Dr Natalie Joseph-Williams

Lecturer

School of Medicine

Email:
josephnj1@cardiff.ac.uk
Telephone:
+44 (0)29 2068 7141
Location:
5th floor, Neuadd Meirionnydd, University Hospital of Wales, Heath Park, Cardiff, CF14 4YS

I am a Lecturer in Improving Patient Care at the Division of Population Medicine, Cardiff University. I am co-lead of the Patient Centred and Prudent Healthcare work package for the Wales Centre for Primary and Emergency Care Research (PRIME Centre Wales). My main research interests include implementation of patient-centred healthcare in routine clinical settings, shared decision making, and patient empowerment.

Since joining Cardiff University as a Research Associate in 2007, I have worked mainly in the field of patient - clinician communication. This has included the development, evaluation, and quality assessment of patient decision support interventions, designed to engage patients in decisions about their healthcare.

From 2010 - 2016, I was involved in a large scale shared decision making implementation programme, funded by The Health Foundation: 'MAGIC - Making Good Decisions in Collaboration with Patients.' The focus of this work was to increase the awareness of shared decision making within primary and secondary care settings, and to work directly with clinical teams to establish the best protocol for dissemination of a shared decision making programme across the NHS. The learning from the programme was published in the BMJ (April 2017) - 'Implementing shared decision making in the NHS - lessons from the MAGIC programme'

In 2012, I undertook a PhD (Medicine) as a member of staff ("Nobody knows me better than me": development & pilot-testing of a patient-targeted complex intervention to prepare patients to participate in shared decision making). I was awarded the PhD in January 2016.

In my current role as Lecturer in Improving Patient Care, I am involved in the delivery of two large scale NIHR grants:

  • Predict-CAT Study: Cataract surgery - predicting self-reported benefit, supporting decision making and calibrating health utilities for cataract surgery (Principal Investigator for WP4, led by Bristol Hospitals NHS Foundation Trust).
  • PriMUS Study: Primary care management of lower urinary tract symptoms in men: development and validation of a diagnostic and decision-making aid (Co-applicant, qualitative work lead).

My current role focuses on the development of shared decision making training for medical students, and writing various research proposals relating to the design of decision support interventions, and the implementation of these in routine clinical practice.

I also teach and act as a Personal Tutor to undergraduate medical students, and I also teach / supervise students who are undertaking a Medical Intercalated BSc (Clinical Epidemiology). My teaching areas include patient-centred care, research methodology and software, critical appraisal, and medical writing skills.

I am a member of the International Patient Decision Aids Standards Collaboration and the National Institute of Health and Care Excellence Shared Decision Making Collaborative.

Education and Qualifications

2016

PhD (Medicine) Cardiff University, UK

2007

Postgraduate Diploma in Psychology (Distinction), Cardiff University, UK

2005

BSc (Hons) Applied Social Sciences - Psychological Studies (First Class Honours), University of Southampton, UK

Career Overview

2007 - Present: Division of Population Medicine, School of Medicine, Cardiff University

April 2017 - Present: Lecturer in Improving Patient Care

January 2016 - March 2017: Research Fellow (PRIME Centre Wales)

August 2007 - December 2015: Research Associate

Worked on various grant funded projects, including:

  • MAGIC - Making Good Decisions in Collaboration with Patients. Shared decision making implementation programme (funded by The Health Foundation)
  • Establishing minimum standards for the certification of patient decision aids (funded by Informed Medical Decisions Foundation)
  • A Randomised Controlled Trial of the effects of a web-based decision support intervention for PSA testing and a website transaction log file analysis (funded by CRUK)

2018

2017

2015

2014

2013

2012

2011

2010

2009