Sally Hull

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BACKGROUND Inequalities of service use across ethnic groups are important to policy makers, service providers and service users. AIMS To identify ethnic variations in pathways to specialist mental health care, continuity of contact, voluntary and compulsory psychiatric in-patient admissions; to assess the methodological strength of the findings. METHOD(More)
BACKGROUND Studies have linked ethnic differences in depression rates with neighbourhood ethnic density although results have not been conclusive. We looked at this using a novel approach analysing whole population data covering just over one million GP patients in four London boroughs. METHOD Using a dataset of GP records for all patients registered in(More)
OBJECTIVE To compare the rate of progression of diabetic chronic kidney disease in different ethnic groups. DESIGN Prospective longitudinal observational study. PARTICIPANTS All new patients attending a tertiary renal unit in east London with diabetic chronic kidney disease between 2000 and 2007 and followed up till 2009 were included. Patients(More)
BACKGROUND The effect of ethnicity on the prevalence and management of hypertension and associated chronic kidney (CKD) disease in the UK is unknown. METHODS We performed a cross sectional study of 49,203 adults with hypertension to establish the prevalence and management of hypertension and associated CKD by ethnicity. Routinely collected data from(More)
OBJECTIVES To describe implementation and results from the National Health Service (NHS) Health Check programme. DESIGN Three-year observational open cohort study: 2009-2011. PARTICIPANTS People of age 40-74 years eligible for an NHS Health Check. SETTING 139/143 general practices in three east London primary care trusts (PCTs) serving an ethnically(More)
BACKGROUND Structured care for people with chronic obstructive pulmonary disease (COPD) can improve outcomes. Delivering care in a deprived ethnically diverse area can prove challenging. AIMS Evaluation of a system change to enhance COPD care delivery in a primary care setting between 2010 and 2013 using observational data. METHODS All 36 practices in(More)
BACKGROUND Quality in healthcare has many potential meanings and interpretations. The case has been made for conceptualisations of quality that place more emphasis on describing quality and less on measuring it through structured, vertically oriented metrics. Through discussion of an interdisciplinary community arts project we explore and challenge the(More)
OBJECTIVES To investigate the association between factors influencing prostate-specific antigen (PSA) testing prevalence including prostate cancer risk factors (age, ethnicity, obesity) and non-risk factors (social deprivation and comorbidity). SETTING A cross-sectional database of 136 inner London general practices from 1 August 2009 to 31 July 2014. (More)
OBJECTIVES Many infants die in the year following discharge from hospital after surgical or catheter intervention for congenital heart disease (3-5% of discharged infants). There is considerable variability in the provision of care and support in this period, and some families experience barriers to care. We aimed to identify ways to improve discharge and(More)
PURPOSE People with severe mental illnesses (SMI) experience a 17- to 20-year reduction in life expectancy. One-third of deaths are due to cardiovascular disease. This study will establish the relationship of SMI with cardiovascular disease in ethnic minority groups (Indian, Pakistani, Bangladeshi, black Caribbean, black African and Irish), in the UK. (More)