News & events updates from Wales Centre for Primary and Emergency (including Unscheduled) Care Research
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Edition #8 Autumn 2017

PRIME Centre Wales Annual Report 2016-17

We are delighted to publish the PRIME Centre Wales Annual Report for 2016-17, showcasing our research and team highlights for the year.

The report is available in English and Welsh, to view online or download using the link below:

Read the PRIME Centre Wales Annual Report 2016-17

To request a printed copy, please contact:


Recent news of interest


'When should I worry' booklet awarded research impact prize

The ‘When should I worry?’ information booklet developed by Dr Nick Francis, PRIME Centre Wales was named winner of the Impact Award at the Health and Care Research conference held 5th October.

Dr Nick Francis developed a booklet on the management of respiratory tract infections (coughs, colds, sore throats, and ear aches) in children for use in primary care consultations, and training for clinicians on communication skills and use of the booklet.

Respiratory tract infections (RTIs) are the most common reason for children to consult in primary care. Many RTIs are self-limiting but use scarce healthcare resources. Consulting can also lead to pressure to prescribe antibiotics, and unnecessary use of antibiotics drives the spread of antibiotic resistance – a key public health concern.

Parental beliefs, fears, and expectations play an important part in both consulting behaviour and determining whether an antibiotic is prescribed. Addressing parental concerns safely through enhanced information provision could reduce use of primary care consultations and help prevent the development of antibiotic resistance.

The 'When should I worry?' booklet and training have been rapidly taken up in the NHS and abroad. The website, which includes clinician training and electronic versions of the booklet in 14 languages and regional variations, is promoted as part of many national antibiotic stewardship campaigns (e.g. the Royal College of GPs TARGET Toolkit).

Pictured are Dr Nick Francis who led the research and PRIME Centre Operations and Communications Manager Angela Watkins, who has supported ongoing roll-out of the booklet to general practices across the UK. A short video of Nick Francis explaining the premise of the booklet can be seen here.


ABACus study recognised in the South Wales Argus Health and Care Awards 

Dr Kate Brain, lead for research into screening, prevention and diagnosis in primary care at PRIME Centre Wales and Wales Cancer Research Centre, reached the finals in the South Wales Argus Health and Care Awards held 19 October for the ABACus study: 'Development and pilot evaluation of the Tenovus health check: A targeted cancer awareness intervention for people from deprived communities'.

Cancer survival outcomes are lower in deprived areas including South East Wales, partly due to low awareness and negative beliefs about cancer. The project aimed to develop and evaluate a ‘health check’ (touchscreen questionnaire).

The ‘Health check’ is a community outreach intervention originally developed by Tenovus Cancer Care, with the aim of improving cancer awareness and help-seeking behavior among adults living in communities most affected by cancer. The project was undertaken to develop and pilot an adapted ‘Health Check’, working in partnership with the charity, communities and other stakeholders.

The project has ensured a partnership including local communities, health boards, public health, and third sector organisations committed to reducing socioeconomic inequalities in cancer outcomes which will impact positively on the healthcare system through improving quality of care and service delivery.



Tackling the problem of overstretched emergency departments

Parademics, doctor and nurse in A&E

Two medical research teams, led by Professor Adrian Edwards, PRIME Centre Wales, Cardiff University, and Professor Jonathan Benger, University of the West England (UWE Bristol), have agreed to collaborate on complementary emergency care projects.

The National Institute for Health Research (NIHR) has funded both studies to report on how using general practitioners (GPs) in emergency departments (EDs) can improve patient outcomes. Read more


PRIME Centre Wales convenes new SUPER group

PRIME Centre Wales  has recently recruited members of the public and patients to join a new lay member group who will work with PRIME Centre Wales to support research activities, particularly research development.

The group is called SUPER – Service Users for Primary and Emergency care Research. 

The group includes people with different backgrounds and experiences to reflect the diverse perspectives of people who live in Wales. SUPER supports PRIME Centre Wales by providing lay perspectives on developing, conducting and disseminating research about primary and emergency care services to strengthen the relevance, quality and dissemination of research on these topics.  Read more


Screening prevention and diagnosis research at CRUK Early Diagnosis Research Conference 2017

Researchers from PRIME Centre Wales and Wales Cancer Research Centre working in the Screening prevention and diagnosis research workpackage recently attended the Cancer Research UK's Fourth Biannual Early Diagnosis conference held in London, 23-24 February 2017.

Dr Kate Brain presented observations from the UK Lung Screening Trial in the main session, reporting that those who went on to have further tests, or a repeat scan, were twice as likely to quit smoking, suggesting that screening offers a teachable moment in high-risk individuals. 

In the early careers researchers session Dr Stephanie Smits described feasibility testing of a health check intervention as part of her PhD study. The interactive touchscreen questionnaire delivered by lay advisers to raise cancer awareness and encourage timely help-seeking among adults living in deprived communities has provided insight on participant recruitment, data collection methods, and reach to low socioeconomic groups. 

Dr Grace McCutchan also presented findings from her PhD study, and was awarded for the Patient Panel Award for her poster: 'Development of a lung cancer awareness intervention targeted at socioeconomically deprived communities'.  Grace’s poster described a community-based educational intervention to increase lung cancer symptom knowledge, modify negative beliefs and encourage timely symptom presentation in deprived groups by exploiting strong social networks in the community.  The patient panel described it as a great example of going out into a community and working with them and getting people to talk to each other.
Presentations and further information about the conference is available at:


Smokers who engage with CT lung screening are more likely to quit

Lung cancer has the highest mortality of all cancers in the UK. Deaths from lung cancer could be reduced using regular CT screening (lung scans) and by helping people stop smoking.

A PRIME Centre Wales trial looking at the effect of CT lung screening on smoking cessation in smokers who have a high-risk of developing lung cancer, has found that they are more likely to quit than those who were not screened. Read more


Primary Care Research Incentive Scheme (PiCRIS) applications now being accepted

Health and Care Research Wales is pleased to announce that applications to its Primary Care Research Incentive Scheme (PiCRIS) for 2017/18 are now being accepted.

PiCRIS is a funding scheme established by the Health and Care Research Wales Support Centre. Its purpose is to increase capacity in primary care in Wales to support high-quality research and create a strong primary care research base and culture.

The scheme offers support, mentorship and funding to general practices across Wales to provide them with an incentive to make research part of daily routine. Read more and apply

Forthcoming events of interest


Abstract call: South West SAPC Regional Meeting 2018

Building primary care for the future - research, education and practice 

Date: 13th and 14th March 2018
Venue: Plymouth

The Society for Academic Primary Care are pleased to let you know that registration and abstract submission for the South West SAPC Regional Meeting are now open, and would be grateful if you could please circulate information about the event and encourage attendance.

The South West Regional Meeting of the Society for Academic Primary Care will take place at the University of Plymouth in 2018, hosted by the Community and Primary Care Research Group, Plymouth University Peninsula Schools of Medicine and Dentistry. The conference opens at 12:00 on Tuesday 13th March and closes at 14:00 on Wednesday 14th March, and we will also host a post conference student and trainee workshop which will include presentations.

SAPC will be delighted to receive abstracts from senior and early career researchers, educators, teachers and students, as well as individuals involved in service development, from the academic primary care community.

Submitted work can include research in progress as well as educational or service developments.
Abstracts should be submitted by 5pm on Tuesday 21st November 2017. 

For further details about the conference, registration and to submit your abstract, please visit

SAPC are also seeking external peer reviewers and session chairs, please contact for more information.


BJGP Research Conference

Date: 23rd March 2018
Venue: RCGP, London

*Register before 19th December to save 15%* 

The conference is a remarkable opportunity to present your research work in a constructive, peer reviewed environment, hear from leading figures in primary care research, and acquire new skills in writing, appraisal and presentation. More information


999 EMS Research Forum Conference 2018: Research for Impact in 999 Emergency Care

Date: 26th & 27th March 2018
Venue: Stirling Court Hotel, Stirling FK9 5PH

This year our conference theme is 'Research for Impact in 999 Emergency Care' and will be hosted by Scottish Ambulance Service and University of Stirling. The conference will take place in Stirling Court Hotel, Stirling on 27 March 2018. We are delighted to announce two exciting pre-conference workshop sessions and pre-conference networking, drinks reception and dinner, which will be taking place on 26 March, 2018.
The pre-conference workshops will be aimed at paramedics and researchers looking to develop skills in relation to writing a peer reviewed paper and planning research projects and getting it funded.

Call for abstracts:

Registration open at:

Funding opportunities


Welsh Government & Health and Care Research Wales

Research for patient and public benefit scheme

This scheme supports research directed at achieving benefit for users of the NHS or the public health of the people in Wales. Grants are worth up to £230,000 over a period of 24 months. 
Closing date: 20 December 2017

Social care grant award

This award supports capacity building in social care by funding research projects that aim to provide evidence with relevance to patients, service users, carers, and the organisation and delivery of effective social care services. 
Closing date: 20 December 2017

Health research fellowship award 

Health and Care Research Wales is pleased to announce a new call for applications to the Health Research Fellowship scheme. The Fellowships aim to support individuals to become independent researchers and to undertake high quality studies. Applications are invited from across all sectors and scientific disciplines. 
Closing date: 29 November 2017

RCN Foundation Professional Bursary Scheme

Bursaries of up to £5,000 are available for career development activities which focus on:

  • primary care nursing
  • long term/chronic conditions

This includes, for example, obesity, mental health, children's/young people's services, older people and dementia. Open to all nurses and midwives currently registered in the UK, and health care assistants/assistant practitioners based in the UK, who will be undertaking their learning and development in the UK, between January 2018 and January 2019. 

Closing date: 30 November 2017

Further information


PRIME Centre Wales website features listings of regularly updated funding opportunities of interest:

Collaboration enquiries are welcomed at:

Job/Studentship opportunities


MRes Studentship opportunity, University of South Wales

Unlicensed “Special” medicines: improving the patients’ experience (MPhil) 

An ideal opportunity for an enthusiastic individual to make a difference in pharmacy patient care. 

“Special” medicines are medicines made for a specific patient when their needs cannot be met using a standard commercially available product, for example for children, to achieve lower doses than the standard product can provide, or to provide a liquid medicine for a person who receives their food and medicines via a feeding tube. Pharmacists are responsible for supplying specials to patients, and this may involve manufacture, procurement and dispensing.

Specials are tailored to the patient, but this individualisation means that obtaining them can be difficult, and variable between suppliers; they range from those prepared as a “one-off” by a pharmacist in a community pharmacy through to quality assured products made in a licensed manufacturing unit and subjected to end product analytical testing before release and use. This variability in quality and accessibility is particularly problematic when patients move between care settings, for example returning home after treatment in hospital 

The project activity will involve qualitative surveys of patients and an understanding from the patients’ perspective of issues relating to specials. In parallel there will be a collection of procedures and policies from across Wales and a proposal for improvements based on evidence from stakeholders’ experiences and challenges.

Closing date for applications: 22 November 2017

Full details

Recent publications

Cooper J, Edwards A, Williams H, Sheikh A, Parry G, Hibbert P, Butlin A, Donaldson L, Carson-Stevens A. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017 Sep;15(5):455-461. doi: 10.1370/afm.2123.

Gobat NH, Gal M, Butler CC, Webb SAR, Frani NA, Stanton H, Anthierens S, Bastiaens H, Godycki-ćwirko M, Kowalczyk A, Pons-Vigués M, Pujol-Ribera E, Berenguera A, Watkins A, Sukumar P, Moore RG, Hood K, Nichol A. Talking to the people that really matter about their participation in pandemic clinical research: A qualitative study in four European countries. Health Expect. 2017;00:1–9.

Wallace CA, Pontin D, Dokova K, Mikkonen I, Savage E, Koskinen L. Developing and Translating a New Model for Teaching Empowerment Into Routine Chronic Care Management: An International Patient-Centered Project. Journal of Patient Experience 1-9, 2017 DOI: 10.1177/2374373517721516 Online first

Porter A, Bulger J, Hampton C, Jones C, Rees N, Seagrove A, Snooks H. PP22 Alternative care pathways for patients with low risk tia attended by emergency ambulance: a national survey. Emerg Med J 2017;34:e8.

Cope AL, Lewis MAO. Antibiotic Guardians: the Role of the Dental Profession. Dental Update, 2017;44:275-283

Bates J, White P, Gillespie D, Thomas-Jones E, Breen R, Kirby N, Hood K, Gal M, Phillips R, Naik G, Cals J, Llor C, Melbye H, Wootton M, Riga E, Cochrane A, Howe R, Fitzsimmons D, Sewell B, Francis NA, Butler CC. General practitioner use of a C-reactive protein point of care test to help target antibiotic prescribing in patients with acute exacerbations of chronic obstructive pulmonary disease (The PACE Study): Protocol for a randomised controlled trial. Trials 201718:442

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PRIME Centre Wales

Cardiff University School of Medicine
Cardiff, Wales CF14 4YS

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PRIME Centre Wales · Cardiff University School of Medicine · Institute of Primary Care and Public Health · Cardiff, Wales CF14 4YS · United Kingdom

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