Reader in Primary Care
Fellow of the Faculty of Public Health (UK), 2005
PhD in Public Health: An economic evaluation of cardiovascular disease prevention in primary care, University of Birmingham, 2005.
Member of the Faculty of Public Health Medicine (UK), 1997.
MSc. Public Health, London School of Hygiene & Tropical Medicine, 1995
Member of the Royal College of General Practitioners 1994.
MSc. Health Economics (distinction), University of York, 1992.
MB ChB University of Edinburgh, 1987.
Tom Marshall graduated MB ChB from the University of Edinburgh in 1987. He undertook clinical posts in hospitals the UK, South Africa and Gibraltar where he acquired his interest in the wider determinants of health and organisation of health care systems. In 1991 he undertook a MSc Health Economics at University of York. Following this he returned to clinical medicine to complete vocational training in general practice and his MRCGP before specialising in public health medicine in Northamptonshire. During this period he completed his MSc in Public Health, obtained the MFPH and spent a total of one year (in 1996 and 1997) working for the WHO Regional Office for Europe on health care systems and health care reforms in European countries.
In 1999 Tom moved to an academic post in public health in University of Birmingham and completed his PhD: an economic evaluation of cardiovascular disease prevention in primary care. In 2003 to 2004 he spent a year as a Commonwealth Fund Harkness Fellow in Health Policy in Harvard Medical School.
From 2005 to 2010 he was Programme Director of the University of Birmingham Master of Public Health. He currently acts as an external examiner for the Imperial College London MPH programme.
Tom’s research interests are diverse. Common themes include his interest in addressing practical and substantial health problems and a focus on primary care. In 2000 his seminal paper on the potential for taxation to influence diet achieved worldwide media coverage and has sparked a number of subsequent papers by other authors. He has published on the use of statistical process control for quality improvement in health care and for monitoring mortality rates in primary care. He has researched patients views and preferences in relation to taking drug treatments to prevent cardiovascular disease. His work on the economics of cardiovascular prevention in primary care has been influential in the 2008 NICE guidelines on lipid lowering. He has published several papers on the effects of variation in the measurement of risk factors on clinical decision making. More recent work has investigated the potential for targeted case finding of patient at high risk of cardiovascular disease using information recorded in electronic primary care records. This is being evaluated in primary care based a cluster randomised controlled trial in the West Midlands. He has also investigated using electronic primary care records for the identification of patients at high risk of suspected colorectal cancer and is interested in making greater use of electronic records to improve patient care. He is currently leading a project to link cancer registry records on colorectal cancer to electronic primary care records.
Recently he acquired a sub-licence for a large dataset of anonymised electronic primary care records (THIN: The Health Improvement Network http://www.epic-uk.org/) and he is keen to undertake collaborative research using this resource.
Tom is a a reviewer for many grant awarding bodies. He has been a member of the NIHR Research for Patient Benefit grant awarding committee and also was a member of the editorial board of the Health Technology Assessment journal.
Tom currently supervises postgraduate research students investigating:
The use of sugar dressings for wounds
Pathways to teh diagnosis of heart failure
Psychological outcomes after Transient Ischaemic Attack and opportunities for stroke prevention
Evaluation of implementation of a critical care outreach programme in an Iranian hospital
Diagnosis and epidemiology of Chronic Obstructive Pulmonary Disease
Use of health informatics in diabetes management (completed subject to minor revisions)
He may be interested in supervising doctoral research students in the following areas:
Analysis of electronic primary care records databases particularly in relation to predicting chronic diseases, service use in primary care
Chronic disease management
Analysis of factors influencing primary care prescribing decisions
Application of statistical process control to quality improvement in primary care
Applied health care research and evaluation of health service developments in primary care
If you are interesting in studying any of these subject areas please contact Tom on the contact details above, or for any general doctoral research enquiries, please email: email@example.com or call +44 (0)121 414 5005.
For a full list of available Doctoral Research opportunities, please visit our Doctoral Research programme listings.
Early diagnosis of cancers in primary care using electronic primary care records
Prevention of cardiovascular disease in primary care
Chronic disease management in primary care
Statistical process control and quality improvement
Patient preferences in relation to preventive treatments
Factors influencing GP prescribing decisions in relation to cardiovascular prevention
The effects of measurement variation on clinical decision making
Epidemiology of cardiovascular disease
Principal Investigator: CREDIBLE (ColoRectal cancer Early Diagnosis, Information Based Local Evaluation) funded by the National Awareness and Early Diagnosis Initiative (NAEDI) July 2011 to June 2013.
Theme lead for cardiovascular disease prevention in the NIHR funded Birmingham and Black Country Collaboration for Leadership in Applied Health Research and Care (BBC-CLAHRC) Oct 2008 to Oct 2013.
Deputy Director of Birmingham and Black Country Collaboration for Leadership in Applied Health Research and Care (CLAHRC-BBC)
Deputy Director of West Midlands CLAHRC (CLAHrC-WM) from 1st January 2014
Co-investigator on the PolyIran study – the world’s first full scale clinical trial of polypill for cardiovascular prevention. This cluster randomised controlled trial is taking place in North East Iran.
Research collaboration with Isfahan Cardiovascular Research Centre on analysis of the Isfahan Cohort Study.
Honorary Consultant in Public Health in Birmingham Community Healthcare Trust
Chair of the Cegedim Scientific Review Committee (an electronic primary care database company).
Collaborative links to MSDi and Health Intelligence (software companies working with electronic primary care databases)
Nirantharakumar K, Hemming K, Narendran P, Marshall T, Coleman JJ. A prediction model for adverse outcome in hospitalized patients with diabetes Diabetes Care 2013 [In press]
Wu J, Yao GL, Zhu S, Mohammed MA. Marshall T. Patient factors influencing the prescribing of lipid lowering drugs for primary prevention of cardiovascular disease in UK general practice: a national retrospective cohort study PLoS One 2013 8(7): e67611. doi:10.1371/journal.pone.0067611
Mohammed MA, Marshall T, Nirantharakumar K, Stevens A, Fitzmaurice D. Patterns of warfarin use in subgroups of patients with atrial fibrillation: a cross-sectional analysis of 430 general practices in the United Kingdom PLoS One. 2013 May 2;8(5):e61979. doi: 10.1371/journal.pone
Marshall T, Caley M, Hemming K, Gill P, Gale N, Jolly K. Mixed methods evaluation of targeted case finding for cardiovascular disease prevention using a stepped wedged cluster RCT BMC Public Health 2012; 12:908. doi:10.1186/1471-2458-12-908
Mohammed MA, Marshall T, Gill P. The Effect of Chance Variability in Blood Pressure Readings on the Decision Making of General Practitioners: An Internet-Based Case Vignette Study. PLoS ONE 2012; 7(11): e46556. doi:10.1371/journal.pone.0046556
Mohammed M.A., El Sayed C., Marshall T. Patient and other factors influencing the prescribing of cardiovascular prevention therapy in the general practice setting with and without nurse assessment. Medical Decision Making 2012 May-Jun;32(3):498-506.
Gale N, Greenfield S, Gill P, Gutridge K, Marshall T. Patient and general practitioner attitudes to taking medication to prevent cardiovascular disease after receiving detailed information on risks and benefits of treatment: a qualitative study BMC Family Practice 2011, 12:59doi:10.1186/1471-2296-12-59.
Marshall T, Lancashire R, Sharp D, Peters TJ, Cheng KK, Hamilton W. The diagnostic performance of scoring systems to identify symptomatic colorectal cancer compared to current referral guidance Gut 2011 Sep;60(9):1242-8. Epub 2011 Feb 25