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The University of Edinburgh

The University of Edinburgh | College of Medicine and Veterinary Medicine |
Deanery of Molecular, Genetic and Population Health Sciences | Usher Institute

Centre for Population Health Sciences

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Photo of Brian McKinstry

Professor Brian McKinstry

Professor Primary Care E-Health

Tel: 0131 650 2683
Fax: (0131) 650 9119
Brian.McKinstry@ed.ac.uk

Role

  • I am professor of primary care e-health and also work as a general practitioner in MacKenzie Medical Centre in Edinburgh
  • I provide the link between the department and the Edinburgh Health Services Research Unit and lead the Telescot programme of research.

Teaching Responsibilities

Undergraduate
  • I chair the SSC4 examination committee and am responsible for year 5 general practice teaching.
Postgraduate
  • I supervise PhD and MD students

Research Interests

My main interest is in remote consulting especially telehealth and telephone consulting. I lead the Telescot programme of research into the use of telemetry to manage long term conditions and am conducting several projects exploring the acceptability, safety and efficacy of telephone consulting and developing new ways of remotely measuring physiological parameters.

My other interests include blood pressure monitoring, recruitment to clinical trials, cardiac support groups and medical education.

Current Research Involvement

  • Does telemetrically enhanced self monitoring improve the management of hypertension, COPD diabetes and stroke. (4 RCTs)
  • Devising new ways of measuring respiratory rate remotely
  • Monitoring the symptoms and signs of depression remotely
  • How well do elderly patients understand synthetic speech?
  • How can we best synthesis patient accrued telehealth data with the GP electronic health record.
  • Creating a register of research interested pateints in Scotland. The SHARE project
  • How do telephone consultations differ from face to face consultations in content and quality? A pilot comparative study using tape recorded consultations. This small project seeks to determine the acceptability to patients and doctors of using recordings to explore differences in content safety and power dynamic between face-to-face and telephone consultations.
  • Investigating the potential and limitations of telephone consultations in delivering accessible, quality and safe patient-centred primary care: the views of patients, clinicians and administrative staff. This a qualitative study set in Lothian and Highland
  • Recall of consultations does the medium matter? A study of what influences patient recall of important content of consultations
  • How do intermittent self-monitored blood pressures and GP surgery-based blood pressures compare to daytime ambulatory monitoring? A small study set in three practices exploring how surgery, home self monitoring and ambulatory monitoring differ.

Other Responsibilities/Activities

I represent the GP section on the Lothian Health research committee, I am an editor for the Cochrane Consumers & Communication Review Group and for Biomed Central Health Services Research, I am Chairman of the SSC4 examination board, I referee for several journals and research councils.

Further Information

Education

1978 MBChB, University of Edinburgh
1981 MRCPUK
1982 MRCGP (Dist)
1998 MD, University of Edinburgh
1998 FRCGP
2005 FRCPE

Selected grants

  • Identifying the true cost of asthma in the UK: secondary analyses of national stand-alone and linked databases in England, Northern Ireland, Scotland and Wales (Asthma UK, 2013-2014) Sheikh A, Phillips C, Strachan D, Davies G, Simpson C, Shields M, Lyons R, Fischbacher C
  • Exploring the feasibility of using remote respiratory monitoring to detect and manage exacerbations of chronic obstructive pulmonary disease. (Chief Scientist Office, 2013-2013) McKinstry B, MacNee W, Rabinovich R, Weir C, Hanley J, Pinnock H
  • Pilot study: 'Light Touch' telemonitoring for people with COPD in Lothian. (Edinburgh & Lothian's Health Foundation, 2012-2014) Pinnock H, McKinstry B, Hanley J, Lindsay A
  • Integrating Patient Acquired Telehealthcare-Generated Data With the General Practice Electronic Health Record: Exploring the Views of Primary Care Staff. (Chief Scientist Office, 2011-2012) McKinstry B, Simpson C, Sheikh A, Robertson A.
  • The Impact of eHealth on the Quality and Safety of Healthcare (NHS Connecting for Health Evaluation Programme (NHS CFHEP 001), 2008-2011) Sheikh A, McLean S, Cresswell K, Pagliari C, Pappas Y, Car J, Black A, Hemmi A, Nurmatov U, Mukherjee M, Anandan C, McKinstry B, Procter R, Majeed A
  • TeleSCOT. Telemetric supported management of long-term conditions (CSO, 2008-2012) McKinstry B, Wild S, Pagliari C,Pinnock H, NacNee W, Hanley J, Lewis S, et al
  • Telemetric supported self-monitoring of long-term conditions (Chief Scientist Office: NHS Applied Research Programme Grant, 2008-2012) McKinstry B, Pinnock H, MacNee B, Sheikh A, Padfield P, Hanley J, Pagliari C, McKnight J, Wild S, Auld S, Kelly D, Sudlow C.
  • The implementation of telemetric supported self monitoring in chronic disease management. (Intel, 2007-2008) McKinstry B, Sheikhy A, Pagliari C, Hanley J
  • Descriptive and comparative study of patients' recall of the content of face-to-face and telephone consultations: a pilot study (CSO, 2007-2008) McKinstry B, Watson PWB
  • The acceptability to patients and professionals of a system of remote blood pressure monitoring using mobile phone based telemetry. (RCGP Scientific Foundation, 2007-2008) McGown D, McKinstry B, Hanley J, Padfield P (CI Lothian Health)
  • Investigating the potential and limitations of telephone consultations in delivering accessible, quality and safe patient-centred primary care: the views of patients, clinicians and administrative staff. (Chief Scientist Office, 2006-2007) McKinstry B, Sheikh A, Pinnock H, Heaney D, Dowell J, Slack R.
  • Development and validation of an algorithm to predict emergency hospital admissions in Scotland. (Chief Scientist Office, 2006-2007) Donnan P, Guthrie B, Fischbacher C, Simpson C, Tilley, CJ, Sutton MA, Morrison JM (CI University of Dundee)
  • The patient experience of Bell's Palsy. (Tayren, 2006-2006) McKinstry B, Hammersley V, Daly F
  • A systematic review of the impact of information technology on the quality and safety of health services. (Patient Safety Research Programme., 2006-2007) Sheikh A Majeed A, Pagliari C, Procter R, McKinstry B, Car J,
  • CHD support groups in Scotland: a survey of the views of members and facilitators. (Chest, Heart and Stroke Scotland, 2006-2007) Gregory S, McKinstry B, Hanna L Further info
  • Coronary Heart Disease Support Groups their role and value from the perspectives of members and facilitators' a questionnaire study. (Chest Heart and Stroke Scotland, 2006-2006) Gregory S, McKinstry B, Hannah L
  • How do telephone consultations differ from face to face consultations in content and quality? A pilot comparative study using tape recorded consultations. (CZH/4/303). (Chief Scientist Office, 2006-2007) McKinstry B, Sheikh A, Pinnock H, Dowwel J, Heaney D
  • Rehabilitation after myocardial infarction: experiences and perspectives of people who do not use cardiac support services and resources (The University of Edinburgh College of Medicine and Veterinary Medicine Studentship, 2005-2008) Angela Jackson. Supervisors: Gregory, S; McKinstry, B; Amos, A.
  • How do intermittent self-monitored blood pressures and GP surgery-based blood pressures compare to daytime ambulatory monitoring? (Lothian Health, 2005-2006) McKinstry B, Hanley J
  • A Systematic review of the impact of information technology on the quality and safety of health services. (SDO, 2005-2006) Sheikh A, McKinstry B
  • Investigating the potential of limitations of telephone consultations in delivering accessible patient-centred primary care. (CSO Primary Care Research Career Award, 2004-2009) Sheikh A, McKinstry B
  • Lothian and Borders Primary Care Research Network. The safety features of GP computing systems. (Chief Scientist Office, 2004-2005) McKinstry B, Fulton C, Sheikh A, Hanley J
  • A systematic review of the literature on the effectiveness of self assessment in clinical education. (LTSN2, 2004-2006) McKinstry B, Illing J
  • Coronary Heart Disease Support Groups: their role and value from the perspectives of members and facilitators' a qualitative study. (Chest Heart and Stroke Scotland, 2004-2006) Gregory S, McKinstry B
  • CSO Career Fellowship, Investigating the potential and limitations of telephone consultations in delivering accessible, quality, patient-centred primary care. (Chief Scientist Office, 2004-2009) McKinstry B, Sheikh A
  • Risk factors for chronic ulceration in patients with varicose veins: case control study. (CZH/4/143). (Chief Scientist Office, 2003-2006)

Publications

Link to Edinburgh Research Explorer for full publications list

Selected publications

  • Nwaru, B. I., Mukherjee, M., Gupta, R. P., Farr, A., Heaven, M., Stoddart, A., Bandyopadhyay, A., Fitzsimmons, D., Shields, M., Phillips, C., Chamberlain, G., Fischbacher, C., Dibben, C., Aftab, C., Simpson, C. R., Lyons, R., Strachan, D., Davies, G. A., Mckinstry, B. & Sheikh, A. Challenges of harmonising data from UK national health surveys: a case study of attempts to estimate the UK prevalence of asthma. Journal of Royal Society of Medicine 2015; 108 (10) DOI Link
  • McKinstry B, Hanley J, Lewis S. Telemonitoring in the management of high blood pressure. Current Pharmaceutical Design 2015;21(6):823-7
  • Mukherjee M, Gupta R, Farr A, Heaven M, Stoddart A, Nwaru BI, Fitzsimmons D, Chamberlain G, Bandyopadhyay A, Fischbacher C, Dibben C, Shields M, Phillips C, Strachan D, Davies G, McKinstry B, Sheikh A; Burden and True Cost of Asthma in the UK Research Team. Estimating the incidence, prevalence and true cost of asthma in the UK: secondary analysis of national stand-alone and linked databases in England, Northern Ireland, Scotland and Wales-a study protocol. BMJ Open. 2014 Nov 4;4(11):e006647. doi: 10.1136/bmjopen-2014-006647. DOI Link
  • Davidson E, Simpson C, Demiris G, Sheikh A, McKinstry B. Integrating telehealthcare-generated data with the family practice electronic medical record: a qualitative exploration of the views of primary care staff. Interact J Med Res 2013;2:e29 DOI Link
  • Pinnock H, Hanley J, McCloughan L, Todd A, Krishan A, Lewis S, Stoddart A, van der Pol M, MacNee W, Sheikh A, Pagliari C, McKinstry B. Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial. BMJ 2013;347:f6070
  • Wild S, Hanley J, Lewis S, McKnight J, McCloughan L, Padfield P, Paterson M, Pinnock H, McKinstry B. The impact of supported telemetric monitoring in people with type 2 diabetes: study protocol for a randomised controlled trial. Trials 2013;14:198
  • Stoddart A, Hanley J, Wild S, Pagliari C, Paterson M, Lewis S, Sheikh A, Krishan A, Padfield P, McKinstry B. Telemonitoring-based service redesign for the management of difficult-to-control hypertension (HITS): A cost and cost-effectiveness analysis. BMJ Open 2013;3:e002681
  • McKinstry B, Hanley J, Wild S, Pagliari C, Paterson M, Lewis S, Sheikh A, Krishan A, Stoddart A, Padfield P. Telemonitoring-based service redesign for the management of difficult-to-control hypertension (HITS): a multi-centre randomised controlled trial. BMJ 2013;346:f3030
  • Fairbrother P, Pinnock H, Janet Hanley J, McCloughan L, Sheikh A, Pagliari C, McKinstry B, on behalf of the TELESCOT programme group. Continuity, but at what cost? The impact of telemonitoring COPD on continuities of care: a qualitative study. Prim Care Respir J 2012;21: 322-328 DOI Link
  • McLean S, McKinstry B. No evidence that telehealthcare increases mortality in COPD. Journal of telecare and telemedicine 2012
  • Jackson A M, McKinstry B, Gregory S, Amos A (2012) A qualitative study exploring the reasons for non-participation in cardiac rehabilitation and coronary heart disease self-help groups, and the experience of rehabilitation without these resources. Primary Health Care Research and Development, 13, 30-41.
  • Ure J, Hanley J, Pinnock H, Kidd G, McCall Smith E, Tarling A, Pagliari C, Sheikh A, MacNee W, McKinstry B. Piloting tele-monitoring in Chronic Obstructive Pulmonary Disease: a mixed methods exploration of issues in design and implementation. Prim Care Respir J 2011;21:57-64 DOI Link
  • Ure J, Irshad T, Hanley J, Whyte A, Pagliari C, Pinnock H, McKinstry B. Curating Complex, Dynamic and Distributed Data: Telehealth as a Laboratory for Strategy. International Journal of Digital Curation 2011; 6: 128-145 DOI Link
  • McKinstry B, Watson P, Elton R, Pinnock H, Kidd G, Meyer B, Logie R & Aziz S (2011). The accuracy of patients' recall of the content of telephone and face-to-face consultations: a comparison with audio-recordings. Postgraduate Medical Journal. DOI Link
  • McKinstry B, Hammersley V, Burton C, Pinnock H, Elton RA, Dowell J, Sawdon N, Heaney DJ, Elwyn G; Sheikh A. The quality, safety and content of telephone and face-to-face consultations: a comparative study. Qual Safety Healthcare 2010; 19: 298-303 DOI Link
  • Pinnock H, Hanley J, Lewis S, Macnee W, Pagliari C, van der Pol M, McKinstry B. The impact of a telemetric chronic obstructive pulmonary disease monitoring service: randomised controlled trial with economic evaluation and nested qualitative study. Prim Care Respir J 2009;18(3):233-235
  • Pinnock H, Hanley J, Lewis S, MacNee W, Pagliari C, van der Pol, M, McKinstry B (2009). The impact of a telemetric chronic obstructive pulmonary disease monitoring service: randomised controlled trial with economic evaluation and nested qualitative study. Prim Care Respir J 18(3):233-235
  • McKinstry B, Pinnock H, Sheikh A (2009). Telemedicine for management of patients with COPD? Lancet 374(9691):672-673
  • Robertson L, Lee AJ, Gallagher K, Carmichael SJ, Evans CJ, McKinstry BH, Fraser SCA, Allan PL, Weller D, Ruckley CV, Fowkes FG. Risk factors for chronic ulceration in patients with varicose veins: A case control study. J Vasc Surg 2009; 49(6):1490-1498
  • McKinstry, B., Watson, P., Pinnock, H., Heaney, D. & Sheikh, A. (2009). Confidentiality and the telephone in family practice: a qualitative study of the views of patients, clinicians, and administrative staff. Family Practice, advance access, doi:10.1093/fampra/cmp032.
  • McKinstry, B., Watson, P., Pinnock, H., Heaney, D. & Sheikh, A. (2009). Telephone consulting in primary care: a triangulated qualitative study of patients and providers. British Journal of General Practice, 59 (563), e209-e218.
  • Watson, P.W.B. & McKinstry, B. (2009). A systematic review of interventions to improve recall of medical advice in healthcare consultations. Journal of the Royal Society of Medicine, 102, 235-243.
  • Car J, Black A, Anandan C, Cresswell K, Pagliari C, McKinstry B, Procter R, Majeed A, Sheikh A. (2008) The Impact of eHealth on the Quality & Safety of Healthcare: A systematic overview & synthesis of the literature. Birmingham. NHS Connecting for Health Evaluation Programme. Link
  • MacDougall, M, Riley, SC, Cameron, HS, McKinstry, B (2008) Halos and horns in the assessment of undergraduate medical students: a consistency based approach. Journal of Applied Quantitative Methods, 3(2): 116-128. Link
  • McKinstry B, Wilson P (2008) Espie C Non-pharmacological management of chronic insomnia in primary care. BJGP, 58 (547): 79-80 Link
  • Colthart I, Cameron N, McKinstry B, Blaney D (2008) What do doctors really think about the relevance and impact of GP appraisal 3 years on? A survey of Scottish GPs. British Journal of General Practice, 58(547): 82-7 Link
  • McKinstry B (2008) Are there too many female medical graduates? British Medical Journal, 336(7647):748 Link
  • Espie CA, MacMahon KMA, Kelly H, Broomfield NA, Douglas NJ, Engleman HA, McKinstry BH, Morin CM, Walker A, Wilson P (2007) Randomised clinical effectiveness trial of nurse-administered small group cognitive behaviour therapy (CBT) for persistent insomnia in general practice. Sleep, 30(5): 574-84
  • Cresswell KM, Fernando B, McKinstry B, Sheikh A(2007) Adverse drug events in the elderly. Br Med Bull, 83(1); 259-274 Link
  • McKinstry B, Walker JJ, Porter M, Tait A, Fulton C, Hanley J, Mercer S (2007) The impact of general practitioner morale on patient satisfaction with care: A cross-sectional study. Biomedcentral Family Practice, 8: 57 Link
  • McKinstry B, Hammersley V, Daly F, Sullivan F. Recruitment and retention in a multicentre randomised controlled trial in Bell's palsy: a case study. BMC Med Res Methodol. 2007 Mar 28;7:15.
  • Sullivan FM, Swan IR, Donnan PT, Morrison JM, Smith BH, McKinstry B, Davenport RJ, Vale LD, Clarkson JE, Hammersley V, Hayavi S, McAteer A, Stewart K, Daly F. Early Treatment with Prednisolone or Acyclovir in Bell's Palsy. N Engl J Med. 2007 Oct 18;357(16):1598-607.
  • McKinstry B, Ashcroft RE, Car J, Freeman GK, Sheikh A (2006) Interventions for improving patients' trust in doctors and groups and doctors (Cochrane Review). In: The Cochrane Database of Systematic Reviews, Issue 3
  • Fernando B, McKinstry B, Sheikh A (2006) Reducing medication-related adverse events in the elderly. Reviews in Clinical Gerontology, 16(1) 200-206
  • McKinstry B, Colthart I, Elliott K, Hunter C (2006) The feminization of the medical work force, implications for Scottish primary care: a survey of Scottish general practitioners. BMC Health Services Research, 6:56 Link
  • McKinstry B, Walker J, Colthart I. Can doctors predict patients' satisfaction and enablement? A cross-sectional observational study. Family Practice 2006; 23: 240-245
  • McKinstry B, Sheikh A. Unresolved questions in telephone consulting. J R Soc Med 2006 99: 2-3
  • McKinstry B, Hanley J, McCloughan L, Heaney D, Webb D. Impact on hypertension control of patient-held guideline; a randomised controlled trial. Accepted Br J Gen Pract 2006.
  • Hunter C, Blaney D, McKinstry B, Shaw J, Denholm C (2005) GP appraisal: A Scottish solution. Education for Primary Care, 16(4):434-439
  • McKinstry B, Macnicol M, Elliot K, Macpherson S (2005) The transition from learner to provider/teacher: The learning needs of new orthopaedic consultants. BMC Medical Education, 5:17 Link
  • Espie CA, MacMahon KMA, Kelly HL, Broomfield NM, Fleming L, Inglis SJ, McKinstry B, Morin CM, Walker A, Wilson, P, Taylor LM, Walker L, Paul J, Cassidy J (2005) Manualised CBT for insomnia delivered by nurse practitioners: results from studies conducted in primary care and in oncology. Sleep Medicine, 6:Suppl. 2; S29 Link
  • McKinstry B, Peacock H, Shaw J. General Practitioner Experiences of Partner and External Peer Appraisal: A Qualitative Study. BJGP 2005;516: 539 - 543
  • McKinstry B, Guthrie B, Freeman G, Heaney D. Is success in postgraduate examinations associated with family practioners' attitudes or patient perceptions of the quality of their consultations? A cross-sectional study of the MRCGP examination in Great Britain. Fam Pract 2005 Epub ahead of print
  • McKinstry B, Colthart I, Taylor G, Elliott K (2004) Fitness for purpose among recently qualified general practitioners: The use of a confidential trainer report. Education for Primary Care, 15(2): 190-205
  • McKinstry BH, Cameron HS, Elton RA, Riley SC (2004) Leniency and halo effects in marking undergraduate short research projects. BMC Med Educ, 4(1): 28-32 Link
  • McKinstry B, Porter M, Wrate R, Elton R, Shaw J (2004) The MAGPI (Morale Assessment in General Practice Index): a new way for doctors to self-assess their morale. Education for Primary Care 15: 231-241
  • McKinstry B, Walker J, Blaney D, Heaney D, Begg D. Do patients and expert doctors agree on the assessment of consultation skills? A comparison of two patient consultation assessment scales with the video component of the MRCGP. Fam Pract 2004;21:75-80.
  • Chambers M, Colthart I, McKinstry B. Scottish general practitioners' willingness to take part in a post-retirement retention scheme: questionnaire survey. BMJ 2004;328:329
  • McKinstry B, Walker J, Campbell C, Heaney DJ, Wyke S. Telephone consultations to manage requests for same-day appointments: a randomised controlled trial in two practices. British Journal of General Practice 2002;52: 306-310
  • Huby G. Gerry M. McKinstry B. Porter M. Shaw J. Wrate R. Morale among general practitioners: Qualitative study exploring relations between partnership arrangements, style, and workload. BMJ 2002; 325(7356):140-2

Last modified: Monday, 05-Oct-2015 11:04:25 BST

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