Professor Chris Salisbury
M.B.,Ch.B.(Bristol), M.Sc.(Lond.), D.R.C.O.G., FRCGP, MD
Expertise
Professor of Primary Health Care. I conduct research on how to improve primary health care, particularly in general practice. This includes developing and testing new ways of working.
Current positions
Professor in Primary Health Care
Bristol Medical School (PHS)
Contact
Press and media
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Biography
I trained as a medical student and GP in Bristol, before becoming a full time GP in Reading in 1985. Alongside this I did an MSc in General Practice, was a GP trainer and Postgraduate Tutor at Royal Berkshire Hospital. In 1995 I took up a part-time post as Senior Lecturer in Primary Care at St Mary's (Imperial College) London, alongside my practice Reading. In 1998 I moved to Bristol, first as Senior Lecturer and becoming Professor in 2004.
My academic work has always arisen from my experience of working as a GP in practice. As a partner in Reading I understood how quality of care is as much to do with systems and organisation as it to do with clinical skills. I was one of the first to introduce Nurse Practictioners to general practice (co-authoring a text book for practice nurses), and had a major role in introducing computerisation, disease management clinics and designing and building a new health centre. In South Bristol, I worked in one of the most deprived areas of England, and I am passionate about reducing health inequalities and improving care for the groups of patients who need it most. In particular I am interested in the need to improve care for patients with complex, multiple problems, and to offer patients personal 'whole-person' care from a doctor they know and trust.
Research interests
Professor Chris Salisbury is Professor of Primary Health Care and an NIHR Senior Investigator. He has published 5 books and over 250 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. 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 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. 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). In 2023 he was awarded the RCGP George Abercrombie prize for outstanding contribution to the literature on general practice.
Projects and supervisions
Research projects
Maximising Wellbeing Living Everyday Life with Long-term conditions
Role
Co-Investigator
Description
Developing and evaluating a care and support planning intervention for people with multimorbidity in primary careManaging organisational unit
Bristol Medical School (PHS)Dates
01/01/2019
Using Conversation Analysis to develop training in Collaborative Health Planning for Long-term Conditions - the CoPlan project
Principal Investigator
Role
Co-Investigator
Managing organisational unit
Bristol Medical School (PHS)Dates
08/01/2018
Quantifying changes and appropriateness of UK primary care clinical activity and workload: A 15-year retrospective analysis of diagnostic test use
Principal Investigator
Managing organisational unit
Bristol Medical School (PHS)Dates
01/10/2017 to 30/09/2018
Full Application: Use of GPs in and alongside emergency departments
Principal Investigator
Managing organisational unit
Bristol Medical School (PHS)Dates
01/06/2017 to 31/08/2020
Full Application costs: Quantifying complexity/severity of chronic conditions in English Primary Care using the Clinical Practice Research Datalink
Principal Investigator
Managing organisational unit
Bristol Medical School (PHS)Dates
04/07/2016 to 03/01/2019
Thesis supervisions
Patient-doctor longitudinal care, depth of relationship and detection of patient psychological distress by general practitioners
Supervisors
Patients' views on the service quality of primary health care services : a comparative study of PHC services provision by the security forces and general public sectors in Riyadh City, Kingdom of Saudi Arabia
Supervisors
Improving the uptake of voluntary HIV testing in UK African communities
Supervisors
A process evaluation of a patient-centred intervention in general practice to improve the management of multimorbidity
Supervisors
The diagnostic utility of inflammatory markers in primary care
Supervisors
Publications
Selected publications
07/07/2018Management of multimorbidity using a patient-centred care model
Lancet
Clinical workload in UK primary care
Lancet
Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial)
Lancet
Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study
British Journal of General Practice
Telehealth for patients at high risk of cardiovascular disease
BMJ
Recent publications
28/03/2024Do general practitioners working in or alongside the emergency department improve clinical outcomes or experience?
BMJ Open
Further development and validation of the Multimorbidity Treatment Burden Questionnaire (MTBQ)
BMJ Open
A primary care research agenda for multiple long-term conditions
British Journal of General Practice
Can we achieve better trial recruitment by presenting patient information through multimedia?
BMC Medicine
Educational inequality in multimorbidity
BMC Public Health
Teaching
I'm enthusiastic about teaching, both at undergraduate and postgraduate level.
I act as a Case Based Learning Facilitator for a group of medical students, regularly lecture on topics such as multimorbidity and supervise student choice projects and electives. I also act as Professional Mentor for a small number of medical students.
I supervise doctors interested in an academic careers including Academic Foundation Doctors and Academic Clinical Fellows. I supervise PhD students. I also advise and mentor a number of early career academics from both clinical and science backgrounds.