Dr Justin Aunger BA (Hons), PhD, PGCert (HE), FHEA

Dr Justin Aunger

Department of Applied Health Sciences
Research Fellow II

Contact details

Address
Murray Learning Centre
University of Birmingham
Edgbaston
Birmingham
B15 2TT
UK

Justin is Research Fellow II at the University of Birmingham, and lead or co-investigator on grants exceeding £2 million. He leads postgraduate teaching, supervises PhD students, and develops innovative research to improve patient safety and health behaviour change.

ORCiD iD 0000-0001-6975-4570

Google Scholar Profile

ResearchGate Profile

Qualifications

  • Postgraduate Certificate in Higher Education (Distinction), University of Birmingham, 2025
  • PhD in Behavioural Science Applied to Health, University of Birmingham, 2020
  • BA (Hons) in Health Sciences, University College Maastricht, 2016

Biography

Dr Justin Aunger is Research Fellow II in the Department of Applied Health Sciences at the University of Birmingham, working within the Midlands Patient Safety Research Collaboration (PSRC). His research focuses on behaviour change in complex healthcare settings, patient safety, and strategies to improve organisational culture and early diagnosis pathways for lung cancer.

Justin holds a PhD in Behaviour Change Applied to Health from the University of Birmingham and a BA (Hons) in Interdisciplinary Health Sciences from University College Maastricht. He also recently completed a PGCert in Higher Education with Distinction.

His research career spans multiple high-impact projects, including leading realist reviews and mixed-methods studies funded by the NIHR and the European Commission. He has delivered two major NIHR projects as sole research fellow and is currently lead or co-investigator on grants exceeding £2 million, addressing issues such as unprofessional behaviours among healthcare staff and equitable palliative care. He is also developing new research streams as Principal Investigator, including work on improving lung cancer survivability through better follow-up systems.

Justin has published extensively, with over 23 peer-reviewed papers, including over 15 as first author, in journals such as BMC Medicine and Chest. His research outputs have informed NICE guidance, OECD reports, and Parliamentary Committees, and he has produced practical resources for NHS organisations, such as a widely downloaded guide to reducing unprofessional behaviours.

Alongside research, Justin plays an active role in teaching and supervision, leading academic skills modules for the Respiratory Medicine MSc, as well as teaching across programmes such as the Public Health MPH and the Medicine and Surgery MBChB. He also supervises PhD and MPH students. He is passionate about capacity building, mentoring early-career researchers, and advancing equality, diversity, and inclusion in health research.

Justin is a member of editorial boards, conference committees, and NHS working groups, and regularly contributes to public engagement through blogs, podcasts, and invited talks, including at the House of Lords and national NHS events. His long-term ambition is to lead innovative, interdisciplinary research that improves patient safety, staff wellbeing, and health outcomes at scale.

Teaching

  • Module lead for Academic Skills on the Respiratory Medicine MSc programme.
  • Under- and postgraduate teaching including lectures and small group sessions across the Public Health MPH and Medicine programmes.
  • Co-supervision of PhD and MPH students, supporting research design, analysis, and writing.
  • Mentoring Early Career Researchers, including leading internal networks and providing guidance on research development.
  • Guest lectures and workshops on realist evaluation, intervention design, and systematic reviews, e.g. at the Health Services Management Centre.
  • Recently completed a PGCert in Higher Education with Distinction – and Fellow of the Higher Education Academy.

Postgraduate supervision

Currently supervising PhD students as co-supervisor.

Research

Justin is primarily employed in the NIHR Midlands Patient Safety Research Collaboration, where he leads research around early diagnosis of lung cancer and improving safety culture with a focus on professionalism.

He is leading a project for the NHS Race and Health Observatory focused on tackling bullying, harassment and abuse towards ethnic minority NHS staff (2025 – 2027).

He is co-applicant on another grant funded by the NIHR addressing and understanding unprofessional behaviours in the NHS more broadly using mixed methods (2025-2027, NIHR163519).

He is also co-investigator on a grant using realist evaluation to propose a new integrated neighbourhood team approach to palliative and end of life care (2025-2028 NIHR16217)

He also has attained smaller pots of funding elsewhere, and delivers and contributes to many other smaller projects, including projects to understand and improve patient safety reporting, foster methodological innovation in realist methods, and delivering internships to foster the next generation of researchers.

Publications

Recent publications

Article

Kabeya, V, Tariq, S, Delicate, A, Chong, H, Aunger, J, Naidu, H, Dunlop, C, Yates, D, Muthirulandi, A, Muthirulandi, A, Lilford, R, Sobhy, S & Thangaratinam, S 2025, 'Acceptability and use of clinical decision support tools in maternity settings: Systematic review of qualitative studies', European Journal of Obstetrics and Gynecology and Reproductive Biology, vol. 314, 114718. https://doi.org/10.1016/j.ejogrb.2025.114718

Samarasinghe, BSW, Millar, R, Exworthy, M & Aunger, J 2025, 'Building an initial programme theory to explain how and why on-the-day surgery cancellations occur and how they might be reduced', BMC Health Services Research, vol. 25, 1445. https://doi.org/10.1186/s12913-025-13592-x

Aunger, J, Maben, J & Westbrook, JI 2025, 'How unprofessional behaviours between healthcare staff threaten patient care and safety', Expert Review of Pharmacoeconomics and Outcomes Research. https://doi.org/10.1080/14737167.2025.2460518

Aunger, J, Ungureanu, B, Maben, J, Abrams, R, Turner, A & Westbrook, JI 2025, 'Systematically analyzing behavior change techniques used in 44 interventions to reduce unprofessional behavior between healthcare staff', Translational Behavioral Medicine, vol. 15, no. 1, ibaf058. https://doi.org/10.1093/tbm/ibaf058

Aunger, JA, Abrams, R, Mannion, R, Westbrook, JI, Jones, A, Wright, JM, Pearson, M & Maben, J 2024, 'How can interventions more directly address drivers of unprofessional behaviour between healthcare staff?', BMJ open quality, vol. 13, no. 3, e002830. https://doi.org/10.1136/bmjoq-2024-002830

Mitchell, S, Turner, N, Fryer, K, Aunger, J, Beng, J, Couchman, E, Leach, I, Bayly, J, Gardiner, C, Sleeman, KE & Evans, CJ 2024, 'Integration of primary care and palliative care services to improve equality and equity at the end-of-life: Findings from realist stakeholder workshops', Palliative Medicine, vol. 38, no. 8, pp. 830-841. https://doi.org/10.1177/02692163241248962

Aunger, JA, Abrams, R, Westbrook, JI, Wright, JM, Pearson, M, Jones, A, Mannion, R & Maben, J 2024, 'Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review', Health and Social Care Delivery Research, vol. 12, no. 25. https://doi.org/10.3310/PAMV3758

Aunger, JA, Maben, J, Abrams, R, Wright, JM, Mannion, R, Pearson, M, Jones, A & Westbrook, JI 2023, 'Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review', BMC Health Services Research, vol. 23, no. 1, 1326. https://doi.org/10.1186/s12913-023-10291-3

Millar, R, Aunger, JA, Rafferty, AM, Greenhalgh, J, Mannion, R, McLeod, H & Faulks, D 2023, 'Towards achieving interorganisational collaboration between health-care providers: a realist evidence synthesis', Health and Social Care Delivery Research, vol. 11, no. 6, pp. 1-130. https://doi.org/10.3310/KPLT1423

Aunger, JA, Millar, R, Rafferty, AM & Mannion, R 2022, 'Collaboration over competition? Regulatory reform and inter-organisational relations in the NHS amidst the COVID-19 pandemic: a qualitative study', BMC Health Services Research, vol. 22, no. 1, 640. https://doi.org/10.1186/s12913-022-08059-2

Aunger, JA, Millar, R, Rafferty, AM, Mannion, R, Greenhalgh, J, Faulks, D & McLeod, H 2022, 'How, when, and why do inter-organisational collaborations in healthcare work? A realist evaluation', PLoS ONE, vol. 17, no. 4, e0266899. https://doi.org/10.1371/journal.pone.0266899

Abstract

Fenton, S-J, Aunger, J, Reith Hall, E, Hughes, G & Misca, G 2025, 'Evidence of effectiveness in current supports for UK Armed Forces families: A rapid realist review', Meeting the needs of UK Active Duty Armed Forces Families at a time of geo-political uncertainty, Birmingham, United Kingdom, 14/11/25 - 14/11/25.

Review article

Aunger, J, Por Yip, K, Dosanjh, K, Scandrett, K, Ungureanu, B, Newnham, M & Turner, AM 2025, 'Interventions to improve adherence to clinical guidelines for the management and follow-up of pulmonary nodules: a systematic review', Chest. https://doi.org/10.1016/j.chest.2025.02.031

Maben, J, Aunger, J, Abrams, R, Wright, JM, Pearson, M, Westbrook, JI, Jones, A & Mannion, R 2023, 'Interventions to address unprofessional behaviours between staff in acute care: what works for whom and why? A realist review', BMC Medicine, vol. 21, no. 1, 403. https://doi.org/10.1186/s12916-023-03102-3

Aunger, JA, Millar, R & Greenhalgh, J 2023, 'Modelling lifecycles of inter-organizational collaborations in healthcare: a systematic review and best-fit framework synthesis', Journal of Health, Organization and Management, vol. 37, no. 4/5, pp. 409-442. https://doi.org/10.1108/JHOM-01-2022-0025

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