Professor Deborah Swinglehurst, MBBS MA MSc PhD FHEA FRCGPProfessor of Primary Care, NIHR Clinician ScientistEmail: d.swinglehurst@qmul.ac.ukTelephone: 020 7882 7204ProfileTeachingResearchPublicationsSupervisionProfileI am a General Practitioner and primary care researcher, combining my academic role with working as a GP in Suffolk. My research explores interfaces between medicine, social science and linguistics and focuses on the role of interaction and social relationships in primary health care settings. I gained my first degree in Medical Sciences from the University of Cambridge in 1990, qualified as a doctor at Imperial College London in 1993, and became a GP in 1998. I completed my postgraduate studies at UCL (MSc) and QMUL (PhD). I lead an interdisciplinary team of researchers and PhD students exploring a range of generalist concerns including: multiple long term conditions; polypharmacy and medicines optimisation; medical overuse; the role of information technologies in practice; how health policies shape practice; patient and professional experiences of health care. I bring a scholarly lens to the work done by practitioners and patients as they navigate the complexities of health care. My research is grounded in practice and I seek to develop ‘practice-based’ evidence for clinicians and policymakers. I am Institute Theme Lead for Complexity and Social Sciences and co-lead of the Primary Care Unit. I am also on the core management team for the Wellcome Doctoral Training Programme and QMUL’s membership of the NIHR School for Primary Care. I am a Fellow of the Higher Education Academy and a Fellow of the Royal College of General Practitioners. In 2019 I received the RCGP/SAPC John Fry Award for my contribution to the discipline of general practice through research.TeachingI have extensive teaching experience including 3 years as Honorary Senior Lecturer at the University of East Anglia involved in community based teaching of medical undergraduates and 6 years as a tutor at UCL on an online MSc in International Primary Health Care. MBBS medical undergraduate teaching as PBL facilitator, supervisor of intercalated degrees and SSC projects. Tutor on the MRes Health Data in Practice programme.ResearchResearch Interests:I am Principal Investigator on the APOLLO-MM project (Addressing the polypharmacy challenge in older people with multimorbidity). This is an in-depth ethnographic case study of patients’ and professionals’ experiences and practices of polypharmacy and adopts mixed qualitative methods. It is funded by the NIHR through a Clinician Scientist Award. My team is conducting a range of related work including projects investigating: the experiences of Pakistani patients affected by multimorbidity and polypharmacy; the role of informal carers in caring for patients affected by multimorbidity; how working-age adults affected by multimorbidity navigate systems of care; conversations about medicines between people with dementia and their carers. My research involves a range of qualitative approaches including ethnography and linguistic ethnography, discourse analysis, narrative approaches, video-reflexive ethnography.PublicationsView all Deborah Swinglehurst's Research Publications http://www.researchpublications.qmul.ac.uk/publications/staff/27300.html Owen-Boukra E, Cai Z, Duddy C et al. (2024). Collaborative and integrated working between general practice and community pharmacies: A realist review of what works, for whom, and in which contexts.. nameOfConference DOI: 10.1177/13558196241290923 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/101218 Thomson A, Fudge N, Van Blarikom E et al. (2024). Addressing Polypharmacy: Developing Public-Facing Resources Through Storytelling-Based Co-Design. nameOfConference DOI: 10.1177/16094069241266194 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/101025 Pocknell S, Fudge N, Collins S et al. (2024). ‘Troubling’ medication reviews in the context of polypharmacy and ageing: A linguistic ethnography. nameOfConference DOI: 10.1016/j.socscimed.2024.117025 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/101019 Hawking MKD, Swinglehurst D (2024). Seeking help for atrial fibrillation: the role of the body in distributed decision making. nameOfConference DOI: 10.1016/j.socscimed.2024.116944 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/97110 Barnard R, Spooner S, Hubmann M et al. (2024). The hidden work of general practitioners: An ethnography. nameOfConference DOI: 10.1016/j.socscimed.2024.116922 QMRO: qmroHref Paparini S, Spitters S, Swinglehurst D et al. (2024). 45 How digital innovation in primary care disrupts the clinical consultation. 45 How digital innovation in primary care disrupts the clinical consultation DOI: 10.1136/bmjopen-2024-ucl-qhrn2024.45 QMRO: qmroHref Hibbs SP, Smith ML, Swinglehurst D (2024). Obituary for a diagnosis: B‐cell prolymphocytic leukaemia (1974–2022). nameOfConference DOI: 10.1002/hem3.35 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/94582 Sultan N, Swinglehurst D (publicationYear). Living with polypharmacy: a narrative interview study with older Pakistanis in East London. nameOfConference DOI: 10.1186/s12877-023-04392-1 QMRO: qmroHref van Blarikom E, Fudge N, Swinglehurst D (2024). Multimorbidity as chronic crisis: ‘Living on’ with multiple long‐term health conditions in a socially disadvantaged London borough. nameOfConference DOI: 10.1111/1467-9566.13729 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/92020 van Blarikom E, Fudge N, Swinglehurst D (2023). Multimorbidity: a problem in the body, or a problem of the system?. nameOfConference DOI: 10.3399/bjgp23x735045 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/91418 Hogger L, Fudge N, Swinglehurst D (2023). Supporting Inclusion and Participation for People Living With Dementia: Ethnographic and Participatory Research Methods. nameOfConference DOI: 10.1177/16094069231184773 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/89346 Hawking MKD, Dezateux C, Swinglehurst D (2023). Weighing up the future: a meta-ethnography of household perceptions of the National Child Measurement Programme in England. nameOfConference DOI: 10.1080/09581596.2023.2169599 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/84522 Owen EC, Abrams R, Cai Z et al. (2022). Community pharmacy and general practice collaborative and integrated working: a realist review protocol. nameOfConference DOI: 10.1136/bmjopen-2022-067034 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/83442 van Blarikom E, Fudge N, Swinglehurst D (2023). The emergence of multimorbidity as a matter of concern: a critical review. nameOfConference DOI: 10.1057/s41292-022-00285-5 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/80761 Swinglehurst D, Hogger L, Fudge N (2023). Negotiating the polypharmacy paradox: a video-reflexive ethnography study of polypharmacy and its practices in primary care. nameOfConference DOI: 10.1136/bmjqs-2022-014963 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/80619 Fudge N, Swinglehurst D (2021). Keeping in balance on the multimorbidity tightrope: A narrative analysis of older patients’ experiences of living with and managing multimorbidity. nameOfConference DOI: 10.1016/j.socscimed.2021.114532 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/75410 Swinglehurst D, Fudge N (2021). Organising polypharmacy: Unpacking medicines, unpacking meanings - An ethnographic study. nameOfConference DOI: 10.1136/bmjopen-2021-049218 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/73908 Sultan N, Swinglehurst D (2021). Self-Management in Older Pakistanis Living With Multimorbidity in East London. nameOfConference DOI: 10.1177/10497323211019355 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/72907 Lea K, Hjörleifsson S, Swinglehurst D (publicationYear). Digital Consumer Health: Negotiating Multiple Voices in the Clinical Consultation. nameOfConference DOI: 10.7577/pp.3820 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/73065 Fudge N, Swinglehurst D (2021). ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. nameOfConference DOI: 10.1136/bmjopen-2020-042504 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/70321 Cotter C, Samos D, Swinglehurst D (2021). Framing obesity in public discourse: Representation through metaphor across text type. nameOfConference DOI: 10.1016/j.pragma.2020.12.015 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/69578 Swinglehurst D, Dowrick C, Heath I et al. (2020). ‘Bad old habits’ … and what really matters. nameOfConference DOI: 10.3399/bjgp20x712745 QMRO: https://qmro.qmul.ac.uk/xmlui/handle/123456789/77626 Hawking M, Robson J, Taylor S et al. (publicationYear). Adherence and the moral construction of the self: a narrative analysis of anticoagulant medication.. nameOfConference DOI: 10.1177/1049732320951772 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/66824 Potter JL, Burman M, Tweed CD et al. (2020). The NHS visitor and migrant cost recovery programme – a threat to health?. nameOfConference DOI: 10.1186/s12889-020-08524-9 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/64723 Fudge N, Swinglehurst D (2020). "Doing safety" in community pharmacy: An ethnographic study. Prescribing and Research in Medicines Management (PRIMM UK & Ireland) DOI: doi QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/68682 Spencer S, Swinglehurst D (2020). Supporting carers. nameOfConference DOI: 10.1177/1755738019898499 QMRO: qmroHref Younie L, Swinglehurst D (2020). Creative enquiry and the clinical encounter. nameOfConference DOI: 10.3399/bjgp20x707549 QMRO: qmroHref Swinglehurst D (2019). Video-reflexive Ethnography in health research and healthcare improvement: theory and application. nameOfConference DOI: 10.1080/14461242.2019.1651175 QMRO: qmroHref Younie L, Swinglehurst D (2019). Creative enquiry and reflective general practice. nameOfConference DOI: 10.3399/bjgp19x704969 QMRO: qmroHref Swinglehurst D, Fudge N (2019). Addressing the polypharmacy challenge in older people with multimorbidity (APOLLO-MM): Study protocol for an in-depth ethnographic case study in primary care. nameOfConference DOI: 10.1136/bmjopen-2019-031601 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/60809 Swinglehurst D, Hjörleifsson S (2018). The Everyday Ethics of Burdensome Polypharmacy. nameOfConference DOI: 10.1093/ppar/pry036 QMRO: qmroHref Swinglehurst D, Atkins S (2018). When ‘yes’ means ‘no’: why the small details of clinical interactions matter. nameOfConference DOI: 10.3399/bjgp18x698441 QMRO: qmroHref CLINCH ML, SHAW S, ASHCROFT R et al. (publicationYear). Liminality in Practice: A Case study in Life Sciences Research. nameOfConference DOI: 10.1057/s41292-018-0128-x QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/41930 Potter J, White V, Swinglehurst D et al. (2018). 4.10-P7Did migrants with tuberculosis in the UK know their condition was exempt from charges?. nameOfConference DOI: 10.1093/eurpub/cky048.146 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/67550 Armstrong N, Swinglehurst D (2018). Understanding medical overuse: the case of problematic polypharmacy and the potential of ethnography. nameOfConference DOI: 10.1093/fampra/cmy022 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/39183 Potter J, Burman M, Tweed C et al. (2017). S27 Have recent changes to health policies increased diagnostic delay amongst migrant patients with active tb?. TB: from screening to compliance DOI: 10.1136/thoraxjnl-2017-210983.33 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/67570 Casey M, Shaw S, SWINGLEHURST D (2017). Experiences with online consultation systems in primary care: case study of one early adopter site. nameOfConference DOI: 10.3399/bjgp17X693137 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/28689 Swinglehurst D, Fudge N (2017). The polypharmacy challenge: time for a new script?. nameOfConference DOI: 10.3399/bjgp17X692189 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/25894 Dowrick C, Heath I, Hjorleifsson S et al. (2016). Recovering the self: a manifesto for primary care. nameOfConference DOI: 10.3399/bjgp16X687901 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/19541 Walumbe J, Swinglehurst D, Shaw S (2016). Any qualified provider: a qualitative case study of one community NHS Trust's response. nameOfConference DOI: 10.1136/bmjopen-2015-009789 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/12461 Greenhalgh T, Annandale E, Ashcroft R et al. (publicationYear). An open letter to The BMJ editors on qualitative research. nameOfConference DOI: 10.1136/bmj.i563 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/12490 Swinglehurst D, Emmerich N, Maybin J et al. (2015). Confronting the quality paradox: Towards new characterisations of 'quality' in contemporary healthcare. nameOfConference DOI: 10.1186/s12913-015-0851-y QMRO: qmroHref Swinglehurst D, Emmerich N, Maybin J et al. (2015). Confronting the quality paradox: towards new characterisations of ‘quality’ in contemporary healthcare. nameOfConference DOI: 10.1186/s12913-015-0851-y QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/12171 Emmerich N, Swinglehurst D, Maybin J et al. (2015). Caring for quality of care: symbolic violence and the bureaucracies of audit. nameOfConference DOI: 10.1186/s12910-015-0006-z QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/18070 Swinglehurst D, Greenhalgh T (2015). Caring for the patient, caring for the record: an ethnographic study of ‘back office’ work in upholding quality of care in general practice. nameOfConference DOI: 10.1186/s12913-015-0774-7 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/7500 Swinglehurst D (2015). How Linguistic Ethnography May Enhance Our Understanding of Electronic Patient Records in Health Care Settings. nameOfConference DOI: 10.1057/9781137035035_5 QMRO: qmroHref Greenhalgh T, Swinglehurst D, Stones R (publicationYear). Rethinking 'resistance' to big IT: A sociological study of why and when healthcare staff do not use nationally mandated information and communication technologies. nameOfConference DOI: 10.3310/hsdr02390 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/23113 Swinglehurst D (2014). Displays of authority in the clinical consultation: a linguistic ethnographic study of the electronic patient record.. nameOfConference DOI: 10.1016/j.socscimed.2014.07.045 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/15846 Swinglehurst D, Roberts C, Li S et al. (2014). Beyond the 'dyad': a qualitative re-evaluation of the changing clinical consultation.. nameOfConference DOI: 10.1136/bmjopen-2014-006017 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/17652 Russell J, Swinglehurst D, Greenhalgh T (2014). 'Cosmetic boob jobs' or evidence-based breast surgery: an interpretive policy analysis of the rationing of 'low value' treatments in the English National Health Service.. nameOfConference DOI: 10.1186/1472-6963-14-413 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/17651 Swinglehurst D, Emmerich N, Maybin J et al. (2014). Rethinking 'quality' in health care.. nameOfConference DOI: 10.1177/1355819613518522 QMRO: qmroHref Dhedhi SA, Swinglehurst D, Russell J (2014). 'Timely' diagnosis of dementia: what does it mean? A narrative analysis of GPs' accounts.. nameOfConference DOI: 10.1136/bmjopen-2013-004439 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/17650 Greenhalgh T, Stones R, Swinglehurst D (2014). Choose and Book: a sociological analysis of 'resistance' to an expert system.. nameOfConference DOI: 10.1016/j.socscimed.2013.12.014 QMRO: qmroHref Swinglehurst D, Roberts C (2014). The role of the electronic patient record in the clinical consultation. nameOfConference DOI: 10.4324/9781315856971 QMRO: qmroHref Swinglehurst D, Greenhalgh T, Roberts C (2012). Computer templates in chronic disease management: ethnographic case study in general practice.. nameOfConference DOI: 10.1136/bmjopen-2012-001754 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/17649 SWINGLEHURST D, Greenhalgh T, Russell J et al. (2011). Hidden work: Ethnographic analysis of receptionist input to quality and safety in repeat prescribing in UK general practice. nameOfConference DOI: 10.1136/bmj.d6788 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/77754 Swinglehurst D, Greenhalgh T, Russell J et al. (2011). Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study. nameOfConference DOI: 10.1136/bmj.d6788 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/3119 Greenhalgh T, Swinglehurst D (2011). Studying technology use as social practice: the untapped potential of ethnography.. nameOfConference DOI: 10.1186/1741-7015-9-45 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/2222 SWINGLEHURST D, Roberts C, Greenhalgh T (2011). Opening up the "black box" of the electronic patient record: a linguistic ethnographic study in general practice. nameOfConference DOI: 10.1558/cam.v8i1.3 QMRO: qmroHref Swinglehurst D, Greenhalgh T, Russell J et al. (2011). Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study. nameOfConference DOI: 10.1136/bmj.d6788 QMRO: qmroHref Swinglehurst D, Greenhalgh T, Myall M et al. (2010). Ethnographic study of ICT-supported collaborative work routines in general practice.. nameOfConference DOI: 10.1186/1472-6963-10-348 QMRO: https://uat2-qmro.qmul.ac.uk/xmlui/handle/123456789/2213 Greenhalgh T, Potts HWW, Wong G et al. (2009). Tensions and paradoxes in electronic patient record research: a systematic literature review using the meta-narrative method.. nameOfConference DOI: 10.1111/j.1468-0009.2009.00578.x QMRO: qmroHref Swinglehurst D, Russell J, Greenhalgh T (2008). Peer observation of teaching in the online environment: an action research approach. nameOfConference DOI: 10.1111/j.1365-2729.2007.00274.x QMRO: qmroHref Russell J, Elton L, Swinglehurst D et al. (2006). Using the online environment in assessment for learning: a case-study of a web-based course in primary care. nameOfConference DOI: 10.1080/02602930600679209 QMRO: qmroHref Greenhalgh T, Russell J, Swinglehurst D (2005). Narrative methods in quality improvement research.. nameOfConference DOI: 10.1136/qshc.2005.014712 QMRO: qmroHref Swinglehurst D (2005). Evidence-based guidelines: the theory and the practice. nameOfConference DOI: 10.1016/j.ehbc.2005.05.012 QMRO: qmroHref Swinglehurst D (2005). Information needs of United Kingdom primary care clinicians. nameOfConference DOI: 10.1111/j.1471-1842.2005.00579.x QMRO: qmroHref Swinglehurst D (2004). Coping and complaining: Attachment and the language of disease. Simon R Wilkinson. (318 pages, £16.99.) Brunner-Routledge, 2003. ISBN 1-58391-170-7.. nameOfConference DOI: 10.1093/fampra/cmh324 QMRO: qmroHref Greenhalgh T, Hughes J, Humphrey C et al. (2002). A comparative case study of two models of a clinical informaticist service.. nameOfConference DOI: 10.1136/bmj.324.7336.524 QMRO: qmroHref Swinglehurst D, Pierce M, Fuller JC (2001). A clinical informaticist to support primary care decision making. nameOfConference DOI: 10.1136/qhc.0100245.. QMRO: qmroHref Swinglehurst D, Pierce M (2000). Questioning in General Practice - a tool for change. nameOfConference DOI: doi QMRO: qmroHref SupervisionI welcome enquiries from prospective PhD students who wish to conduct research in my areas of interest. Current PhD students: Esca van Blarikom (QMUL. NIHR-ARC funded): Navigating systems of care and their intersections in the context of multiple morbidity: a qualitative study or working-age adults with long-term physical and mental health conditions. Lucie Hogger (QMUL. NIHR-funded) Talking medicines: conversations between people with dementia and informal carers. Jackie Walumbe (University of Oxford; NIHR funded): Supporting successful self-management strategies for people living with chronic pain Previous PhD students: Danniella Samos (QMUL; ESRC funded): The ‘War on the Obesity Epidemic’: Metaphorical framings of obesity in different text types Jessica Potter (QMUL; MRC funded): Tuberculosis: An exclusionary politics of care Meredith Hawking (QMUL; NIHR funded): A narrative exploration of medicine taking and illness experience amongst patients with atrial fibrillation taking direct oral anticoagulants