Dr Ian Litchfield PhD

Ian Litchfield

Institute of Applied Health Research
Senior Research Fellow

Contact details

Address
First Floor , Building Y16
University of Birmingham
Edgbaston
Birmingham
B15 2TT
UK

Ian Litchfield is a Senior Research Fellow in the Department of Applied Health Sciences, University of Birmingham, with a background in occupational medicine and interests in health service delivery. He uses qualitative and quantitative research methods in the evaluation of service delivery interventions in both primary and secondary care. Ian is currently co-lead of the Centre of Primary Care Improvement and academic lead of Birmingham Health Partner’s Evaluation Service.

Ian is experienced in a range of collaborative improvement techniques and works with a variety of stakeholders to design, implement, and evaluate strategies for improved health care delivery. His interests are centred on process improvement, self-management, and the impact and implications of technology-enabled healthcare.

Qualifications

  • MA Sociology, University of Warwick 2021
  • PhD Occupational Medicine 2007
  • MSc Environmental Monitoring 1993
  • BSc Biological Sciences (hons) 1990

Teaching

MSc Public Health

  • Assistant module lead (Sociology and Social Policy)
  • Dissertation supervisor
  • Small group teaching 

Community Based Medicine (MBChB)

External marker

Intercalated BMedSc Degree Course Global Health

Disseration supervisor

Postgraduate supervision

Current PhDs

  • The opportunities for early detection of oral cancer in NHS dental setting – co-supervisor (School of Dentistry)

  • The use of Natural Language Processing in the automated detection of patterns in drug-drug interaction – Co-supervisor (School of Computer Science)

Recently completed

  • The use of process involvement methodologies to equip receptionists for their clinical roles in General Practice.

Research

Ongoing projects include:

  • Exploring new models of triage in primary care (CRN)
  • Improving outcomes for children and young people with diabetes from socio-economically deprived and/or ethnic minority groups (NIHR)
  • The optimisation of Patient Reported Outcomes and Patient and Public Participation in Advanced Therapeutic Medicinal Products/Development of a toolkit for patient-facing information for those receiving ATMP (ATMP Pathway fund)
  • The use of Artificial Intelligence in Social Care (NIHR)
  • Taskshifting in Dental Care: Developing a role for Community Healthcare Workers (The Borrow Foundation)
  • The use of process mining in primary health care to automatically determine care pathways (BSol CCG)
  • The National Register of RF Workers (Industry/HSE)

Recently completed projects include:

  • Automated conflict resolution in clinical pathways (EPSRC)
  • Supporting adults with Type 1 Diabetes (T1DM) to undertake exercise; Developing and piloting an Education programme for exercise in Type-1 diabetes EXTOD (RfPB)
  • The use of Patient Report Outcomes in the management of long term, chronic conditions in Primary Care (Wellcome Trust).
  • Treatment of Fatigue with physical Activity and Behavioural change support in Vasculitis – feasibility study FAB-V study (Arthritis Research UK)
  • Implementing and evaluating a patient safety toolkit in primary care (National School Primary Care).
  • The use of rapid approach analysis in the evaluation of complex interventions (CLAHRC)
  • The PEGASUS study. A feasibility study and open pilot two-arm randomised controlled trial comparing Pressure Garment Therapy with no Pressure Garment Therapy for the prevention of abnormal scarring after burn injury (HTA).
  • Study for the improvement of test result communication in Primary Care (RfPB)

 

Publications

Selected publications

2024

Litchfield, I. & Grant, V. (2024). Acceptability of Community Health Worker and Peer Supported Interventions for Minoritized Populations with Type 2 Diabetes: A Qualitative Systematic Review. Frontiers in Clinical Diabetes and Healthcare5, 1306199.

Quinn, L. M., Narendran, P., Bhavra, K., Boardman, F., Greenfield, S. M., Randell, M. J., & Litchfield, I. (2024). Developing a General Population Screening Programme for Paediatric Type 1 Diabetes: Evidence from a Qualitative Study of the Perspectives and Attitudes of Parents. Pediatric Diabetes2024(1), 9927027.

2023

Litchfield, I., Barrett, T., Hamilton-Shield, J., Moore, T., Narendran, P., Redwood, S., ... & Greenfield, S. (2023). Current evidence for designing self-management support for underserved populations: an integrative review using the example of diabetes. International Journal for Equity in Health22(1), 188.

Litchfield, I., Barrett, T., Hamilton‐Shield, J. P., Moore, T. H. M., Narendran, P., Redwood, S., ... & Greenfield, S. (2023). Developments in the design and delivery of self‐management support for children and young people with diabetes: A narrative synthesis of systematic reviews. Diabetic Medicine40(4), e15035.

Litchfield, I., Gale, N., Burrows, M., & Greenfield, S. (2023). “You're only a receptionist, what do you want to know for?”: Street-level bureaucracy on the front line of primary care in the United Kingdom. Heliyon9(11).

Litchfield, I., Glasby, J., Parkinson, S., Hocking, L., Tanner, D., Roe, B., & Bousfield, J. (2023). “Trying to Find People to Fit the Tech…”: A Qualitative Exploration of the Lessons Learnt Introducing Artificial Intelligence‐Based Technology into English Social Care. Health & Social Care in the Community2023(1), 9174873.

Litchfield, I., Calvert, M. J., Kinsella, F., Sungum, N., & Aiyegbusi, O. L. (2023)  “I just wanted to speak to someone-and there was no one…”: using Burden of Treatment Theory to understand the impact of a novel ATMP on early recipients Orphanet Journal of Rare Diseases18(1), 86.

Litchfield I, Glasby J, Parkinson S, Hocking L, Tanner D, Roe B, Bousfield J (2023) “Trying to find people to fit the tech…” – a qualitative exploration of the lessons learnt introducing Artificial Intelligence (AI) based technology into English social care.  Journal of Health and Social Care in the Community (in press)

2022

Litchfield, I., T. Barrett, J. Hamilton Shield, T. H. M. Moore, P. Narendran, S. Redwood, A. Searle et al. Diabetic Medicine (2022): Developments in the design and delivery of self-management support for children and young people with diabetes: A narrative synthesis of systematic reviews.  e15035.

Litchfield, I., Burrows, M., Gale, N. et al. (2022). Understanding the invisible workforce: lessons for general practice from a survey of receptionists BMC Prim. Care 23, 230

Litchfield I, Kingston B, Narga D, Turner A. (2022) The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK.  Health Policy. May 25:S0168-8510(22)00124-5

Litchfield, I., Turner, A. M., Ferreira Filho, J. B., Lee, M., & Weber, P. (2022). Automated conflict resolution for patients with multiple morbidity being treated using more than one set of single condition clinical guidance: A case study. Computers in Biology and Medicine, Volume 144,

2021

Litchfield I, Greenfield S, Harper L, the FAB(V) Trial team, (2021) Addressing the transition to a chronic condition: exploring independent adoption of self-management by patients with ANCA-associated vasculitis Rheumatology Advances in Practice, Volume 5, Issue 3, rkab075,

Litchfield I, Shukla D,. Greenfield S, BMJ Open 2021 Impact of COVID-19 on the digital divide: a rapid review, ;11:e053440. doi: 10.1136/bmjopen-2021-053440

Litchfield I, Perryman K, Gill P, Campbell S, Avery T, Greenfield S,. Soc Sci Med. 2021 From policy to patient: Using a socio-ecological framework to explore the factors influencing safe practice in UK primary care.  May;277: 113906

Litchfield I PK, Marsden K, Doos L, Avery T, Greenfield S. (2021) A comparative assessment of two tools designed to support patient safety culture in UK general practice  BMC Fam Pract. 2021 May 21;22(1):98.

Litchfield I,  Greenfield S, Turner GM,  Finnikin S, Calvert MJ. (2021) Implementing PROMS in routine clinical care: A qualitative exploration of GP perspectives.  BJGP Open 2021 Feb 23;5(1)

2020

Litchfield I, Moiemen N, Greenfield S.J Burn Care Res. 2020 Barriers to evidence-based treatment of serious burns: The impact of implicit bias on clinician perceptions of patient adherence.  Jul 10:iraa114. doi: 10.1093/jbcr/iraa114. Online ahead of print.

Litchfield I, Spencer R, Bell BG, Avery A, Perryman K, Marsden K, Greenfield S, Campbell S. (2020) Development of the prototype concise safe systems checklist tool for general practice.  BMC Health Serv Res. 2020 Jun 16;20(1):544. doi: 10.1186/s12913-020-05396-y.

2019

Litchfield I, Andrews RC, Narendran P, Greenfield S. Front Endocrinol. (2019) Patient and Healthcare Professionals Perspectives on the Delivery of Exercise Education for Patients With Type 1 Diabetes. Feb 19;10:76.

Litchfield I, Greenfield S, Jones L, Mathers J Burns  Burns. 2019The role of self-management in burns aftercare: a qualitative research study;  Jun;45(4):825-34. https://doi.org/10.1016/j.burns.2018.10.020

2018

Litchfield I, Turner A, Backman R, et al  (2018) Automated conflict resolution between multiple clinical pathways: a technology report, BMJ Health & Care Informatics 2018;25:doi: 10.14236/jhi.v25i3.986

Litchfield I, Hoye C, Shukla D, Backman R, Turner A, Lee M,  Weber P. (2018) Can process mining automatically describe care pathways of patients with long-term conditions in UK primary care? A study protocol  BMJ Open 2018;8:e019947. doi: 10.1136/bmjopen-2017-019947 

Litchfield I, Bentham L, Hill A, McManus RJ, Lilford R, Greenfield S (2018) The Impact of Status and Social Context on Health Service Co-Design: An Example from a Collaborative Improvement Initiative in UK Primary Care  BMC Med Res Methodol. 2018;18(1):136. Published 2018 Nov 16. doi:10.1186/s12874-018-0608-5

Litchfield IJ, Ayres JG, Jaakkola JJK, et al. (2018) Is ambient air pollution associated with onset of sudden infant death syndrome: a case-crossover study in the UK.  BMJ Open 2018;8:e018341. doi: 10.1136/bmjopen-2017-018341

Litchfield IJ, Magill L, Flint G (2018) A qualitative study exploring staff attitudes to maintaining hydration in neurosurgery patients  Nursing Open 2018 https://doi.org/10.1002/nop2.154

Litchfield I; Gill P; Avery A;  Campbell S et al Influences on the adoption of patient safety innovation in primary care: A qualitative exploration of staff perspectives  BMC Family Practice. 2018;19:72. doi:10.1186/s12875-018-0761-2.

Taylor B, Henshaw C, Litchfield I, Kenyon S, Greenfield S   (2017) Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis  BMJ Open 2018;8:e019993. doi: 10.1136/bmjopen-2017-019993

2017

Litchfield IJ,Bentham, LM, Lilford RJ, McManus RJ, Hill A, Greenfield S (2017) Adaption, implementation and evaluation of collaborative service improvements in the testing and result communication process in primary care from patient and staff perspectives: a qualitative study  BMC Health Services Research 2017 Aug 30;17(1):615

Litchfield I, van Tongeren M, Sorahan T, (2017) Radiofrequency exposure amongst employees of mobile network operators and broadcasters  Radiation Protection Dosimetry Volume 175, Issue 2, 15 June 2017, Pages 178–185

Litchfield IJ, Gale N, Burrows M, Greenfield S (2017) The future role of receptionists in primary care  Br J Gen Pract 2017; 67 (664): 523-524

2016

Litchfield I, Hinckley P (2016) Factors influencing improved attendance in UK Firefighters    Occupational Medicine 2016 Dec; 66(9): 731–736

Litchfield I, Gale N, Burrows M, Greenfield S  (2016) A protocol for the use of process improvement methodologies to explore primary care receptionist work  BMJ Open (2016);6

Litchfield IJ, Fitzmaurice D, Apenteng P, Harrison S, Heneghan C, Ward A, Greenfield S, (2016) Factors influencing the prevention of hospital acquired thrombosis: A primary care perspective  British Journal of General Practice 2016: 66: 421-422

Selected 2015 and earlier

Litchfield IJ, Bentham L, Lilford RJ, Greenfield S (2015) Patient perspectives on test result communication in primary care: a qualitative study .Br J Gen Pract 2015;March;65(632)118 

Litchfield IJ, Bentham L, Lilford RJ, Hill A, McManus R Greenfield S. (2015) Test result communication in primary care – a survey of current practice.  BMJ Qual Saf. 2015 Nov;24(11):691-9.

Litchfield IJ, Bentham L, Hill A, Lilford RJ, McManus R, Greenfield S. (2015) Patient perspectives on test result communication in primary care: a qualitative study  Br J Gen Pract 015;March;65(632)118

Litchfield IJ.  (2014) National Register of Radiofrequency Workers: Exploring health effects of occupational radiofrequency radiation exposure.  J Environ Occup Sci. 2014; 3(4): 190-192

Litchfield IJ, Bentham L, Lilford RJ, McManus R, Greenfield S. (2014) Test result communication in primary care: clinical and office staff perspectives.   Fam Pract. 2014; Oct;31(5):592-7.

Litchfield IJ, Lilford RJ, Bentham LM, Greenfield SM.  (2014) A qualitative exploration of the motives behind the decision to order a liver function test in primary care.  Qual Prim Care. 2014 Aug;22(4)

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