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The University of Southampton
Health Sciences

Dr Richard Wagland PhD, MA, BSc, RN

Senior Research Fellow

Dr Richard Wagland's photo

Dr Richard Wagland is a senior research fellow within the Health Sciences, University of Southampton, and teaches on the MSc Clinical Leadership in Cancer, Palliative and End of Life Care (CPEOLC) programme. The main themes underpinning Richard’s research interests include: development and impact of patient-reported outcome and experience measures (PROMs/PREMs); help-seeking behaviour of patients with symptoms associated with cancer; and the quality of life and quality of care of patients with Cancer of Unknown Primary (CUP).

We want give voice to the experiences that patients with cancer report regarding the quality of their care, and to use these to drive service improvements that promote consistently excellent care for all.


I joined Health Sciences in 2009, after moving from the University of Herefordshire. My role includes responsibilities for both teaching on the MSc Clinical Leadership in Cancer, Palliative and End of Life Care (CPEOLC) programme and for coordinating a portfolio of research projects.

The main themes underpinning my research interests include:

Research interests

Research studies with which I am currently involved transcend my interests and include:

  • Development of Patient-Reported Outcome Measures (PROMs) for patients with colorectal and prostate cancer;
  • Developing technologies for analysing patients free-text responses to the national Cancer Patient Experience Survey (CPES) and other studies using PROMS;
  • Development of outcome indicators designed to measure quality of care within cancer chemotherapy services;
  • Prevalence of symptoms indicative of lung cancer within the primary care population and their help-seeking behaviour;
  • Investigating the patient experience, quality of life and unmet needs of patients with cancer of unknown primary (CUP).

Research that I have recently been involved with include:

  • Non-pharmacological self-management interventions to address the respiratory distress symptom cluster in lung cancer (cough, breathlessness and fatigue);
  • The impact of life-coaching upon the quality of life of cancer survivors;
  • The development of nurse sensitive outcome indicators within chemotherapy departments;
  • Philosophical approaches to inter-generational resource distribution and the concept of ageism.

Research group

Complex Healthcare Processes

Research project(s)

Understanding the quality of life and psychosocial needs of patients with cancer of known and unknown primary: pre-testing and feasibility study

This study is an international collaboration with Australian colleagues at Peter MacCullum Cancer Centre in Melbourne. This study is testing the feasibility of a prospective, longitudinal matched control study to compare outcomes for patients with Cancer of Unknown Primary (CUP) and patients with metastatic cancer with known primary.

Health-related quality of life after colorectal cancer in England using a Patient-Reported Outcomes Measure (PROM)

This study analyses the responses of colorectal survivors to the Department of Health sponsored patient reported outcomes measures (PROMs) 2013 survey. Participants were between 1 and 5 years following completion of their treatment.

Life after prostate cancer diagnosis

This is a three year study involving qualitative and quantitative work-streams centred round the collection of PROMs data and linkage with existing datasets. The aim is to further our understanding of outcomes that matter to men living with and beyond prostate cancer (PCa) and their partners/spouses, and support services to improve care delivery.

The experience of patients with Cancer of Unknown Primary: Analysis from England's national Cancer Patient Experience Survey programme

There are two objectives to this study. Firstly, the study is analysing free-text data from the national Cancer Patient Experience Survey (CPES) to explore the reported quality of life of patients with cancer of unknown primary (CUP). Secondly, we will compare the reported outcome measures of patients with CUP with patients who have metastatic cancer of a known primary.

Analysis of free-text comments from the Cancer Patient Experience Survey (CPES) (Wales)

This study analysed the content of all the free-text responses of participants from the Cancer Patients Experience Survey (CPES) in Wales. A secondary aim was to explore the potential for text-mining techniques to identify themes in the data that could be used in future CPES surveys.

Symptom prevalence and help seeking in patients at risk of lung cancer: exploratory feasibility study in primary care (CI: Corner)

NAEDI funded study exploring the help-seeking behaviour of patients with symptoms that might indicate early stages of lung cancer, and the factors that might inhibit or promote such help seeking.

Analysis of free text responses from the Department of Health’s 2013 survey of colorectal cancer Patient Reported Outcome Measures (PROMs)

Respondents to the Department of Health's PROMs survey were given the opportunity to add free text comments to an open-ended question at the end of the survey, to describe any issues concerning their experience they would like to expand upon. The project will analyse this qualitative data to identify emerging themes reflective of their concerns.

As a senior research fellow for the Faculty Richard's responsibilities include liaising with research and clinical colleagues across faculties and institutions, to foster collaboration and facilitate the development of new research proposals. He also has responsibility for coordinating project management across several research studies.

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I have teaching responsibilities across the MSc in Clinical Leadership in CPECL programme and am currently the acting module lead for the eResearch Methods module, a core module in the MSc programme.

Dr Richard Wagland
Health Sciences University of Southampton S017 1BJ Room: 67/4005 Tel: 023 8059 27868

Room Number: 67/4005

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