Hull York Medical School


Professor Una Macleod

Una Macleod became Dean of the Hull York Medical School on 1st January 2017.  She joined the medical school in 2010 as Professor of Primary Care Medicine and had previously worked in Glasgow, where she trained in Medicine and had been Senior Lecturer in General Practice and Primary Care and a half-time GP principal in the east end of the city. Her research interests revolve around primary care and cancer, and health inequalities. She is a national leader in the area of cancer and early diagnosis research, has contributed significantly to policy development, and holds grants from Cancer Research UK, Yorkshire Cancer Research and the Department of Health Policy Research Unit programme in this area.

Since coming to the Hull York Medical School she has, along with Miriam Johnson, Professor of Palliative Medicine, built the successful and vibrant SEDA research group (Supportive care, Early Diagnosis and Advanced disease). She assumed a number of leadership roles, and has led and developed the Phase I Scholarship and Special Interest Programme for her research group. She was Academic Training Programme Director for East Yorkshire and North East Lincolnshire, leading the NIHR Integrated Academic Training programme locally, and was a member of the national NIHR Integrated Academic Training Panel. She led the Athena SWAN agenda, which encourages and recognises commitment to advancing the careers of women in science, and has led the medical school to successful Bronze and Silver awards in 2013 and 2016 respectively. From 2015-2016 she was Deputy Dean of the medical school. She continues to work clinically as a GP at Bransholme Health Centre in Hull.

Current Research projects include:
  • Cancer diagnosis via Emergency Presentation: a case control Study (Empress) (funded by Cancer Research UK, NAEDI funding stream) 
  • Age linked factors and help seeking behaviour: a qualitative study exploring the effect of older people’s fatalistic attitudes towards ill health and dying.  (Funded by Cancer Research UK Early Diagnosis Advisory Group,  PI Julie Walabyeki)
  • Understanding and reducing inequalities for people with cancer in East Yorkshire (funded by University of Hull Yorkshire Cancer Research endowment) 
  • Understanding of cancer symptoms and healthcare interactions among smokers (funded by Cancer Research UK, NAEDI funding stream) 
  • Policy Research Unit in Cancer Awareness, Screening and Early Detection (funded by Department of Health)
  • Embedding Public Health in Primary Care: the example of health inequalities (funded by NHS Hull) 
  • Primary care practitioner aspects of lung cancer diagnosis (funded by Humber and Yorkshire Coast Cancer Network) 
  • End of life care: the impact of social and health care factors on place of death (funded by NHS Hull) 
  • An analysis of significant event audits for cancer diagnosis (funded by the DH Cancer Policy Team) 
  • Understanding the patient pathway and improving time-to-diagnosis of lymphoma and myeloma (funded by Cancer Research UK, NAEDI funding stream) 
  • Patient, carer and clinician experience of the palliative care for patients in the advanced stages of heart failure (funded by British Heart Foundation and Marie Curie Cancer Care)
  • Tallon D, Wiles Nicola, Campbell J, Chew-Graham C, Dickens C, Macleod U, Peters TJ, Lewis G, Anderson IM. Gilbody S, Hollingworth W, Davies S, Kessler D.  Mirtazapine added to selective serotonin reuptake inhibitors for treatment-resistant depression in primary care (MIR trial): study protocol for a randomised controlled trial. Trials (2016) 17:66 DOI 10.1186/s13063-016-1199-2
  • Johnson MJ, Allgar Vi, Macleod U, Jones A, Oliver S, Currow D.  Family Caregivers Who Would Be Unwilling to Provide Care at the End of Life Again: Findings from the Health Survey for England Population Survey. PLoS ONE 2016: 11: e0146960.  doi:10.1371/journal.pone.0146960
  • Whitaker KL, Winstanley K, Macleod U, Scott SE, Wardle J. Low cancer suspicion following experience of a cancer ‘warning sign’.  European Journal of Cancer 2015;  51: 2473–2479.
  • 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 2015; DOI: 10.1177/0269216315602590
  • Rubin G, Berendsen A, Crawford SM, Dommett , Earle C, Emery J, Fahey T, Grassi L, Grunfeld E, Gupta S, Hamilton W, Hiom S, Hunter D, Lyratzopoulos G, Macleod U, Mason R, Mitchell G, Neal RD, Peake M, Roland M, Seifert B, Sisler J, Sussman J, Taplin S, Vedsted P, Voruganti T, Walter F, Wardle J, Watson E, Weller D, Wender R, Whelan J, Whitlock J, Wilkinson C, de Wit N, Zimmermann. The expanding role of primary care in cancer control. Lancet Oncol 2015: 16: 1231–72
  • Williamson AE, Ayres R, Allen J, Macleod U.  Core intended learning outcomes for tackling health inequalities in undergraduate medicine. BMC Medical Education (2015) 15:66; DOI 10.1186/s12909-015-0342-1
  • Mitchell ED, Pickwell-Smith B, Macleod U. Risk factors for emergency presentation with lung and colorectal cancers: a systematic review.  BMJ Open 2015;5:e006965.doi:10.1136/bmjopen-2014-006965
  • Green T, Atkin K, Macleod U.  GPs’ perceptions and experiences of public awareness campaigns for cancer: a qualitative enquiry.  Health Expectations 2015; DOI: 10.1111/hex.12362
  • Dikomitis L, Green T, Macleod U.  Embedding electronic decision-support tools for suspected cancer in primary care: a qualitative study of GPs’ experiences.  Primary Healthcare Research & Development (2015), 1-8; doi:10.1017/S1463423615000109
  • 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 (2015), S50-S56 doi: 10.1038/bjc.2015.42
  • Green T, Atkin K, Macleod U.  GPs and cancer recognition and referral in England: an in-depth study.  British Journal of Cancer (2015), S41–49; doi: 10.1038/bjc.2015.41
  • Neal RD, Tharmanathan P, France B, Ud Din N, Cotton S, Julia Fallon-Ferguson, Hamilton W, Hendry A, Hendry M, Lewis R, Macleod U, Mitchell ED, Pickett M, Rai T, Shaw K, Stuart N, Tørring ML, Wilkinson C, Williams B, Williams N, Emery J. Is increased time to diagnosis and treatment in symptomatic cancer associated with poorer outcomes? Systematic review.  British Journal of Cancer (2015), S92-1071–16, doi: 10.1038/bjc.2015.48
  • Whitaker K, Macleod U, Winstanley K, Scott SE, Wardle J.  Help-seeking for cancer ‘alarm’ symptoms: a qualitative interview study.  Br J Gen Pract 2015; DOI: 10.3399/bjgp15X683533.
  • Green T, Martins T, Hamilton W, Rubin G, Elliott K, Macleod U. Exploring GPs' Experiences of Using Diagnostic Tools for Cancer: a qualitative study in primary care. Family Practice 2014;doi: 10.1093/fampra/cmu081
  • Gadoud A, Kane E, Macleod U, Ansell P, Oliver S, Johnson M.  Palliative care among heart failure patients in primary care: a comparison to cancer patients using English family practice data. PLoS ONE 9(11): e113188. doi:10.1371/journal.pone.0113188
  • Whitaker K, Scott SE, Winstanley K, Macleod U, Wardle J.  Attributions of cancer ‘alarm’ symptoms in a community sample. PLoS ONE 9(12): e114028. doi:10.1371/journal.pone. 0114028
  • Browne S, Macdonald S, May CR, Macleod U, Mair FS.  Patient, Carer and Professional Perspectives on Barriers and Facilitators to Quality Care in Advanced Heart Failure. PLoS ONE 2014, 9(3): e93288. doi:10.1371/journal.pone.0093288
  • Howell DA, Smith AG, Jack A, Patmore R, Macleod U, Mironska E, Roman  E.   Time-to-diagnosis and symptoms of myeloma, lymphomas and leukaemias: a report from the Haematological Malignancy Research Network.  BMC Hematology.2013, 13:9. DOI: 10.1186/10.1186/2052-1839-13-9
  • Gray NM, Hall SJ, Browne S, Johnston M, Lee AJ, Macleod U, Mitchell ED, Samuel L, Campbell NC. Predictors of anxiety and depression in people with colorectal cancer. Support Care Cancer, DOI 10.1007/s00520-013-1963-8
  • Gray N M, Allan J L, Murchie P, Browne S, Hall S, Hubbard G, Johnston M, Lee A J, McKinley A, Macleod U, Presseau J, Samuel L, Wyke S, Campbell N C. Developing a community-based intervention to improve quality of life in people with colorectal cancer: a complex Intervention development study. BMJ Open 2013;3:e002596. doi:10.1136/bmjopen-2013-002596
  • Hamilton W, Green T, Martins T, Elliott K, Rubin G, Macleod U.  Evaluation of risk assessment tools for suspected cancer in general practice. Br JGenPract 2013 Jan e30-e36
Una Macleod leads the Scholarship and Special Interest Programme (SSIP) for Phase 1 for the Hull based Centre for Health and Population Studies. She delivers a module within this on Cancer screening, awareness and detection. The full list of topics with the SSIP programme is:
  • Cancer screening, awareness and detection
  • Carers
  • Health inequalities: what can doctors do?
  • Introduction to palliative medicine
  • The meaning of mental illness: conceptual exploration
  • Medical Humanities
  • Social Dimensions of Disability
  • Trans Health: The Interaction of Gender, Diversity and Medicine
She also delivers a session on professionalism for first year students, lectures on NHS cancer policy and contributes to assessment and mentoring.
External activities include:
  • Academic Training Programme Director, North & East Yorkshire & North Lincolnshire (NEYNL), from January 2012
  • Chair, Royal College of General Practitioners Health Inequalities Standing group, from 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
Students currently under supervision:
Mr Christopher Dalgliesh
Ms Alison Bravington
Mrs Deborah Hukins
Mr Spencer Robinson
Ms Helena Sinclair
Miss Hannah Miles
Contact details
    01904 321859, 01482 463757

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