Ian Litchfield

Accepting PhD Students

PhD projects

Ian Litchfield has 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. He leads the research group, Service Redesign in Primary Care and Hospital Settings with a particular interest in process mapping and the development of care pathways. He uses collaborative improvement methodologies, with a variety of stakeholders to design, implement, and evaluate strategies for improved health care delivery. He is a member of the European Care Pathway Association and notable recent work involves the mapping of communication pathways in primary care, and the detection and resolution of conflict in multiple clinical pathways.

Research activity per year

61 Article
5 Review article
2 Commissioned report
2 Chapter
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1 - 50 out of 74 results

2024
Developing a General Population Screening Programme for Paediatric Type 1 Diabetes: Evidence from a Qualitative Study of the Perspectives and Attitudes of Parents
Quinn, L., Narendran, P., Bhavra, K., Boardman, F., Greenfield, S., Randell, M. J. & Litchfield, I., 20 Feb 2024, In: Pediatric Diabetes. 10 p., 9927027.
Research output: Contribution to journal › Article › peer-review

Open Access
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13 Downloads (Pure)
2023
Current evidence for designing self-management support for underserved populations: an integrative review using the example of diabetes
Litchfield, I., Barrett, T., Hamilton-Shield, J., Moore, T., Narendran, P., Redwood, S., Searle, A., Uday, S., Wheeler, J. & Greenfield, S., 11 Sept 2023, In: International Journal for Equity in Health. 22, 1, 16 p., 188.
Research output: Contribution to journal › Review article › peer-review

Open Access
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53 Downloads (Pure)
General population screening for paediatric type 1 diabetes—A qualitative study of UK professional stakeholders
Quinn, L. M., Narendran, P., Randell, M. J., Bhavra, K., Boardman, F., Greenfield, S. M. & Litchfield, I., 7 May 2023, (E-pub ahead of print) In: Diabetic Medicine. e15131.
Research output: Contribution to journal › Article › peer-review

Open Access
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38 Downloads (Pure)
'If I knew then what I know now...': a short guide to introducing new technology in adult social care
Glasby, J., Litchfield, I., Parkinson, S., Hocking, L. & Tanner, D., 2023, 15 p. BRACE Rapid Evaluation Centre.
Research output: Other contribution

Open Access
"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
Litchfield, I., Calvert, M. J., Kinsella, F., Sungum, N. & Aiyegbusi, O. L., 17 Apr 2023, In: Orphanet Journal of Rare Diseases. 18, 1, 15 p., 86.
Research output: Contribution to journal › Article › peer-review

Open Access
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22 Downloads (Pure)
Staff experiences of training and delivery of remote home monitoring services for patients diagnosed with COVID-19 in England: A mixed-methods study
Sidhu, M., Walton, H., Crellin, N., Ellins, J., Herlitz, L., Litchfield, I., Massou, E., Tomini, S. M., Vindrola-Padros, C. & Fulop, N. J., 27 Jun 2023, In: Journal of Health Services Research & Policy. 28, 3, p. 171-180 10 p.
Research output: Contribution to journal › Article › peer-review

Open Access
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28 Downloads (Pure)
Trying to find people to fit the tech…”: a qualitative exploration of the lessons learnt introducing Artificial Intelligence-based technology into English social care
Litchfield, I., Glasby, J., Parkinson, S., Hocking, L., Tanner, D., Roe, B. & Bousfield, J., 16 May 2023, In: Health and Social Care in the Community. 2023, 11 p., 9174873.
Research output: Contribution to journal › Article › peer-review

Open Access
File
9 Downloads (Pure)
Vertical integration of general practices with acute hospitals in England: rapid impact evaluation
Sidhu, M., Saunders, C., Davies, C., McKenna, G., Wu, F., Litchfield, I., Olumogba, F. & Sussex, J., 31 Oct 2023, In: Health and Social Care Delivery Research. 11, 17, p. 1-114 114 p.
Research output: Contribution to journal › Article › peer-review

Open Access
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14 Downloads (Pure)
Views of children with diabetes from underserved communities, and their families on diabetes, glycaemic control and healthcare provision: A qualitative evidence synthesis
the Diversity in Diabetes (DID) Consortium Members, 27 Aug 2023, (E-pub ahead of print) In: Diabetic Medicine. e15197.
Research output: Contribution to journal › Review article › peer-review

Open Access
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7 Downloads (Pure)
"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
Litchfield, I., Gale, N., Burrows, M. & Greenfield, S., 17 Nov 2023, In: Heliyon. 9, 11, e21298.
Research output: Contribution to journal › Article › peer-review

Open Access
File
100 Downloads (Pure)
2022
Automated conflict resolution for patients with multiple morbidity being treated using more than one set of single condition clinical guidance: a case study
Litchfield, I., Turner, A., Ferreira Filho, J. B., Lee, M. & Weber, P., May 2022, In: Computers in biology and medicine. 144, 7 p., 105381.
Research output: Contribution to journal › Article › peer-review

Open Access
File
70 Downloads (Pure)
Developments in the design and delivery of self-management support for children and young people with diabetes: a narrative synthesis of systematic reviews
Diversity in Diabetes consortium members, 28 Dec 2022, (E-pub ahead of print) In: Diabetic Medicine. 15 p., e15035.
Research output: Contribution to journal › Review article › peer-review

Open Access
File
14 Downloads (Pure)
EarLy Surveillance for Autoimmune diabetes: protocol for a qualitative study of general population and stakeholder perspectives on screening for type 1 diabetes in the UK (ELSA 1)
Quinn, L. M., Shukla, D., Greenfield, S. M., Barrett, T., Garstang, J., Boardman, F., Litchfield, I., Dayan, C., Gardner, C., Connop, C., Lepley, A. & Narendran, P., 21 Apr 2022, In: BMJ Open Diabetes Research and Care. 10, 2, e002750.
Research output: Contribution to journal › Article › peer-review

Open Access
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60 Downloads (Pure)
New and emerging technology for adult social care - the example of home sensors with artificial intelligence (AI) technology
Glasby, J., Litchfield, I., Parkinson, S., Hocking, L., Tanner, D., Roe, B. & Bousfield, J., Oct 2022, Southampton: NIHR Journals Library. 87 p.
Research output: Book/Report › Commissioned report

Open Access
Patients' experiences of, and engagement with, remote home monitoring services for COVID-19 patients: a rapid mixed-methods study
Walton, H., Vindrola-Padros, C., Crellin, N. E., Sidhu, M. S., Herlitz, L., Litchfield, I., Ellins, J., Ng, P. L., Massou, E., Tomini, S. M. & Fulop, N. J., 7 Jul 2022, (E-pub ahead of print) In: Health Expectations. 19 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
56 Downloads (Pure)
The impact of remote home monitoring of people with COVID-19 using pulse oximetry: a national population and observational study
Sherlaw-Johnson, C., Georghiou, T., Morris, S., Crellin, N., Litchfield, I., Massou, E., Sidhu, M., Tomini, S., Vindrola-Padros, C., Watson, H. & Fulop, N., 1 Mar 2022, In: EClinicalMedicine. 45, 12 p., 101318.
Research output: Contribution to journal › Article › peer-review

Open Access
File
70 Downloads (Pure)
The move towards integrated care: Lessons learnt from managing patients with multiple morbidities in the UK
Litchfield, I., Kingston, B., Narga, D. & Turner, A., Aug 2022, In: Health Policy. 126, 8, p. 777-785 9 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
88 Downloads (Pure)
The use of pulse oximetry in care homes to manage residents with COVID-19 and long-term health conditions in England: a rapid evaluation
Sidhu, M., Litchfield, I., Miller, R., Fulop, N., Janta, B., Tanner, J-R., Maistrello, G., Bousfield, J., Vindrola-Padros, C. & Sussex, J., 2022, (Accepted/In press)
Research output: Book/Report › Commissioned report
Understanding the invisible workforce: lessons for general practice from a survey of receptionists
Litchfield, I., Burrows, M., Gale, N. & Greenfield, S., 9 Sept 2022, In: BMC Primary Care. 23, 1, 10 p., 230 .
Research output: Contribution to journal › Article › peer-review

Open Access
File
45 Downloads (Pure)
2021
A comparative assessment of two tools designed to support patient safety culture in UK general practice
Litchfield, I., Marsden, K., Doos, L., Perryman, K., Avery, A. & Greenfield, S., 21 May 2021, In: BMC Family Practice. 22, 1, 98 .
Research output: Contribution to journal › Article › peer-review

Open Access
File
120 Downloads (Pure)
Addressing the transition to a chronic condition: exploring independent adoption of self-management by patients with ANCA associated vasculitis
the FAB(V) Trial team, Litchfield, I., Greenfield, S. & Harper, L., 4 Nov 2021, In: Rheumatology Advances in Practice. 5, 3, rkab075.
Research output: Contribution to journal › Article › peer-review

Open Access
File
58 Downloads (Pure)
From policy to patient: using a socio-ecological framework to explore the factors influencing safe practice in UK primary care
Litchfield, I., Perryman, K., Avery, A., Campbell, S., Gill, P. & Greenfield, S., May 2021, In: Social Science and Medicine. 277, 10 p., 113906.
Research output: Contribution to journal › Article › peer-review

Open Access
File
268 Downloads (Pure)
Impact of COVID-19 on the digital divide: A rapid review
Litchfield, I., Shukla, D. & Greenfield, S., 12 Oct 2021, In: BMJ open. 11, 10, e053440.
Research output: Contribution to journal › Review article › peer-review

Open Access
File
159 Downloads (Pure)
Management of fatigue with physical activity and behavioural change support in vasculitis: a feasibility study
Harper, L., Hewitt, C., Litchfield, I., Morgan, M., Chanouzas, D., Caulfield, H., Coughlan, L., Dean, C., Fletcher, K., Cramp, F., Greenfield, S., Rowland, N., Jowett, S., Kodabuckus, S., Tearne, S., Sehmi, S., Edwardson, C., Dawkins, N. P. & Daley, A., 22 Jan 2021, (E-pub ahead of print) In: Rheumatology. 60, 9, p. 4130-4140
Research output: Contribution to journal › Article › peer-review

Open Access
File
96 Downloads (Pure)
MedPath: a process-based modeling language for designing care pathways
Trajano, I. A., Ferreira Filho, J. B., de Carvalho Sousa, F. R., Litchfield, I. & Weber, P., Feb 2021, In: International Journal of Medical Informatics. 146, 9 p., 104328.
Research output: Contribution to journal › Article › peer-review

Open Access
File
2 Citations (Scopus)

84 Downloads (Pure)
การทบทวนวรรณกรรมอย่างเป็นระบบเรื่อง ชนิดและความชุกของการบาดเจ็บ จากเลเซอร์จากการท ำงานแต่ละอาชีพ
Translated title of the contribution: Types of laser injury by occupation and their prevalence: a systematic reviewChaweepoonpermsin, T. & Litchfield, I., 29 Sept 2021, In: Disease Control Journal. 47, Suppl 1, p. 700-713 14 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
98 Downloads (Pure)
2020
A quantitative assessment of the parameters of the role of receptionists in modern primary care using the work design framework
Burrows, M., Gale, N., Greenfield, S. & Litchfield, I., 10 Jul 2020, In: BMC Family Practice. 21, 1, 138.
Research output: Contribution to journal › Article › peer-review

Open Access
File
1 Citation (Scopus)

236 Downloads (Pure)
Automated verification of care pathways using constraint programming
Pereira de Figueiredo, R., Ferreira Filho, J. B., Sousa, F. R. C., Weber, P. & Litchfield, I., 28 Feb 2020, In: IEEE Journal of Biomedical and Health Informatics . 24, 9, p. 2718-2725 9017991.
Research output: Contribution to journal › Article › peer-review

Open Access
File
204 Downloads (Pure)
Barriers to evidence-based treatment of serious burns: the impact of implicit bias on clinician perceptions of patient adherence
Litchfield, I., Moiemen, N. & Greenfield, S., 10 Jul 2020, (E-pub ahead of print) In: Journal of Burn Care and Research. 41, 6, p. 1297-1300
Research output: Contribution to journal › Article › peer-review

Open Access
File
182 Downloads (Pure)
Development of the prototype concise safe systems checklist tool for general practice
Litchfield, I., Spencer, R., Bell, B. G., Avery, A., Perryman, K., Marsden, K., Greenfield, S. & Campbell, S., 16 Jun 2020, In: BMC Health Services Research. 20, 1, 544.
Research output: Contribution to journal › Article › peer-review

Open Access
File
170 Downloads (Pure)
General practitioners' views on use of patient reported outcome measures in primary care: a cross-sectional survey and qualitative study
Turner, G. M., Litchfield, I., Finnikin, S., Aiyegbusi, O. L. & Calvert, M., 24 Jan 2020, In: BMC Family Practice. 21, 1, 14.
Research output: Contribution to journal › Article › peer-review

Open Access
File
6 Citations (Scopus)

153 Downloads (Pure)
Implementing PROMS in routine clinical care: A qualitative exploration of GP perspectives
Litchfield, I., Greenfield, S., Turner, G., Finnikin, S. & Calvert, M., 16 Nov 2020, In: BJGP Open. bjgpopen20X101135.
Research output: Contribution to journal › Article › peer-review

Open Access
File
187 Downloads (Pure)
2019
Development of a group structured education programme to support safe exercise in people with Type 1 diabetes: the EXTOD education programme
Narendran, P., Greenfield, S., Troughton, J., Doherty, Y., Quann, N., Thompson, C., Litchfield, I. & Andrews, R. C., 31 Jul 2019, (E-pub ahead of print) In: Diabetic Medicine.
Research output: Contribution to journal › Article › peer-review

Open Access
File
1 Citation (Scopus)

143 Downloads (Pure)
Patient and healthcare professionals perspectives on the delivery of exercise education for patients with type 1 diabetes
Litchfield, I., Andrews, R. C., Narendran, P. & Greenfield, S., 19 Feb 2019, In: Frontiers in Endocrinology. 10, FEB, 13 p., 76.
Research output: Contribution to journal › Article › peer-review

Open Access
File
8 Citations (Scopus)

167 Downloads (Pure)
2018
A Framework for the Detection of Conflicts between Clinical Pathways using Constraint Solvers
Weber, P., Backman, R., Litchfield, I., Ferreira Filho, J. B. & Lee, M., 2018, (Submitted) Model Driven Engineering Languages and Systems (MODELS). ACM/IEEE, 11 p.
Research output: Chapter in Book/Report/Conference proceeding › Conference contribution
A Patient Safety Toolkit for Family Practices
Campbell, S. M., Bell, B. G., Marsden, K., Spencer, R., Kadam, U., Perryman, K., Rodgers, S., Litchfield, I., Reeves, D., Chuter, A., Doos, L., Ricci-Cabello, I., Gill, P., Esmail, A., Greenfield, S., Slight, S., Middleton, K., Barnet, J., Moore, M., Valderas, J. M., & 2 othersSheikh, A. & Avery, A. J., 15 Feb 2018, (E-pub ahead of print) In: Journal of Patient Safety.
Research output: Contribution to journal › Article › peer-review

Open Access
File
3 Citations (Scopus)

378 Downloads (Pure)
A process mining and text analysis approach to analyse the extent of polypharmacy in medical prescribing
Weber, P., Backman, R., Litchfield, I. & Lee, M., 26 Jul 2018, The Sixth IEEE International Conference on Healthcare Informatics (ICHI 2018). IEEE Xplore, 11 p.
Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Open Access
File
1 Citation (Scopus)

452 Downloads (Pure)
A qualitative study exploring staff attitudes to maintaining hydration in neurosurgery patients
Litchfield, I., Magill, L. & Flint, G., 6 May 2018, (E-pub ahead of print) In: Nursing Open.
Research output: Contribution to journal › Article › peer-review

Open Access
File
1 Citation (Scopus)

661 Downloads (Pure)
Automated Conflict Detection Between Medical Care Pathways
Weber, P., Ferreira Filho, J. B., Bordbar, B., Lee, M., Litchfield, I. & Backman, R., Jul 2018, In: Journal of software: Evolution and Process. 30, 7, 18 p., e1898.
Research output: Contribution to journal › Article › peer-review

Open Access
File
4 Citations (Scopus)

393 Downloads (Pure)
Automated conflict resolution between multiple clinical pathways: A technology report
Litchfield, I., Turner, A., PALMER, R., Ferreira Filho, J. B. & Weber, P., Sept 2018, In: Journal of innovation in health informatics. 25, 3, p. 142-148
Research output: Contribution to journal › Article › peer-review

Open Access
File
1 Citation (Scopus)

178 Downloads (Pure)
Can process mining automatically describe care pathways of patients with long-term conditions in UK primary care? a study protocol
Litchfield, I., Hoye, C., Shukla, D., Backman, R., Turner, A., Lee, M. & Weber, P., 4 Dec 2018, In: BMJ open. 8, 12, e019947.
Research output: Contribution to journal › Article › peer-review

Open Access
File
5 Citations (Scopus)

227 Downloads (Pure)
Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis
Taylor, R., Henshall, C., Litchfield, I., Kenyon, S. & Greenfield, S., 8 Oct 2018, In: BMJ open. 8, 10, e019993.
Research output: Contribution to journal › Article › peer-review

Open Access
File
40 Citations (Scopus)

208 Downloads (Pure)
Getting to grips with the ‘invisible enemy’ of RF radiation
Litchfield, I., 12 Mar 2018, In: Engineering and Technology.
Research output: Contribution to journal › Article

Open Access
File
27 Downloads (Pure)
Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives
Litchfield, I., Gill, P., Avery, A., Campbell, S., Perryman, K., Marsden, K. & Greenfield, S., 22 May 2018, In: BMC Family Practice. 19, 72.
Research output: Contribution to journal › Article › peer-review

Open Access
File
3 Citations (Scopus)

135 Downloads (Pure)
Is ambient air pollution associated with onset of sudden infant death syndrome: a case-crossover study in the UK
Litchfield, I., Jaakkola, J., Ayres, J. & Mohammed, N., 12 Apr 2018, (E-pub ahead of print) In: BMJ open. 8, 4
Research output: Contribution to journal › Article › peer-review

Open Access
File
12 Citations (Scopus)

44 Downloads (Pure)
Pressure garment to prevent abnormal scarring after burn injury in adults and children: the PEGASUS feasibility RCT and mixed-methods study
Moiemen, N., Mathers, J., Jones, L., Bishop, J., Kinghorn, P., Monahan, M., Calvert, M., Slinn, G., Wright, S., Litchfield, I., Andrews, N., Turner, K., Grant, M. & Deeks, J., 26 Jun 2018, In: Health Technology Assessment. 22, 36, p. 1-190 190 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
7 Citations (Scopus)

194 Downloads (Pure)
The impact of status and social context on health service co-design: an example from a collaborative improvement initiative in UK primary care
Litchfield, I., Bentham, L., Hill, A., McManus, R. J., Lilford, R. & Greenfield, S., 16 Nov 2018, In: BMC Medical Research Methodology. 18, 1, 136.
Research output: Contribution to journal › Article › peer-review

Open Access
File
5 Citations (Scopus)

179 Downloads (Pure)
The role of self-management in burns aftercare: a qualitative research study
Litchfield, I., Jones, L., Moiemen, N., Andrews, N., Greenfield, S. & Mathers, J., 11 Dec 2018, (E-pub ahead of print) In: Burns. 10 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
7 Citations (Scopus)

127 Downloads (Pure)
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
Litchfield, I., Greenfield, S., Lilford, R. J., McManus, R., Bentham, L. & Hill, A., 30 Aug 2017, (E-pub ahead of print) In: BMC Health Services Research. 17, 615.
Research output: Contribution to journal › Article › peer-review

Open Access
File
3 Citations (Scopus)

260 Downloads (Pure)
Assessing the extent of drug interactions among patients with multimorbidity in primary and secondary care in the West Midlands (UK): a study protocol for the Mixed Methods Multimorbidity Study (MiMMS)
Backman, R., Weber, P., Turner, A., Lee, M. & Litchfield, I., 18 Sept 2017, In: British Medical Journal Open. 7, e016713.
Research output: Contribution to journal › Article › peer-review

Open Access
File
3 Citations (Scopus)

153 Downloads (Pure)

Ian Litchfield

Research output

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