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Health Sciences profile

Dr Hywel Lloyd

PositionHonorary Senior Lecturer
DepartmentDepartment of General Practice and Rural Health (Dunedin)
QualificationsMB ChB(Liverpool) MRCGP (successful candidate)
Research summaryHealth informatics, long term conditions, models of care, ‘self’ psychology in primary care
MembershipsSouth Link Health Ethics Committee
  • Older people's health
  • 'Self psychology'


The application of information technology to facilitate change in models of primary care. Electronic decision support through clinician prompting, pathways of care and population reporting has the opportunity to enhance the delivery of primary care. Through context rich data capture there is an opportunity to align clinical activity to quality outcome and cost.

Big data has the opportunity to provide an evidence base of observational information. This ‘narrative’ styled data describing the real world experience of individuals as they traverse the health system will provide the generality required of research data that is lacking form artificially controlled trials. The linking of health data to educational and economic data in a non identifiable way opens up the possibility to more fully understand the social determinants of health.

A recurring theme of success in managing individuals with complex long term conditions is to focus on the individual as a person and to create an environment of being understood and cared for, through a relationship of trust. The ‘Year of Care’ model focusing on the patient narrative to establish care plans to manage risk can reduce demands for secondary care services for the multi-morbid elderly.