Darren M Ashcroft
Biographic Data
| ID | 291018 |
|---|---|
| NAME | Darren M Ashcroft |
| GIVEN NAMES | Darren M |
| FAMILY NAME | Ashcroft |
| SIGNATURE | ASHCROFT D M |
| AFFILIATIONS | Manchester Academic Health Science Centre |
| ORCID | 0000-0002-2958-915X |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 12 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Lived experience of avoidable healthcare harm in prisons in England: A qualitative study
Locum doctor working: A qualitative exploration of the implications for learning and professional development
Associations between burnout and career disengagement factors among general practitioners: A path analysis
Background: Burnout is associated with career disengagement among general practitioners (GPs), but the underlying mechanisms of this association remain poorly understood. Objective: This study examined the pathways linking burnout to career disengagement factors among GPs. Methods: An 11-item online questionnaire, including validated abbreviated measures of burnout outcomes (single items on emotional exhaustion (EE) and depersonalisation), career…
Socio‐demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the Covid ‐19 pandemic: Time series analysis of primary care electronic h…
BACKGROUND: The impact of the COVID-19 pandemic on the mental health of children and young people (CYP) has been widely reported. Primary care electronic health records were utilised to examine trends in the diagnosing, recording and treating of these common mental disorders by ethnicity and social deprivation in Greater Manchester, England. METHODS: Time-series analyses conducted using Greater Manchester Care Record (GMCR) data examined all diag…
‘They Take the Mum Off You When You Come In’: An Ethnographic Study of Parent Experiences of Medicines Safety Systems in English Hospitals
INTRODUCTION: Medication safety in healthcare settings is a persistent problem, and children may be at greater risk of harm than adults. Most existing research examining medication safety for hospitalised children is from the perspective of healthcare professionals and organisations. This study aimed to ethnographically explore parent and staff perspectives on the role of parents in medication safety in the paediatric hospital setting. METHODS: 2…
What seems to be the problem? Locum doctors, liminality and concerns about performance
Doctors who work in temporary positions (usually termed locums) in healthcare organisations can occupy a liminal space - at the margins of both the organisation and the medical profession, often situated on the periphery of or even outside formal structures for governance and support and informal professional and social networks. Qualitative semi-structured interviews were conducted with 88 participants including locums, permanently employed doct…
Healthcare utilisation and associated costs for methadone versus buprenorphine recipients: Examination of interlinked primary and secondary care electronic health records in England
Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
Background Patient and public involvement and engagement (PPIE) is integral to health research. Reporting of PPIE methods and impact is becoming increasingly common in health research. However, reporting on PPIE in studies using large, routinely collected electronic health record data sets is less common. Anecdotal evidence suggests that involvement in this research context is more challenging and offers fewer opportunities for meaningful influen…
‘None of Them Know Me’: A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience
INTRODUCTION: There have been some concerns about the impact of temporary doctors, otherwise known as locums, on patient safety and the quality of care. Despite these concerns, research has paid little attention to the implications of locum working on patient experience. METHODS: A qualitative semi-structured interview study was conducted with 130 participants including locums, people working with locums and patients with experience of being seen…
The association of herpes zoster and influenza vaccinations with the risk of developing dementia: A population-based cohort study within the UK Clinical Practice Research Datalink
Both zoster vaccine for prevention of shingles / herpes zoster and influenza vaccine to prevent influenza were associated with diminished risk of dementia, with the zoster association appearing more pronounced
Risk factors for nonfatal self‐harm and suicide among adolescents: Two nested case–control studies conducted in the UK Clinical Practice Research Datalink
BACKGROUND: The characteristics of adolescents who die by suicide have hitherto been examined in uncontrolled study designs, thereby precluding examination of risk factors. The degree to which antecedents of nonfatal self-harm and suicide at young age differ remains unknown. METHOD: We delineated two nested case-control studies of patients aged 10-19 years using the Clinical Practice Research Datalink with interlinked hospital and national mortal…
Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom
Diagnostic uncertainty may not only negatively impact on the wellbeing of GPs, but could also have adverse implications on workforce retention in primary care
Exploring the experiences of changes to support access to primary health care services and the impact on the quality and safety of care for homeless people during the Covid-19 pandemic: A study protoc…
It is important to explore whether recent changes to the delivery of primary care in response to the COVID-19 pandemic compromise the safety of people experiencing homelessness and exacerbate health inequalities. This could have implications for how primary healthcare is delivered to those experiencing homelessness not only for the duration of the pandemic but in the future
Association of socioeconomic deprivation with opioid prescribing in primary care in England: A spatial analysis
Background The increasing trends in opioid prescribing and opioid-related deaths in England are concerning. A greater understanding of the association of deprivation with opioid prescribing is needed to guide policy responses and interventions. Methods The 2018/2019 English national primary care prescribing data were analysed spatially. Prescribing of opioids in general practice was quantified by defined daily doses (DDD) and attributed to 32 844…
Repeat Self-Harm Following Hospital-Presenting Intentional Drug Overdose among Young People—A National Registry Study
Young males are at increased risk of repeat self-harm and method-switching following IDO and the type and quantity of drugs taken are further indicators of risk. Interventions targeting IDO among young people are needed that ensure that mental health assessments are undertaken and which address access to drugs
A national case fatality study of drugs taken in intentional overdose
Mindful organizing in patients' contributions to primary care medication safety
BACKGROUND: There is a need to ensure that the risks associated with medication usage in primary health care are controlled. To maintain an understanding of the risks, health-care organizations may engage in a process known as "mindful organizing." While this is typically conceived of as involving organizational members, it may in the health-care context also include patients. Our study aimed to examine ways in which patients might contribute to …
Investigating the Agreement Between Cardiovascular Disease Risk Calculators Among People Diagnosed With Schizophrenia
Background: People diagnosed with schizophrenia have a much reduced life expectancy compared to the general population, and a more than doubled risk of dying from cardiovascular disease (CVD). Existing CVD risk calculators can be used to detect people with an elevated predicted risk of CVD to inform interventions to reduce risk. Aims: This study aimed to compare four different risk calculators for 10-year predicted CVD risk in a sample of people …
Geographical epidemiology of health and overall deprivation in England, its changes and persistence from 2004 to 2015: A longitudinal spatial population study
BACKGROUND: Socioeconomic deprivation is a key determinant for health. In England, the Index of Multiple Deprivation (IMD) is a widely used composite measure of deprivation. However, little is known about its spatial clustering or persistence across time. METHODS: Data for overall IMD and its health domain were analysed for 2004-2015 at a low geographical area (average of 1500 people). Levels and temporal changes were spatially visualised for the…
Negotiating inter-professional interaction: Playing the General Practitioner-Pharmacist Game
Despite a mutual interest in optimising the benefits of medication for patients, the general practitioner (GP) and community pharmacist (CP) often work in isolation from one another, both physically and figuratively. Sources of tension include pharmacy's 'shopkeeper' image, traditional medical hierarchies and potential encroachment on professional boundaries. This article examinesGPandCPperceptions of their interactions and negotiations and, draw…
Risk-based regulation of healthcare professionals: What are the implications for pharmacists
One of the key drivers of regulatory reform is minimising the risks associated with healthcare. In order to achieve this, there is a need for the regulatory bodies to have a clear understanding of what comprises risk in the professions under their remit. The current paper examines ways in which risk could be conceptualised, assessed and managed in one of these professions: pharmacy. The authors review studies in healthcare management, safety scie…
Professional status in a changing world: The case of medicines use reviews in English community pharmacy
Geographical epidemiology of health and overall deprivation in England, its changes and persistence from 2004 to 2015: A longitudinal spatial population study
BACKGROUND: Socioeconomic deprivation is a key determinant for health. In England, the Index of Multiple Deprivation (IMD) is a widely used composite measure of deprivation. However, little is known about its spatial clustering or persistence across time. METHODS: Data for overall IMD and its health domain were analysed for 2004-2015 at a low geographical area (average of 1500 people). Levels and temporal changes were spatially visualised for the…
Professional status in a changing world: The case of medicines use reviews in English community pharmacy
Association of socioeconomic deprivation with opioid prescribing in primary care in England: A spatial analysis
Background The increasing trends in opioid prescribing and opioid-related deaths in England are concerning. A greater understanding of the association of deprivation with opioid prescribing is needed to guide policy responses and interventions. Methods The 2018/2019 English national primary care prescribing data were analysed spatially. Prescribing of opioids in general practice was quantified by defined daily doses (DDD) and attributed to 32 844…
Professional status in a changing world: The case of medicines use reviews in English community pharmacy
Risk-based regulation of healthcare professionals: What are the implications for pharmacists
One of the key drivers of regulatory reform is minimising the risks associated with healthcare. In order to achieve this, there is a need for the regulatory bodies to have a clear understanding of what comprises risk in the professions under their remit. The current paper examines ways in which risk could be conceptualised, assessed and managed in one of these professions: pharmacy. The authors review studies in healthcare management, safety scie…
Mindful organizing in patients' contributions to primary care medication safety
BACKGROUND: There is a need to ensure that the risks associated with medication usage in primary health care are controlled. To maintain an understanding of the risks, health-care organizations may engage in a process known as "mindful organizing." While this is typically conceived of as involving organizational members, it may in the health-care context also include patients. Our study aimed to examine ways in which patients might contribute to …
Investigating the Agreement Between Cardiovascular Disease Risk Calculators Among People Diagnosed With Schizophrenia
Background: People diagnosed with schizophrenia have a much reduced life expectancy compared to the general population, and a more than doubled risk of dying from cardiovascular disease (CVD). Existing CVD risk calculators can be used to detect people with an elevated predicted risk of CVD to inform interventions to reduce risk. Aims: This study aimed to compare four different risk calculators for 10-year predicted CVD risk in a sample of people …
Geographical epidemiology of health and overall deprivation in England, its changes and persistence from 2004 to 2015: A longitudinal spatial population study
BACKGROUND: Socioeconomic deprivation is a key determinant for health. In England, the Index of Multiple Deprivation (IMD) is a widely used composite measure of deprivation. However, little is known about its spatial clustering or persistence across time. METHODS: Data for overall IMD and its health domain were analysed for 2004-2015 at a low geographical area (average of 1500 people). Levels and temporal changes were spatially visualised for the…
Negotiating inter-professional interaction: Playing the General Practitioner-Pharmacist Game
Despite a mutual interest in optimising the benefits of medication for patients, the general practitioner (GP) and community pharmacist (CP) often work in isolation from one another, both physically and figuratively. Sources of tension include pharmacy's 'shopkeeper' image, traditional medical hierarchies and potential encroachment on professional boundaries. This article examinesGPandCPperceptions of their interactions and negotiations and, draw…
Repeat Self-Harm Following Hospital-Presenting Intentional Drug Overdose among Young People—A National Registry Study
Young males are at increased risk of repeat self-harm and method-switching following IDO and the type and quantity of drugs taken are further indicators of risk. Interventions targeting IDO among young people are needed that ensure that mental health assessments are undertaken and which address access to drugs
A national case fatality study of drugs taken in intentional overdose
Exploring the experiences of changes to support access to primary health care services and the impact on the quality and safety of care for homeless people during the Covid-19 pandemic: A study protoc…
It is important to explore whether recent changes to the delivery of primary care in response to the COVID-19 pandemic compromise the safety of people experiencing homelessness and exacerbate health inequalities. This could have implications for how primary healthcare is delivered to those experiencing homelessness not only for the duration of the pandemic but in the future
Association of socioeconomic deprivation with opioid prescribing in primary care in England: A spatial analysis
Background The increasing trends in opioid prescribing and opioid-related deaths in England are concerning. A greater understanding of the association of deprivation with opioid prescribing is needed to guide policy responses and interventions. Methods The 2018/2019 English national primary care prescribing data were analysed spatially. Prescribing of opioids in general practice was quantified by defined daily doses (DDD) and attributed to 32 844…
Risk factors for nonfatal self‐harm and suicide among adolescents: Two nested case–control studies conducted in the UK Clinical Practice Research Datalink
BACKGROUND: The characteristics of adolescents who die by suicide have hitherto been examined in uncontrolled study designs, thereby precluding examination of risk factors. The degree to which antecedents of nonfatal self-harm and suicide at young age differ remains unknown. METHOD: We delineated two nested case-control studies of patients aged 10-19 years using the Clinical Practice Research Datalink with interlinked hospital and national mortal…
Investigating the links between diagnostic uncertainty, emotional exhaustion, and turnover intention in General Practitioners working in the United Kingdom
Diagnostic uncertainty may not only negatively impact on the wellbeing of GPs, but could also have adverse implications on workforce retention in primary care
The association of herpes zoster and influenza vaccinations with the risk of developing dementia: A population-based cohort study within the UK Clinical Practice Research Datalink
Both zoster vaccine for prevention of shingles / herpes zoster and influenza vaccine to prevent influenza were associated with diminished risk of dementia, with the zoster association appearing more pronounced
Healthcare utilisation and associated costs for methadone versus buprenorphine recipients: Examination of interlinked primary and secondary care electronic health records in England
Involving People With Lived Experience in Electronic Health Record Database Studies Reflections and Learning From the CHOOSE Study
Background Patient and public involvement and engagement (PPIE) is integral to health research. Reporting of PPIE methods and impact is becoming increasingly common in health research. However, reporting on PPIE in studies using large, routinely collected electronic health record data sets is less common. Anecdotal evidence suggests that involvement in this research context is more challenging and offers fewer opportunities for meaningful influen…
‘None of Them Know Me’: A Qualitative Study of the Implications of Locum Doctor Working for Patient Experience
INTRODUCTION: There have been some concerns about the impact of temporary doctors, otherwise known as locums, on patient safety and the quality of care. Despite these concerns, research has paid little attention to the implications of locum working on patient experience. METHODS: A qualitative semi-structured interview study was conducted with 130 participants including locums, people working with locums and patients with experience of being seen…
Associations between burnout and career disengagement factors among general practitioners: A path analysis
Background: Burnout is associated with career disengagement among general practitioners (GPs), but the underlying mechanisms of this association remain poorly understood. Objective: This study examined the pathways linking burnout to career disengagement factors among GPs. Methods: An 11-item online questionnaire, including validated abbreviated measures of burnout outcomes (single items on emotional exhaustion (EE) and depersonalisation), career…
Socio‐demographic variation in diagnosis of and prescribing for common mental illnesses among children and young people during the Covid ‐19 pandemic: Time series analysis of primary care electronic h…
BACKGROUND: The impact of the COVID-19 pandemic on the mental health of children and young people (CYP) has been widely reported. Primary care electronic health records were utilised to examine trends in the diagnosing, recording and treating of these common mental disorders by ethnicity and social deprivation in Greater Manchester, England. METHODS: Time-series analyses conducted using Greater Manchester Care Record (GMCR) data examined all diag…
‘They Take the Mum Off You When You Come In’: An Ethnographic Study of Parent Experiences of Medicines Safety Systems in English Hospitals
INTRODUCTION: Medication safety in healthcare settings is a persistent problem, and children may be at greater risk of harm than adults. Most existing research examining medication safety for hospitalised children is from the perspective of healthcare professionals and organisations. This study aimed to ethnographically explore parent and staff perspectives on the role of parents in medication safety in the paediatric hospital setting. METHODS: 2…
What seems to be the problem? Locum doctors, liminality and concerns about performance
Doctors who work in temporary positions (usually termed locums) in healthcare organisations can occupy a liminal space - at the margins of both the organisation and the medical profession, often situated on the periphery of or even outside formal structures for governance and support and informal professional and social networks. Qualitative semi-structured interviews were conducted with 88 participants including locums, permanently employed doct…
Lived experience of avoidable healthcare harm in prisons in England: A qualitative study
Locum doctor working: A qualitative exploration of the implications for learning and professional development
Medicine (20 works) · Psychology (12 works) · Internal Medicine (9 works) · Sociology (9 works) · Nursing (8 works) · Psychiatry (7 works) · Health care (6 works) · Demography (5 works) · Political science (5 works) · Population (5 works)