Sarah Mills

Academic Clinical Fellow in General Practice

Biography

Dr. Sarah Mills is an Academic Clinical Fellow in General Practice at the University of Dundee and a GP Partner at Bank Street Medical Practice. She is working towards a PhD examining the use of unscheduled care by patients with terminal cancer, and has been awarded a 2018 Chief Scientist Office (CSO) Academic Clinical Fellowship.  Sarah completed Academic General Practice Training through a Scottish Clinical Research Excellence Development Scheme (SCREDS) Clinical Lectureship in General Practice in 2016.  She received her medical degree from the University of Cambridge in 2010, and a Bachelor of Science (Hons) First Class from the University of St Andrews in 2007.

Research

My research aims to understand the patterns of unscheduled care attendance and outcomes for patients with cancer in their last 12 months of life, and to examine their associations with demographic, temporal, clinical, and prescribing, at both patient and practice levels, with a view to making recommendations for improving care of people with terminal cancer.

It is a retrospective cohort study of all patients in NHS Tayside who died from cancer between 01/01/2012 and 30/06/2015. Patients were identified using General Register Office death registration data, with linkage to master Community Health Index (CHI), GP-OOH, A&E, and prescribing data. Analysis will focus on patterns of unscheduled care use over time, the balance between GP-OOH and A&E use, and reasons for attendance, as well as clinical outcomes and prescribing data.            

Understanding how and why people dying from cancer use unscheduled care is vital to determining what interventions could reduce unnecessary attendance at unscheduled care and improve outcomes of attendances, leading to improved service provision for this vulnerable group.

Publications

  • Mills, SEE, Baker LD. Childhood Depression.  InnovAit, September 2016, 9: 524-530 doi:10.1177/1755738016658676
  • Mills SEE, Smith BH, Torrance N.  Identification and Management of Chronic Pain in Primary Care: a Review. Current Psychiatry Reports, 18(2), 1-9. doi: 10.1007/s11920-015-0659-9.
  • Mills, SEE. Book Review: CSA Symptom Solver.  InnovAit, September 2016, 9: 570.  doi:10.1177/1755738015592433.
  • Mills, SEE. Chronic Low Back Pain.  InnovAit, October 2015, 8: 613-619. doi:10.1177/1755738015579209

Conferences/Lectures

• Help when the office lights are out? OOHs contacts in last year of life for those with cancer, Out of Hours Palliative and End of Life Care Conference, Dundee, 2017

• Why do people with terminal cancer use unscheduled care? Society for Academic Primary Care (SAPC), Warwick, 2017

• Systematic Review: Unscheduled Care by Patients with Terminal Cancer. SAPC, Warwick, 2017

• Why do people with terminal cancer use unscheduled care? EurOOH:Net (European Research Network for Out-of-Hours Primary Health Care) International Conference, Oxford, UK, 2017

• Factors influencing use of unscheduled care by patients with terminal cancer: a systematic review.  EurOOH:Net (European Research Network for Out-of-Hours Primary Health Care) International Conference, Oxford, UK, 2017

• Out-of-Hours Palliative Care, Scottish Palliative and End of Life Care Research Forum, Edinburgh, 2017

• Use of Unscheduled Care by Patients with Terminal Cancer. University Departments of General Practice in Scotland (NADEGS)  Stirling, 2017

• Use of Unscheduled Care by Patients with Terminal Cancer. SAPC, Dublin, Ireland, 2016.

• Use of Emergency Care by Patients with Cancer. WONCA Europe, Copenhagen, Denmark, 2016.

• Pain-related Emergency Care Presentations by Patients with Terminal Cancer. WONCA Europe, Copenhagen, Denmark, 2016.

• Pain-Related Emergency Care Presentations by Patients with Terminal Cancer. SPaRC, Dundee, Scotland, 2016.

• Emergency Care Presentations by Patients with Terminal Cancer, CMDN Conference, Crieff, Scotland, 2016.

• Rural General Practice in Scotland, NADEGS Conference, Carnoustie, 2016

• A Health Check for Rural General Practice in Scotland, Society for Academic Primary Care National Conference, Oxford, 2015

• Promoting, Preserving and Predicting Rural General Practice in Scotland, Royal College of General Practitioners National Conference, Glasgow 2015.

• Doctors' comfort level with palliative care and DNACPR decisions. NADEGS Conference, Stirling; 2015.