Professor Tom Marshall MB ChB, MSc, PhD, MRGP, FFPH

Professor Tom Marshall

Institute of Applied Health Research
Professor of Public Health and Primary Care

Contact details

Primary Care Clinical Sciences
Institute of Applied Health Research
College of Medical and Dental Sciences
University of Birmingham
Birmingham, B15 2TT

Tom Marshall is a Professor of Public Health and Primary Care. His main medical speciality is in Public Health Medicine but he also has trained in General Practice and has studied Health Economics.

Tom has over 70 peer reviewed publications to date, over 35 as first author and a significant number as sole author. His research publications cover a number of related areas.

- Cardiovascular disease prevention and in particular organising primary care services to improve the eifficiency of cardiovascular disease prevention in primary care.

- Patient preferences in relation to taking medication to prevent cardiovascular diseases.

- The analysis of electronic primary care records to understand primary health care, prescribing and epidemiology.

- The use of statistical process control for quality improvement in health care.

- Factors influencing General Practitioner decision making in relation to cardiovascular prevention

- The use of electronic primary care records to assist earlier identification of chronic diseases including: bowel cancer, patients at high risk of cardiovascular disease; left ventricular systolic dysfunction.

Tom has contributed to local, national and international media in relation to his research, particularly in relation to prevention of cardiovascular disease.


  • Professor of Public Health and 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. 


Postgraduate supervision

A number of areas including:
- cardiovascular epidemiology and the management of cardiovascular disease in UK primary care
- economic modelling of cardiovascular prevention in primary care
- early diagnosis using data in electronic primary care records
- investigation of clinical decision-making in primary care
- overtreatment in primary care
- data and computer science use of electronic primary care records


My research is mainly in primary care. I have particular interests in the design of efficient strategies for prevention of cardiovascular disease in primary care. I also am interested in early diagnosis of cancer using information held in electronic patient records. Other interests include clinical decision making in primary care, cardiovascular epidemiology, managment of cardiovascular diseases and overtreatment. Much of my research makes use of the use of electronic primary care records and I hold a licence to undertake research using the THIN database. I am also interested in making links with data and computer scientists to exploit electronic pratient records for research.


Other activities

  • Former member of the editorial board of the Health Technology Assessment journal.
  • Currently a reviewer for many grant awarding bodies and academic journals.
  • Former member of the NIHR Research for Patient Benefit grant awarding committee.
  • Currently a member of the NIHR Programme Grants for Applied Research grant awarding committee


Recent publications


Finnikin, S, Willis, BH, Ryan, R, Evans, T & Marshall, T 2021, 'Factors predicting statin prescribing for primary prevention: an historical cohort study', British Journal of General Practice .

Haroon, S, Subramanian, A, Cooper, J, Anand, A, Gokhale, K, Byrne, N, Dhalla , S, Acosta-Mena , D, Taverner, T, Okoth, K, Wang, J, Chandan, J, Sainsbury, C, Zemedikun, D, Thomas, GN, Parekh, D, Marshall, T, Sapey, E, Adderley, N & Nirantharakumar, K 2021, 'Renin-angiotensin system inhibitors and susceptibility to COVID-19 in patients with hypertension: a propensity score-matched cohort study in primary care', BMC Infectious Diseases, vol. 21, no. 1, 262.

Webb, G, Ryan, R, Marshall, T & Hirschfield, G 2021, 'The epidemiology of UK autoimmune liver disease varies with geographic latitude', Clinical Gastroenterology and Hepatology, vol. 2021, no. 00, pp. 1-55.

Phillips, K, Subramanian, A, Thomas, GN, Khan, N, Chandan, J, Brady, P, Marshall, T, Nirantharakumar, K, Fabritz, L & Adderley, N 2021, 'Trends in the pharmacological management of atrial fibrillation in UK general practice 2008-2018', Heart.

Crowe, F, Zemedikun, D, Okoth, K, Adderley, N, Rudge, G, Sheldon, M, Nirantharakumar, K & Marshall, T 2020, 'Comorbidity phenotypes and risk of mortality in patients with ischaemic heart disease in the UK', Heart, vol. 106, no. 11, 2019-316091, pp. 810-816.

Sainsbury, C, Wang, J, Gokhale, K, Acosta-Mena , D, Dhalla , S, Byne , N, Chandan, J, Anand, A, Cooper, J, Okoth, K, Subramanian, A, Bangnash, M, Taverner, T, Hanif, W, Ghosh, S, Narendran, P, Cheng, KK, Marshall, T, Gkoutos, G, Toulis, K, Thomas, GN, Tahrani, A, Adderley, N, Haroon, S & Nirantharakumar, K 2020, 'Sodium-glucose-co-transporter-2 inhibitors and susceptibility to COVID-19: a population-based retrospective cohort study', Diabetes, obesity & metabolism.

Okoth, K, Chandan, J, Marshall, T, Thangaratinam, S, Thomas, GN, Nirantharakumar, K & Adderley, N 2020, 'The association between the reproductive health of young women and cardiovascular disease in later life: An umbrella review', BMJ, vol. 371, m3502, pp. 1-21.

Keene , SJ, Adab, P, de Vries, F, Franssen, FME, Sitch, A, Martin, J, Marshall, T & Jordan, R 2020, 'The stability of the ADO score among UK COPD patients from The Health Improvement Network', ERJ Open Research, vol. 6, no. 1, 00196-2019.

Marshall, T 2020, 'Tonsillectomy: a critical view', Paediatrics and Child Health, vol. 30, no. 6, pp. 236-238.

Qadi, O, Lufumpa, N, Adderley, N, Bem, D, Marshall, T & Kokab, F 2020, '‘Patients’ and health professionals’ attitudes and perceptions towards the initiation of preventive drugs for primary prevention of cardiovascular disease: a systematic review of qualitative studies’', BJGP Open.

Roshandel, G, Khoshnia, M, Poustchi, H, Hemming, K, Kamangar, F, Gharavi, A, Ostovaneh, M, Nateghi, A, Majed, M, Navabakhsh, B, Merat, S, Pourshams, A, Nalini, M, Malekzadeh, F, Sadeghi, M, Mohammadifard, N, Sarrafzadegan, N, Naemi-Tabiei, M, Fazel, A, Brennan, P, Etemadi, A, Boffetta, P, Thomas, GN, Marshall, T, Cheng, KK & Malekzadeh, R 2019, 'Effectiveness of polypill for primary and secondary prevention of cardiovascular diseases (PolyIran): a pragmatic, cluster-randomised trial', Lancet, vol. 394, no. 10199, pp. 672-683.

Sumilo, D, Nichols, L, Ryan, R & Marshall, T 2019, 'Incidence of indications for tonsillectomy and frequency of evidence-based surgery: A 12-year retrospective cohort study of primary care electronic records', British Journal of General Practice , vol. 69, no. 678, pp. e33-e41.

Duarte, R, Stainthorpe, A, Mahon, J, Greenhalgh, J, Richardson, M, Nevitt, S, Kotas, E, Boland, A, Thom, H, Marshall, T, Hall, M & Takwoingi, Y 2019, 'Lead-I ECG for detecting atrial fibrillation in patients attending primary care with an irregular pulse using single-time point testing: a systematic review and economic evaluation', PLoSONE, vol. 14, no. 12, e0226671.

Bowen, M, Marwick, S, Marshall, T, Saunders, K, Burwood, S, Yahyouche, A, Stewart, D & Paudyal, V 2019, 'Multimorbidity and emergency department visits by a homeless population: a database study in specialist general practice', British Journal of General Practice , vol. 69, no. 685, pp. E515-E525.

Review article

Turner, G, McMullan, C, Aiyegbusi, OL, Bem, D, Marshall, T, Calvert, M, Mant, J & Belli, T 2021, 'Stroke risk following traumatic brain injury: systematic review and meta-analysis', International Journal of Stroke, pp. 1-15.

View all publications in research portal


Prevention of heart disease