Profile
Previously a GP in east London, I am now Professor of Primary Care (Hon) in the Centre for Primary Care, Wolfson Institute of Population Health, QMUL and clinical lead for the Clinical Effectiveness Group CEG), working with local GP practices and the NE London Integrated Care System to improve disease management in the population of 2.4M people.
I have a particular interest in health services delivery and evidence based and actionable programmes that reduce health inequalities.
Digital transformation is a necessary part of the improvement process but this needs to align with key systems to support not only improvement today, but learning for tomorrow.
The elements of transformation are
- Choose wisely – evidence based programmes that have clinical and public health impact, are feasible and have system-wide support - and educational programmes to support these
- Engagement with Commissioners, GPs and other clinically facing stakeholders (eg. In-practice pharmacists) – and with patients –
- Actionable – high quality data input, efficient processes eg. SMS patient contacts; digital risk stratification and other tools. Facilitation and support for underperforming practices
- Motivation – Dashboards - how am I driving compared to peers? Targets and incentives that are achievable for ALL participants. Celebration of success.
- Evaluation and learning from results – learning from what didn’t go so well as much as what went best -how far did we all come?
Research
Research Interests:
Improvement in long term condition management
Cardiovascular disease in relation to diabetes, chronic kidney disease and other outcomes
HIV, hepatitis C and B case finding and management
Equity and delivery of primary care
Health data science - data coding, linkage
Recent and ongoing research projects:
- QCovid risk score – east London population characteristics and risk (NIHR)
- Hepatitis C,B and HIV case detection and management (NIHR)
- Real Health; child health – considering obesity, immunisation and geospatial indicators (Barts Charity)
- Real Health; CVD - Improving anticoagulation in atrial fibrillation, hypertension and statin use in east London. (Barts Charity)
- Cardiovascular disease management in patients with cancer( NIHR)
- Linking Patient Knows Best usage to GP records (NELI ICS)
- Discovery Data Service: East London Database for population health management (Local authorities)
- Lung Cancer delay in diagnosis and management – linkage to NCRAS, GP and hospital data (Cancer research UK)
Publications
Please click through to see a complete list of John's publications
Outstanding publications
Hippisley-Cox J, Coupland C, Robson J, Sheikh A, Brindle P. Predicting risk of type 2 diabetes in England and Wales: prospective derivation and validation of QDScore. BMJ. 2009;338:b880. doi: 10.1136/bmj.b880
Hippisley-Cox J, Coupland C, Vinogradova Y, Robson J, May M, Brindle P. Derivation and validation of QRISK, a new cardiovascular disease risk score for the United Kingdom: prospective open cohort study. BMJ 335:136.
Atri J, Falshaw M, Gregg R, Robson J, Omar RZ, Dixon S. Improving uptake of breast screening in multiethnic populations: a randomised controlled trial using practice reception staff to contact non-attenders. BMJ. 1997;315:1356-9.
Atri J, Falshaw M, Linvingstone A, Robson J. Fair shares in health care? Ethnic and socioeconomic influences on recording of preventive care in selected inner London general practices. Healthy Eastenders Project. BMJ. 1996;312:614-7.
Patel M, Ali S, Robson J, Clements R, Theodoulou A, Wright P, Kearney M, Patel R et al. ( 2022 ) . Pharmacist-led multidisciplinary approach in preventing strokes in people with atrial fibrillation . European Journal of Cardiovascular Nursing . vol. 21
Wu R, Rison S, Raisi-Estabragh Z, Dostal I, Carvalho C, Robson J, Mihaylova B ( 2021 ) . Gaps in antihypertensive and statin treatments and benefits of optimisation: a modelling study in a 1 million ethnically diverse urban population in UK . BMJ Open