Dr. Emma Parry a NIHR Clinical Lecturer in primary care and practising GP gave an overview of her research work spanning osteoarthritis (OA) flares to addressing systemic health inequalities and end-of-life care.
Early foundational work characterised OA flares and described their natural history via case-crossover and qualitative studies. The focus then shifted to discussion of findings from a large epidemiological programme looking at musculoskeletal (MSK) outcomes through the MIDAS project, which demonstrated that care often fails to close the widening gap between the most and least deprived populations.
Further investigation revealed that individual social determinants of health, such as financial strain and transport barriers, predict chronic pain better than broad area-level deprivation, prompting efforts to screen for social needs in UK clinical practice.
Finally, this data-driven approach was applied to end-of-life care by integrating digital tools with clinical judgment to improve palliative care registration and reduce acute hospital utilisation.