developing type 2 diabetes. Our previous findings showed that individuals who were referred to the programme had a 20% lower risk of developing T2DM compared to those who were not referred to the DPP. What did the researchers do and find?
From drizzle to deluge: weather and flood forecasting
Wales has been sculpted by wind and rain, but sometimes weather can prove destructive. In late 2024, storms Bert and Darragh once again demonstrated the potential of weather to devastate communities. Weather and flood forecasters aim to predict severe weather before it hits, giving communities time to prepare. In February and March 2025, the Senedd Climate Change, Environment, and Infrastructure Committee scrutinised Wales’s response to storms, including forecasting, warning, and alert systems.
Regional Variation in the Community Nursing and Support Workforce in England: A Longitudinal Analysis 2010-2021
1. Introduction Healthcare workers have a fundamental role in the functioning of health systems, yet it is predicted that there will be a global shortage of 18 million health workers by 2030 [1]. England’s National Health Service (NHS) is facing the greatest workforce crisis of its history [2], with workforce shortages across all health and care system staffing groups putting services under significant strain.
The effect of local hospital waiting times on GP referrals for suspected cancer
Loading metrics Open Access Peer-reviewed Research Article Citation: Hayes H, Meacock R, Stokes J, Sutton M (2024) The effect of local hospital waiting times on GP referrals for suspected cancer. PLoS ONE 19(5): e0294061. https://doi.org/10.1371/journal.pone.0294061 Editor: Paulo Alexandre Azevedo Pereira Santos, University of Porto, Faculty of Medicine, PORTUGAL Received: April 25, 2023; Accepted: October 24, 2023; Published: May 8, 2024 Copyright: © 2024 Hayes et al.
Exploring whether primary care networks can contribute to the national goal of reducing health inequalities: a mixed-methods study
Abstract Background Significant health inequalities exist in England. Primary care networks (PCNs), comprised of GP practices, were introduced in England in 2019 with funding linked to membership. PCNs have been tasked with tackling health inequalities. Aim To consider how the design and introduction of PCNs might influence their ability to tackle health inequalities. Design and setting A sequential mixed-methods study of PCNs in England.
Economic evaluation of a water fluoridation scheme in Cumbria, UK
1 INTRODUCTION Oral diseases are the most common non-communicable diseases worldwide, even though they are largely preventable.1 According to the Global Burden of Disease Study 2019, oral diseases affect about 3.5 billion people worldwide, with dental caries being the most common condition.
‘Decontrol,’ not ‘reschedule,’ to legalize cannabis
A recent report from the federal Congressional Research Service (CRS) confirms that marijuana will remain criminalized under federal law if downgraded to Schedule III of the Controlled Substances Act (CSA). This proposal was recently recommended by a Biden administrative agency. Biden has repeatedly asked Congress to act federally. On the 2020 campaign trail, President Biden acknowledged that marijuana criminalization is a failure.
How do hospitals respond to payment unbundling for diagnostic imaging of suspected cancer patients?
1 INTRODUCTION The level and structure of provider reimbursements can have significant impacts on the costs, quality and efficiency of healthcare services supplied (Ellis & McGuire, 1996). Fee-for-service involves a retrospective payment for each element of services delivered, encouraging increased activity and creating incentives to increase costs.
Level of attendance at the English National Health Service Diabetes Prevention Programme and risk of progression to type 2 diabetes - International Journal of Behavioral Nutrition and Physical Activity
The NHS DPP is an evidence based behavioural intervention designed to prevent individuals with non-diabetic hyperglycaemia developing type 2 diabetes. This is the first study to examine the association between the level of attendance at the DPP and the risk of progression to type 2 diabetes.
How new clinical roles in primary care impact on equitable distribution of workforce: a retrospective study
Abstract Background There are inequalities in the geographical distribution of the primary care workforce in England. Primary care networks (PCNs), and the associated Additional Roles Reimbursement Scheme (ARRS) funding, have stimulated employment of new healthcare roles. However, it is not clear whether this will impact inequalities. Aim To examine whether the ARRS impacted inequality in the distribution of the primary care workforce.
Population, workforce, and organisational characteristics affecting appointment rates: a retrospective cross-sectional analysis in primary care
access activity consultations deprivation population primary health care workforce INTRODUCTION Primary care is in crisis, with workload pressures becoming unsustainable for many practices.1,2 GPs have the highest rates of burnout and turnover of all medical specialties.3 In England, patient-reported satisfaction with access is at an all-time low despite record numbers of appointments being provided.4 Increasing access is therefore a key policy priority.
How new clinical roles in primary care impact on equitable distribution of workforce: a retrospective study
general practice inequality primary health care workforce INTRODUCTION The inverse care law suggests that healthcare availability is inversely related to the need for that health care.1 This has been shown in general practice, with lower staff numbers relative to need in deprived areas. This article focused on this form of inequality.2–6 Primary care is an important contributor to cost-effective and equitable health systems.2,7 In the UK, such care is provided by general practices.
Population, workforce, and organisational characteristics affecting appointment rates: a retrospective cross-sectional analysis in primary care
access activity consultations deprivation population primary health care workforce INTRODUCTION Primary care is in crisis, with workload pressures becoming unsustainable for many practices.1,2 GPs have the highest rates of burnout and turnover of all medical specialties.3 In England, patient-reported satisfaction with access is at an all-time low despite record numbers of appointments being provided.4 Increasing access is therefore a key policy priority.
State centers funded to reduce drug ODs
Minnesota is now the second State to officially support overdose prevention centers. Governor Tim Walz May 24 signed Senate File 2934, the Human Services budget proposal.
Estimating the heterogeneous health and well‐being returns to social participation
Sensitivity analysis We perform several sensitivity analyses. First, we use bootstrapped standard errors instead of robust ones. Bootstrapped standard errors are preferred for the marginal treatment effects model as they account for uncertainty in the propensity score estimates in the first stage (Andresen, 2018). However, bootstrapping is not consistent with the probability weights we use in the primary analysis.
Cross Bores - Looking to Avoid for Disaster
It is imperative that we find these cross bores before they cause loss of life and property. I know, as I have seen it firsthand. In the summer of 1988, I was 15 years old and had been working at my family’s construction and excavation business since I could hold a shovel. I was helping to dig a basement on the other side of town when we got word of a problem and rushed to where my cousin was digging a trench in an alley for the local water department.
Referral to the NHS Diabetes Prevention Programme and conversion from nondiabetic hyperglycaemia to type 2 diabetes mellitus in England: A matched cohort analysis
Loading metrics Open Access Peer-reviewed Research Article Abstract Background The NHS Diabetes Prevention Programme (NDPP) is a behaviour change programme for adults who are at risk of developing type 2 diabetes mellitus (T2DM): people with raised blood glucose levels, but not in the diabetic range, diagnosed with nondiabetic hyperglycaemia (NDH). We examined the association between referral to the programme and reducing conversion of NDH to T2DM.
AI Writing Assistant for GPT-3
Date: 2023-01-16 Category: Productivity OS: iOS Compatible: iPhone iPad Requirements: Requires iOS 16.0 or Description - AI Writing Assistant for GPT-3 . The AI Writing Assistant for GPT-3 is now available as a free download on Apple Store for both iPhone and iPad owners.The application is supporting English language. It weighs in at only 8.9 MB to download. It is highly advisable to have the latest app version installed so that you don`t miss out on the fresh new features and improvements.
Does recruiting patients to diabetes prevention programmes via primary care reinforce existing inequalities in care provision between general practices? A retrospective observational study
Discussion Prevention programmes are a key element of global action to tackle the increasing prevalence and burden of long-term conditions.8 Identification of individuals at risk of developing these conditions is the first necessary step towards prevention.
Associations between inflexible job conditions, health and healthcare utilisation in England: retrospective cross-sectional study
Statistical analyses We calculated the percentage of GPPS respondents who reported having an inflexible job in each of the 326 LADs that existed as of 2017 in England. We used spmap29 to create a heat map showing the percentage for each area. We compared this with a heat map of the mean EQ-5D utility score for GPPS respondents in each area.
Informal caregiving, time use and experienced wellbeing
2.3 Time use variables and other covariates Our primary variables of interest relate to objective and subjective measures of time use. The objective measures are proportions of time spent on each of six activities across the diary day. These activity groups have been used previously in the literature on time use (Gimenez-Nadal & Sevilla, 2012) which are sleep, personal care, market work, non-market work, leisure, and miscellaneous activities. Personal care includes activities such as eating.
Capturing Subscribers and Accelerating Success: The Case for Telcos to Tackle Ad Fraud
For decades, telecommunication providers have been engaged with the risks and impact of voice fraud. With legacy technologies not built to address voice fraud, it’s an expensive and time-intensive challenge to find the vulnerabilities in networks, draw up an action plan, and implement a solution, all to save your business money that would otherwise be lost to fraudsters.
‘Finishing the race’ - a cohort study of weight and blood glucose change among the first 36,000 patients in a large-scale diabetes prevention programme | International Journal of Behavioral Nutrition and Physical Activity | Full Text
Abstract Background The NHS Diabetes Prevention Programme for England, “Healthier You”, encourages behaviour change regarding healthy eating and physical exercise among people identified to be at high risk of developing type 2 diabetes. The aim of this research was to examine change, and factors associated with change, in measures of HbA1c and weight in participants and completers of the programme between 2016 and 2019.
Health service costs of treating venous leg ulcers in the UK: evidence from a cross-sectional survey based in the north west of England
Health service costs of treating venous leg ulcers in the UK: evidence from a cross-sectional survey based in the north west of England http://orcid.org/0000-0002-9084-8368Sean Urwin1, Jo C Dumville2,3, Matt Sutton1, Nicky Cullum2,3 1Health Organisation, Policy and Economics (HOPE) group, School of Health Sciences, University of Manchester, Manchester, UK 2Division of Nursing, Midwifery & Social Work, School of Health Sciences, Faculty of Biology, Medicine & Health, University of Manchester,...
How sensitive are avoidable emergency department attendances to primary care quality? Retrospective observational study
General practice quality variables We included explanatory variables measuring realised access, continuity of care, clinical quality and patient experience, obtained from the General Practitioner Patient Survey (GPPS) and the Quality and Outcomes Framework (QOF). Online supplemental appendix 3 provides a description of all explanatory variables, including sources and how variables were constructed. The GPPS is a biannual postal survey conducted on behalf of NHS England.
How sensitive are avoidable emergency department attendances to primary care quality? Retrospective observational study
How sensitive are avoidable emergency department attendances to primary care quality?
Comparative 4-year risk and type of hospital admission among homeless and housed emergency department attendees: longitudinal study of hospital records in England 2013-2018 | BMJ Open
Comparative 4-year risk and type of hospital admission among homeless and housed emergency department attendees: longitudinal study of hospital records in England 2013–2018 http://orcid.org/0000-0002-4694-378XCharlie Moss1, Matt Sutton1,2, Sudeh Cheraghi-Sohi3, Caroline Sanders3, http://orcid.org/0000-0002-2972-7911Thomas Allen4,5 1Health Organisation, Policy and Economics, Centre for Primary Care and Health Services Research, School of Health Sciences, The University of Manchester,...
Inequalities in health-related quality of life: repeated cross-sectional study of trends in general practice survey data
Research Vishalie Shah, Jonathan Stokes and Matt Sutton British Journal of General Practice 2021; 71 (704): e178-e184. DOI: https://doi.org/10.3399/BJGP.2020.0616 Abstract Background After decades of steady progress, life expectancy at birth has stalled in England. Inequalities are also rising, and life expectancy has fallen for females living in the most deprived areas.
Area-based vaccination would better protect against COVID-19
You are here: Home / All posts / Area-based vaccination would better protect against COVID-19 The early stages of the COVID-19 vaccine rollout in the UK have been a remarkable success from many perspectives: we have one of the highest rates of vaccination per capita, high uptake, and the government has met its first vaccination target.
Ethnic inequalities in health-related quality of life among older adults in England: secondary analysis of a national cross-sectional survey
Summary Background The population of older adults (ie, those aged ≥55 years) in England is becoming increasingly ethnically diverse. Previous reports indicate that ethnic inequalities in health exist among older adults, but information is limited by the paucity of data from small minority ethnic groups. This study aimed to analyse inequalities in health-related quality of life (HRQoL) and five determinants of health in older adults across all ethnic groups in England.
Changes in patient experience associated with growth and collaboration in general practice: observational study using data from the UK GP Patient Survey
family practice general practice observational study organisational models policy INTRODUCTION Traditionally, general medical practices in England are relatively small: in 2018, most practices were led by a partnership of GPs (mean: 3–4 full-time equivalents [FTEs]), employing a multidisciplinary team and delivering primary care to a mean of 8000 registered patients.1 Since 2014, the idea that general practices should work at scale — in other words, work together to deliver services to larger...
How sensitive are avoidable emergency department attendances to primary care quality? Retrospective observational study
How sensitive are avoidable emergency department attendances to primary care quality?
How sensitive are avoidable emergency department attendances to primary care quality? Retrospective observational study
How sensitive are avoidable emergency department attendances to primary care quality?
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