Dr Caroline Mitchell


Academic Unit of Medical Education

General Practitioner

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

Caroline Mitchell staff profile
+44 114 222 2206

Full contact details

Dr Caroline Mitchell
Academic Unit of Medical Education
Sam Fox House
Northern General Hospital
Herries Road
S5 7AU

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 GP Lead Dr Tom Lawy  (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 people from ethnic minorities 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/in people from ethnic minorities.

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

National Roles

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

Journal articles


Conference proceedings papers

  • Steele H, Lehane D, Walton E & Mitchell C (2020) 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 RIS download Bibtex download
  • Hynes C, Mitchell C & Wyld L (2020) 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 RIS download Bibtex download
  • Lehane D, Oliver P, Mitchell C & Burton C (2020) 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 RIS download Bibtex download
  • Lehane D, Kandrac D, Walton E & Mitchell C (2020) 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 RIS download Bibtex download
  • Collini PJ, Mitchell C, Dockrell DH, Hubbard R & Lawson R (2019) 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 RIS download Bibtex download
  • Hodges V, Hobbis C, Twohig H & Mitchell C (2018) 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 RIS download Bibtex download
  • Seddon ACT, Lehane DB, Burr J & Mitchell C (2018) 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. RIS download Bibtex download
  • Lehane D, Mawson R & Mitchell C (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. RIS download Bibtex download
  • McMillan B, Easton K, Delaney B, Madhurvata P, Abdelgalil R & Mitchell C (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. RIS download Bibtex download
  • Ricketts T, Wood E, Soady J, Saxon D, Hulin J, Ohlsen S & Mitchell C (2017) 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. RIS download Bibtex download
  • Hynes C, Harris J & Mitchell C (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. RIS download Bibtex download
  • Bishop D, Wood E, Ohlsen S & Mitchell C (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. RIS download Bibtex download
  • McMillan B, Easton K, Delaney B & Mitchell C (2016) Fitness bands and Facebook TM : can we reduce incident diabetes in high risk postnatal women?. RCGP Conference Book, 5 October 2016 - 7 October 2016. RIS download Bibtex download
  • Lehane DB, Mitchell CA & Mathers N (2016) Cervical screening rates: The Roma Slovak a new migrant population. Annual Primary Care Conference 2016 View this article in WRRO RIS download Bibtex download
  • Pitt A, Mitchell C, Colwell B, Appelqvist I, Ashby F, Lloyd C, Gilbody S & Lawson R (2015) 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) RIS download Bibtex download
  • Mitchell CA, Appelqvist I, Pitt A, Colwell B, Ashby F & Lawson R (2015) 'When's the Lung Lady coming again?". RCGP 20th National Drug and Alcohol Conference, 15 June 2015 - 16 June 2015. RIS download Bibtex download
  • Mitchell CA, Mathers N & Hunn A (2012) 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. RIS download Bibtex download
  • Mitchell CA, Twohig H, mathers N, Mallen C & Mackie SL () Assessing the face validity of a patient reported questionnaire for polymyalgia rheumatica.. SAPC Regional Conference Programme, 15 March 2016 - 15 March 2016. RIS download Bibtex download
  • McMillan B, Hickey E, Patel M & Mitchell C () 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. RIS download Bibtex download


Theses / Dissertations

  • Mawson R nderstanding access to Sexual and Reproductive Healthcare (SRH) in General Practice using the Candidacy Framework. RIS download Bibtex download


Research group

Postgraduate supervision of Clinical Academic Trainees and Masters and PhD students (multidisciplinary).

  • NIHR HS&DR Understanding the role of link workers in primary care : a realist evaluation to inform current and future policy (led by Oxford- PIs Tierney, Mahtani, Mitchell local PI) £607,071 2021-2024
  • NIHR PRIME GLOBAL HEALTH : PReterm bIrth prevention and manageMEnt  (PI Anumba; Mitchell CI) £361,118 7/2020-23
  • NIHRi4i Connect: ‘Using digital health to transform the management of longterm conditions’ (Brown PI,Mitchell CI) £27,765 2020-22
  • Yorkshire Cancer Research Bladder Cancer Screening Study (Sheffield PI Catto, Mitchell CI) £806,405 10/20-23 I
  • NIHR RCF Pilot study to support inclusive research with ethnic minority/ socioeconomically deprived populations in the Deep End Cluster Research Network (Mitchell PI, Fryer co_I ) £14,397  2020/2021
  • NIHR RCF Chronic Lung disease in ethnic minority/underserved populations £9907 (Jayasooriya PI, Mitchell/ Fryer Co-I) 2021
  • Health Education England : Co-design and evaluation of interventions to support transitions between clinical and academic posts for clinical academic trainees

SuppoRTT Work Package 1: £18,392 Co-PI Mitchell / Payne 2018/2019

SuppoRTT Work Package 2: £36,526 Co-PI Mitchell / Payne 2019-2021

SuppoRTT Work Package 3: £12,143 (co-PI Mitchell/ Payne ) 2020/2021

  • NIHR RCF : Stakeholder perspectives on improving access to care for obstructive airways disease in people with severe mental illness £10,767 Mitchell PICI Delaney/ Hulin 2019-2021 
  • Royal College of General Practitioners Scientific Foundation Board: Proxy decision making by carers for people with cancer who also have dementia : PI Hynes. CI Mitchell / Wylde  £12,857 2019-2021 
  • BOWEL DISEASE RESEARCH FOUNDATION : Optimising the Care and Treatment Pathways for Older Patients with colorectal cancer PI Daniels/ Wylde/ CI Mitchell 
  • Health Education England : Pilot Study to explore barriers and facilitators to career progress for clinical academic trainees Co-PI Mitchell/  Anumba CI Chico £44,579 2018-2021
  • 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.
  • Development and evaluation of a Yorkshire-Humber "Deep End Research Alliance" (DERA) to address gaps in research participation in 3 priority health areas (COPD, Mental Health and Dementia) in under-served populations NIHR YH CRN Strategic Business development funding (£29,995) PI CM

  • Early detection of bladder cancer in Yorkshire: Feasibility assessments for implementing a targeted study in populations with high disease specific mortality risk. Yorkshire Cancer REsearch  Sheffield PI Catto, CIs Chilcott, Cumberbatch, Hussein (Caroline) Mitchell £417,610

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

Conference Presentations

  • 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