Professor Una Macleod

Professor Una Macleod

Dean / Professor of Primary Care Medicine

Faculty of Health Sciences

Hull York Medical School

una.macleod@hyms.ac.uk

01904 321859 / 01482 463757

Professor Una Macleod is Dean and Professor of Primary Care Medicine at Hull York Medical School.

She is a national leader in the area of cancer and early diagnosis research, and her work has contributed significantly to policy development.

Una currently holds grants from Cancer Research UK, Yorkshire Cancer Research and the Department of Health Policy Research Unit.

Before joining the School in 2010, she worked in Glasgow, where she trained in medicine, as Senior Lecturer in General Practice and Primary Care.

Una also worked half-time as a GP principal in the east end of the city, and continues to practise medicine in Hull.

Research

Research Interests

  • Primary care

  • Cancer research, particularly early diagnosis and care

  • Health inequalities

Research groups

Built the successful and vibrant SEDA research group (Supportive care, Early Diagnosis and Advanced disease), along with Miriam Johnson, Professor of Palliative Medicine, assuming a number of leadership roles, and leading and developing the Phase I Scholarship and Special Interest Programme for her research group.

Current grants include

  • 'Reducing inequalities in cancer outcomes in Yorkshire: Realising our potential for innovation in diagnosis, patient management, survivorship and palliative care research', £4.9m, 2017-2022, Yorkshire Cancer Research (with Johnson M, Boland J, Currow D, Dean D, Duthie G, Dyson J, Lind M, Maraveyas A, Merali Y, Mitchell ED, Murtagh F, Seymour J, Walker E, Wohland P, Allgar V, Gabe R, Oliver S, Siddiqi N)

  • 'PEOPLE-HULL: Primary care and community Engagement to Optimise time to Presentation with Lung cancer symptoms in HULL', £712,501, 2017-2021, Yorkshire Cancer Research (with Mitchell ED, Macdonald S, Allgar V, Dunn L, Dyson J, Fielding T, Green T, Jayawardhena C, Whitaker K, Anderson G, Callister M, Loubani M, Rawcliffe V)

  • 'Using primary care to increase uptake of the Bowel Scope Screening Programme in Hull: evaluating paper and telephone-based interventions', £349,944, 2017-2020, Yorkshire Cancer Research (with McGregor L, Von Wagner C, Green T, Duthie G, Morris S, Rees C, Kerrison R, Winfield M)

  • 'Reviewing long term anti-depressant Use by Careful monitoring in Everyday practice (REDUCE) programme', £2,244,889, 2016-2021, NIHR Programme Grants for Applied Research (with Kendrick T, Moore M, Leydon G, Stuart B, Geraghty A, Yao L, Lewis G, Gilbody S, Dowrick C, May C, Griffiths G, Moncrieff J, Little P)

  • 'Reducing inequalities in care for people with cancer and palliative care needs: a programme of work for cancer patients and caregivers in the community based in Yorkshire', £277,985, 2016-18, Yorkshire Cancer Research (with Johnson M, Farrin A, Meads D, Wright-Hughes A, Blenkinsopp J, Currow D, Foy R, Wilkes S, Allgar V, Fraser H)

  • 'CPR for cancer outcomes - comprehensive patient records (CPR) to define the impact of cancer, co-morbidities and late effects on individuals and the health service', £689,000, 2015-2018, Macmillan Cancer Support (with Glaser A, Hall G, Baxter P, Bennett M, Hall P, Hewison J, Hulme C, Jones R, Morris E, Velikova G, Wright P)

  • 'Integrated therapist and online CBT for depression in primary care', £2,218,726, 2015-2020, NIHR Programme Grants for Applied Research (with Wiles N, Kessler D, Welton, N, Wevill C, Coyle D, Turner K, Churchill R, Parrott S, Williams C, Lewis G, Nazereth I, Shafran R, Gilbody S, Peters T, Lanham P)

Publications

Macdonald S, Blane D, Browne S, Conway E, Macleod U, May C, Mair, F, 'Illness identity as an important component of candidacy: Contrasting experiences of helpseeking and access to care in cancer and heart disease', Social Science and Medicine, doi: 10.1016/j.socscimed.2016.08.022 (2016)

Renzi C, Lyratzopoulos G, Card T, Chu T, Macleod U, Rachet B, 'Do colorectal cancer patients diagnosed as an emergency differ from non-emergency patients in their consultation patterns and symptoms? A longitudinal data-linkage study in England', British Journal of Cancer, 115, 866–875, doi: 10.1038/bjc.2016.250 (2016)

Chen H, Nicolson D, Macleod U; Allgar V Dalgliesh C; Johnson M, 'Does the use of specialist palliative care services modify the unfavourable effect of socioeconomic status on place of death? A systematic review', Palliative Medicine, 30: 434-445, doi: 10.1177/0269216315602590 (2016)

Mitchell ED, Pickwell-Smith B, Macleod U, 'Risk factors for emergency presentation with lung and colorectal cancers: a systematic review', BMJ Open, 5:e006965, doi: 10.1136/bmjopen-2014-006965 (2015)

Mitchell ED, Rubin GR, Merriman L, Macleod U, 'The role of primary care in cancer diagnosis via emergency presentation: qualitative synthesis of significant event reports', British Journal of Cancer, S50-S56 doi: 10.1038/bjc.2015.42 (2015)

Teaching

Programmes taught on (2019)

Modules list

  • Plenary Cancer Policy (Phase 1, MBBS)

  • Plenary Social inequalities in health (Phase 1, MBBS)

  • Plenary the Clinical record (Phase 1, MBBS)

  • Cancer screening, awareness and early detection (Phase 1, MBBS, SSIP)

Research PhDs

Professor Macleod welcomes applications from students researching in the field of primary care with particular interest in cancer research (early detection and care) and health inequalities.

Completed PhDs

  • Sarah Macdonlad, 2011, An exploration of lay epidemiology and cancer

  • Susan Browne, 2013, Colorectal cancer and socio economic factors – an exploration of the patient experience

  • Amy Gadoud, 2013, A palliative care approach for people with advanced heart failure: recognition of need, transitions in care and impact on patients, family carers and clinicians

  • Fiona Smith, 2014, The ongoing care of patients with cancer: what is the appropriate balance between primary and secondary care?

  • Spencer Robinson, 2016, What are the factors influencing GPs in the diagnosis of lung cancer?

Current PhD supervisions 

  • Tackling health inequalities: can the public sector make a difference? Improving outcomes for maternal and child health by tackling health inequalities

  • Distribution of People’s Narratives about Colorectal Cancer Screening and its Underlying Reasons: A Complexity Driven Intersectionality Approach

  • Using significant event analysis and individual audit and feedback to develop strategies to improve recognition and referral of lung and colorectal cancer at an individual general practice level

  • Appropriate prescribing for patients with dementia

  • Cancer survivorship in the context of social disadvantage

  • End of life care: the impact of social and health care factors on place of death

Teaching awards and accolades

  • Fellow of the Higher Education Academy (FHEA)

Professional highlights

Academic qualifications

  • FRCGP Royal College of General Practitioners, 2007

  • PhD University of Glasgow, 2001

  • Diploma in Palliative Care, University of Glasgow, 1996

  • MRCGP Royal College of General Practitioners, 1996

  • MB ChB University of Glasgow, 1988

External roles

  • Continues to work clinically as a GP at Bransholme Health Centre in Hull.

  • Academic Training Programme Director, North & East Yorkshire & North Lincolnshire (NEYNL), from January 2012

  • Chair, Royal College of General Practitioners Health Inequalities Standing group (2010-2014)

  • National Awareness and Early Diagnosis (NAEDI) Research Workstream Scientific Committee (2010-2013)

  • National Cancer Action Team Primary Care Advisory Committee, Department of Health (2011-2014)

Professional highlights

  • Academic Training Programme Director for East Yorkshire and North East Lincolnshire, leading the NIHR Integrated Academic Training programme locally, and a member of the national NIHR Integrated Academic Training Panel

  • Led the Athena SWAN agenda, which encourages and recognises commitment to advancing the careers of women in science, and led the medical school to successful bronze and silver awards in 2013 and 2016 respectively