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The University of Southampton
Fundamental Care

Medicines Management

Our research focuses on promoting safe and effective use of medicines. Major research led by Professor Sue Latter has evaluated non-medical prescribing and has significantly influenced national and international policy.

Our inter-disciplinary, international research aims to provide evidence to support effective management of medicines by patients, carers and health professionals so they are prescribed safely and used by informed patients and carers to manage symptoms and maximise health and well-being. Effective prescribing and patient management of medicines requires good communication and information about medicines, and is an important part of self-management of many conditions. We aim to understand patient and carer experience of managing medicines and health professional – patient interactions about medicines and build on this to develop and evaluate interventions to support best quality medicines management.

Major research led by Professor Sue Latter has evaluated nurse and pharmacist prescribing and has significantly influenced national and international policy. Our research findings were pivotal in persuading the Government to reform prescribing legislation, empowering healthcare professionals to prescribe medicines independently.

Medicines Optimisation
Medicines Optimisation

Our research also includes understanding and evaluating patient-centred interventions to optimise medicines use in co-morbidity, polypharmacy and long term conditions, as well as studies evaluating interventions and experiences of medicines management for patients nearing the end of their lives. A further focus is on understanding and promoting safe and effective prescribing of antimicrobials in hospital, primary, community and out-of-hours settings in order to contribute to global antimicrobial stewardship.

Research in the Medicines Management group is inter-disciplinary: we collaborate with leading academics and clinicians from medicine, pharmacy, psychology, paramedicine and health economics, to deliver important new evidence to influence policy and practice on a critical health care issue. Our studies include systematic reviews, qualitative research, large scale surveys, mixed methods research and feasibility trials.

Our Staff

Professor Sue Latter

Dr Kieran Hand: Associate Professor (Honorary)

Dr Natasha Campling (Lecturer) (Affiliated; Member of Cancer and Life Limiting Conditions Group)

Ms Francine O’Malley (Lecturer)

Ms Annie Herklots (Clinical Teaching Fellow)


External Collaborators

University of Leeds

Cardiff University

University of Bradford

Asthma UK

Southampton University Hospitals Trust

University of Montreal

Federal University of Rio Grande do Norte

Latter, S., Campling, N., Birtwistle, J., Richardson, A., Bennett, M., Ewings, S., Meads, D., & Santer, M. (Accepted/In press). Supporting patient access to medicines in community palliative care on-line survey of health professionals’ practice, perceived effectiveness and influencing factors. BMC Palliative Care.

Holley, S., Knibb, R., Latter, S., Liossi, C., Mitchell, F., Radley, R., & Roberts, G. (2019). Development and validation of the Adolescent Asthma Self-Efficacy Questionnaire (AASEQ). European Respiratory Journal, 54(1), [1801375]. DOI: org/10.1183/13993003.01375-2018

Leydon, G. M., Halls, A., Ekberg, K., Latter, S., Stuart, B., Moynihan, C., Salmon, P., Danquah, L., Brindle, L., Howe, S., Woods, C. J., & Little, P. (2019). Specialist call handlers’ perspectives on providing help on a cancer helpline: a qualitative interview study. European Journal of Cancer Care, [e13081]. DOI: org/10.1111/ecc.13081

Holley, S., Walker, D., Knibb, R., Latter, S., Liossi, C., Mitchell, F., Radley, R., & Roberts, G. (2018). Barriers and facilitators to self-management of asthma in adolescents: an interview study to inform development of a novel intervention. Clinical & Experimental Allergy, 48(8), 944-956. DOI: org/10.1111/cea.13141

Westwood, G., Richardson, A., Latter, S., Macleod Clark, J., & Fader, M. (2018). Building clinical academic leadership capacity: sustainability through partnership. Journal of Research in Nursing, 23(4), 346-357. DOI: org/10.1177/1744987117748348

Williams, S. J., Halls, A. V., Tonkin-Crine, S., Moore, M. V., Latter, S. E., Little, P., Eyles, C., Postle, K., & Leydon, G. M. (2018). General practitioner and nurse prescriber experiences of prescribing antibiotics for respiratory tract infections in UK primary care out-ofhours services (the UNITE study). Journal of Antimicrobial Chemotherapy, 73(3), 795-803. DOI: org/10.1093/jac/dkx429

Bedson, A. M., & Latter, S. (2018). Providing medicines in emergency and urgent care: a survey of specialist paramedics’ experiences of medication supply and views on paramedic independent prescribing. British Paramedic Journal, 3(3), 1-9. DOI:org/10.29045/14784726.2018.

Ellis, J., Boger, E., Latter, S., Kennedy, A., Jones, F., Foster, C., & Demain, S. (2017). Conceptualisation of the ‘good’ self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions. Social Science & Medicine, 176, 25-33. DOI: org/10.1016/j.socscimed.2017.01.018

Campling, N., Richardson, A., Mulvey, M. R., Bennett, M. I., Johnston, B., & Latter, S. (2017). Self-management support at the end of life: patients', carers' and professionals' perspectives on managing medicines. International Journal of Nursing Studies, 76, 45-54. DOI:org/10.1016/j.ijnurstu.2017.08.019

Bennett, M., Mulvey, M. R., Campling, N., Latter, S., Richardson, A., Bekker, H., Blenkinsopp, A., Carder, P., Closs, J., Farrin, A., Flemming, K., Gallagher, J., Meads, D., Morley, S., O'Dwyer, J., Wright-Hughes, A., & Hartley, S. (2017). Self-management toolkit and delivery strategy for end-of-life pain: the mixed-methods feasibility study. Health Technology Assessment, 21(76). DOI: org/10.3310/hta21760

Latter, S., Hopkinson, J. B., Lowson, E., Hughes, J. A., Hughes, J., Duke, S., Anstey, S., Bennett, M., May, C., Smith, P., & Richardson, A. (2017). Supporting carers to manage pain medication in cancer patients at end of life: a feasibility trial. Palliative Medicine, 1-11. DOI:org/10.1177/0269216317715197

Leydon, G., Stuart, B., Danquah, L., Ekberg, K., Brindle, L., Latter, S., Moynihan, C., Peter, S., Howe, S., Stokoe, E., & Little, P. (2016). A descriptive survey of cancer helplines in the UK: who they are, the services offered and accessibility of those services. Psycho-Oncology, 26(8), 1140-1146. DOI: org/10.1002/pon.4293

Holley, S., Morris, R., Knibb, R., Latter, S., Liossi, C., Mitchell, F., & Roberts, G. (2016). Barriers and facilitators to asthma self-management in adolescents: a systematic review of qualitative and quantitative studies. Pediatric Pulmonology, 1-13. DOI: org/10.1002/ppul.23556

Latter, S., Hopkinson, J., Richardson, A., Hughes, J., Lowson, E., & Edwards, D. (2016). How can we help family carers manage pain medicines for patients with advanced cancer? A systematic review of intervention studies. BMJ Supportive & Palliative Care, 6(3), 263-275. DOI: org/10.1136/bmjspcare-2015-000958

Latter, S., Hopkinson, J., Lowson, E., Richardson, A., Hughes, J., Duke, S., Anstey, S., Bennett, M., May, C., & Smith, P. (2015). Cancer carers medicines management: a feasibility trial of an educational intervention for managing end of life pain medication. BMJ Supportive & Palliative Care, 5(1), 104-105. DOI: org/10.1136/bmjspcare-2014-000838.9

Herklots, A., Baileff, A., & Latter, S. (2015). Community matrons' experience as independent prescribers. British Journal of Community Nursing, 20(5), 217-223. DOI: org/10.12968/bjcn.2015.20.5.217

Boger, E., Hankins, M., Demain, S., & Latter, S. (2015). Development and psychometric evaluation of a new patient-reported outcome measure for stroke self-management: The Southampton Stroke Self-Management Questionnaire (SSSMQ). Health and Quality of Life Outcomes, 13, [165]. DOI: org/10.1186/s12955-015-0349-7

Gerard, K., Tinelli, M., Latter, S., Smith, A., & Blenkinsopp, A. (2015). Patients' valuation of the prescribing nurse in primary care: a discrete choice experiment. Health Expectations, 18(6), 2223-2235. DOI: org/10.1111/hex.12193

Boger, E., Ellis, J., Latter, S., Foster, C., Kennedy, A., Jones, F., Fenerty, V., Kellar, I., & Demain, S. (2015). Self-management and self-management support outcomes: a systematic review and mixed research synthesis of stakeholder views. PLoS ONE, 10(7), 1-25. [130990]. DOI: org/10.1371/journal.pone.0130990

Boger, E., Demain, S. H., & Latter, S. M. (2015). Stroke self-management: a focus group study to identify the factors influencing self-management following stroke. International Journal of Nursing Studies, 52(1), 175-187. DOI: org/10.1016/j.ijnurstu.2014.05.006

Scott P., Hand K., Latter S. A cluster randomized controlled trial of the impact of MicroGuide computerized decision support modules on antimicrobial prescribing behaviours and clinical outcomes for adult inpatients with common infections. Merck, Sharpe and Dohme. 2020-2023. Co-Investigator. £201,628

Latter S., Richardson A., Bennett M., Blenkinsopp A., Campling C., Ewing S., Santer M. Accessing medicines at end-of-life: a multi-stakeholder, mixed method evaluation of service provision. NIHR Health Services and Delivery Research. 2018-2020. Principal Investigator. £652,327

Cummings F., Latter S., Harris C., Gwiggner M. IBD Biosimilar to Biosimilar Infliximab Switching Study (IBiSS) Biogen Idec. 2018-2019. Co-Investigator. £628,463

Cummings F., Latter S., Young D. IBD Adalimumab Switching Study (IBaSS) Biogen Idec. 2019-2020. Co-Investigator. £682,429

Roberts G., Thomas M., Bruton A., Yardley L., Breathing Ainsworth B., Latter S., Whitehead A., Knibb R., Holley S., Kennington E., REtraining for Asthma Trial of Home Exercises for Teenagers (BREATHE4T); repurposing, refining and feasibility. NIHR Research for Patient Benefit. 2019-2021. Co-Investigator. £247,376

Hand K., Latter S., Hopkins S., Marwick C. A mixed methods observational study to evaluate the implementation of a smartphone software application (App) and computerised decision-support system (CDSS) for antibiotic treatment guidelines. Merck, Sharp and Dohme. 2017-2019. Co-Investigator. £120,862

Leydon G., Barnes R., Woods C., Stevenson F., Hayward G., Moore M., Booker M., Stuart B., Little P. Out of Hours Antibiotic Prescribing NIHR School for Primary Care Research. 2018-2020. Collaborator. £445,891 

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