Dr Ian Litchfield PhD

Ian Litchfield

Department of Applied Health Sciences
Senior Research Fellow

Contact details

Address
First Floor , Building Y16
ºÚÁϳԹÏÍø
Edgbaston
Birmingham
B15 2TT
UK

Ian Litchfield is a Senior Research Fellow in the Department of Applied Health Sciences, ºÚÁϳԹÏÍø, with a background in occupational medicine and interests in health service delivery. He uses qualitative and quantitative research methods in the evaluation of service delivery interventions in both primary and secondary care. Ian is currently co-lead of the Centre of Primary Care Improvement and academic lead of Birmingham Health Partner’s Evaluation Service.

Ian is experienced in a range of collaborative improvement techniques and works with a variety of stakeholders to design, implement, and evaluate strategies for improved health care delivery. His interests are centred on process improvement, self-management, and the impact and implications of technology-enabled healthcare.

Qualifications

  • MA Sociology, University of Warwick 2021
  • PhD Occupational Medicine 2007
  • MSc Environmental Monitoring 1993
  • BSc Biological Sciences (hons) 1990

Teaching

MSc Public Health

  • Assistant module lead (Sociology and Social Policy)
  • Dissertation supervisor
  • Small group teaching 

Community Based Medicine (MBChB)

External marker

Intercalated BMedSc Degree Course Global Health

Disseration supervisor

Postgraduate supervision

Current PhDs

  • The opportunities for early detection of oral cancer in NHS dental setting – co-supervisor (School of Dentistry)

  • The use of Natural Language Processing in the automated detection of patterns in drug-drug interaction – Co-supervisor (School of Computer Science)

Recently completed

  • The use of process involvement methodologies to equip receptionists for their clinical roles in General Practice.

Research

Ongoing projects include:

  • Integrating health and social support for CYP in underserved communities: (BWC-FT) 
  • A mixed methods evaluation of the (BSOL-ICB)
  • Embedding health coaches in primary care for diverse patient populations (NIHR)
  • The West Midlands Digital Co-Production Initiative (Innovate UK)
  • Improving outcomes for children and young people with diabetes from socio-economically deprived and/or ethnic minority groups - (NIHR)
  • Increasing participation of CYP from underserved populations in Type 1 diabetes research – The IMPACT1D study (NIHR)
  • EarLy Surveillance for Autoimmune diabetes:
  • European action for the Diagnosis of Early Non-clinical Type 1 diabetes For disease Interception:
  • The National Register of RF Workers (Industry/HSE)

Recently completed projects include:

  • (Birmingham Health Partners)
  • Automated conflict resolution in clinical pathways (EPSRC)
  • New and emerging technology in Social Care (NIHR)
  • The optimisation of Patient Reported Outcomes and Patient and Public Participation in Advanced Therapeutic Medicinal Products/Development of a toolkit for patient-facing information for those receiving ATMP (ATMP Pathway fund)
  • Supporting adults with Type 1 Diabetes (T1DM) to undertake exercise; Developing and piloting an Education programme for exercise in Type-1 diabetes (RfPB)
  • Implementing and evaluating a (National School Primary Care).
  • The use of rapid approach analysis in the evaluation of complex interventions (CLAHRC)

Publications

Selected publications

2025

Litchfield I, Harper L, Syed M, Dutton F, Melyda M, Wolhuter C, Bird C. Understanding the influence of leadership, organisation, and policy on delivering an integrated child health and social care service in ºÚÁϳԹÏÍø settings: A qualitative exploration using the SELFIE framework. Health Policy. 2025 May 3:105335. doi: 10.1016/j.healthpol.2025.105335.

Litchfield I, Gale NK, Greenfield S, Shukla D, Burrows M. Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK. Frontiers in Health Services. 2025;4:1499847

Litchfield I, Lewis R, Delanerolle G, Melyda M, Harper L. Factors Influencing the implementation of a multi-speciality virtual ward programme in the UK: A qualitative study of staff experiences and perspectives. J Med Internet Res. 2025 May 21. doi: 10.2196/75406. [Epub ahead of print]

Litchfield I, Gani I, Shukla D, Delanerolle G, Cockburn N, Pathmanathan A. Understanding “Alert Fatigue” in Primary Care: Qualitative Systematic Review of General Practitioners Attitudes and Experiences of Clinical Alerts, Prompts, and Reminders. Journal of Medical Internet Research. 2025;27:e62763.

Ban K, Greenfield S, Burrows M, Gale N, Litchfield I. Impact of the clinically oriented roles of a general practice receptionist: a systematic review with narrative synthesis. British Journal of General Practice. 2025;75(752):e159-e65.

Bird C, Harper L, Muslim S, Yates D, Litchfield I. Exploring the design and impact of integrated health and social care services for children and young people living in underserved populations: a systematic review. BMC Public Health. 2025;25(1):1359.

Melyda M, Monahan M, Bird C, Roberts T, Harper L, Litchfield I. Integrating health care and early years support for children and young people living in deprivation: a cost-effectiveness analysis of the Sparkbrook Children’s Zone integrated clinic versus usual primary care in Birmingham, UK. BMJ Paediatrics Open. 2025;9(1):e003249.

2024

Litchfield, I. & Grant, V. (2024). Acceptability of Community Health Worker and Peer Supported Interventions for Minoritized Populations with Type 2 Diabetes: A Qualitative Systematic Review. Frontiers in Clinical Diabetes and Healthcare5, 1306199.

Quinn, L. M., Narendran, P., Bhavra, K., Boardman, F., Greenfield, S. M., Randell, M. J., & Litchfield, I. (2024). Developing a General Population Screening Programme for Paediatric Type 1 Diabetes: Evidence from a Qualitative Study of the Perspectives and Attitudes of Parents. Pediatric Diabetes2024(1), 9927027.

2023

Litchfield, I., Barrett, T., Hamilton-Shield, J., Moore, T., Narendran, P., Redwood, S., ... & Greenfield, S. (2023). Current evidence for designing self-management support for underserved populations: an integrative review using the example of diabetes. International Journal for Equity in Health22(1), 188.

Litchfield, I., Barrett, T., Hamilton‐Shield, J. P., Moore, T. H. M., Narendran, P., Redwood, S., ... & Greenfield, S. (2023). Developments in the design and delivery of self‐management support for children and young people with diabetes: A narrative synthesis of systematic reviews. Diabetic Medicine40(4), e15035.

Litchfield, I., Gale, N., Burrows, M., & Greenfield, S. (2023). “You're only a receptionist, what do you want to know for?”: Street-level bureaucracy on the front line of primary care in the United Kingdom. Heliyon9(11).

Litchfield, I., Glasby, J., Parkinson, S., Hocking, L., Tanner, D., Roe, B., & Bousfield, J. (2023). “Trying to Find People to Fit the Tech…”: A Qualitative Exploration of the Lessons Learnt Introducing Artificial Intelligence‐Based Technology into English Social Care. Health & Social Care in the Community2023(1), 9174873.

Litchfield, I., Calvert, M. J., Kinsella, F., Sungum, N., & Aiyegbusi, O. L. (2023)  .  Orphanet Journal of Rare Diseases18(1), 86.

Litchfield I, Glasby J, Parkinson S, Hocking L, Tanner D, Roe B, Bousfield J (2023) “Trying to find people to fit the tech…” – a qualitative exploration of the lessons learnt introducing Artificial Intelligence (AI) based technology into English social care.  Journal of Health and Social Care in the Community (in press)

2022

Litchfield, I., T. Barrett, J. Hamilton Shield, T. H. M. Moore, P. Narendran, S. Redwood, A. Searle et al. Diabetic Medicine (2022): .  e15035.

Litchfield, I., Burrows, M., Gale, N. et al. (2022).  BMC Prim. Care 23, 230

Litchfield I, Kingston B, Narga D, Turner A. (2022) .  Health Policy. May 25:S0168-8510(22)00124-5

Litchfield, I., Turner, A. M., Ferreira Filho, J. B., Lee, M., & Weber, P. (2022). . Computers in Biology and Medicine, Volume 144,

2021

Litchfield I, Greenfield S, Harper L, the FAB(V) Trial team, (2021) ,  Rheumatology Advances in Practice, Volume 5, Issue 3, rkab075,

Litchfield I, Shukla D,. Greenfield S, BMJ Open 2021 , ;11:e053440. doi: 10.1136/bmjopen-2021-053440

Litchfield I, Perryman K, Gill P, Campbell S, Avery T, Greenfield S,. Soc Sci Med. 2021 .  May;277: 113906

Litchfield I PK, Marsden K, Doos L, Avery T, Greenfield S. (2021) BMC Fam Pract. 2021 May 21;22(1):98.

Litchfield I,  Greenfield S, Turner GM,  Finnikin S, Calvert MJ. (2021)   BJGP Open 2021 Feb 23;5(1)

2020

Litchfield I, Moiemen N, Greenfield S.J Burn Care Res. 2020   Jul 10:iraa114. doi: 10.1093/jbcr/iraa114. Online ahead of print.

Litchfield I, Spencer R, Bell BG, Avery A, Perryman K, Marsden K, Greenfield S, Campbell S. (2020)   BMC Health Serv Res. 2020 Jun 16;20(1):544. doi: 10.1186/s12913-020-05396-y.

2019

Litchfield I, Andrews RC, Narendran P, Greenfield S. Front Endocrinol. (2019) . Feb 19;10:76.

Litchfield I, Greenfield S, Jones L, Mathers J Burns  Burns. 2019;  Jun;45(4):825-34. 

2018

Litchfield I, Turner A, Backman R, et al  (2018) , BMJ Health & Care Informatics 2018;25:doi: 10.14236/jhi.v25i3.986

Litchfield I, Hoye C, Shukla D, Backman R, Turner A, Lee M,  Weber P. (2018)   BMJ Open 2018;8:e019947. doi: 10.1136/bmjopen-2017-019947 

Litchfield I, Bentham L, Hill A, McManus RJ, Lilford R, Greenfield S (2018)   BMC Med Res Methodol. 2018;18(1):136. Published 2018 Nov 16. doi:10.1186/s12874-018-0608-5

Litchfield IJ, Ayres JG, Jaakkola JJK, et al. (2018)   BMJ Open 2018;8:e018341. doi: 10.1136/bmjopen-2017-018341

Litchfield IJ, Magill L, Flint G (2018) A qualitative study exploring staff attitudes to maintaining hydration in neurosurgery patients  Nursing Open 2018 

Litchfield I; Gill P; Avery A;  Campbell S et al  BMC Family Practice. 2018;19:72. doi:10.1186/s12875-018-0761-2.

Taylor B, Henshaw C, Litchfield I, Kenyon S, Greenfield S   (2017) BMJ Open 2018;8:e019993. doi: 10.1136/bmjopen-2017-019993

2017

Litchfield IJ,Bentham, LM, Lilford RJ, McManus RJ, Hill A, Greenfield S (2017)   BMC Health Services Research 2017 Aug 30;17(1):615

Litchfield I, van Tongeren M, Sorahan T, (2017)   Radiation Protection Dosimetry Volume 175, Issue 2, 15 June 2017, Pages 178–185

Litchfield IJ, Gale N, Burrows M, Greenfield S (2017)   Br J Gen Pract 2017; 67 (664): 523-524

2016

Litchfield I, Hinckley P (2016)     Occupational Medicine 2016 Dec; 66(9): 731–736

Litchfield I, Gale N, Burrows M, Greenfield S  (2016)   BMJ Open (2016);6

Litchfield IJ, Fitzmaurice D, Apenteng P, Harrison S, Heneghan C, Ward A, Greenfield S, (2016)   British Journal of General Practice 2016: 66: 421-422

Selected 2015 and earlier

Litchfield IJ, Bentham L, Lilford RJ, Greenfield S (2015)  .Br J Gen Pract 2015;March;65(632)118 

Litchfield IJ, Bentham L, Lilford RJ, Hill A, McManus R Greenfield S. (2015)   BMJ Qual Saf. 2015 Nov;24(11):691-9.

Litchfield IJ, Bentham L, Hill A, Lilford RJ, McManus R, Greenfield S. (2015) Br J Gen Pract 015;March;65(632)118

Litchfield IJ.  (2014) J Environ Occup Sci. 2014; 3(4): 190-192

Litchfield IJ, Bentham L, Lilford RJ, McManus R, Greenfield S. (2014)  Fam Pract. 2014; Oct;31(5):592-7.

Litchfield IJ, Lilford RJ, Bentham LM, Greenfield SM.  (2014)   Qual Prim Care. 2014 Aug;22(4)