Caroline Mitchell
@dclovesgp.bsky.social
#GPSky
GP & Research Professor
Keele University.
She/Her
Health Equity & Research Equity;
CBPR: community based participatory research
#inclusiveresearchSky
Deep End Research Alliance co-founder:
https://sites.google.com/sheffield.ac.uk/dera/ho
GP & Research Professor
Keele University.
She/Her
Health Equity & Research Equity;
CBPR: community based participatory research
#inclusiveresearchSky
Deep End Research Alliance co-founder:
https://sites.google.com/sheffield.ac.uk/dera/ho
I'll be giving the Annual Guest Lecture for the Oxford Centre for Personalised Medicine. On 28th April 2026 at 5.30 pm.
‘Personalised Medicine, a Primary Care Perspective’.
Open to all.
cpm.ox.ac.uk/event/cpm-an...
‘Personalised Medicine, a Primary Care Perspective’.
Open to all.
cpm.ox.ac.uk/event/cpm-an...
CPM Annual Lecture 2026 - cpm
We are delighted that the 2026 CPM Annual Lecture will be given by Professor Trish Greenhalgh; Personalised Medicine: A Primary Care Perspective. This will take place at the Maths Institute on Tuesday...
cpm.ox.ac.uk
January 13, 2026 at 10:30 PM
Sir Paul Nurse is an impressive scientist but what the Royal Society needs is Dorothy Bishop to take the helm and clean the place out. Fellows who bring the Society into disrepute need tougher action than himpathy.
www.theguardian.com/science/2026...
www.theguardian.com/science/2026...
‘Lots of people don’t want to do it’: Paul Nurse on his controversial second term as Royal Society president
The Nobel prize winner discusses claims of a ‘boys’ club’, Elon Musk’s fellowship and rightwing attacks on science
www.theguardian.com
January 11, 2026 at 8:20 PM
And behind these figures, all that stress and worry for individual patients and their loved ones arising from delay and in some instances depersonalised care by completely overloaded staff
In this @bmj.com opinion piece, we propose that infrastructural support, mundane process improvements, and better use of available capacity could deliver more value than some of the headline-grabbing "solutions." We propose a learning system model to help. www.bmj.com/content/392/...
We're seeing an unprecedented increase in cancer incidence (prostate cancer diagnoses alone in England up by 25% since 2019), huge growth in complexity of treatment regimes, shortages of specialist staff, and massive variations in time to first treatment. www.bmj.com/content/392/...
January 11, 2026 at 3:01 PM
And behind these figures, all that stress and worry for individual patients and their loved ones arising from delay and in some instances depersonalised care by completely overloaded staff
www.instagram.com/reel/DTUproS...
A mother of a child of Elon Musk
To anyone on X or advertising on X, where is your conscience and response to this rapid escalation in worldwide online misogyny?
A mother of a child of Elon Musk
To anyone on X or advertising on X, where is your conscience and response to this rapid escalation in worldwide online misogyny?
Today in Focus on Instagram: "“They undressed me into a floss bikini and the users just piled on, bend her over, turn her around. There are now videos that they produced of me dancing around and rubbi...
5,992 likes, 174 comments - todayinfocuspod on January 9, 2026: "“They undressed me into a floss bikini and the users just piled on, bend her over, turn her around. There are now videos that they prod...
www.instagram.com
January 11, 2026 at 7:28 AM
www.instagram.com/reel/DTUproS...
A mother of a child of Elon Musk
To anyone on X or advertising on X, where is your conscience and response to this rapid escalation in worldwide online misogyny?
A mother of a child of Elon Musk
To anyone on X or advertising on X, where is your conscience and response to this rapid escalation in worldwide online misogyny?
Reposted by Caroline Mitchell
To learn more, read the full article "Case studies: a guide for researchers, educators, and implementers" by Trish Greenhalgh, in BMJ Medicine
bmjmedicine.bmj.com/content/4/1/...
bmjmedicine.bmj.com/content/4/1/...
Case studies: a guide for researchers, educators, and implementers
Case study is a widely used but poorly understood research method, conducted differently in different disciplines. This paper explores philosophical, theoretical and methodological issues in case stud...
bmjmedicine.bmj.com
January 6, 2026 at 2:27 PM
To learn more, read the full article "Case studies: a guide for researchers, educators, and implementers" by Trish Greenhalgh, in BMJ Medicine
bmjmedicine.bmj.com/content/4/1/...
bmjmedicine.bmj.com/content/4/1/...
Reposted by Caroline Mitchell
Are you conducting a case study in 2026?
Here are some tips from @trishgreenhalgh.bsky.social's guide to case studies, published in BMJ Medicine. 🧵
Here are some tips from @trishgreenhalgh.bsky.social's guide to case studies, published in BMJ Medicine. 🧵
January 6, 2026 at 2:27 PM
Are you conducting a case study in 2026?
Here are some tips from @trishgreenhalgh.bsky.social's guide to case studies, published in BMJ Medicine. 🧵
Here are some tips from @trishgreenhalgh.bsky.social's guide to case studies, published in BMJ Medicine. 🧵
Reposted by Caroline Mitchell
Physicians in the Trump administration are aligning themselves with anti-public health interests and policies.
High profile physicians should be resisting Trump and RFK Jr’s damaging policies, not collaborating with them, @gavinyamey.bsky.social @jonshaffer.bsky.social
www.bmj.com/content/392/...
High profile physicians should be resisting Trump and RFK Jr’s damaging policies, not collaborating with them, @gavinyamey.bsky.social @jonshaffer.bsky.social
www.bmj.com/content/392/...
January 6, 2026 at 4:28 PM
Physicians in the Trump administration are aligning themselves with anti-public health interests and policies.
High profile physicians should be resisting Trump and RFK Jr’s damaging policies, not collaborating with them, @gavinyamey.bsky.social @jonshaffer.bsky.social
www.bmj.com/content/392/...
High profile physicians should be resisting Trump and RFK Jr’s damaging policies, not collaborating with them, @gavinyamey.bsky.social @jonshaffer.bsky.social
www.bmj.com/content/392/...
Reposted by Caroline Mitchell
Q: Are USA's cuts to childhood vaccines evidence-based?
A: No.
New from @sheencr.bsky.social
#helathpolicy #episky
sheenacruickshankimmunology.substack.com/p/sweeping-c...
A: No.
New from @sheencr.bsky.social
#helathpolicy #episky
sheenacruickshankimmunology.substack.com/p/sweeping-c...
Sweeping cuts are being made to the US childhood vaccine schedule
The USA have made dramatic changes to the childhood vaccine schedule
sheenacruickshankimmunology.substack.com
January 6, 2026 at 7:26 PM
Q: Are USA's cuts to childhood vaccines evidence-based?
A: No.
New from @sheencr.bsky.social
#helathpolicy #episky
sheenacruickshankimmunology.substack.com/p/sweeping-c...
A: No.
New from @sheencr.bsky.social
#helathpolicy #episky
sheenacruickshankimmunology.substack.com/p/sweeping-c...
A clinical gem of how to navigate the complexities of gout treatment.
Gout is common and causes significant pain and disruption to normal activities, including work.
It’s often poorly managed in Primary Care.
Our #NIHR OCCUR RCT will pin down steroid use parameters. www.bmj.com/content/392/...
Gout is common and causes significant pain and disruption to normal activities, including work.
It’s often poorly managed in Primary Care.
Our #NIHR OCCUR RCT will pin down steroid use parameters. www.bmj.com/content/392/...
Ask an expert: Gout
### What you need to know
### BMJ Learning
To obtain accredited continuous professional development points, subscribers to BMJ Learning can complete the full module at https://new-learning.bmj.com/c...
www.bmj.com
January 9, 2026 at 10:42 AM
A clinical gem of how to navigate the complexities of gout treatment.
Gout is common and causes significant pain and disruption to normal activities, including work.
It’s often poorly managed in Primary Care.
Our #NIHR OCCUR RCT will pin down steroid use parameters. www.bmj.com/content/392/...
Gout is common and causes significant pain and disruption to normal activities, including work.
It’s often poorly managed in Primary Care.
Our #NIHR OCCUR RCT will pin down steroid use parameters. www.bmj.com/content/392/...
sites.google.com/sheffield.ac...
Working with a great team on the REMAP study- using realist methodology with multisource data:
What are the conditions that contribute to effective outcomes in multi-professional advanced practice?
Working with a great team on the REMAP study- using realist methodology with multisource data:
What are the conditions that contribute to effective outcomes in multi-professional advanced practice?
Team
Meet The Team
sites.google.com
January 7, 2026 at 9:40 PM
sites.google.com/sheffield.ac...
Working with a great team on the REMAP study- using realist methodology with multisource data:
What are the conditions that contribute to effective outcomes in multi-professional advanced practice?
Working with a great team on the REMAP study- using realist methodology with multisource data:
What are the conditions that contribute to effective outcomes in multi-professional advanced practice?
Reposted by Caroline Mitchell
When I was a medical student 45 years ago, I clerked in a 13 year old girl with deep jaundice and an abdominal mass. She was Hepatitis B positive. That had led to a primary liver tumour. In a 13-year-old. She was dead within the month. Avoidable with vaccination.
The CDC has endorsed ACIP’s decision of revoking universal access in USA to hepatitis B vaccines at birth. The policy had been in place for 34y and was changed despite no new evidence emerging of any risk of vaccination. #HealthPolicy 🧵
CDC accepts ACIP’s hepatitis B vaccine recommendations for babies
The CDC also said if a baby is not receiving a birth dose of vaccine, the initial dose should be administered no earlier than 2 months of age.
www.cidrap.umn.edu
December 18, 2025 at 8:14 AM
When I was a medical student 45 years ago, I clerked in a 13 year old girl with deep jaundice and an abdominal mass. She was Hepatitis B positive. That had led to a primary liver tumour. In a 13-year-old. She was dead within the month. Avoidable with vaccination.
Reposted by Caroline Mitchell
I haven’t been this excited for a bubble to burst since I was a toddler.
MIT’s NANDA initiative found that 95% of generative AI deployments fail after interviewing 150 execs, surveying 350 workers, and analyzing 300 projects. The real “productivity gains” seem to come from layoffs and squeezing more work from fewer people not AI.
MIT report: 95% of generative AI pilots at companies are failing
There’s a stark difference in success rates between companies that purchase AI tools from vendors and those that build them internally.
fortune.com
August 20, 2025 at 6:17 AM
I haven’t been this excited for a bubble to burst since I was a toddler.
♥️
Best ever thread. Enjoy. Thanks for sharing Tom.
THREAD.
My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments.
I've collected his work here...
My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments.
I've collected his work here...
January 4, 2026 at 9:16 PM
♥️
Reposted by Caroline Mitchell
Didn’t someone do a RCT showing that health visitors are “ineffective”? Healthcare is a complex system; we need to stop relying on 20th century research tools.
I see we are going back to the future. Health visitors routinely vaccinated children 15-20 years ago until it was no longer considered part of the baseline in provider contracts. Doesn't need a pilot. Just do it.
www.theguardian.com/society/2026...
www.theguardian.com/society/2026...
Children in England to be offered vaccines in their own homes
Exclusive: Pilot scheme launches as one in five start primary school with no protection against deadly diseases
www.theguardian.com
January 1, 2026 at 2:50 PM
Didn’t someone do a RCT showing that health visitors are “ineffective”? Healthcare is a complex system; we need to stop relying on 20th century research tools.
Reposted by Caroline Mitchell
To clarify: I’m being cynical about the reliance on RCT evidence. Thanks @profsarahcowley.bsky.social for confirming - there was no RCT but policy decisions to withdraw HVs were made because no RCT had shown benefit.
Didn’t someone do a RCT showing that health visitors are “ineffective”? Healthcare is a complex system; we need to stop relying on 20th century research tools.
I see we are going back to the future. Health visitors routinely vaccinated children 15-20 years ago until it was no longer considered part of the baseline in provider contracts. Doesn't need a pilot. Just do it.
www.theguardian.com/society/2026...
www.theguardian.com/society/2026...
January 1, 2026 at 6:20 PM
To clarify: I’m being cynical about the reliance on RCT evidence. Thanks @profsarahcowley.bsky.social for confirming - there was no RCT but policy decisions to withdraw HVs were made because no RCT had shown benefit.
Reposted by Caroline Mitchell
“Like Mark Antony minus the toga and brains, he struts and preens, cries havoc! and lets slip the dogs of war.” Well penned, Simon Tisdall.
www.theguardian.com/commentisfre...
www.theguardian.com/commentisfre...
Today an illegal coup in Venezuela, but where next? Donald Trump talks peace but he is a man of war | Simon Tisdall
The world will be anxious, and rightly so. For a man so bent on a peace prize, Trump appears to revel in conflict, writes Simon Tisdall
www.theguardian.com
January 3, 2026 at 5:57 PM
“Like Mark Antony minus the toga and brains, he struts and preens, cries havoc! and lets slip the dogs of war.” Well penned, Simon Tisdall.
www.theguardian.com/commentisfre...
www.theguardian.com/commentisfre...
‘The Role of Doctors is Changing Forever’- a New Yorker article today is an insightful read about what happens when there are so many sources of medical information now that there is credibility equipoise between AI / the MAHA influencers & the Dr in front of you…
December 20, 2025 at 2:35 AM
‘The Role of Doctors is Changing Forever’- a New Yorker article today is an insightful read about what happens when there are so many sources of medical information now that there is credibility equipoise between AI / the MAHA influencers & the Dr in front of you…
Our PRAMs team study webinar - we trained and worked with community research link workers for exceptional
community engagement with underserved groups
community engagement with underserved groups
December 18, 2025 at 11:41 PM
Our PRAMs team study webinar - we trained and worked with community research link workers for exceptional
community engagement with underserved groups
community engagement with underserved groups
Bursting bubbles, blowing trumpets and broad shoulders – BJGP Life
bjgplife.com
December 18, 2025 at 9:01 AM
Reflective research practice to drive inclusivity in research studies ⬇️
December 5, 2025 at 12:11 AM
Reflective research practice to drive inclusivity in research studies ⬇️
Evidence-based medicine is only as good as the evidence it is derived
from. If research representation does not truly reflect the
diversity of the general population, medicines
&other
healthcare interventions may not work for everyone.’
Time to revisit Sackett’s framework for reflective teamwork
from. If research representation does not truly reflect the
diversity of the general population, medicines
&other
healthcare interventions may not work for everyone.’
Time to revisit Sackett’s framework for reflective teamwork
December 2, 2025 at 9:22 AM
Evidence-based medicine is only as good as the evidence it is derived
from. If research representation does not truly reflect the
diversity of the general population, medicines
&other
healthcare interventions may not work for everyone.’
Time to revisit Sackett’s framework for reflective teamwork
from. If research representation does not truly reflect the
diversity of the general population, medicines
&other
healthcare interventions may not work for everyone.’
Time to revisit Sackett’s framework for reflective teamwork
@bjgp.bsky.social
bjgp.org/content/bjgp...
Evidence-biased medicine? Applying a health equity lens to Sackett's methodological framework
#GeneralPractice
#DeepEndGP
#FamilyMedicine
#PrimaryCare
@nihrspcr.bsky.social @nihrarcs.bsky.social
bjgp.org/content/bjgp...
Evidence-biased medicine? Applying a health equity lens to Sackett's methodological framework
#GeneralPractice
#DeepEndGP
#FamilyMedicine
#PrimaryCare
@nihrspcr.bsky.social @nihrarcs.bsky.social
bjgp.org
December 2, 2025 at 9:20 AM
@bjgp.bsky.social
bjgp.org/content/bjgp...
Evidence-biased medicine? Applying a health equity lens to Sackett's methodological framework
#GeneralPractice
#DeepEndGP
#FamilyMedicine
#PrimaryCare
@nihrspcr.bsky.social @nihrarcs.bsky.social
bjgp.org/content/bjgp...
Evidence-biased medicine? Applying a health equity lens to Sackett's methodological framework
#GeneralPractice
#DeepEndGP
#FamilyMedicine
#PrimaryCare
@nihrspcr.bsky.social @nihrarcs.bsky.social
Reposted by Caroline Mitchell
This study developed a new intervention #PATH-GP, combining education, training, and systematic testing approaches to increase #HIV testing and access to pre-exposure prophylaxis in #GeneralPractice, addressing key barriers to HIV prevention doi.org/10.3399/BJGP... @arc-west.bsky.social #PrimaryCare
Developing the PATH-GP (Prevention and Testing for HIV in General Practice) intervention: a person-based approach intervention development study to increase HIV testing and PrEP access | British Journal of General Practice
doi.org
December 2, 2025 at 7:30 AM
This study developed a new intervention #PATH-GP, combining education, training, and systematic testing approaches to increase #HIV testing and access to pre-exposure prophylaxis in #GeneralPractice, addressing key barriers to HIV prevention doi.org/10.3399/BJGP... @arc-west.bsky.social #PrimaryCare
Reposted by Caroline Mitchell
Pure evil.
Breaking News: Robert F. Kennedy Jr. said he personally instructed the CDC to abandon its position that vaccines do not cause autism. The move underscores his determination to challenge scientific orthodoxy — in this case, that vaccines save lives — and bend the health department to his will.
RFK Jr. Says He Instructed CDC to Change Vaccines and Autism Language on Website
In an interview, Health Secretary Robert F. Kennedy Jr. cited gaps in vaccine safety research. His critics say he is ignoring a larger point: Vaccines save lives.
nyti.ms
November 21, 2025 at 7:45 PM
Pure evil.
youtube.com/watch?v=lDj-...
Thank you Deep End Canada for inviting us to share experiences from Deep End Scotland, Deep End Ireland and the Deep End Research Alliance .
It’s good to see that these collaborations to tackle health are inequalities flourishing- activism and collaboration for change.
Thank you Deep End Canada for inviting us to share experiences from Deep End Scotland, Deep End Ireland and the Deep End Research Alliance .
It’s good to see that these collaborations to tackle health are inequalities flourishing- activism and collaboration for change.
One year of Deep End Canada: International lessons for tackling health inequities
YouTube video by Upstream Lab
youtube.com
November 22, 2025 at 12:50 AM
youtube.com/watch?v=lDj-...
Thank you Deep End Canada for inviting us to share experiences from Deep End Scotland, Deep End Ireland and the Deep End Research Alliance .
It’s good to see that these collaborations to tackle health are inequalities flourishing- activism and collaboration for change.
Thank you Deep End Canada for inviting us to share experiences from Deep End Scotland, Deep End Ireland and the Deep End Research Alliance .
It’s good to see that these collaborations to tackle health are inequalities flourishing- activism and collaboration for change.