Dr Nicholas Steel
Clinical Senior Lecturer in Primary Care & Honorary Consultant in Public Health
| Job Title | Contact | Location |
|---|---|---|
|
Clinical Senior Lecturer
in Primary Care & Honorary Consultant in Public Health |
N dot Steel at uea dot ac dot uk
Tel: +44 (0)1603 59 1161 |
Medical School 2.06A |
Biography
Career
Clinical Senior Lecturer in Primary Care, Norwich Medical School, and Honorary Consultant in Public Health Medicine, NHS Norfolk, since 2004
Clinical Senior Research Associate, Dept of Public Health & Primary Care, University of Cambridge, 2003 2004
Harkness Fellow in Health Care Policy, RAND Health, Santa Monica, USA, 2002 - 2003
Specialist Registrar in Public Health Medicine, Norfolk and Cambs Health Authorities, and University of Cambridge, 1998-2003
General Practitioner in Norwich and Holt, Norfolk, and Health Services Research Fellow at the University of East Anglia, 1995 - 1998
General Practice Vocational Training, UK, Australia and New Zealand, 1990 - 1994
House Officer, Bristol and Weston-Super-Mare, 1988 – 1989
Professional Qualifications
- PhD, University of East Anglia, 2008
- Fellow of the Faculty of Public Health, 2006
- Member of the Faculty of Public Health Medicine, 2001
- Diploma in Public Health (distinction), University of Cambridge, 1999
- Member of the Royal College of General Practitioners, 1993
- Diploma of the Royal College of Obstetrics and Gynaecology, 1993
- MSc in Health Sciences, University of East Anglia, 1998
- MB ChB, University of Bristol, 1988
Professional Memberships
- Faculty of Public Health
- Royal College of General Practitioners
- Society for Academic Primary Care
- Society for Social Medicine
- British Medical Association
Research interests
Current research projects include assessing the applicability of NICE guidelines to primary care, managing referrals in general practice, measuring health care quality in the English Longitudinal Study of Ageing, assessing access to hip and knee surgery using national surveys in England and the USA, and evaluating local and national effects of UK quality improvement initiatives, including the UK Quality and Outcomes Framework for general practices.
Key Research Interests
Selected publications
1. Gillam S, Siriwardena N, Steel N. Pay-for-performance in the UK: the impact of the Quality and Outcomes framework - systematic review. Annals of Family Medicine, In Press 2012
2. Scullard P, Abdelhamid A, Steel N, Qureshi N. Does the evidence referenced in NICE guidelines reflect a primary care population? British Journal of General Practice 2011 March;61:584:e112-e117
3. Fleetcroft R, Parekh-Bhurke S, Howe A, Cookson R, Swift L, Steel N. The pay-for-performance programme in primary care: estimation of population mortality reduction in England. British Journal of General Practice 2010;60:e345-52
4. Steel N, Bachmann M, Maisey S, Shekelle P, Breeze E, Marmot M, Melzer D. Self-reported receipt of care consistent with 32 quality indicators: a national population survey of adults over 50 years old in England. British Medical Journal 2008;337;a957
5. Steel N, Maisey S, Clark A, Fleetcroft R, Howe A. Quality of clinical primary care and targeted incentive payments: an observational study. British Journal of General Practice 2007;57:449-454
Current Research Projects and Grants
The dynamics of quality: a national panel study of evidence-based standards (PI), National Institute for Health Research, Health Services Research, £225,299, Jan 2012-June 2013
Are NICE clinical guidelines for primary care based on evidence from primary care? (PI), National Institute for Health Research, RfPB, £226,453, July 2011 – July 2013
The English Longitudinal Study of Ageing NIA Application for Renewal (ELSA) (co-applicant), USA National Institute on Aging, US $7,031,992 (£4,523,359), 2010-14
ELSA UK funders Application for Renewal (co-applicant), Office for National Statistics on behalf of a government consortium, £4,350,000, 2010-14
Teaching Activities
- Responsibilities for teaching include medical students at UEA, and doctors and specialists on NHS regional training programmes in public health and general practice. Current undergraduate (MBBS) teaching is predominantly research method and epidemiology. Postgraduate teaching includes supervising and examining PhD and Masters students.
Article
Fleetcroft, R, Steel, N, Cookson, R, Walker, S and Howe, A (2012) Incentive payments are not related to expected health gain in the pay for performance scheme for UK primary care: cross-sectional analysis. BMC Health Services Research, 12 (1). p. 94. ISSN 1472-6963
Hammouche, S, Holland, R and Steel, N (2011) Does quality of care for hypertension in primary care vary with postcode area deprivation? An observational study. BMC Health Services Research, 11 (1). p. 297. ISSN 1472-6963
Fleetcroft, R, Cookson, R, Steel, N and Howe, A (2011) Correlation between prescribing quality and pharmaceutical costs in English primary care: national cross-sectional analysis. British Journal of General Practice, 61 (590). pp. 556-564. ISSN 09601643
Scullard, P, Abdelhamid, A, Steel, N and Qureshi, N (2011) Does the evidence referenced in NICE guidelines reflect a primary care population? British Journal of General Practice, 61. e112-e117(6).
Fleetcroft, R, Parekh-Bhurke, S, Howe, AC, Cookson, RA, Swift, L and Steel, N (2010) The UK pay-for-performance programme in primary care: estimation of population mortality reduction. British Journal of General Practice, 60 (578). pp. 649-654.
Steel, N and Willems, S (2010) Research learning from the UK Quality and Outcomes Framework: a review of existing research. Quality in Primary Care, 18. pp. 117-125.
Abdelhamid, A, Maisey, SP and Steel, N (2009) Predictors of the quality of care for asthma in general practice: an observational study. Family Practice, 27 (2). pp. 186-191.
Ampikaipakan, S, Wilson, AM and Steel, N (2009) Complementary therapies for smoking cessation - a useful tool or merely a smoke screen? European Respiratory Disease, 5 (1). pp. 41-44.
Pierce, M, Zaninotto, P, Steel, N and Mindell, J (2009) Undiagnosed diabetes - data from the English Longitudinal Study of Ageing. Diabetic Medicine, 26 (7). pp. 679-685.
Vedavanam, S, Steel, N, Broadbent, J, Maisey, SP and Howe, AC (2009) Recorded quality of care for depression in general practice - an observational study. British Journal of General Practice, 59. pp. 94-98.
Broadbent, J, Maisey, SP, Holland, RC and Steel, N (2008) Recorded quality of primary care for osteoarthritis: an observational study. British Journal of General Practice, 58 (557). pp. 839-843.
Steel, N, Bachmann, MO, Maisey, SP, Shekelle, P, Breeze, E, Marmot, M and Melzer, D (2008) Self-reported receipt of care consistent with 32 quality indicators: a national population survey of adults aged 50 or more in England. British Medical Journal, 337 (7667). a957.
Fleetcroft, R, Steel, N, Cookson, RA and Howe, AC (2008) Mind the gap! Evaluation of the performance gap attributable to exception reporting and target thresholds in the new GMS contract: national database analysis. BMC Health Services Research, 8. p. 131.
Furler, J, Cleland, J, Del Mar, C, Hanratty, B, Kadam, U, Lasserson, D, McCowan, C, Magin, P, Mitchell, C, Qureshi, N, Rait, G, Steel, N, van Driel, M and Ward, A (2008) Leaders, leadership and future primary care clinical research. BMC Family Practice, 9. p. 52.
Lang, I, Gibbs, S, Steel, N and Melzer, D (2008) Neighbourhood deprivation and dental service use: a cross-sectional analysis of older people in England. Journal of Public Health, 30 (4). pp. 472-478.
Maisey, SP, Steel, N, Marsh, R, Gillam, S, Fleetcroft, R and Howe, AC (2008) Effects of payment for performance in primary care: qualitative interview study. Journal of Health Services Research and Policy, 13 (3). pp. 133-139.
Soper, B, Buxton, M, Hanney, S, Oortwijn, W, Scoggins, A, Steel, N and Ling, T (2008) Developing the protocol for the evaluation of the Health Foundation's 'Engaging with Quality Initiative': an emergent approach. Implementation Science, 3 (46).
Steel, N, Clark, AB, Lang, I, Wallace, R and Melzer, D (2008) Racial disparities in receipt of hip and knee joint replacements are not explained by need: Health and Retirement Study 1998-2004. The Journal of Gerontology: Medical Sciences, 63 (6). pp. 629-634.
Steel, N and Maisey, S (2007) The quality of health care received by older people in England. Journal of Epidemiology and Community Health, 61 (1). A2-A3. ISSN 0143-005X
Steel, N, Maisey, SP, Clark, AB, Fleetcroft, R and Howe, AC (2007) Quality of clinical primary care and targeted incentive payments: an observational study. British Journal of General Practice, 57. pp. 449-454.
Steel, N and Lang, I (2006) Feeling depressed and being depressed: age and wealth-related disparities in symptoms and diagnosis in ELSA. Gerontologist, 46 (1). pp. 319-320.
Steel, N, Melzer, D, Gardener, E and McWilliams, B (2006) Need for and receipt of hip and knee replacement--a national population survey. Rheumatology (Oxford), 45 (11). pp. 1437-1441.
Gillam, S, Steel, N and Howe, AC (2005) Under Contract. Public Health News.
Steel, N (2005) Approaches to Evaluating Health Services. Journal of Medical Genetics, 42 (Suppl).
Steel, N (2005) Hip and knee replacements. Gerontologist, 45 (II). pp. 153-154.
Steel, N, Melzer, D, Gardner, L and McWilliams, B (2005) Who needs a major joint replacement in England, who gets one, and does diagnosis matter? Family Practice, 22 (Suppl 1). pp. 122-123.
Steel, N, Melzer, D, Shekelle, PG, Wenger, NS, Forsyth, D and McWilliams, BC (2004) Developing quality indicators for older adults: transfer from the USA to the UK is feasible. Quality and Safety in Health Care, 13 (4). pp. 260-264.
Steel, N and Trinder, L (2003) Qualitative data analysis: a worked example of an interview study with hypertensive older adults. Public Health Medicine, 4. pp. 81-83.
Steel, N (2002) 28 Minutes to Save the NHS. British Medical Journal, 324 (7335). p. 491.
Steel, N and Reading, R (2002) Epidemiology of childhood mortality. Current Paediatrics, 12 (2). pp. 151-156.
Steel, N, Myers, L and Bailey, J (2001) An outbreak of viral gastro-enteritis at a charity function. Communicable Disease and Public Health, 4 (1). pp. 68-70.
Steel, N, Reading, R and Allen, CF (2001) An assessment of need for health visiting in general practice populations. Journal of Public Health Medicine, 23 (2). pp. 121-128.
Steel, N (2000) Thresholds for taking antihypertensive medication in different professional and lay groups: questionnaire survey. British Medical Journal, 320 (7247). pp. 1446-1447.
Steel, N (1999) The public health and the NHS. Your questions answered. Public Health Medicine, 1 (3). p. 118.
Steel, N (1999) Planning your life and career (career focus). British Medical Journal, 319. pp. 2-3.
Steel, N (1999) Hypnotic holidays and Hippocratic oaths - five handbooks for house officers. Student British Medical Journal, 7. pp. 300-301.
Steel, N (1998) Time and the hour runs through the roughest day. Student British Medical Journal, 6. p. 306.
Steel, N (1997) Long on brevity but short on substance. Doctor. p. 72.
Book Section
Karaczun, M, Abdelhamid, A, Maisey, S and Steel, N (2012) The Quality of Asthma Care within Primary Care. In: Scientific Basis of Healthcare. Science Publishers, London. ISBN 9781578087310
Furler, J, Cleland, J, Del Mar, C, Hanratty, B, Kadam, U, Lasserson, D, McCowan, C, Magin, P, Mitchell, C, Qureshi, N, Rait, G, Steel, N, van Driel, M and Ward, A (2009) Leaders, leadership and future primary care clinical research. In: Primary Healthcare: Concepts and Experiences. Icfai University Press, Kolkata.
Steel, N (2007) Quality measurement and improvement in health care. In: Essential Public Health. Cambridge University Press, Cambridge.
Pierce, M, Tabassum, F, Kumari, M, Zaninotto, P and Steel, N (2006) Measures of physical health. In: Retirement, health and relationships of the older population in England: The 2004 English Longitudinal Study of Ageing (Wave 2), London. The Institute for Fiscal Studies, London.
Steel, N (2006) Variations in health-care activity and quality. In: Oxford Handbook of Public Health Practice, Second Edition. Oxford: Oxford University Press. ISBN 0198566557
Steel, N (2006) Being explicit about values in public health. In: Oxford Handbook of Public Health Practice. Oxford University Press. ISBN 0198566557
Steel, N (2006) Communicating Risk. In: Oxford Handbook of Public Health Practice, Second Edition. Oxford: Oxford University Press. ISBN 0198566557
Steel, N, Maisey, S and Cox, K (2006) Quality of healthcare. In: Retirement, health and relationships of the older population in England: The 2004 English Longitudinal Study of Ageing (Wave 2), London. The Institute for Fiscal Studies, London.
Steel, N, Huppert, FA, McWilliams, B and Melzer, D (2003) Physical and cognitive function. In: Health, Wealth and Lifestyles of the Older Population of England: The 2002 English Longitudinal Study of Ageing. London: The Institute for Fiscal Studies. ISBN 1903274346
Steel, N (2001) Values in public health. In: Oxford Handbook of Public Health Practice. Oxford University Press.
Steel, N and Guest, C (2001) Communicating risk. In: Oxford Handbook of Public Health Practice. Oxford University Press.
Monograph
Ling, T, Soper, B, Buxton, M, Hanney, S, Oortwijn, W, Scoggins, A and Steel, N (2010) How do you get clinicians involved in quality improvement? An evaluation of the Health Foundations's Engaging with Quality Initiative. Research Report. The Health Foundation, London.
Fleetcroft, R, Parekh, S, Steel, N, Swift, L, Cookson, RA and Howe, AC (2008) Potential population health gain of the quality and outcomes framework: report to Department of Health. Research Report. Centre for Health Economics, York.
Conference or Workshop Item
Steel, N (2005) National inequalities in hip and knee joint replacement in England. In: Faculty of Public Health ASM, Scarborough.
External Activities and Indicators of Esteem
- NICE Primary Care Quality and Outcomes Framework Indicator Advisory Committee
- NIHR Health Services & Delivery Research Programme HDR Panel
- NIHR Regional Advisory Committee for the Research for Patient Benefit Programme (RfPB) East of England
- Associate Editor for BMC Health Services Research
- Editorial Board member for ‘Quality in Primary Care’.
- Brisbane Initiative: an International Primary Care Research Leadership programme
Professional Activities
- Faculty of Public Health Part A MFPH Examiner
Administrative Posts/Responsibilities
- NIHR Primary Care Research Network East of England Management Group
- East of England Public Health Specialty Training Programme Quality Assurance Committee
