Mike Pringle (physician)

Michael Alexander Leary Pringle CBE is a British physician and academic. He is the emeritus professor of general practice (GP) at the University of Nottingham, a past president of the Royal College of General Practitioners (RCGP), best known for his primary care research on clinical audit, significant event audit, revalidation, quality improvement programmes and his contributions to health informatics services and health politics. He is a writer of medicine and fiction, with a number of publications including articles, books, chapters, forewords and guidelines.

Professor

Mike Pringle

CBE FRCGP
Born
Michael Alexander Leary Pringle

May 1950 (age 70)
NationalityBritish
EducationGuy's Hospital Medical School
Known for
Medical career
ProfessionPhysician
Institutions
Sub-specialtiesGeneral practice
Research
Notable works
Awards
  • John Fry Medal (1995)
  • John Fry Fellowship Lecture (2005)

After completing his training at the Sonning Common Practice in rural Oxfordshire, Pringle continued his general practice career at the Collingham Medical Centre, Nottinghamshire, which was one of the first practices to become computerised and where he remained until retirement.

He was an advisor to the National Health Service IT programme and strategic director and then chair of the board of PRIMIS, which was contracted by the NHS Information Authority to improve computerisation and data in primary care. He was also an elected member of the General Medical Council (GMC) and deputy chair of UK Biobank.

Early life and education

Mike Pringle was born in May 1950 in Aylesbury, Buckinghamshire.[1][2] As a child, he had been inspired by his village family physician.[3] He was educated at St Edward's School, Oxford, and then at Guy's Hospital Medical School, from where he gained his MB BS.[1]

Career in clinical general practice

Pringle's first job was as a registrar at the Sonning Common Practice in rural Oxfordshire, with the then honorary secretary of the RCGP, John Hasler, and with Tom Stewart, as his trainer.[3] In 1979, he became a partner in the Collingham Medical Centre, where he continued to practise, at first full-time and later job-sharing and part-time.[4][5] This practice was one of the first GP practices to be computerised in the UK.[6]

Ten years after first entering general practice training, he was appointed as senior lecturer at the University of Nottingham, and subsequently became professor of general practice at Nottingham.[3][7] Eventually, his general practice career in the Nottinghamshire and Lincolnshire area would span more than 30 years.[8][9]

Research

Pringle's research has included primary care informatics, epidemiology, quality of care and health care evaluation.[7] In his 1998 paper, titled "Preventing ischaemic heart disease in one general practice", he demonstrated how the reporting of risk factors for ischaemic heart disease at the Collingham Medical Centre increased with the introduction of a quality improvement programme.[10]

Together with Colin Bradley, he is credited with developing and instituting significant event audit (SEA) into primary care in the UK.[11] The concept of SEA was established with the help of their "groundbreaking"[12] occasional paper on the topic in 1995. In the same paper, they described its definition as "a process in which individual episodes are analysed, in a systematic and detailed way to ascertain what can be learnt about the overall quality of care, and to indicate changes that might lead to improvements".[13] This early research on SEAs also provided evidence for both its potential and drawbacks.[7][14][15] Pringle's view is that "everyone can learn and improve. SEA includes all team members in the pursuit of quality. It is non-judgemental and rigorous".[16]

Health informatics

Pringle's expertise in health informatics led him to be one of several advisors to the NHS IT programme.[6][17] In addition, he became strategic director of PRIMIS, a business unit of the University of Nottingham, that provides a range of primary care health informatics services to the health sector and research community, which was contracted by the NHS Information Authority to improve computerisation and data in primary care.[18][19] In 2007, it won the John Perry prize of The Chartered Institute for IT.[20]

Revalidation

In 2000, at the United Kingdom Conference of Regional Advisors (UKCRA conference), Pringle presented his introduction on the future of general practice, where he defined ways of evaluating GPs, including revalidation, accredited professional development, membership by assessment of performance, fellowship by assessment, trainer recognition and higher degrees.[21]

In 2003, Donald Irvine, who had previously been president of the GMC, had described that discussions around revalidation in 2000 ran largely well due to the credit of two chairmen, John Chisholm of the BMA's General Practitioner's Committee (GPC) and Pringle of the RCGP.[22]

In his 2005 John Fry lecture, titled "Revalidation of doctors: the credibility challenge" and organised by The Nuffield Trust in London on 8 June 2005, he proposed what should be included in revalidation.[23][24][25]

Royal College of General Practitioners

Prior to 1989, fellowship of the RCGP was granted by a committee following a decision made on "reputation and achievement".[15] Pringle was one of the first GPs to undertake Fellowship by Assessment[26] and also led its development.[27]

Between 1998 and 2001, he was chairman of the RCGP.[18][28] He became chair of the RCGP Trustee Board from 2009 to 2012 and RCGP revalidation clinical lead from 2008 to 2012.[9]

In 2012, taking over from Iona Heath,[9] he became the RCGP's 23rd president, taking up the position in November 2012 for a three-year term.[29]

In 2013, as part of the celebrations of the 60th anniversary of the founding of the RCGP, Pringle addressed an audience with his reflection of past years. He covered the introduction of audit, led by Donald Irvine, the establishment of the internal market and fundholding, the 1990 GP Contract, computerisation and the RCGP's role in the SAS siege of the Iranian Embassy in 1980, when the SAS drilled a hole in the RCGP wall.[26]

As the RCGP's president in 2015, Pringle unveiled a blue plaque in honour of A. J. Cronin's life and work.[30]

Other roles

In 2001, he took on the role of co-chair of the NHS Diabetes National Service Framework.[31]

He has been an elected member of the GMC,[4] elected deputy chair of UK Biobank in 2005,[32] and was on the board of trustees at Arthritis Research UK[9] and at the Picker Institute.[33]

With his wife Nickie, he is a patron of the charity 'Home Start' in Newark.[34] He is also the chair of the charity 'Change Grow Live', which began with working with ex-offenders.[35]

He helps with the primary care development project at the Collingham Healthcare Education Centre (CHEC) and was also a director of QResearch.[4][9]

Upon retiring from practice and the University of Nottingham, he became an emeritus professor of general practice.[9]

Awards and honours

In 1995, at the annual general meeting of the RCGP, Pringle was awarded the John Fry Medal for "outstanding research in primary care by a young member".[36] In 2001 he was appointed a CBE for services to medicine.[16]

Selected publications

Pringle is the author of a number of articles and books.[16] He has also written fiction.[37]

Articles

Books

Guidelines

Lectures

References

  1. Mike Pringle, Curriculum vitae, - Michael ("Mike") Alexander Leary PRINGLE (2017) (RCGP Heritage)
  2. Taylor, Sarah K. (2018). "84. Mike Pringle (1950-)". In Metcalfe, Neil (ed.). 100 Notable Names from General Practice. CRC Press. p. 618. ISBN 978-1-351-64851-6.
  3. Cooper, Colin (5 October 2012). "Interview: Listening carefully to all GPs | GPonline". www.gponline.com. Retrieved 25 June 2019.
  4. "Appointment of Director - National Programme for IT". www.wired-gov.net. 25 November 2004. Retrieved 27 June 2019.
  5. Handysides, Stuart (1 January 1994). "Morale in general practice :is change the problem or the solution". British Medical Journal. 308 (6920): 32–34. doi:10.1136/bmj.308.6920.32. PMC 2539128. PMID 8298352.
  6. Cross, Michael (14 February 2008). "No job for the spineless". BMJ. 336 (7640): 356–357. doi:10.1136/bmj.39476.472789.0F. ISSN 0959-8138. PMC 2244721. PMID 18276709.(subscription required)
  7. Howie, John (2011). Academic General Practice in the UK Medical Schools, 1948-2000: A Short History: A Short History. Edinburgh University Press. pp. 76–77. ISBN 9780748643561.
  8. Thorne, Emma (20 June 2012). "Top national GPs role for Nottingham professor - The University of Nottingham". www.nottingham.ac.uk. Retrieved 27 June 2019.
  9. "Guest Speakers" (PDF). Education & Innovation; 2014 International Surgical Congress. 2014. p. 4. Retrieved 28 June 2019.
  10. Klockars, Matti; Mäkelä, Marjukka; Sipilä, Raija; Ketola, Eeva (1 September 2000). "Quality improvement programme for cardiovascular disease risk factor recording in primary care" (PDF). BMJ Quality & Safety. 9 (3): 175–180. doi:10.1136/qhc.9.3.175. ISSN 2044-5415. PMC 1743531. PMID 10980078.
  11. Fisher, Melanie; Scott, Margaret (2013). Patient Safety and Managing Risk in Nursing. Learning Matters. p. 45. ISBN 9781446266878.
  12. Swanick, Tim; Jackson, Neil (2018). The General Practice Journey: The Future of Educational Management in Primary Care. CRC Press. ISBN 9781315344881.
  13. Ashmore, Stephen; Johnson, Tracy (1 August 2006). "Guide to significant event audit". Pharmaceutical Journal. Retrieved 29 June 2019.
  14. Stead, Jonathan; Sweeney, Grace; Westcott, Richard (1 April 2000). "Significant event audit in practice: a preliminary study". Family Practice. 17 (2): 173–179. doi:10.1093/fampra/17.2.173. ISSN 0263-2136. PMID 10758082.
  15. Pereira Gray, Denis (1998). "Chapter 8. Postgraduate Training and Continuing Education". In Loudon, Irvine; Horder, John; Webster, Charles (eds.). General Practice Under the National Health Service 1948-1997. Clarendon Press. p. 202. ISBN 0198206755.
  16. "What you need to know about Mike Pringle" (PDF). Clinical Audit Support Centre.
  17. "Patients, not the state, own medical records, says GP". The Guardian. 6 July 2006. Retrieved 22 September 2014.
  18. "About our clinical staff: Clinical Advisers and Directors". University of Nottingham. Archived from the original on 22 September 2014. Retrieved 22 September 2014.
  19. Langan, Mairi Anna (2007). A contemporary history of the origins and development of UK Biobank 1998- (PDF). University of Glasgow.
  20. Teasdale, Sheila (2007). "27th John Perry Prize | BCS - The Chartered Institute for IT". www.bcs.org. Retrieved 30 June 2019.
  21. Field, Steve; Strachan, Bob; Evans, Gai (2001). The General Practice Jigsaw: The Future of Education, Training and Professional Development. Abingdon, Oxon: Radcliffe Publishing. pp. xix. ISBN 1857755456.
  22. Irvine, Donald (2003). The Doctors' Tale: Professionalism and Public Trust. Radcliffe Publishing. p. 176. ISBN 185775977X.
  23. Thistlethwaite, Jill; Spencer, Dr John (2018). Professionalism in Medicine. CRC Press. ISBN 9781315357997.
  24. Elwyn, Glyn (1 July 2005). "Revalidation: cracks at first, now chasms". British Journal of General Practice. 55 (516): 562. PMC 1472804. PMID 16004759.
  25. Davies, Mark (2007). Medical Self-regulation: Crisis and Change. Ashgate Publishing, Ltd. p. 349. ISBN 9780754644590.
  26. Chisholm, John (July 2013). "Memories: Standing on the shoulders of giants". British Journal of General Practice. 63 (612): 376–377. doi:10.3399/bjgp13X669310. ISSN 0960-1643. PMC 3693791. PMID 23834875.
  27. Ineson, Nigel (1996). General Practice for Lawyers. Cavendish Publishing. p. 19. ISBN 1859412181.
  28. "Viewpoint". The British Journal of General Practice. November 2000.
  29. "Next RCGP president announced". Healthcare Leader. 6 June 2012. Retrieved 26 June 2019.
  30. Jones, Roger (1 September 2015). "AJ Cronin: novelist, GP, and visionary". British Journal of General Practice. 65 (638): 479. doi:10.3399/bjgp15X686629. ISSN 0960-1643. PMC 4540389. PMID 26324486.
  31. National Service Framework for Diabetes; Standards. Department of Health. 2001. p. 43.
  32. Bioscience for Life? Appendix A; The history of UK Biobank, electronic medical records in the NHS, and the proposal for data-sharing without consent (PDF). GeneWatch UK. January 2009. pp. 47–54.
  33. The Picker Institute Europe (2012). "Getting better every day; Annual Review 2011/12" (PDF). www.picker.org. p. 16. Retrieved 30 June 2019.
  34. "Home Start; 2014-2015 Annual Report" (PDF). www.homestartnewark.co.uk. 2015. Retrieved 30 June 2019.
  35. "CGL's income up 25 per cent after taking on contracts from collapsed charity". www.civilsociety.co.uk. Retrieved 30 June 2019.
  36. "Previous Award Winners - John Fry Award 1995". www.rcgp.org.uk. Retrieved 27 June 2019.
  37. September 2014, 2. "35. Professor Mike Pringle". Pulse Today. Retrieved 26 June 2019.CS1 maint: numeric names: authors list (link)

Further reading

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