BM, BS, MRCP, FRCGP
- Primary position:
- Reader in Primary Care Research
Dr Moore is an academic GP. He has nearly 25 years experience as a General Practitioner and currently works half time as a Reader at the University of Southampton and half time as a partner in a Salisbury practice www.3swanssurgery.nhs.uk. His practice has been engaged in research since 1993 qualifying for Culyer funding in 1995 and is now actively contributing to PCRN SW (www.pcrnsw.org).
He is also deputy director of Primary Care and Public Health Science group in the Southampton University Medical School. This group aims to improve the management of disorders with major impact on public health, through a better understanding of the processes and outcomes of decisions made by health care professionals and their patients (help-seeking behaviour, diagnosis, decisions about interventions, high risk groups, adherence, treatment outcomes, and predictors of benefit).
His research interests include the optimal management of acute minor illness with a focus on antibiotic sparing strategies and he brings this experience to his role as the RCGP National Clinical Champion for Antimicrobial Stewardship. He is also involved in other programmes of work including depression management, obesity, alcohol and liver disease.
B. Med. Sci. 1980 Nottingham
B.M. B.S. 1982 Nottingham
M.R.C.P. (UK) 1985
Certificate in Health Economics (University of Aberdeen) 1999
MSC Research in Health (Dist) 2004 University of Southampton
Fellow of the Royal College of General Practitioners November 2000
The University of Southampton's electronic library (e-prints)
Conference or Workshop Item
He has published work related to antidepressant treatment for mild to moderate depression, a comparison of alternative treatments for primary care depression and data relating to rising antidepressant prescriptions.
Current work includes an exploration of patients’ explanatory models of depression and their relation to antidepressant adherance (PhD student Dr Jeanette Lynch).
Use of severity questionnaires for depression in the GP contract Quality and Outcome Framework (QOF); their impact on treatment, and patient and practitioners’ views.
Acute minor illness is a major reason for consultation in primary care and many contacts result in an antibiotic prescription. Antibiotics have a marginal if any beneficial effect for many self limiting acute illnesses. The focus of this work is to identify alternative strategies to provide symptom relief and better targeting of antibiotics to those who really need them. He contributes to the minor illness programme which is focussed on.
- Better understanding of diagnosis
- Understanding better which patients are at risk of adverse outcome
- Clarifying whether there is benefit from treatment
- Clarifying which subgroups of patients particularly benefit
- Clarifying what aspects of the consultation process help outcome
- Clarifying what self help approaches work
- Understanding better patient and doctor behaviour and how to change it
Current work incudes contributing to an NIHR minor illness programme (nasal irrigation for sinusitis, optimal antipyretic treatment for fever, xylitol for sore throat, acute cough cohort and internet doctor), a web intervention for flu prevention and the PRISM study (a trial comparing the use of rapid antigen tests to alternative pragmatic prescribing strategies). Newly funded work includes collaborations on two trials of oral steroids for symptom relief in acute cough and acute sore throat.
He has completed further work on the diagnosis and prescribing for adult female urinary tract infection with a further funded study focussed on alternative strategies to reduce the need for antibiotics.
Chronic Liver Disease
Liver disease the only major disease area showing significant increase in prevalence and the major driver for this is alcohol although obesity as a co-factor is likely to become more important. Very many people have fat in the liver and abnormal tests but few go on to develop progressive scarring. Testing ways to make a diagnosis of early liver scarring is a priority.
Current work includes an observational study looking at the use of new fibrosis markers in an at risk primary care population.
Obesity is also implicated in the aetiology of chronic liver disease and existing non surgical strategies to aid with weight loss of limited effectiveness. Current work includes the development of a nurse supported website to aid with diet and wt loss in the context of primary care (POWER study) and an exploration of the views of patients and physicians on the role of weight loss surgery as a treatment for type 2 diabetes.
Academic unit: Primary Care & Population Sciences
Although effective medicinal treatment exists for asthma, many people continue to have distressing symptoms and impaired quality of life. People with asthma have expressed interest in non-drug asthma treatments, particularly in breathing exercises. Several recent studies have shown benefits from a short course of breathing exercises taught by a respiratory physiotherapist for people with asthma who remained symptomatic despite usual treatment. We believe that many NHS patients could potentially benefit from these exercises, but unfortunately, there is currently not enough access to suitable trained physiotherapists able to provide such a service. We propose to provide the same breathing training programme that we have previously shown to be effective when taught 'face-to-face' by a physiotherapist in the form of a DVD, or internet download. Patients will use this in their own home at times convenient to them, in addition to their standard treatment (e.g. with inhalers). We will find out whether this type of instruction is better than the 'usual care' that is currently provided, and whether it is as good as the 'face to face' physiotherapist instruction (which is more expensive and less convenient for patients).
Developing a nurse-delivered behavioural intervention to support weight loss in obese adults
Supervision of medical student study in depth
RCGP National Clinical Champion for Antimicrobial Stewardship
Academic lead for the East Hub of PCRN SW
Member of the HIOW CLRN executive committee and HIOW CLRN board
Member of the Wessex Alcohol Collaborative
An article entitled 'Clinical score cuts antibiotic use for sore throats by 30%' in 'Pulse Today' 25 October 2013 regarding our PRISM study is available to read on this link.