Dr Caroline Mitchell
MBChB , MD, FRCGP, PGCertMedED, DRCOG
Academic Unit of Medical Education
Senior Clinical Lecturer Primary Medical Care Research
AUPMC (Academic Unit of Primary Medical Care): Clinical Academic Training Programme Lead Deputy Academic Training Programme Director (DATPD) Faculty of Medicine, Dentistry and Health
+44 114 222 2206
Full contact details
Academic Unit of Medical Education
Sam Fox House
Northern General Hospital
AUPMC Theme Lead: Primary Care of Underserved Populations
This theme focuses on developing and testing primary care interventions for people living in the most deprived communities or with complex needs. The theme is led by Dr Caroline Mitchell working with the ‘Deep End ‘ NIHR Cluster Research Network Lead and AUPMC Honorary Research Fellow Dr Liz Walton (a population of approximately 66,000 people, diverse ethnicities, Index of Multiple Deprivation >40 ).
Methodological expertise: qualitative and quantitative study design and analysis including the development and evaluation of complex interventions in primary care; recruiting for clinical studies in high risk deprived and/or socially excluded populations.
Postgraduate supervision: Clinical Academic Trainees, Masters and PhD students (multidisciplinary).
Research subthemes/ activities:
- Strategies to enable inclusive research in underserved populations including working with interpreters, addressing heath literacy barriers, enabling participation of BAME and people living in the most deprived communities or with complex needs
- Patient preferences for interpreter services
- Improving access to sexual and reproductive healthcare in underserved populations
- Social determinants of maternal-foetal outcomes.
- Improving uptake of cancer tests and cancer outcomes for people living in the most deprived communities or with complex needs (eg people with dementia-carer proxy decision making)
- Multimorbidity: physical health care for people with severe mental illness or who use substances
- Interventions to prevent type 2 diabetes for people people living in the most deprived communities/ BAME populations
Global Health: Training and research capacity lead/ Co-investigator for NIHR global health research: ‘PRIME’ preventing preterm birth, nutrition in pregnancy, physical co-morbidities) https://www.primeglobalhealth.co.uk/.
- Senior Clinical Lecturer
- General Practitioner (Partner) Woodhouse Health Centre
- Deputy Clinical Academic Training Programme Director NHS HEE YH
- Honorary Consultant in Primary Care Medicine NHSE Yorkshire and Humber
- Society for Academic Primary Care National Mentoring lead https://sapc.ac.uk/article/mentorship-programme
- RCGP representative Advisory Board for QResearch (large UK primary care epidemiological database) at the University of Oxford: https://www.qresearch.org/about/advisory-board/
- “Closing the Gap’ Physical multimorbidity in people with severe mental illness: Primary Care national network co-lead https://www.york.ac.uk/healthsciences/closing-the-gap/
- Oxford International Primary Care Leadership Advisory Board (representative Cohort 2)https://www.spcr.nihr.ac.uk/trainees/IPCRLP
- Expert review / Peer reviewer NIHR Programme, HTA and Health Services and Delivery Research.
- Research interests
- Improving access to and outcomes of primary care in underserved populations: people living in the most deprived communities or with complex needs
- Social determinants of maternal-foetal outcomes
- NIHR Global Health research (‘PRIME’ preventing preterm birth, nutrition in pregnancy, physical co-morbidities) https://www.primeglobalhealth.co.uk/
- Physical multimorbidity in people with severe mental illness or drug dependence in particular respiratory co-morbidity
- Improving uptake of cancer tests and cancer outcomes
- Reducing the risk of type 2 Dianetes Mellitus
- Participatory and patient orientated research: for example development of a PROM for Polymyalgia Rheumatica (with Keele joint supervision School of Primary Care Research Doctoral Fellowship Helen Twohig) using mixed methods.
- Primary care-based randomised controlled trials of complex interventions
- Development and piloting of complex interventions in primary care using participatory methods and co-production
- Primary Care database studies
- Qualitative research
- Mixed method studies
- A primary care database study of asthma among patients with and without opioid use disorders. npj Primary Care Respiratory Medicine, 30(1). View this article in WRRO
- Guidance for the assessment and management of prostate cancer treatment-induced bone loss. A consensus position statement from an expert group. Journal of Bone Oncology, 100311-100311.
- Enhancing postnatal care of women with gestational diabetes. British Medical Journal(369).
- A core outcome set for pre‐eclampsia research : an international consensus development study. BJOG: An International Journal of Obstetrics & Gynaecology. View this article in WRRO
- Recruitment and retention of participants from socioeconomically deprived communities: Lessons from the awareness and beliefs about cancer (ABACus3) randomised controlled trial. BMC Medical Research Methodology.
- Management of dependent use of illicit opioids. BMJ, 2020(368). View this article in WRRO
- Screening heroin smokers' lung function at community care clinics. Chest, 157(3), 484-486. View this article in WRRO
- Prevalence of respiratory conditions among people who use illicit opioids: a systematic review. Addiction. View this article in WRRO
- Influence of past trauma and health interactions on homeless women’s views of perinatal care : a qualitative study. British Journal of General Practice. View this article in WRRO
- Response to diagnosis of pre-diabetes in socioeconomically deprived areas : a qualitative study. BJGP Open. View this article in WRRO
- Commentary on Grischott et al. (2019): Is the rising incidence of pulmonary disease among opioid‐dependent patients an unintended consequence of inhalation of toxic substances?. Addiction, 114(5), 877-878. View this article in WRRO
- View this article in WRRO Improving cancer symptom awareness and help-seeking among adults living in socioeconomically deprived communities in the UK using a facilitated health check: A protocol for the Awareness and Beliefs About Cancer (ABACus) Randomised Control Trial. BMC Public Health.
- A truth universally acknowledged: moving to Universal Credit leads to large debt and poor mental health. British Journal of General Practice, 68(677), 577-577. View this article in WRRO
- A tale of two pregnancies: A Critical Interpretive Synthesis of women's perceptions about delayed initiation of antenatal care. Women and Birth, 31(3), 220-231. View this article in WRRO
- Reducing risk of type 2 diabetes after gestational diabetes: a qualitative study to explore the potential of technology in primary care. British Journal of General Practice, 68(669), e260-e267. View this article in WRRO
- Pre-diabetes: opportunity or overdiagnosis?. British Journal of General Practice, 68(669), 172-173. View this article in WRRO
- The effect of comorbid depression on the use of unscheduled hospital care by people with a long term condition: A retrospective observational study. Journal of Affective Disorders, 227, 366-371. View this article in WRRO
- Epigenetics and primary care. British Journal of General Practice, 68(666), 8-9. View this article in WRRO
- Assessment of the face validity, feasibility and utility of a patient-completed questionnaire for polymyalgia rheumatica: a postal survey using the QQ-10 questionnaire. Pilot and Feasibility Studies, 2017(4). View this article in WRRO
- Recognising paediatric obstructive sleep apnoea in primary care: diagnosis and management. British Journal of General Practice, 67(659), 282-283. View this article in WRRO
- Mental health help-seeking behaviours in young adults. British Journal of General Practice, 67(654), 8-9. View this article in WRRO
- Reducing the risk of type 2 diabetes mellitus in primary care after gestational diabetes: a role for mobile technology to improve current care. British Journal of General Practice, 66(653), 631-632. View this article in WRRO
- Respiratory health screening for opiate misusers in a specialist community clinic: a mixed-methods pilot study, with integrated staff and service user feedback.. BMJ Open, 6(10). View this article in WRRO
- Migrant Health. British Journal of General Practice, 66(649), 405-405. View this article in WRRO
- Quality assessment of a sample of mobile app-based health behavior change interventions using a tool based on the National Institute of Health and Care Excellence behavior change guidance. Patient Education and Counseling, 99(3), 429-435. View this article in WRRO
- Deprivation and poor psychosocial support are key determinants of late antenatal presentation and poor fetal outcomes-a combined retrospective and prospective study. BMC Pregnancy and Childbirth, 15(1). View this article in WRRO
- Why do ‘high risk’ women book late or not at all for antenatal care?. British Journal of General Practice, 65(640), 574.1-574. View this article in WRRO
- Stiffness is more than just duration and severity: a qualitative exploration in people with rheumatoid arthritis. Rheumatology, 54(4), 615-622.
- “I suddenly felt I’d aged”: A qualitative study of patient experiences of polymyalgia rheumatica (PMR). Patient Education and Counseling, 98(5), 645-650. View this article in WRRO
- Practitioners should embrace, not ignore, health apps. BMJ, 350(may07 9), h2336-h2336. View this article in WRRO
- Understanding delayed access to antenatal care: a qualitative interview study. BMC Pregnancy and Childbirth, 14(1). View this article in WRRO
- Predicting biopsychosocial outcomes for heroin users in primary care treatment: a prospective longitudinal cohort study. British Journal of General Practice, 63(612), e499-e505.
- View this article in WRRO Hearing loss in adults. British Medical Journal, 346.
- Why do women attend late for antenatal booking? a qualitative interview study exploring the perspectives of maternity health and social care stakeholders. Archives of Disease in Childhood - Fetal and Neonatal Edition, 97(Suppl 1), A117.4-A118.
- Why do women attend late for antenatal booking? a qualitative interview study exploring the perspectives of service users and stakeholders. part 1: the service users. Archives of Disease in Childhood - Fetal and Neonatal Edition, 97(Suppl 1), A113.3-A113.
- Why do women attend late for antenatal booking? A qualitative interview study exploring the perspectives of service users and stakeholders. Journal of Epidemiology & Community Health, 65(Suppl 2), A4-A4.
- Impact of the QOF and the NICE guideline in the diagnosis andmanagement of depression: a qualitative study. British Journal of General Practice, 61(586), e279-e289.
- Erratum: Editorial (British Journal of General Practice (2010) 60:574 (317-318)). British Journal of General Practice, 60(575), 454.
- Are the gates to be thrown open?. British Journal of General Practice, 60(574), 317-318.
- “Riding the bumpy seas”: Or the impact of the Knowledge Skills Framework component of the Agenda for Change initiative on staff in intermediate care settings. Journal of Interprofessional Care, 24(1), 70-79.
- Verdacht auf vorzeitige Menopause. Praxis, 97(20), 1089-1090.
- Leaders, leadership and future primary care clinical research. BMC Family Practice, 9. View this article in WRRO
- Suspected premature menopause. BMJ, 336(7648), 833-833. View this article in WRRO
- The impact of workforce flexibility on older people's services. International Journal of Therapy and Rehabilitation, 15(9), 374-375.
- Suspected premature menopause. Praxis, 97(20), 1089-1090.
- Patient's ethnicity and use of therapies in rheumatoid arthritis . Journal of Rheumatology, 34(1), 233.
- Reciprocity and paying attention to process: an important issue for the UK Clinical Research Network in primary care?. Primary Health Care Research & Development, 8(04).
- Primary care guidelines in rheumatology. Rheumatology, 45(10), 1321-1321. View this article in WRRO
- Managing osteoarthritis of the knee. BMJ, 330(7492), 672.3-672.3.
- Managing osteoarthritis of the knee  (multiple letters). British Medical Journal, 330(7492), 672-673.
- View this article in WRRO Managing osteoarthritis of the knee - Holistic approach is important. BRIT MED J, 330(7492), 673-673.
- Costs and effectiveness of pre- and post-operative home physiotherapy for total knee replacement: randomized controlled trial. Journal of Evaluation in Clinical Practice, 11(3), 283-292.
- New nursing home residents who have recently been discharged from hospital: Survey of GPs' and home managers' need for information. Journal of Clinical Governance, 9(2), 55-58.
- The need for quality assurance of health apps. BMJ, h5915-h5915. View this article in WRRO
- “Riding the bumpy seas”: Or the impact of the Knowledge Skills Framework component of the Agenda for Change initiative on staff in intermediate care settings. Journal of Interprofessional Care, 1-10.
- View this article in WRRO Obesity in pregnant women: A primary care perspective on pre-conception counselling and the role of supplements.. British Journal of General Practice.
- View this article in WRRO A primary care database study of asthma care and outcomes among patients with a history of opioid use disorder". npj Primary Care Respiratory Medicine.
- ‘Inglan is a bitch’ : hostile NHS charging regulations contravene the ethical principles of the medical profession. Journal of Medical Ethics. View this article in WRRO
- The development and evaluation of a community attachment scheme for first year medical students. Medical Teacher, 161-166.
- Shoulder pain: diagnosis and management in primary care.. BMJ: British Medical Journal, 1124-1128.
- Are the gates to be thrown open? Editorial.. BJGP 2010, 574(60), 217-218. View this article in WRRO
- Outcomes Measured in Polymyalgia Rheumatica and Measurement Properties of Instruments Considered for the OMERACT Core Outcome Set: A Systematic Review. The Journal of rheumatology.
- Utility of the COM-B model in identifying facilitators and barriers to maintaining a healthy postnatal lifestyle following a diagnosis of gestational diabetes: a qualitative study. BMJ Open.
- Pain in the Neck, shoulder and Arm In Adebajo A (Ed.), ABC of Rheumatology Blackwell Publishing Ltd
- Primary Care management Shoulder pain, RCGP textbook of musculoskeletal medicine In primary care
Conference proceedings papers
- Cancer treatment decisions for people living with dementia : experiences of family carers. British Journal of General Practice, Vol. 70(Suppl 1). London, UK, 12 March 2020 - 12 March 2020. View this article in WRRO
- Interpreter costs across clinical commissioning groups in England 2017–2018 : a cross sectional survey using ‘freedom of information’ requests. British Journal of General Practice, Vol. 70(Suppl 1). London, UK, 12 March 2020 - 12 March 2020. View this article in WRRO
- Exploring patient preference regarding interpreter use in primary care. British Journal of General Practice, Vol. 70(Suppl 1). London, UK, 12 March 2020 - 12 March 2020. View this article in WRRO
- What influences Roma women attending NHS cervical screening? Knowledge, fear, and passive consent. British Journal of General Practice, Vol. 70(Suppl 1). London, UK, 12 March 2020 - 12 March 2020. View this article in WRRO
- P259 A better approach to COPD case finding is required in people with HIV. Thorax, Vol. 74(Suppl 2). London, UK, 4 December 2019 - 6 December 2019. View this article in WRRO
- Exploring the experience of a ‘diagnosis’ of pre-diabetes and factors influencing uptake of a lifestyle intervention programme in areas of socio-economic deprivation. British Journal of General Practice, Vol. 68(Suppl 1), 23 March 2018 - 23 March 2018. View this article in WRRO
- How do homeless women conceptualise access to and experience of antenatal and postnatal care in Sheffield?. Regional Society for Academic Primary Care 2018 Trent, 13 March 2018 - 13 March 2018.
- What is the effect of co-morbid depression on the use of unscheduled hospital care by people with a long term condition?. Society For Academic Primary Care National Conference Programme, 12 July 2017 - 14 July 2017.
- What factors influence access by new migrant and BME women to NHS cervical screening? Has the screening programme been adapted to improve uptake for these groups of women? A systematic narrative metasynthesis. Society for Academic Primary Care National Conference 2017, 12 July 2017 - 14 July 2017.
- Women’s views on the potential role of mobile technology in a primary care intervention aimed at reducing the risk of Type 2 diabetes amongst women recently diagnosed with Gestational Diabetes.. Society for Academic Primary Care National Conference Programme, 12 July 2017 - 14 July 2017.
- ‘Don't just Screen, Intervene’: What are the barriers and facilitators to weight loss for people with a serious mental illness and obesity? . A systematic narrative metasynthesis. National Conference Society for Academic Primary Care Programme, 12 July 2017 - 14 July 2017.
- Support versus stigma: How do African faith organisations in the UK respond to HIV-related issues?. Society for Academic Primary Care. https://sapc.ac.uk/conference/2017/abstract/support-versus-stigma-how-do-african-faith-organisations, 12 July 2017 - 14 July 2017.
- Fitness bands and Facebook TM : can we reduce incident diabetes in high risk postnatal women?. RCGP Conference Book, 5 October 2016 - 7 October 2016.
- View this article in WRRO Cervical screening rates: The Roma Slovak a new migrant population. Annual Primary Care Conference 2016
- M9 Lung Health of OPiate Users (LHOp): A pilot study to assess the respiratory health of opiate misusers attending a community substance misuse clinic. Thorax, Vol. 70(Suppl 3) (pp A230.2-A231)
- 'When's the Lung Lady coming again?". RCGP 20th National Drug and Alcohol Conference, 15 June 2015 - 16 June 2015.
- Mathers, N., Mitchell, C. and Hunn, A., 2012. A study to assess the impact of continuing professional development (CPD) on doctors’ performance and patient/service outcomes for the GMC.. Royal College of General Practitioners, 4 October 2012 - 6 October 2012.
- Assessing the face validity of a patient reported questionnaire for polymyalgia rheumatica.. SAPC Regional Conference Programme, 15 March 2016 - 15 March 2016.
- Mobile health apps: The emperor's new clothes?. Annual Conference of the Royal College of General Practitioners. Scottish Exhibition and Conference Centre, Glasgow, 1 October 2015 - 3 October 2015.
- View this article in WRRO A study to assess the impact of continuing profession development (CPD) on doctors performance and patient/service outcomes. Final report for the GMC
- View this article in WRRO Management of shoulder disorders in primary care
- View this article in WRRO The impact of workforce flexibility on the costs and outcomes of older peoples’ services: A policy and literature review
- Reducing the risk of progression from Gestational Diabetes to Type 2 Diabetes Mellitus: women’s perspectives on the content, research development and evaluation of a mobile health technology lifestyle intervention to support postnatal dietary and activity lifestyle change
- The impact of workforce flexibility on the costs and outcomes of older peoples’ services
- Research group
Postgraduate supervision of Clinical Academic Trainees and Masters and PhD students (multidisciplinary).
- Awareness and Beliefs About Cancer (ABACus): randomised controlled trial of the health check intervention to improve cancer symptom awareness and help seeking among people living in socioeconomically deprived communities: Dr Mitchell is the Sheffield CO_APP with researchers at Cardiff University and Leeds University (PI Dr K Brain Cardiff University) £486,014 for this study which is one of 5 funded projects with the Yorkshire Cancer Research Network £7million investment in 'Lung Cancer and Early Diagnosis’ Jan 17
- RCGP SFPB Co-app Feb-Oct 2016 : £10,500 “Postnatal women’s views on the use of mobile technology in facilitating sustained lifestyle change following gestational diabetes
- Sheffield Clinical Commissioning: Sept 2015 (12months) ; PI £15,000 : Development and evaluation of a patient Decision Aid for Atrial Fibrillation
- The L-Hop Pilot Study: Lung Health of Opiate substance misusers; £4000; PI (from CLAHRC SY) January 2015 ; 6 months
- Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber (CLAHRC YH) £10million grant to test new ways of delivering and re-designing health services and tackling health inequalities. January 2014 (five-years); Co- Lead Workstream ‘Implementation and Evaluation” Mental Health & Co-morbidities Workstream (2 sessions per month matched funding).
- A Qualitative study of patient experiences in Polymyalgia Rheumatica- £9996- H Twohig; C Mitchell (co-applicant)
- Co-applicant: The Impact of CPD on doctors performance and patient/ service outcomes for the GMC : N Mathers ; C Mitchell; ;A Hunn; B Colwell University of Sheffield/ Capita £66965 October 2011-April 2013
- Impact of NICE guidelines for depression (2004/2007) and the quality and outcomes framework in general practice; a qualitative study of patient and professional perspectives on treatment choices and outcomes (in collaboration with Community Health Sheffield Trust) Sheffield Health and Social Research Consortium. [PI] £47, 000. Nov 07 for 24 months
- GPwSI. Extended scope practitioners changing roles and support needs in an orthopaedic screening service – a qualitative study; Management of Shoulder pain in primary care; Health workers experience of neglect & abuse of the elderly : a literature review & focus group study in collaboration with University of Liege, Belgium. [PI] £56,000. Mar 2003 for 36 months.
- Costs and effectiveness of home pre- and post-operative physiotherapy for total knee replacement (TKR); a randomised controlled trial and Patient and professional perspectives of the role of physiotherapy rehabilitation in the pathway of care for TKR- a qualitative study.[PI] NHS Primary Care Research & Development Funding (Culyer): [PI] £169,107. March 1999 for 60 months.
- Improving access to maternity services Sheffield Health & Social Care Research Consortium [Co-applicant] £36,434. Sept 2005 for 24 months.
- COOP Study – The impact of workforce flexibility on the costs and outcomes of older peoples’ services. SDO programme; DOH [Co-applicant] 2005 for 36 months. £297,266
- Inter-practice multidisciplinary primary care research team; research mentorship. Trent Designated Research Team grant. [Co-applicant] £20,000, Oct 2001 for 17 months.
- Teaching activities
- PhD supervisor and examiner
- Masters supervision and examiner
- SSC and BMedSci research student supervisor. I started a BMedSci peer learning set to develop writing and dissemination skills in AUPMC and still contribute to these sessions
- Leadership role postgraduate clinical academic training programme and individual supervision for Clinical Academics in training (AFT; NIHR Academic Clinical Fellows, Clinical Lecturers and In-Practice training fellows; regionally funded Academic Training Fellows)- in primary care and cross specialty.
- Professional activities
- NIHR reviewer Programme Grants for Applied Research 2016
- 2016 Canadian Institutes of Health Research: Nominated external peer reviewer: Research, Knowledge Translation and Ethics Grant Portfolio (2015/ 2016) for Chronic Diseases (‘SPOR’); Stage One evaluation for Spring 2016 Project Grant Competition
- HTA Project: 14/45/04 - Chondroitin sulphate for hand osteoarthritis: a randomised, placebo- controlled trial in primary care: The FACTUAL STUDY
- 2015 nominated and appointed as a Member of the Data Monitoring (and Ethics) Committee (DM(E)C) for the NIHR HTA Programme
- 2014 to date: Collaboration for Leadership in research in health and care (CLARHC SY): co-lead workstream ‘Implementation and evaluation’ in the Mental Health and Co-morbidities theme
- 2014 to date: General Practice representative and Academic Supervisor : Clinical Academic Working Group University of Sheffield ; The Medical School
- 2013 to date : Member of the Oxford primary care academic leadership programme Advisory committee
- Chair of the Trial Steering Committee, University of Keele, Primary care Osteoarthritis Screening Trial) 2010-2014
- 2012 to date: RCGP representative RCP National Committee for Rehabilitation Medicine
- 2011 to date : RCGP representative Q-Reeearch Steering committee: University of Nottingham
- 2007 to date: member International Oxford (formerly Brisbane) Primary Care Academic Leadership programme (Cohort 2)
- 2008-2010-member of content development group and steering group for the NHS patient decision aid for knee arthritis (launch event September 2010)
- 2008/2009: Better Outcomes for patients – member of stakeholder (NHS, Voluntary Sector, lay representation, DAAT) and expert resource group to inform the restructuring of Alcohol Services in Sheffield; facilitated by Sheffield NHS PCT
- 2005-2007: Programme lead : (1) Socially excluded groups, health inequalities, service users and carers Sheffield Health & Social Care Research Consortium
- 2004-2006: NHS R&D Forum: Member of the Primary Care Research Working Group
- 2005/2006 Consultancy lead (with Trent RDSU/ Sheffield Hallam University) to undertake an evaluation of Orthopaedic screening services by Sheffield NHS PCT and Sheffield University Hospitals trust
External Examiner/Peer review
- Keele University:Research :Masters Programme and PhDs
- University of Leeds: External Review of the leadership module on the Intercalated Primary Care BSc
- Peer review for grants and final reports for: NIHR HSD&R; HTA programmes; NIHR programme grants
- Peer reviewer: BJPscy; BJGP
- Reviewer for the BMJ medical journal and BJGP
- Peer Reviewer for the Canadian Strategy for Patient Orientated Research (SPOR) Grant Programme 2015
- NAPCRG 2015 Oral Presentation - The effects of implementing a point-of-care electronic template to prompt routine anxiety and depression case finding in patients consulting for clinical osteoarthritis (the POST trial): a qualitative study Bernadette Bartram