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Sarah Alderson

@imp-sci-saraha.bsky.social
900 followers 502 following 193 posts

GP & Associate Prof in Primary Care & Implementation Science @ Uni of Leeds Audit & Feedback, healthcare behaviour change, reduces opioid prescribing, SMART designs, wild swim, run, aerial hoop, knit & crochet “Thinks too much & too little” #ImpSci #MedSci

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Reposted by Sarah Alderson
Bianca Albers, PhD @balbers.bsky.social · 26/06/2026
#ImpSci colleagues and friends, please save the dates. The European Implementation Event 2027 will take place in Limerick, Ireland from June 14-16. More details to follow soon!
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Reposted by Sarah Alderson
Primary Care at the University of Leeds @au-primarycareuol.bsky.social · 27/04/2026
Well done on this new paper by a team of researchers in our Division of Primary Care! 🎉 They compared combined email and paper vs. email-only feedback in promoting safer asthma prescribing at practices. Read here 👉https://bmjopenrespres.bmj.com/content/13/1/e003601
bmjopenrespres.bmj.com
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Sarah Alderson @imp-sci-saraha.bsky.social · 20/04/2026
Led by Dr Owen Thomas, we answered a simple question on whether the ICB should continue posting paper feedback in addition to sending feedback by email on achievement in asthma guideline care and greener inhaler prescriptions 🫁 @au-primarycareuol.bsky.social
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Sarah Alderson @imp-sci-saraha.bsky.social · 20/04/2026
Very happy to see our first very efficient CLEAR-AIR RCT in our evolving @wy-icb-research.bsky.social Learning Health System published 👇 #LearningHealthSystem #ImpSci #ImplementationScience #AuditandFeedback #greeneroractice bmjopenrespres.bmj.com/content/13/1...
bmjopenrespres.bmj.com
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Sarah Alderson @imp-sci-saraha.bsky.social · 12/04/2026
5 hrs 37m 29s and I can call myself a marathon finisher! Thank you for all the support, it’s been amazing. I even enjoyed most of it! I think my smile as I crossed the finish line says it all 😀
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Sarah Alderson @imp-sci-saraha.bsky.social · 11/04/2026
Thank you for all the support & donations to @samaritans.bsky.social Today is a rest & prep day - I’m feeling both excited and apprehensive now 😆 socialsync.app/fundraiser/c...
socialsync.app
Sarah Alderson is fundraising on behalf of Samaritans
In April 2026, I’ll be taking on the challenge of a lifetime — running the Schneider Electric Paris Marathon! 🏃🇫🇷 I’ve never run (or walked) this distance before so this is a huge challenge for me in what has been a year of challenges. I’ve been training but it’s still going to be hard. Please consider sponsoring me to give me a boost on the way! I’m not just doing this for the miles — I’m doing it to make a difference. I’m raising money for Samaritans. I know how important it is to have someone to talk to when things feel they are in crisis. Every 10 seconds, Samaritans responds to a call for help. Every life lost to suicide is a tragedy, and Samaritans’ vision is that fewer people die by suicide. Every step I take is for them — and you can be part of that journey. Whether it’s £5 or £50, every donation will make a difference. 💚 Please consider supporting my marathon. Together, we can make a real impact. Thank you so much for being part of this. 💫
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Sarah Alderson @imp-sci-saraha.bsky.social · 11/04/2026
A final little run yesterday to collect my bib and spend money at the run expo! A few souvenirs may have been bought since this might* be my only attempt at a marathon. *tbd!
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Sarah Alderson @imp-sci-saraha.bsky.social · 16/03/2026
Today I ran 26km along the Huddersfield Narrow Canal and back, somehow managed to get my 2nd fastest half marathon time! It was tough with all the uphill on the way back, but I was still running! Just one more long run before I start the tapering - I’m looking forward to that bit, I’m getting tired.
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Sarah Alderson @imp-sci-saraha.bsky.social · 16/03/2026
Thank you to all those who have sponsored me already 🙏. It really does mean a lot to me and has helped kick me out of the door for my training runs when it is wet cold and miserable 😂! I have put the link below if you feel able to support me. #TeamSamaritans socialsync.app/fundraiser/c...
socialsync.app
Sarah Alderson is fundraising on behalf of Samaritans
In April 2026, I’ll be taking on the challenge of a lifetime — running the Schneider Electric Paris Marathon! 🏃🇫🇷 I’ve never run (or walked) this distance before so this is a huge challenge for me in...
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Sarah Alderson @imp-sci-saraha.bsky.social · 16/03/2026
🏃‍➡️ My first Marathon is T-27! 🏃 On the 12th of April 😱 I will be taking on the Paris 🇫🇷marathon and raising money for the @samaritanscharity 💚. It’s such an important cause and I’m hoping to make a difference for those who need someone to reach out to at their lowest point.
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Sarah Alderson @imp-sci-saraha.bsky.social · 13/02/2026
Fantastic opening address from Dr Judith Safford on day 2 of @impact-swiss.bsky.social conference on why we should all ‘go wild’ and listen to patients for meaningful & impactful implementation science. #IMPACT2026
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Reposted by Sarah Alderson
Michael Sykes @msykes.bsky.social · 12/02/2026
Dr Giulia Loffreda from @who.int calling for closer integration between policy, implementation and research in addressing non-communicative diseases (NCDs). Recommends extending embedded implementation research (IR) in health systems. #IMPACT2026 #ImpSci
Cogs labelled implementation, policy and research cycle
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Sarah Alderson @imp-sci-saraha.bsky.social · 12/02/2026
Very happy to be in Zurich discussing new developments in implementation science. I will be sharing our ongoing work on the Impact of an Intervention on Inequalities in Overprescribing - the 3i-o study tomorrow. #IMPACT2026 #ImpSci @au-primarycareuol.bsky.social @wy-icb-research.bsky.social
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Sarah Alderson @imp-sci-saraha.bsky.social · 13/12/2025
My longest, toughest run to date - the Craggrunner Moors the Merrier 2025 21 miles (35km - or 7 Parkruns), 1298m height gained (& lost), lots of mud & bogs, fabulous company, wonderful volunteers & organisers, Striders support and a thoroughly enjoyable day yomping across the moors in a Santa 🧑‍🎄 hat!
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
The primary care & research fields are always changing so learning how to best support practices evolves. What would you add? 🧐
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
You can find out more about getting involved here 🤝: youtu.be/Xz-JKWyYK3o?...
youtu.be
GP Practices Shaping the Future of Research
YouTube video by WY R&D
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
- Research timelines can be difficult to predict so flexibility is needed for busy practices who may receive multiple requests from different studies at the same time Patience & support is needed in communication where possible (excepting serious event reporting of course). 👍
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
- Clear information on accrual allocations and who is adding these to the system. 🧮
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
Finally, my own pleas to make involvement easier: - Include a simple guide to what monies will be paid, by who (research costs vs support costs), & when - particularly if the practice needs to raise the invoice or will be prompted by the team - and please do prompt! 💸
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
8. Communications in easy to understand language- yes please! Contracts are complicated so summaries with key points are very helpful. Flow charts with involvement of practice & participants, highlighting any differences to the standard NIHR contracts to make reviewing efficient.
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
7. Funded research admin roles - so much of research is administrative. The NIHR Research Delivery Network provides cluster funding that can support this so reach out to your nearest team 👋
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
6. Ask about research in appraisals - there’s good evidence that research active practices are associated with higher quality care generally. *Encouraging* involvement can help raise awareness to new opportunities & increase job satisfaction 🙂
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
5. Please feed back findings of your research to the practices AND participants in an easy read format, and send links to main findings publications for further info. Practices like to know how they’ve shaped future care & it’s great to include in appraisals & CQC evidence. Negative findings too! 🙏
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
4. Reassurance regarding thorough ethical review & data protection - practices have lots of concerns but we have rigorous checks on conducting research. Make it clear who has oversight & where concerns can be raised if needed. 🥸
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
3. Communicate the patient benefit- preferably beyond the standard ‘helping others in the future’ which is noble but what potential direct benefit will my patients have? 🤔
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
2. Co-production with primary care colleagues - essential and recognise every practice set up is different so flexibility in processes is key to maximising involvement. 🙂‍↕️
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
1. Piloting timings - yes! In different types & sizes of practices & with those confident & less experienced in research- it take me much less time to complete research tasks than someone who has not done it before. 😥
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Sarah Alderson @imp-sci-saraha.bsky.social · 26/11/2025
Fantastic work by Zoe Edwards & colleagues on the barriers & facilitators to primary care involvement in research. My thoughts on their helpful recommendations as both a primary care academic & practice research lead👇:
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Sarah Alderson @imp-sci-saraha.bsky.social · 20/10/2025
Fantastic work by Dr Su Wood and Dr Owen Thomas , supported by Dr Liz Glidewell, Prof Theo Raynor & myself, undertaken at @au-primarycareuol.bsky.social @universityofleeds.bsky.social
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Sarah Alderson @imp-sci-saraha.bsky.social · 20/10/2025
New paper! 📣 Inappropriate prescribing is common in older adults which puts them at greater risk of adverse effects. However, strategies to address are limited, particularly the lack of agreement on how to measure kidney function in this group! Read here 👇 qualitysafety.bmj.com/content/earl...
qualitysafety.bmj.com
Widespread inappropriate prescribing for older people with reduced kidney function: what are the harms and how do we tackle them? A scoping review for primary care
Background Increasing age is associated with reductions in kidney function and increasing polypharmacy. Most medicines are eliminated through the kidney, meaning older patients are at risk of medicati...
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Sarah Alderson @imp-sci-saraha.bsky.social · 09/10/2025
Our toolkit 🧰 contains resources for hospitals, healthcare professionals and patients to support implementation and is available to all - please share! ycrbcip.leeds.ac.uk/ycrbcip-reso... @hannahrossington.bsky.social @au-primarycareuol.bsky.social
ycrbcip.leeds.ac.uk
YCRBCIP Resources | Yorkshire Cancer Research Bowel Cancer Improvement Programme
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Sarah Alderson @imp-sci-saraha.bsky.social · 09/10/2025
New paper alert! 🚨 Yorkshire Cancer Research Bowel Cancer Improvement Programme (YCRBCIP) conducted a rigorous consensus process with clinicians and patients to develop quality indicators to support opioid stewardship for patients undergoing bowel cancer surgery 👇 bmjopen.bmj.com/content/15/9...
bmjopen.bmj.com
Development of actionable quality indicators and an implementation toolkit for perioperative opioid stewardship in colorectal cancer in the UK Yorkshire and Humber region: a modified RAND consensus st...
Objectives There are global concerns about the rise in opioid prescribing. Patients undergoing potentially curative surgery for colorectal cancer (CRC) are at high risk of adverse outcomes from opioid...
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Sarah Alderson @imp-sci-saraha.bsky.social · 08/09/2025
… [2/2] 🧑‍⚕️However, we found that primary care prescribers also need systematized creatinine clearance calculation in electronic health records for easy coding to further improve patient safety & reduce harms from medicines in older age 🩺 @au-primarycareuol.bsky.social @wy-icb-research.bsky.social
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Sarah Alderson @imp-sci-saraha.bsky.social · 08/09/2025
📣 New paper published❗️ 🫘We know kidney function declines with age, increasing risk of harm of many medicines 💊 📉 We showed that providing feedback to primary care on prescribing in reduced kidney function is both feasible and acceptable 😀… [1/2] 📖 Read more here 👇 doi.org/10.1093/famp...
doi.org
Creatinine clearance, reduced kidney function, and optimizing prescribing safety through practice feedback: a mixed methods study
AbstractBackground. Kidney function declines with age, increasing risk of harm from raised blood levels of many medicines. Prescribing is often inappropria
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Sarah Alderson @imp-sci-saraha.bsky.social · 06/09/2025
Pleased with my time - managed to knock 30 minutes off my practice run 😀. Rather tired and sore now 😅 - might allow myself a rest tomorrow 🤣
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Sarah Alderson @imp-sci-saraha.bsky.social · 06/09/2025
Lovely weather and a great day at the @heights_ultra_trail festival with the @slaithwaitestriders gang! My longest run yet - the Heights 27km Wessenden trail (28.5km on Garmin) 💪
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Sarah Alderson @imp-sci-saraha.bsky.social · 23/08/2025
Chelmsford Central #ParkRun no. 16 🏃 I've wanted to do my childhood home town @parkrunuk.bsky.social for a while. Forgot how lovely Central Park is! 🤦 Missed the start by ~5 mins (thanks SatNav!) Official time - 37m 24s #loveparkrun #running #loverunning #runhappy #runnerslife #runningcommunity
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Sarah Alderson @imp-sci-saraha.bsky.social · 23/08/2025
🙋 New paper alert! 📣 🤔 How do you define a Learning Health System? We argue that the definition should include integrated rigorous effectiveness evaluations as a criterion👇 @au-primarycareuol.bsky.social @wy-icb-research.bsky.social @bethancopsey.bsky.social @complexleedsctru.bsky.social
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Sarah Alderson @imp-sci-saraha.bsky.social · 07/08/2025
The @arc-yharc.bsky.social YouTube channel has lots of fantastic short videos to explore on a wide range of improvement science topics to explore 📺🩺📈
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Sarah Alderson @imp-sci-saraha.bsky.social · 07/08/2025
A great research snapshot by Dr Qandeel Shah on how she obtained rich and informative data using rapid ethnography in her PhD within a limited timeframe 👇 #ImpSci #ResearchMethods youtu.be/RczeobLmntE?...
youtu.be
Improvement Science Snapshot- Rapid Ethnography
YouTube video by NIHR ARC Yorkshire and Humber
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Sarah Alderson @imp-sci-saraha.bsky.social · 29/07/2025
Her research on "De-implementation of low-value practices (clinical and non- clinical) in UK mental health services: A patient perspective" will be available to read soon(-ish!)
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Sarah Alderson @imp-sci-saraha.bsky.social · 29/07/2025
Proud supervisor moment! 🤩 So lovely to see Qandeel Shah on her doctoral graduation🎓 at University of Leeds today! I really enjoyed supervising her with the great team of Prof Rebecca Lawton & Dr Edmund Breckin. Wishing her all the best in the next part of her career 👏
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Sarah Alderson @imp-sci-saraha.bsky.social · 12/07/2025
Park Run no. 15 for me & a very hot but lovely one! This is a nice route and there is a fair bit of shade on the way round too. I got to meet one of my lovely online running friends in person for the first time. We nattered all the way round & nattered over brunch afterwards. 😀 #ParkRunLove #ParkRun
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Sarah Alderson @imp-sci-saraha.bsky.social · 10/07/2025
Stunning Buck Moon rising tonight 🌝
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Sarah Alderson @imp-sci-saraha.bsky.social · 05/07/2025
This is a lovely event! Hoping the smoking dragons will be there again 😄 #IMC2025
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Sarah Alderson @imp-sci-saraha.bsky.social · 27/06/2025
The best people are 😉
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Reposted by Sarah Alderson
Palliative care at the University of Leeds @au-palliativecare.bsky.social · 25/06/2025
Congratulations to Noah and Robbie on this recent publication on using audit to identify where improvement is needed and providing feedback to healthcare professionals. www.cambridge.org/core/element...
cambridge.org
Audit, Feedback, and Behaviour Change
Cambridge Core - Medicine: General Interest - Audit, Feedback, and Behaviour Change
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Sarah Alderson @imp-sci-saraha.bsky.social · 21/06/2025
That was a hot ParkRun number 14! Far too hot for this (now) northern lass 🥵 Lovely route though and I was so grateful for the few bits of shade 😎 #ParkRun #LoveParkRun #runforfun #runforhealth #parkruntourist
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Reposted by Sarah Alderson
University of Leeds @universityofleeds.bsky.social · 19/06/2025
The University has placed in the top 100 universities in the world for the 8th year in a row, moving up to 13th position among the 90 UK institutions on the list 🙌 The QS World University Rankings were released today, and Leeds is ranked 86th in the world.
Four students talk in front of the Great Hall
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Sarah Alderson @imp-sci-saraha.bsky.social · 06/06/2025
Fern Harvey’s fab poster presentation of her systematic review on process evaluations for complex intervention trials. Better reporting of context, mechanisms of action and fidelity would enable greater learning about successful interventions #ImpSci #EIE2025 @au-primarycareuol.bsky.social
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