Professor Chris BUTLER

1977-1980  BA, Rhodes University
1981-1986  MBChB, Medical School, University of Cape Town
1989   Diploma in Child Health, College of Medicine of South Africa
1993   MRCGP, Royal College of General Practitioners
Aug 98-Jul 99  CCH (Clinical Epidemiology) University of Toronto
1999  Doctor of Medicine, University of Wales College of Medicine. 
2004   FRCGP, Royal College of General Practitioners

Head and Professor of Primary Care Medicine, Cardiff University
Adjunct Professor, School of Public Health and Primary Care


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Biography 

Chris Butler is Head of Department of Primary Care and Public Health at Cardiff University. He has two main research interests, common infections and the appropriate use of antibiotics, and health behaviour change. He trained in Medicine at the University of Cape Town and was awarded a doctorate from the University of Wales for a randomized controlled trial and qualitative research into health behaviour change and clinician-patient communication. He trained in Clinical Epidemiology at The University of Toronto and has held an appointment at McMaster University in Canada. He has authored over 80 peer reviewed papers and helped win more than 40 research grants, totalling over £61 million including grants from the MRC, Wellcome Foundation, EU, and Department of Health. He is Chief Investigator on the MRC funded STAR and PRE-EMPT studies, and is leading a Workpackage and the development of the clinical platform in 12 countries for the EU FP6 funded GRACE Network of Excellence. This latter study has just finished recruitment to the largest ever qualitative study and the largest ever prospective quantitative study of lower respiratory tract infection in the community.

He serves on the Editorial Board of the British Journal of General Practice, is the Associate Director for Primary Care of CRC CYMRU, a Non Executive Director of the Gwent NHS Healthcare Trust, a member of the Advisory Board of the Caerphilly and Rhondda Cynon Taff Teaching Local Health Board, a member of the Department of Health National Expert Panel for New and Emerging Diseases, and practices as a GP in Mountain Ash in the South Wales Valleys. In 2006 he won the John Fry Medal, awarded by Royal College of General Practitioners “to a younger member of the College who has promoted the discipline of general practice through research and publishing as a practicing GP.”


Research interests 
Infections in primary care and the appropriate use of antibiotics,
Health behaviour change

Select Publications
Rollnick S, Miller WR, Butler CC. Motivational interviewing in health care. The Guildford Press New York, NY. 2007
Butler CC, Hillier S,  Roberts Z, Dunstan F, Howard A, Palmer S. Antibiotic resistant infections in primary care are symptomatic for longer and increase workload: outcomes for patients with E.coli urinary tract infection. British Journal of General Practice, 56 (530):686-92, 2006.
Hopstaken RM, Coenen S, Butler CC, Nelemans P, Muris JW, Rinkens PE, Kester AD, Dinant GJ.  Prognostic factors and clinical outcome in acute lower respiratory tract infections: a prospective study in general practice. Fam Pract. 2006 Oct;23(5):512-9. PMID: 16787958
Metcalf EP. Davies JC. Wood F. ButlerCC. Unwrapping the diagnosis of tuberculosis in primary care: a qualitative study. British Journal of General Practice. 57(535):116-22, 2007 Feb. UI: 17263928
Sharon A. Simpson, Fiona Wood, and Christopher C. Butler. General practitioners' perceptions of antimicrobial resistance: a qualitative study. J. Antimicrob. Chemother., February 2007; 59: 292 - 296.
Nancy J. Hawkings, Fiona Wood, and Christopher C. Butler. Public attitudes towards bacterial resistance: a qualitative study. J. Antimicrob. Chemother., June 2007; 59: 1155 - 1160.
Evans MR. Prout H. Prior L. Tapper-Jones LM. Butler CC. A qualitative study of lay beliefs about influenza immunisation in older people. British Journal of General Practice. 57(538):352-8, 2007 May.
Kinnersley P, Edwards A, Hood K, Cadbury N, Ryan R, Prout H, Owen D, Macbeth F, Butow P, Butler C.  Interventions before consultations for helping patients address their information needs: Systematic Review.  BMJ 2008; 337:a485, July 2008.
Butler CC, Dunstan F, Heginbothom M, Mason B, Roberts Z, Hillier S, Howe R, Palmer S, Howard A. Containing antibiotic resistance: demonstration of decreased antibiotic resistant coliform urinary tract infections with reduction in antibiotic prescribing by general medical practices. BJGP 2007;57(543), 785-792
Wood F, Simpson S, ButlerCC. Socially responsible antibiotic choices in primary care: a qualitative study of GPs' decisions to prescribe broad-spectrum and fluroquinolone antibiotics. Fam Pract. 2007 Oct;24(5):427-34. PMID: 17728289
Cals JW, Scheppers NA, Hopstaken RM, Hood K, Dinant GJ, Goettsch H, Butler CC. Evidence based management of acute bronchitis; sustained competence of enhanced communication skills acquisition in general practice. Patient Educ Couns. 2007 Nov;68(3):270-8.
Hillier S, Roberts Z, Dunstan F, ButlerC, Howard A, Palmer S.  Prior antibiotics and risk of antibiotic-resistant community-acquired urinary tract infection: a case-control study. J Antimicrob Chemother. 2007 Jul;60(1):92-9. Epub 2007 May 30. PMID: 17540675
Cosby JL, Francis N, ButlerCC. The role of evidence in the decline of antibiotic use for common respiratory infections in primary care. Lancet Infect Dis. 2007 Nov;7(11):749-56. PMID: 17961860
Christopher C. Butler; Sharon Simpson; Fiona Wood. General practitioners' perceptions of introducing near-patient testing for common infections into routine primary care: A qualitative study. Scand J Prim Health Care. 2007 Oct; 26 (1): 17 – 21