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


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, Etemadi, A, Boffetta, P, Thomas, GN, Marshall, T, Cheng, KK & Malekzadeh, R 2019, 'Effectiveness of polypill for primary and secondary prevention of cardiovascular diseases: a pragmatic cluster randomized controlled trial', Lancet.

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 .

Akiboye, F, Adderley, N, Martin, J, Gokhale, K, Rudge, G, Marshall, T, Rajendran, R, Nirantharakumar, K & Rayman, G 2019, 'The impact of the Diabetes Inpatient Care and Education (DICE) project on length of stay and mortality', Diabetic Medicine.

Aiyegbusi, OL, Kyte, D, Cockwell, P, Marshall, T, Dutton, M, Walmsley-Allen, N, Slade, A, McMullan, C & Calvert, M 2019, 'Patient and clinician perspectives on electronic patient-reported outcome measures in the management of advanced CKD: a qualitative study', American Journal of Kidney Diseases.

Taylor, CJ, Ordóñez-Mena, JM, Roalfe, A, Lay-Flurrie, S, Jones, NR, Marshall, T & Hobbs, R 2019, 'Trends in survival after a diagnosis of heart failure in the United Kingdom 2000-2017: population based cohort study', BMJ, vol. 364, no. 8187, 1223, pp. 1-10.

Duarte, R, Stainthorpe, A, Greenhalgh, J, Richardson, M, Nevitt, S, Mahon, J, Kotas, E, Boland, A, Thom, H, Marshall, T, Hall, M & Takwoingi, Y 2019, 'The clinical and cost effectiveness of lead-I electrocardiogram (ECG) devices for detecting atrial fibrillation using single-time point testing in primary care: a systematic review and economic evaluation', Health Technology Assessment.

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.

Davies, H, Popplewell, M, Bate, G, Ryan, R, Marshall, T & Bradbury, A 2018, 'Publication of UK NICE Clinical Guidelines 168 has not significantly changed the management of leg ulcers in primary care: an analysis of The Health Improvement Network database ', Phlebology.

Houchen-Wolloff, L, Gardiner, N, Devi, R, Robertson, N, Jolly, K, Marshall, T, Furze, G, Doherty, P, Szczepura, A, Powell, J & Singh, S 2018, 'A Web-based cardiac REhabilitatioN alternative for those declining or dropping out of conventional rehabilitation: results of the WREN feasibility randomised controlled trial.', Open Heart.

Aiyegbusi, O, Kyte, D, Cockwell, P, Marshall, T, Dutton, M, Walmsley-Allen, N, Auti, R & Calvert, M 2018, 'Development and usability testing of an electronic patient-reported outcome measure (ePROM) system for patients with advanced chronic kidney disease', Computers in Biology and Medicine.

Adderley, N, Ryan, R, Nirantharakumar, K & Marshall, T 2018, 'Prevalence and treatment of atrial fibrillation in UK general practice from 2000 to 2016', Heart.

Rumbwere Dube, BN, Marshall, TP, Ryan, RP & Omonijo, M 2018, 'Predictors of human immunodeficiency virus (HIV) infection in primary care among adults living in developed countries: a systematic review', Systematic Reviews, vol. 7, no. 1, 82.

Adderley, N, Nirantharakumar, K & Marshall, T 2018, 'Risk of stroke and transient ischaemic attack in patients with a diagnosis of ‘resolved’ atrial fibrillation: retrospective cohort studies', BMJ, vol. 361, k1717.

Adderley, N, Mallett, S, Marshall, T, Ghosh, S, Rayman, G, Bellary, S, Coleman, J, Akiboye, F, Toulis, K & Nirantharakumar, K 2018, 'Temporal and external validation of a prediction model for adverse outcomes among inpatients with diabetes', Diabetic Medicine.

Commissioned report

Paudyal, V, Yahyouche, A, Marshall, T, Stewart, D, Saunders, K, Marwick, S, Russell, S, Templeton, J & Bowen, M 2018, Healthcare issues amongst the homeless in Birmingham. Birmingham City Council.

View all publications in research portal


Prevention of heart disease