Predictors and prognosis of locomotor disability in primary care: NORSTOP follow up study

Lead Research Organisation: Keele University
Department Name: Inst for Primary Care and Health Sci

Abstract

Chronic pain in the hips, knees and feet at ages over 50 years is associated with the condition of osteoarthritis. Osteoarthritis is the main cause of restricted activity in the everyday life of older people, and as the numbers of older people increase in Western societies, so the influence of chronic joint pain on the quality of life and the costs of health and social care will increase. We plan to follow a large group of older people with and without lower limb joint pain, and with and without mobility limitations, over time, and investigate what causes the onset and progression of restricted activity. This will help to inform better primary care and preventive programmes for this very common problem.

Technical Summary

Prevention of physical disability in older people is a major public health concern. Osteoarthritis is its main cause and we plan to study the clinical, psychological and social reasons why the clinical syndrome of osteoarthritis in the lower limbs (pain in the hip, knee or foot) leads to locomotor disability, and what determines whether the disability leads to restricted participation in everyday life. Our design uses follow-up of an estimated 8000 people aged over 50 years who were recruited into the North Staffordshire Osteoarthritis Project in 2002, and who have consented to further study and to medical record review and who will be followed to 2009. Findings will inform public health and primary care models for prevention of locomotor disability.

Publications

10 25 50

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Bedson J (2011) Does comorbid disease influence consultation for knee problems in primary care? in Primary health care research & development

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Bedson J (2009) Non-consultation among community-dwelling older adults with knee pain: completing the picture in Primary Health Care Research & Development

 
Description EULAR hand osteoarthritis guidelines
Geographic Reach Asia 
Policy Influence Type Membership of a guidance committee
Impact These guidelines and widely cited as part of rheumatological and musculoskeletal practice.
 
Description European Commission
Geographic Reach Asia 
Policy Influence Type Gave evidence to a government review
 
Description Evidence provided for selection of quality outcomes framework for English General Practice
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
 
Description Musculoskeletal Services Framework
Geographic Reach National 
Policy Influence Type Participation in a national consultation
Impact The Keele model, developed in close partnership with the NHS Services in North Staffordshire, notably the Nationally renowned Haywood Hospital (Centre for Rheumatic Diseases), influenced the Musculoskeletal Services Framework of the NHS (E.M.Hay, A.Campbell, S.Linney,E.Wise on behalf of the Musculoskeletal GpwSI Working Group. Development of a competency framework for general practitioners with a special interest in musculoskeletal/rheumatology practice. Rheumatology 2007 ; 46 :360-362 Department of Health. The Musculoskeletal Services Framework 'A joint responsibility: doing it differently'. London: Department of Health; 2006.)
 
Description NICE osteoarthritis guidelines
Geographic Reach Multiple continents/international 
Policy Influence Type Membership of a guidance committee
Impact Two of our members of staff were panel members on the NICE osteoarthritis guideline committee. One of our members wrote the Epidemiology section for the guidelines, based on analysis of the MRC funded cohort. In 2011 the NICE Committee has decided to revise and update the OA guidelines and we have representatives led by Dziedzic on the new stakeholder group. Two members of the research team are involved in the 2012-13 NICE Osteoarthritis Guidelines Revision Group (Dziedzic, Porcheret)
 
Description Osteoarthritis Research Society International (OARSI)
Geographic Reach Multiple continents/international 
Policy Influence Type Membership of a guidance committee
Impact These guidelines are now widely cited as international standards, published and regularly updated.
 
Description Pain Summit
Geographic Reach National 
Policy Influence Type Participation in a national consultation
Impact For the first time this brought together politicians, policy makers, clinicians, patients, users, public and researchers to consider the need for a National initiative directed at chronic pain. The MRC data was used to illustrate that osteoarthritis is the leading contributor to the impact of chronic pain at a population level.
 
Description RCGP Musculoskeletal Curriculum
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact This has now become the core curriculum for GPs in training and we host the guardianship of the Musculoskeletal Curriclum which inclues epidemiological data from the MRC programme.
 
Description Relaunch of Arthritis Research UK
Geographic Reach National 
Policy Influence Type Participation in a national consultation
 
Description arc National Primary Care Centre
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact The original MRC programme established the importance of primary care studies in a field such as osteoarthritis which had been dominated by research in secondary care. The major research charity concerned with osteoarthritis in the UK (Arthritis Research Campaign) has responded in the years since to an increasing focus on primary care as an important arena for research into this condition and has recognised Keele's contribution to this through its support of the trials programme over many years, culminating in the award of its first Centre of Excellence, chosen to be in the field of primary care, to the Keele centre. The combined research and dissemination activity of the Centre is helping to shape education initiatives in primary care, configuration of services for the care of patients with musculoskeletal illness in the community, and the training of healthcare professionals to deliver those services.
 
Description Arthritis Research UK Health Services Research (Ross Wilkie)
Amount £297,000 (GBP)
Organisation Versus Arthritis 
Start 01/2017 
End 12/2019
 
Description Arthritis Research UK Programme Grant - George Peat
Amount £788,479 (GBP)
Organisation Versus Arthritis 
Start 08/2008 
End 07/2013
 
Description ESRC North West Social Science Doctoral Training Partnership (NW DTP)
Amount £75,000 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 10/2017 
End 10/2020
 
Description ESRC, Small Project Grant - Jane Richardson
Amount £72,947 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 05/2008 
End 06/2010
 
Description MRC Research Grant (Work, Health and Wellbeing) - Ross Wilkie
Amount £45,471 (GBP)
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 05/2009 
End 02/2010
 
Description NHS West Midlands - Research Training Fellowship/NHS West Midlands - Martin Thomas
Amount £135,486 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 09/2010 
End 08/2013
 
Description NHS West Midlands - Research Training Support Award/NHS West Midlands - Martin Thomas
Amount £34,081 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 09/2009 
End 08/2010
 
Description NIHR - Flexibility and Sustainability funded (linked with Senior Investigator award) - Peter Croft
Amount £375,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 04/2010 
End 03/2015
 
Description NIHR - In-Practice Fellowship - John Edwards
Amount £115,692 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 09/2010 
End 08/2012
 
Description NIHR - In-Practice Fellowship - Mark Porcheret
Amount £115,650 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 10/2008 
End 09/2010
 
Description NIHR - In-Practice Fellowship - Richard Hayward
Amount £116,322 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 10/2008 
End 03/2011
 
Description NIHR - In-Practice Fellowship - Tope Roberts
Amount £110,500 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 09/2009 
End 08/2011
 
Description NIHR - Integrated Academic Training - John Bedson
Amount £221,798 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 07/2009 
End 06/2012
 
Description NIHR - Post-doctoral Research Fellowship - Umesh Kadam
Amount £369,066 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 08/2007 
End 07/2010
 
Description NIHR - Research Methods Fellowships and Internships - Peter Croft/Danielle van der Windt
Amount £120,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 08/2009 
End 03/2013
 
Description NIHR - Research for Patient Benefit - Jane Richardson
Amount £133,919 (GBP)
Organisation National Institute for Health Research 
Department Research for Patient Benefit
Sector Public
Country United Kingdom
Start 01/2010 
End 12/2011
 
Description NIHR - Research for Patient Benefit - Pauline Ong
Amount £139,274 (GBP)
Organisation National Institute for Health Research 
Department Research for Patient Benefit
Sector Public
Country United Kingdom
Start 01/2008 
End 05/2011
 
Description NIHR - Research for Patient Benefit -Laurence Wood
Amount £70,987 (GBP)
Organisation National Institute for Health Research 
Department Research for Patient Benefit
Sector Public
Country United Kingdom
Start 10/2008 
End 02/2011
 
Description NIHR - Senior Investigator Award - Peter Croft
Amount £75,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 04/2010 
End 03/2015
 
Description NIHR Programme Grant RP-PG-0407-10386 Clinical osteoarthritis and joint pain in older people: optimal management in primary care
Amount £2,000,000 (GBP)
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 07/2008 
End 06/2014
 
Description National School of Primary Care Fellowship - Sara Muller
Amount £243,600 (GBP)
Organisation National Institute for Health Research 
Department School for Primary Care Research
Sector Academic/University
Country United Kingdom
Start 10/2011 
End 09/2014
 
Description National School of Primary Care Research Fellowship - Milisa Blagojevic
Amount £240,000 (GBP)
Organisation National Institute for Health Research 
Department School for Primary Care Research
Sector Academic/University
Country United Kingdom
Start 10/2010 
End 09/2013
 
Description National School of Primary Care Research Studentship - Mehuli Ndlovu
Amount £65,060 (GBP)
Organisation National Institute for Health Research 
Department School for Primary Care Research
Sector Academic/University
Country United Kingdom
Start 10/2010 
End 09/2013
 
Description National School of Primary Care Research project grant - Kelvin Jordan
Amount £17,561 (GBP)
Funding ID 77 
Organisation National Institute for Health Research 
Department School for Primary Care Research
Sector Academic/University
Country United Kingdom
Start 03/2010 
End 02/2011
 
Description RCUK Fellowships - Ross Wilkie
Amount £125,000 (GBP)
Organisation Research Councils UK (RCUK) 
Sector Public
Country United Kingdom
Start 10/2006 
End 09/2011
 
Description The MRC Progress Partnership
Amount £83,821 (GBP)
Funding ID G0902393 
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 04/2012 
End 03/2015
 
Title Clinical Assessment of the Hand 
Description The Clinical Assessment Study of the Hand (CAS-HA) is a longitudinal observational study of community-dwelling adults aged 50 years and over. The study methodology includes both questionnaire and clinical assessment. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2009 
Provided To Others? Yes  
Impact The major material is a new research classification of hand problems for use in clinical settings for both research and practice. The main findings to date from this ongoing MRC funded study of the role and place of the classification include - Hand function is poorer in females than males and decreases with age and over time. - The use of behaviour adapted to overcome pain in the hand is widespread in an older population - Radiographic hand OA is highly prevalent in older people. 
 
Title Data for linkage studies 
Description This is the dataset that links self-report and GP record data in the MRC cohort and it has continued to support a variety of PhDs, MPhils and collaborative projects. Notable among the latter is the Lund collaboration which has compared international datasets on osteoarthritis. An important new output is an analysis of attrition which demonstrates that there is little bias in the MRC cohort by a novel comparison with consultation data drawn from the whole populations of local practices. This has been presented at the Society for Academic Primary Care, Glasgow, 2012, and will be submitted for publication December 2012. 
Type Of Material Biological samples 
Year Produced 2012 
Provided To Others? Yes  
Impact The attrition work will add empirical evidence to recent publications of simulated analyses showing that cohort studies are less prone to bias than was thought. 
 
Title Keele-Haywood Academic Partnership 
Description The Keele-Haywood Academic Partnership (KHAP) provides a formal collaboration between the Arthritis Research Campaign National Primary Care Centre at Keele University, the Staffordshire Rheumatology Centre and the North Staffordshire Primary Care and Hospital Research and Development Consortia. The partnership meets three times per year for scientific presentations and discussions of future collaborative projects. 
Type Of Material Improvements to research infrastructure 
Year Produced 2006 
Provided To Others? Yes  
Impact Formal collaboration between the partners who support and promote a strong joint research programme, especially of projects and programmes at the primary-secondary interface, and education research and development and a strong programme of research capacity development of doctors, nurses and AHPs at all levels. This collaboration developed as a direct part of the MRC programme and the need for the University centre and its NHS partner to collaborate over research premises, provision of radiographic and physiotherapy services, and linked training and clinical expert groups. 
 
Title Locomotor disability questionnaire score 
Description As part of the currently funded MRC programme, five items from the widely used SF-36 physical functioning subscale were combined using Guttman patterns and the Rasch measurement model to create an interval level measure of locomotor disability for analysis of the NorStOP study. The scoring mechanism was tested for its generalisability in three external datasets. The repeatability, validity and responsiveness of the score were tested and found to be acceptable. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2009 
Provided To Others? Yes  
Impact Applications of measurement scales with confirmed interval level properties are advantageous for epidemiological studies using repeated measures over time. This new scoring mechanism should allow the interval-level measurement of locomotor disability in general populations and so improve the quality of longitudinal studies in this area. The use of items from the PF-10 means that this improvement in quality is at no extra burden to the respondent or researcher, as in many cases, data can be analysed retrospectively. 
 
Title Osteoarthritis monitoring schedule 
Description This material published as a Chapter in a novel textbook on the monitoring of chronic disease represents the accumulation of knowledge about clinical, self-report and radiographic characteristics of patients with osteoarthritis from the MRC funded cohort at Keele. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2008 
Provided To Others? Yes  
Impact Peat, Porcheret, and Bedson collaborated with authors from Oxford to write the first book chapter on the science of monitoring osteoarthritis. PEAT G, PORCHERET M, BEDSON J, WARD AM. (2008) Monitoring in osteoarthritis, in: Glasziou P, Irwig L, Aronson J (eds.) Evidence-based Medical Monitoring: From Principles to Practice. (Oxford, BMJ Books). 
 
Title Prediction tool for the outcome of hip and knee replacements 
Description George Peat has developed and published in collaboration with others a novel clinical tool for primary care to estimate the risk of future joint replacement in patients with knee and hip pain (Development and validation of prediction models to estimate risk of primary total hip and knee replacements using data from the UK: two prospective open cohorts using the UK Clinical Practice Research Datalink. Yu D, Jordan KP, Snell KIE, Riley RD, Bedson J, Edwards JJ, Mallen CD, Tan V, Ukachukwu V, Prieto-Alhambra D, Walker C, Peat G. Ann Rheum Dis. 2019 Jan;78(1):91-99. doi: 10.1136/annrheumdis-2018-213894. Epub 2018 Oct 18. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2018 
Provided To Others? Yes  
Impact Development of research to investigate the clinical usefulness of the tool for practice. 
 
Title Primary care osteoarthritis framework 
Description One of the GP research fellows working on the MRC programme, developed a systematic review and stepped care model about the primary care management of osteoarthritis, and conducted a survey of its use, published in leading rheumatology journals and widely accessed. The model was subsequently adapted and adopted by the NICE osteoarthritis guideline development group for their guidelines on management. The survey of older adults with knee pain demonstrated that care did not follow the model and that there was poor uptake of non-pharmacological interventions for osteoarthritis. This work formed the basis for a successful NIHR In-Practice Fellowship award to develop intervention studies based on the model, and for one work programme in the Centre's successful bid for an NIHR programme on osteoarthritis. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2006 
Provided To Others? Yes  
Impact Work has been published and also presented at SAPC conference 2006 and BSR conference 2006 - also recently covered [2009] in an article in the US Physiotherapy Journal. The material has contributed to funding of further research - NIHR OA programme - and informs the work of the Centre member who is also the RCGP Champion for Musculoskeletal Medicine (osteoarthritis). 
 
Title Radiographic definitions 
Description The material collected throughout the MRC programme of radiographs of the hand and knee has been extensively analysed in novel ways, which have been published and have identified expanded definitions of radiographic osteoarthritis at these joints. This radiographic data has been compared and correlated with our self-report survey and clinical data, and publications have presented new findings as to how these definitions relate to such patient based characteristics. 
Type Of Material Biological samples 
Year Produced 2006 
Provided To Others? Yes  
Impact The major impact has been to reverse the assumption of a weak association between radiographic changes of osteoarthritis and symptoms of clinical osteoarthritis. Our new approach to defining knee osteoarthritis in particular, has highlighted the value of visualising the patellofemoral joint in the knee for both research and clinical practice and has generated a major component of a new research programme in the Centre funded by the Arthritis Research Campaign to investigate the hypothesis that patellofemoral joint osteoarthritis is the precursor of disabling knee osteoarthritis in older people. 
 
Title The Nortstop database 
Description This is the formal database for the cohort study and linkage to consultation data. 
Type Of Material Biological samples 
Year Produced 2009 
Provided To Others? Yes  
Impact Publications of a broader specification than in the original MRC programme have been made possible by setting up access to scientifically approved studies from within and outside Keele. Notable examples are the requested contributions to national data on occurrence of osteoarthritis and disability, the collaboration with Menz in Australia on foot osteoarthritis. 
 
Title Trajectory analysis of general practice consultations 
Description We are using the data as the basis for developing novel techniques to analyse trajectories of health and healthcare over time in primary care; separately we have developed techniques of propensity analysis to use the cohorts for determining the effectiveness of primary care for osteoarthritis. 
Type Of Material Model of mechanisms or symptoms - human 
Provided To Others? No  
Impact PhD nearing completion. The techniques have been used in the current MRC Strategic grant proposal shortlisted concerning Lifelong Health and Wellbeing. The propensity work has been published and is being used in our current new NIHR programme. 
 
Description Boston University 
Organisation Boston University
Department Arthritis Center/Rheumatology
Country United States 
Sector Academic/University 
PI Contribution Keele is leading on this work and contributing data from the Norstop study.
Collaborator Contribution Hannan is collaborating in a study synthesising evidence about the prevalence of foot pain in the general population.
Impact The project is currently in progress.
Start Year 2010
 
Description Centre for Disease Control and Prevention, Atlanta 
Organisation Centers for Disease Control and Prevention (CDC)
Country United States 
Sector Public 
PI Contribution As part of this e-collaboration we have submitted a paper (invited revision by Arthritis Care & Rheumatism) called 'Social participation restriction among US adults with arthritis: a population based study using the ICF'
Collaborator Contribution Written a joint paper
Impact Paper written for Arthritis Care & Rheumatism entitled 'Social participation restriction among US adults with arthritis: a population based study using the ICF'
Start Year 2012
 
Description Hylton Menz - International visiting Fellowship 
Organisation La Trobe University
Country Australia 
Sector Academic/University 
PI Contribution We have provided the resources to enable the Visiting Fellowship for 6 months. Hylton Menz during his visit has played a key role in supervising the analysis for three papers from the MRC cohort investigating the impact of foot problems on locomotor disability; he has also played a major role in developing the clinical cohort of patients with foot problems developing directly from the MRC cohort, and he will continue to be a collaborator on this programme. Hylton has now been formally established as a visiting Professor at Keele University, and George Peat, Ed Roddy, Michelle Marshall and Martin Thomas from the Keele unit continue to collaborate actively on projects with published outputs.
Collaborator Contribution Provided resources to enable the Visiting Fellowship
Impact Professor H Menz is the Director, Musculoskeletal Research Centre, La Trobe University in Australia. Professor Menz has special interests in epidemiology and management of foot disorders in older people; osteoarthritis of the foot and ankle; balance and gait changes with ageing in relation to falls. Key outputs from the research visit are five published publications from the MRC data plus one in progress, initiation of the clinical foot studies, and submission for Visiting Senior Research Fellowship for Menz for 2011 to 2014. During 2018, regular teleconferences continued and publications with Keele have included Coexistence of plantar calcaneal spurs and plantar fascial thickening in individuals with plantar heel pain in Rheumatology in 2019; Population prevalence and distribution of ankle pain and symptomatic radiographic ankle osteoarthritis in community dwelling older adults: A systematic review and cross-sectional study in PloS One in 2018; Foot osteoarthritis: latest evidence and developments in Ther Adv Musculoskelet Dis in 2018; Symptomatic Course of Foot Osteoarthritis Phenotypes: An 18-Month Prospective Analysis of Community-Dwelling Older Adults in Arthritis Care Research in 2018.
Start Year 2009
 
Description Jenny Hubertsson and Ingemar Petersson, Lund University 
Organisation Lund University
Country Sweden 
Sector Academic/University 
PI Contribution The collaboration is to work on a study entitled the 'Epidemiology of Healthy Working Life Expectancy and Osteoarthritis in the UK and Sweden'. The collaboration has now been expanded to incorporate a new study comparing work loss in Sweden and UK, and has involved two visits during 2014 by Professor Petersson to Keele and one visit by Professor Croft to Lund University. Both projects are part of the continuing wider collaboration between Lund and Keele Universities over the use of healthcare databases for comparative research (led by Professor Peat at Keele and Professor Martin Englund at Lund), for which there have been three teleconferences during 2014.
Collaborator Contribution Jenny Hubertsson and Ingemar Petersson have contributed ideas for methodological development and will provide data for the Healthy Working Life Expectancy work. For the new study of work loss, Keele has provided a database drawing on all three surveys of the Medical Research Council funded NorStop cohort. This will be analysed by a collaborative team of Professor Petersson as Visiting Professor at Keele and the statistical team at Keele led by Dr Kelvin Jordan. This analysis has now been written up by a collaborative team of Professor Petersson in Lund and Dr Gwen Wynne-Jones in Keele. This has now been published in Occupational Medicine 2018.
Impact The collaboration is to work on a study entitled the 'Epidemiology of Healthy Working Life Expectancy and Osteoarthritis in the UK and Sweden'
Start Year 2012
 
Description Lotte Hermsen, EMGO 
Organisation VU University Medical Center
Department EMGO Institute for Health and Care Research
Country Netherlands 
Sector Academic/University 
PI Contribution This collaboration is to explore cross-cultural validity of the Keele Assessment of Participation
Collaborator Contribution Lotte Hermsen has completed some of the analysis for a paper entitled 'Clinimetric properties of the Dutch Keele Assessment of Participation'
Impact -
Start Year 2012
 
Description MRC Epidemiology Unit in Southampton 
Organisation University of Southampton
Department MRC Lifecourse Epidemiology Unit
Country United Kingdom 
Sector Public 
PI Contribution Main writing of the joint proposal has been from Keele with Southampton as co-applicant and input and advice on the grant application.
Collaborator Contribution Advice and collaboration on developing the occupational stream (Wilkie at Keele) with Professor Keith Palmer. 2013 invited to become a collaborator under Southampton's leadership of a submission to Arthritis Research UK and the Medical Research Council to become a National Centre of Excellence in Occupational Musculoskeletal Health. Keele continues as an active collaborator in the Centre of Excellence, and is collaborating with the Southampton unit on two current projects under that umbrella (Dr Ross Wilkie at Keele and Dr Gwen Wynne-Jones at Keele collaborating with Professor Karen Walker-Bone in Southampton). In 2018, Peter Croft was a member of the external review board for the Centre of Excellence, and in 2019 Keele are now co-applicants with Southampton leading on a proposal for renewal of the Centre grant.
Impact Full submission to the MRC Strategic Grant.
Start Year 2010
 
Description Professor Carol Jagger, Newcastle University 
Organisation University of Leicester
Department Department of Health Sciences
Country United Kingdom 
Sector Academic/University 
PI Contribution We have provided Professor Jagger with an honorary contract and also provide all the resources required by her Visiting Professor position at Keele. Professor Jagger chairs the external steering group which oversees the cohort programme of the Centre, the major part of which is the MRC programme. More specifically she has contributed to the supervision of the post-doctoral work and locomotor disability project under the MRC funding, and we have collaborated with her on a major publication modelling the effects of, among other things, osteoarthritis on future disability in European populations. New work in 2010 is establishing collaboration via Duncan on Newcastle's MRC 85+ study. In 2013, Professor Jagger completed her period as Visiting Professor but will continue to collaborate with the Unit, specifically via Duncan's work and Wilkie's participation in Professor Jagger's short-listed submission to ESRC for a Centre for Health Expectancies and Futures.
Collaborator Contribution Provided Professor Jagger with a honorary contract. Although Professor Jagger is no longer a visiting Professor, she is actively engaged with Dr Ross Wilkie on his health and wellbeing work.
Impact Professor Jagger is a Visiting Professor in the Epidemiology of Ageing at the Leicester Nuffield Research Unit. Professor Jagger's research crosses the interface between demography and epidemiology of ageing with a particular focus on healthy active life expectancy and its use to monitor population ageing. The major output from the collaboration has been the publications on the future disability of European populations related to chronic diseases. In 2010, collaborated with Keele on Wilkie's MRC Strategic Grant application, shortlisted and awaiting outcome of full application.
Start Year 2007
 
Description Ross Wilkie - International study visit 
Organisation Liberty Mutual Research Institute for Safety
Country United States 
Sector Private 
PI Contribution The Primary Care Sciences group at Keele University has developed a strong programme of collaborative work, international workshops and exchanges with Liberty Mutual. Since his research visit with Dr. Glenn Pransky, director of the Institute's Center for Disability Research, in 2009, they have submitted two papers for publication and Dr Pransky has visited Keele to develop further work in September 2010. Their work is based on new analyses of several large publicly-available datasets, and data on injured workers collected by Dr. Pransky. The collaboration continues to promote Dr Wilkie's development as an independent researcher in the epidemiology and prevention of work disability in older workers. In 2013, we have agreed to a return visit to the Centre by Dr Pransky.
Collaborator Contribution Provided office space, computer, statistical and administrative support
Impact Wilkie R, Cifuentes M, Pransky G. Exploring extensions to working life: job lock and predictors of decreasing work function in older workers. (Provisionally accepted by Disabil Rehabil) Research visit by Dr Pransky to Keele, September 2010.
Start Year 2009
 
Description The MRC Progress Partnership 
Organisation University College London
Department Institute of Epidemiology and Health Care
Country United Kingdom 
Sector Academic/University 
PI Contribution Leading on one theme of the partnership (measuring prognosis over time); leading a new international Summer School on prognosis to be held at Keele starting 2013. Joint authors on four impending publications in BMJ and PLOS Medicine.
Collaborator Contribution UCL lead the partnership, which also includes members from the London School of Hygiene, Oxford University, Birmingham University. They lead between them on four other themes to which we also contribute data and intellectual ideas.
Impact Joint authors on four impending publications in BMJ and PLOS Medicine. Three further papers on aspects of prognosis methodology and clinical applications are published, each based on a series of collaborative workshops. A textbook on prognosis research for clinical practice has been written by members of the partnership and was published by Oxford University Press in January 2019 and titled 'Prognosis research in health care'.
Start Year 2012
 
Description Umesh Kadam - International outgoing short visit to Malmo University Hospital, Sweden 
Organisation University Hospital
PI Contribution I was based in the Malmö University Hospital, and meant that I was able to be part of a major European orthopaedic research centre, and which conducts research ranging from basic science, and molecular and imaging studies, to large-scale epidemiological and clinical studies. Data from this project has generated one paper (under review) and we are currently planning a further round of analysis.
Collaborator Contribution The purpose of the visit was to investigate the influence of multiple cardiovascular disease risk factors as predictors of future osteoarthritis, using the Malmo Preventive Project cohort data. In addition to the use of the Swedish data the purpose of the visit was to initiate one-to-one collaborations for the future
Impact First set of data analyses and a paper is currently under review. The work has been presented at the British Society for Rheumatology National Conference.
Start Year 2008
 
Description University of Leiden 
Organisation Leiden University Medical Center
Department Department of Rheumatology
Country Netherlands 
Sector Academic/University 
PI Contribution We are hosting research visits by a Research Fellow in Leiden and providing radiographic material for a collaborative study of erosive hand osteoarthritis.
Collaborator Contribution The Leiden group have added in expertise on the important topic of erosive hand osteoarthritis and helped us to design a collaborative project on this topic using our data in combination with the Leiden data.
Impact The first paper is in draft preparation. Presentation to the PRIMUS Conference in the Netherlands.
Start Year 2009
 
Description Use of GP databases for studying osteoarthritis 
Organisation Utrecht University
Department Department of Orthopedics
Country Netherlands 
Sector Hospitals 
PI Contribution We are contributing the MRC combined GP and postal survey database, plus two of our senior scientists on the Norstop programme, to develop comparative analysis with Sweden. In 2013, we have extended this collaboration to include the Canadian OA group. In addition, we have collaborated with Grotle (Norway), Arden (Oxford) and our Swedish colleagues (Petersson et al) on a now successfully shortlisted proposal to the European League Against Rheumatism in which we propose to develop a model of individual risk among OA patients for progression to joint replacement in several countries. Formed collaboration with Dani Prieto-Alhambra and Alan Silman (Oxford) leading to an application for funding from Arthritis Research UK Health Services Research call.
Collaborator Contribution A collaborative visit took place in January 2011, and has been followed by regular two monthly telephone conferences and a further face to face meeting at the EULAR Conference in London in May 2011. Two protocols have now been completed and collaborative work commenced which will a) compare the rates of osteoarthritis consultations between Sweden and England including a comparison of primary and secondary access consultations, b) estimation of the years lived with disability in relation to joint pain between Sweden and England. A third protocol to investigate the epidemiology of injury in the two countries is underway. The study of consultations has now been published (lead author: Dahai Yu) and the combined database on injury has been analysed and a paper being prepared for publication (George Peat).
Impact Funded joint meeting which took place in Keele in January 2011. Regular teleconferences are arranged and supported and publications will now be drafted as the results become available. 1: Ferguson RJ, Prieto-Alhambra D, Walker C, Yu D, Valderas JM, Judge A, Griffiths J, Jordan KP, Peat G, Glyn-Jones S, Silman AJ. Validation of hip osteoarthritis diagnosis recording in the UK Clinical Practice Research Datalink. Pharmacoepidemiol Drug Saf. 2019 Feb;28(2):187-193. doi: 10.1002/pds.4673. Epub 2018 Oct 30. PubMed PMID: 30375101. 2: Yu D, Jordan KP, Snell KIE, Riley RD, Bedson J, Edwards JJ, Mallen CD, Tan V, Ukachukwu V, Prieto-Alhambra D, Walker C, Peat G. Development and validation of prediction models to estimate risk of primary total hip and knee replacements using data from the UK: two prospective open cohorts using the UK Clinical Practice Research Datalink. Ann Rheum Dis. 2019 Jan;78(1):91-99. doi: 10.1136/annrheumdis-2018-213894. Epub 2018 Oct 18. PubMed PMID: 30337425; PubMed Central PMCID: PMC6317440. 3: Yu D, Jordan KP, Peat G. Underrecording of osteoarthritis in United Kingdom primary care electronic health record data. Clin Epidemiol. 2018 Sep 12;10:1195-1201. doi: 10.2147/CLEP.S160059. eCollection 2018. PubMed PMID: 30254492; PubMed Central PMCID: PMC6140739.
Start Year 2010
 
Title Brief assessment of osteoarthritis pain and disability 
Description This has been published as a proposed assessment tool for osteoarthritis in primary care. It has yet to be further assessed in clinical practice as part of our NIHR OA programme grant. 
Type Diagnostic Tool - Non-Imaging
Current Stage Of Development Refinement. Clinical
Year Development Stage Completed 2008
Development Status Under active development/distribution
Impact The impact so far has been the publications, the NIHR integration of it is designed to develop and disseminate its clinical applicability and usefulness. 
 
Title Osteoarthritis guidebook 
Description The product is written information for patients consulting with osteoarthritis. It contains both evidence based biomedical and lay experiential knowledge. 
Type Management of Diseases and Conditions
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2009
Development Status Under active development/distribution
Impact a. Reinforce spoken information form a health care professional b. Act as a resource to help support self care, including when and who to consult c. Help ensure that professionals are not contradicting each other d. Make professionals aware of patient perspectives 
 
Title Pop up screen for use in primary care as a reminder and checklist for optimal care of patients with osteoarthritis 
Description This tool is currently being used and evaluated across the Shropshire Clinical Commissioning Group and more widely in a European collaboration. 
Type Support Tool - For Medical Intervention
Current Stage Of Development Small-scale adoption
Year Development Stage Completed 2017
Development Status Under active development/distribution
Clinical Trial? Yes
Impact Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care. Jordan KP, Edwards JJ, Porcheret M, Healey EL, Jinks C, Bedson J, Clarkson K, Hay EM, Dziedzic KS. Osteoarthritis Cartilage. 2017 Oct;25(10):1588-1597. doi: 10.1016/j.joca.2017.05.017. Epub 2017 Jun 4. 
 
Title Pop-up screens for patient recruitment 
Description As part of the clinical component of the MRC programme, the IT section of the Centre at Keele has developed a novel approach to collecting information on patients at the time of consultation, through the use of screens that pop-up during the consultation if certain diagnostic or symptom codes are entered by the doctor. 
Type Management of Diseases and Conditions
Current Stage Of Development Early clinical assessment
Year Development Stage Completed 2006
Development Status Under active development/distribution
Impact This has been generalised to other studies in the Centre notably in the trials programme where this method of alerting the General Practitioners has had a major influence on our recruitment success. We have published details of this approach in the peer-reviewed press. 
 
Title Severity score for primary care morbidity 
Description This morbidity score (developed by Kadam and Jordan) has been tested and used in the MRC cohort and is being further developed within a current PhD. The next stage is testing its applicability in clinical GP practice. 
Type Support Tool - For Medical Intervention
Current Stage Of Development Refinement. Clinical
Year Development Stage Completed 2009
Development Status Under active development/distribution
Impact Three publications based on the score so far. 
 
Description 'Hands on' series for Arthritis Research UK 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Health professionals
Results and Impact The new data on osteoarthritis was disseminated to all primary care practices in the UK.

Visibility for osteoarthritis as an important primary care condition and for the data from the MRC supported study.
Year(s) Of Engagement Activity 2011
 
Description Annual Aberdeen Centre for Academic Primary Care Lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Participants in your research and patient groups
Results and Impact Visibility for the research group in the Scottish School of Primary Care, extending opportunities for new links in the field of primary care epidemiology notably comparison of the MRC cohort with the Aberdeen RCGP cohort

Continuing talks on collaborative research including a PhD examination and proposals for joint data analysis
Year(s) Of Engagement Activity 2011
 
Description Arthritis Research Centre - launch of the National Primary Care Centre linked with MRC Programme grant 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact We were funded by the Arthritis Research Campaign to become their National Primary Care Centre so we held a launch day to mark the occasion and Professor Lord Darzi of Denham opened the Centre.

The opening of our new centre was able to give a strong message to members of the public and leaders of local health and government organisations that primary care is important and that a major national charity values research in that setting. The opening was mentioned in national newsletters to audiences such as Rheumatologists, again emphasising the importance of the work on, for example, osteoarthritis supported by the MRC. This event in particular, drew the attention and support of senior primary care and hospital Trust managers who support the partnerships that are crucial to the MRC programme for successful recruitment, hosting of the research clinics, and support for the follow-up long-term.
Year(s) Of Engagement Activity 2008
 
Description Arthritis Research UK Hands On publication 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? Yes
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Health professionals
Results and Impact Mark Porcheret, Krysia Dziedzic, Emma Healey, Nadia Corp wrote an Arthritis Research UK Hands On publication (Osteoarthritis: a modern approach to diagnosis and management) and Mark Porcheret co-author on the sister publication (Reports on the Rheumatic Diseases - Osteoarthritis: pathogenesis and prospects for treatment)

Arthritis Research UK Hands On publication
Year(s) Of Engagement Activity 2012
 
Description Arthritis Research UK Patient Groups 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Participants in your research and patient groups
Results and Impact Talks to local groups who have been responsible for fundraising for the Charity in their area.

No specific impact although the general importance of this work to the profile of the Centre within the wide community covered by Arthritis Research UK is substantial.
Year(s) Of Engagement Activity 2010
 
Description Department of Primary Care - OA in the consultation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Mark Porcheret presented at a meeting of the Department of Primary Care - OA in the consultation in Dundee

Dissemination to health professionals
Year(s) Of Engagement Activity 2012
 
Description Developing e-learning modules on musculoskeletal medicine for GPs 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Louise Warburton is developing for the Royal College of General Practitioners with support from Arthritis Research UK (they are sponsoring the project and Tom Sanders is leading the project) six e-learning modules on musculoskeletal medicine for GPs. Mark Porcheret is leading on OA module. Louise Warburton is leading on the assessment module and inflammatory arthritis module.

Six e-learning modules
Year(s) Of Engagement Activity 2012
 
Description European League Against Rheumatism (EULAR) Annual Meeting 2011 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach International
Primary Audience Health professionals
Results and Impact A wide range of European Rheumatologists, General Practitioners, Allied Health Professionals and Industry, were present at the Conference.

Visibility and exposure for osteoarthritis as an important primary care condition to an audience of leading European Rheumatologists.
Year(s) Of Engagement Activity 2011
 
Description Inaugural lecture (2015) - Kelvin Jordan 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Inaugural lecture (2015) - Kelvin Jordan entitled The hidden pain in our data: biostatistics and musculoskeletal conditions in primary care
Year(s) Of Engagement Activity 2015
 
Description Invited speaker - American College of Rheumatology annual meeting, Washington (Ross Wilkie 2016) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Invited speaker - American College of Rheumatology annual meeting, Washington (Ross Wilkie 2016)
Year(s) Of Engagement Activity 2016
 
Description Lecture to the South Sweden Health Service Partnership on Back Pain 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 200 people, a mixture of policymakers and clinicians engaged in developing the South Sweden Back Service, attended and were engaged in a discussion on the comparative virtues of the UK Centre's approach to back pain epidemiology and management and the developing approach in Sweden.

This visit has had a major influence on driving the expansion of the research groups collaboration with the Lund musculoskeletal research group which has resulted in a direct comparison of data from the MRC cohort in North Staffordshire and the South Sweden Health Care database, which has recently been accepted for publication.
Year(s) Of Engagement Activity 2011
 
Description MOSAICS - training programme for GPs and practice nurses 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach Local
Primary Audience Health professionals
Results and Impact Training programme for GPs and practice nurses delivering the MOSAICS study intervention (enhanced GP consultation and nurse-led OA clinic) - 11 practice nurses and 27 GPs trained.

GPs and practice nurses trained in the delivery of the MOSAICS study intervention
Year(s) Of Engagement Activity 2012
 
Description MOSAICS intervention practices 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation Workshop Facilitator
Geographic Reach Local
Primary Audience Health professionals
Results and Impact MOSAICS intervention practices - to date 200 patients have attended the newly set up OA clinics in the practice

Patient have been included in the MOSAICS research project
Year(s) Of Engagement Activity 2012
 
Description MRC programme grant - GP newsletters 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Health professionals
Results and Impact Prepare newsletters for distribution to GP surgeries to inform them of the research activities underpinning the MRC programme and which involve patients and practitioners at these surgeries, together with summaries of the results.

This is an on-going activity to raise awareness and to inform members of the public of our activities. One impact has been successful recruitment to our User Groups, now numbering 35; and continuing successful rates of follow-up to the cohort which have exceeded the expectations of the peer-reviewers of the MRC programme.
Year(s) Of Engagement Activity 2009
 
Description Member of NICE OA Guideline Development Group 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Review of NICE OA guideline

Production of updated NICE OA guideline
Year(s) Of Engagement Activity 2012
 
Description Musculoskeletal Matters 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Initiation of a periodic laminated summary, also placed on the websites of our Centre and of Arthritis Research UK, presents the occurrence of joint pain and disability in simple and accessible ways as part of education, training and information for health professionals, patients and the public.

The figures are beginning to be quoted in other policy and clinical literature. During 2012 further data was produced and quoted by Arthritis Research UK who have commissioned further specific data from our NIHR and MRC sponsored work about the occurrence of musculoskeletal conditions in the UK. This will be used in their publicity, website and patient and public exchanges.The data in the 2013 Arthritis Research UK report on osteoarthritis was derived from the Centre's work.
Year(s) Of Engagement Activity 2009,2010,2011
 
Description NICE Osteoarthritis panel 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Some of our data was used as part of the epidemiological section of the guidelines.

The NICE guidelines have led to continuing discussions with PCTs about translating these data into models of needs assessment for the delivery of evidence based care.
Year(s) Of Engagement Activity 2008,2009
 
Description PCT research awareness days 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? Yes
Geographic Reach Local
Primary Audience Health professionals
Results and Impact Clinical advisory groups; internal and external seminars; evidence-based practice working groups.

Development of local algorithms of clinical practice (GP and Physiotherapy). Contribution to development of local service re-configuration - current plan is for a Clinical Commissioning Group in Shropshire to adopt the NIHR OA programme's training and approach to OA in general practice.
Year(s) Of Engagement Activity 2006,2007,2008,2009
 
Description Plenary talk at Australian Rheumatology Association (Peter Croft) - May 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Plenary talk on osteoarthritis in older people at a session on pain management in older people. Following the talk I was invited to advise on a grant submission by the Melbourne group.
Year(s) Of Engagement Activity 2018
 
Description Poster presentation at Public Health England Applied Epidemiology Scientific Conference 2015 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Poster presentation at Public Health England Applied Epidemiology Scientific Conference 2015 entitled "Musculoskeletal Health Intelligence Research to Strengthen the Use of Primary Care Electronic Health Record (EHR) Data for Public Health Action" . Presenters: Peat G, Jordan KP, Mallen C, Englund M, Petersson IF, Yu D, Bedson J, Chen Y, Edwards JJ, Turkiewicz A, Jöud A, Prieto-Alhambra D, Birtwhistle R, Williamson T, Croft PR, Hughes R, Hay EM
Year(s) Of Engagement Activity 2015
 
Description Presentation at Arthritis Research UK National Musculoskeletal Health Data Group 2015 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation at Arthritis Research UK National Musculoskeletal Health Data Group 2015 entitled Use of primary care electronic health record data for musculoskeletal health intelligence
Year(s) Of Engagement Activity 2015
 
Description Presentation at OARSI 2016 (Michelle Marshall) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation at OARSI 2016 entitled Metabolic risk factors were not associated with greater amounts of radiographic hand OA progression over 6 years in a community dwelling population. Presenters: M Marshall, G Peat, E Nicholls, H Myers, M Mamas, K Dziedzic, D van der Windt
Year(s) Of Engagement Activity 2016
 
Description Presentation at UK-RiME 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation at UK-RiME entitled Keele Observational Cohort Datasets
Year(s) Of Engagement Activity 2015
 
Description Primary Care Rheumatology Society 2011, 25 Anniversary Plenary Lecture 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact 100 people mixture of specialists and primary care clinicians attended and discussed issues concerning the interface between primary and secondary care for musculoskeletal conditions

Visibility for the research group on the national stage, in particular visibility for general practice as a source of research data for specialist clinicians
Year(s) Of Engagement Activity 2011
 
Description Public Health England Applied Epidemiology Scientific Conference 2016 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Public Health England Applied Epidemiology Scientific Conference 2016 presentation entitled Identification of chronic widespread pain in primary care. Presenters: K Mansfield, J Sim, K Jordan
Year(s) Of Engagement Activity 2016
 
Description Research Users' Group 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact The Research Users' Group at Keele meet tri-monthly and discuss various research projects and their involvement within the steering groups. They also provide advice on consent forms, information leaflets and the research design.

We believe that our successful grant record is due to our hugely successful users' group. The users' group also helped to design the questionnaire which was used in the 6-year follow-up pilot study of the MRC programme and came up with the 'thread' which drove the NIHR programme.
Year(s) Of Engagement Activity 2009
 
Description Robin Pinsent Lecture of the Midland Faculty of the Royal College of General Practitioners 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Type Of Presentation Keynote/Invited Speaker
Geographic Reach Regional
Primary Audience Health professionals
Results and Impact 50 people attended and discussed the contribution of primary care epidemiology to the understanding of clinical general practice

The talk reached senior members of the RCGP faculty who are not normally engaged in research and has contributed to networking and partnerships developing between general practices and the research centre regionally.
Year(s) Of Engagement Activity 2011
 
Description Royal College of General Practitioners Conference - update on musculoskeletal pain for GPs 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Annual Royal College of General Practitioners Conference - update on musculoskeletal pain to GPs by Jonathan Hill and Ed Roddy. Mark Porcheret delivered an update on osteoarthritis

Update for GPs
Year(s) Of Engagement Activity 2012
 
Description Royal College of General Practitioners National Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Health professionals
Results and Impact The work on osteoarthritis derived from the MRC cohort was presented to 500 working GPs from around the country.

This has led to plans for an editorial derived from the talk and encouragement from the RCGP (see reference to Croft et al RCGP) and the Arthritis Research UK to translate this material into accessible documents for use by GP Commissioners as measures of community need (see website).
Year(s) Of Engagement Activity 2010
 
Description Royal College of General Practitioners One Day Essential Conference on musculoskeletal medicine 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact Louise Warburton organised a Royal College of General Practitioners One Day Essential Conference on musculoskeletal medicine. Mark Porcheret delivering a session on osteoarthritis

88 GPs attended
Year(s) Of Engagement Activity 2012
 
Description Royal Society of Medicine Special Event on Osteoarthritis 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Health professionals
Results and Impact George Peat who lead the clinical component of the MRC study gave an overview talk on the epidemiology of osteoarthritis in primary care.

Visibility and exposure for osteoarthritis as an important clinical topic in general practice.
Year(s) Of Engagement Activity 2011
 
Description The Big Picture 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Data from the MRC study was used to describe the occurrence and impact of osteoarthritis in the population as part of the report.

The Arthritis Research UK is now planning to develop more accessible versions of this material for direct use by public health and primary care commissioners of healthcare.
Year(s) Of Engagement Activity 2008,2009,2010
 
Description User Involvement in Research: The Keele experience linked to MRC programme grant 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Full day Conferences (2008, 2010, 2012 and 2013) to discuss the experiences of a lay member, the experience of involving users from a researcher's perspective plus parallel group sessions (which were run jointly by users and researchers) to looking at the various aspects of the research process.

Raised awareness nationally of the work that Keele were undertaking with user involvement, much of which had been initiated as part of the MRC osteoarthritis programme and the projects that it facilitated.
Year(s) Of Engagement Activity 2008,2010
 
Description Watson Smith Lecture of the Royal College of Physicians, London 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Type Of Presentation Keynote/Invited Speaker
Geographic Reach National
Primary Audience Health professionals
Results and Impact 100 specialists and policy makers attended and discussion focussed on the growing importance of multimorbidity in osteoarthritis and related diseases, and the return of the need for the general physician to assess the more severe cases from primary care

A major service reconfiguration proposal has been sent to me (Peter Croft) as a result of the lecture for an opinion. Plans to investigate the impact of multimorbidity on osteoarthritis in a new research project have grown as a result of the lecture.
Year(s) Of Engagement Activity 2012