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Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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All publications by 'Holden JD'


Mersey and West Lancashire Teaching Hospitals Staff

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St Helens and Knowsley Hospital Staff - Publications pre April 2024

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St Helens Community Staff

International variations in primary care physician consultation time

Objective  To describe the average primary care physician consultation length in economically developed and low-income/middle-income countries, and to examine the relationship between consultation length and organisational-level economic, and health outcomes. Design and outcome measures  This is a systematic review of published and grey literature in English, Chinese, Japanese, Spanish,..

Published: 10/11/2017
Authors: Holden JD

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22 controlled trials in Education for Primary Care 1990–2015 (letter)

​Holden, JD. (2017). 22 controlled trials in Education for Primary Care 1990–2015. Education for Primary Care . 11 (May ), 1-2

Published: 01/06/2017
Authors: Holden JD

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Role models in primary care education

​ Abstract Role models are widely acknowledged in medicine, but they have received much less attention than the other two essential elements of effective medical education, planned and organised teaching, and structured experiences. This may be the result of not distinguishing between what students and trainers are taught and what they..

Published: 19/07/2016
Authors: Holden JD

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Music: A better alternative than pain?

​ Holden, R and Holden, J. (2013).  Music: A better alternative than pain? . British Journal of General Practice. 63 (615), 536  

Published: 19/07/2016
Authors: Holden JD

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Don’t Shoot the Messenger

​ Cox, S; Holden, J. (2013).  Don't shoot the messenger: The problem of whistleblowing in general practice . British Journal of General Practice. 63 (611), 291  

Published: 19/07/2016
Authors: Cox SJ, Holden JD

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Feeding the Beast

​ Foulkes et al suggest that the ePortfolio software should be developed to make the process of documenting and reporting the progress of trainees easier and quicker. Holden, J; Cox, S; Breach, M; Hargreaves, S; van Dessel, M; Hyde, S; White, J; Parr, H; Clarke, C;. (2013). Educational Supervision for GP Trainees:..

Published: 19/07/2016
Authors: Breach M, Clarke C, Cox SJ, Hargreaves SA, Holden JD, Hyde S, Parr H, Van Dessel M, White J

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Time Efficiency Principle

Abstract The test and retest opportunity afforded by reviewing a patient over time substantially increases the total gain in certainty when making a diagnosis in low-prevalence settings (the time-efficiency principle). This approach safely and efficiently reduces the number of patients who need to be formally tested in order to make..

Published: 19/07/2016
Authors: Holden JD

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Writing therapy

​ Mugerwa, S and Holden, JD. (2012).  Writing therapy: A new tool for general practice?  British Journal of General Practice. 62 (605), 661-63  

Published: 19/07/2016
Authors: Holden JD, Mugerwa S

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Revalidation

Abstract The start of revalidation for doctors in the United Kingdom in 2012, based on Good Medical Practice1 and a conclusion by annual appraisal that a doctor is ‘up-to-date and fit to practice’, raises important issues for educational leaders in primary care. These include consideration of the purpose of revalidation; what..

Published: 19/07/2016
Authors: Holden JD, Cox SJ, Hargreaves SA

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Chronic Heart Failure Guidelines

Introduction A number of international guidelines have been developed to support primary care clinicians improve the quality of care for patients with chronic heart failure at the end of life. The objective of this study was to undertake a systematic evaluation of such guidelines in relation to end-of-life care. Methods..

Published: 19/07/2016
Authors: Edwards J, Holden JD

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Cancer Diagnosis in Primary Care

​ Irving, G and Holden, J. (2013).  Measures of promptness of cancer diagnosis in primary care . British Journal of Cancer. 108 (10), 2186  

Published: 19/07/2016
Authors: Holden JD

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Eldercare

Holden, J. (2012).  What's the alternative? . Health Service Journal. 27th September, p32-33   

Published: 19/07/2016
Authors: Holden JD

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Cancer Prognosis

Background:  General practitioners are probably asked regularly about the prognosis for patients with cancer. There is no readily available source of information on the accuracy of their estimates. Objective:  To discover studies that have reported general practitioners estimates of prognosis. Methods:  A search for studies of estimates of prognosis in..

Published: 19/07/2016
Authors: Holden JD, Wooff E

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15 Minute Consultations

​ Irving, GJ; Holden, J. (2012).  15 minute consultations as standard benefit patients and GPs . BMJ. 344 (7862), 31-32  

Published: 19/07/2016
Authors: Holden JD

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Ideas for appraisal

​ Holden, J. (2010).  Ideas for appraisal . Education for primary care. 21 (5), 324-326  

Published: 19/07/2016
Authors: Holden JD

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Alcohol Problems

Objective:  To describe the pattern of diagnosis of 368 patients with alcohol problems in one general practice in northwest England. Methods:  Records were searched retrospectively, and notes were made prospectively from 1996, of all patients who either admitted to drinking more than 50 units per week (men) or 35 units per week (women), or..

Published: 19/07/2016
Authors: Holden JD, Tatham D, Wooff E

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Significant Events

BACKGROUND Patient safety is a key issue in primary care. Significant event analysis (SEA) is a long established method of improving safety. In 2004, SEA was introduced as part of the Quality and Outcomes Framework (QOF) of the new general medical services (GMS) contract. AIM To review SEAs submitted for the..

Published: 19/07/2016
Authors: Cox SJ, Holden JD

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Poor Performance

BACKGROUND The detection, assessment, and management of primary care poor performance raise difficult issues for all those involved. Guidance has largely focused on managing the most serious cases where patient safety is severely compromised. The management of primary care poor performance has become an increasingly important part of primary care..

Published: 19/07/2016
Authors: Cox SJ, Holden JD

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Chronic heart failure guidelines: Do they adequately address patient need at the end-of-life?

Introduction A number of international guidelines have been developed to support primary care clinicians improve the quality of care for patients with chronic heart failure at the end of life. The objective of this study was to undertake a systematic evaluation of such guidelines in relation to end-of-life care. Methods..

Published: 03/10/2013
Authors: Irving G, Holden JD

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Measures of promptness of cancer diagnosis in primary care

Extract Sir, In their discussion Lyratzopoulos et al (2003) make the crucial point that they were not able to examine whether prolonged values of either the primary care interval or the number of pre-referral consultations were either justifiable or preventable. We also wish to question the widely held assumption that optimum..

Published: 01/05/2013
Authors: Irving G, Holden JD

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The time-efficiency principle: time as the key diagnostic strategy in primary care

Abstract The test and retest opportunity afforded by reviewing a patient over time substantially increases the total gain in certainty when making a diagnosis in low-prevalence settings (the time-efficiency principle). This approach safely and efficiently reduces the number of patients who need to be formally tested in order to make..

Published: 27/03/2013
Authors: Irving G, Holden JD

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Hepatitis A immunisation in persons not previously exposed to hepatitis A

Background In many parts of the world, hepatitis A infection represents a significant cause of morbidity and socio‐economic loss. Whilst hepatitis A vaccines have the potential to prevent disease, the degree of protection afforded against clinical outcomes and within different populations remains uncertain. There are two types of hepatitis..

Published: 11/07/2012
Authors: Irving G, Holden JD

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The educational benefits of a federation of four training practices

No abstract available. Hargreaves, S; Irving, G; Holden, J. (2010). The educational benefits of a federation of four training practices. Education for Primary Care. 21 (2), 114-115

Published: 31/03/2010
Authors: Irving G, Holden JD

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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