Skip to:

  • Skip to main content
  • Skip to accessibility
City St George's, University of London
  • Student Hub
    • Clerkenwell and Moorgate Staff
    • Tooting Staff
Search
Menu
Home
  • Prospective students
    • Courses
      • Undergraduate degrees
      • Foundation courses
      • Postgraduate taught degrees
      • Postgraduate research degrees
      • Apprenticeships
      • Professional and short courses
    • Apply
      • Entry requirements
      • How to apply
        • Undergraduate
          • Information for parents and carers
        • Apprenticeship
        • Postgraduate taught
        • Postgraduate research
          • Preparing your application
            • Preparing your research proposal
        • Booking Short Courses
          • Business and Management Short Courses
          • Computing Short Courses
          • Creative Industry Short Courses
          • Creative Writing Short Courses
            • The Novel Studio published alumni
          • Law Short Courses
          • Languages Short Courses
      • Prospectus
        • Undergraduate
        • Postgraduate
      • Visas
        • Student visas
          • Applying from outside the UK
          • Applying from within the UK
          • Applying for a dependant visa
          • Preparing your application
          • Working in the UK
        • Standard Visitor visas
          • How to apply for a Standard Visitor Visa
          • Non-visa nationals
        • ATAS certificates
      • Study abroad programmes
        • Study abroad programme
        • Partnership programme
      • Clearing
        • Preparing for Clearing
        • Applying through Clearing
      • Alternative entry routes
        • Foundation programmes
        • Second-year students
        • Work experience
      • Contact Admissions
      • Widening participation
        • Widening participation activities
        • Support for prospective applicants
          • Widening participation travel bursary
        • Information for teachers
    • Finance
      • Search for funding options
      • Earn while you learn
      • How to pay
        • Payment methods
        • Fee schedules
        • Deposit refunds
      • Additional expenses
      • Grants and bursaries
      • NHS-funded degrees
    • Accommodation and housing
      • Compare residential halls
      • Applying for halls
        • Undergraduate
        • Postgraduate
        • Clearing
      • Paying for halls
      • Private accommodation
        • Finding a place to live
        • Accommodation for families
      • Short-term accommodation
    • Open events and fairs
      • Campus tours
      • Online chats
        • Undergraduate online events
        • Postgraduate online events
        • Ask a student
      • University fairs
    • Student life
      • London experience
      • Local Clerkenwell area
      • Local Tooting Area
      • Sports
        • Sport clubs
        • Non-competitive sport
        • Competitive sport
      • Social activities and groups
      • Religion
      • Lesbian, gay, bisexual, transgender, queer, intersex, and asexual plus
      • Volunteering
      • Student wellbeing
        • Your health and wellbeing
        • Learning support
        • Young, estranged students
        • Care leavers
        • Young adult carers
        • Personal tutoring programme
      • Learn another language
    • Career development
      • Employability through your degree
      • Placements, internships and employment opportunities
        • Micro-placements
        • Medical electives
      • Career pathways
      • Job prospects and graduate destinations
      • Careers team
    • Subjects
  • Research
    • Research centres, groups and institutes
    • Research impact
      • Research Excellence Framework
      • Research case studies
    • Research strategy
    • Research support
      • Grants and funding
      • Integrity and ethics
        • Research ethics
          • Principles
          • Approval process
          • Approval outcomes and appeals
          • External ethics approvals
        • Ethics guidance and resources
          • Participant information and consent
          • Recruiting participants from City for external research
          • Records management
          • Research conducted abroad
          • FAQ
          • Projects involving human tissue samples
        • Research integrity
          • Framework for good practice in research
          • Research misconduct
      • Research data
        • Managing active research data
        • Digital research data and Figshare
      • Researcher development
        • The St George's Respiratory Questionnaire
      • School of Health & Medical Sciences Research Day
        • Research Image of the Year
    • The Doctoral College
      • Prospective Doctoral Researchers
      • Current Doctoral Researchers
      • Doctoral Training Resources
        • Doctoral Researcher Development Programme (DRDP)
        • Use of Generative AI Tools in Doctoral Research
      • Scholarships and Funding
      • For Research Supervisors
      • Meet the Team
  • For businesses
    • Start your business
      • Develop your startup idea
        • Startup advice
        • Side Hustle
      • Launch
        • Workspaces
    • Grow your business
      • Fund your business
        • Knowledge Transfer Partnerships
        • Knowledge Exchange Framework (KEF)
      • Hire an academic consultant
      • Purchase our intellectual property
      • Companies formed
      • Enterprise and innovation (Tooting campus)
        • Health Innovation Nexus
        • Collaboration Opportunities
        • Knowledge Exchange
        • Concept Development Award 2025-2026
      • Using Our Facilities
        • Staying in Our Accommodation
        • Using Our Research Facilities
        • Using our Consultancy
    • Develop your people
      • Bespoke training
      • My Home Life England
      • Degree apprenticeships for business
        • What is the apprenticeship levy?
    • Business impact case studies
    • Access our student talent
      • Recruit with us
      • Meet and support our students
        • Become a mentor
        • Employer Engagement events
        • Micro-Placements
        • Industry Led Projects
      • Information for placement partners
        • Speech and Language Therapy training
        • ePAD and eMORA training
    • Selling to City St George's
      • Legacy St George's information for suppliers
  • Alumni and supporters
    • Alumni benefits
    • Alumni Events
    • Global alumni network
      • Networks and Groups
        • City St George's Alumni LinkedIn
        • US Alumni Board
        • Greece Alumni Board
          • Meet the board
          • About the Greece Alumni Board
          • Greece Alumni Board Events
          • Contact our Board Members
      • Alumni Ambassadors
      • Special Interest Groups
      • Alumni News and stories
    • Contact us
      • Graduate Outcomes
    • Support City St George's
      • Donate to City St George's
      • Volunteering
      • Your impact
      • Sudden Cardiac Death Fund
      • Neurosciences Research Fund
      • Students Facing Hardships
      • Ravi Ray Medicine Scholarship - Tooting
      • Mental Health and Wellbeing Fund
      • Other Ways To Give
        • Making Your Gift
        • Leave a gift in your Will
    • New graduates
      • Graduate Outcomes Survey
  • News and events
    • News
    • Events
    • Social media
      • WeChat social accounts
  • About us
    • Schools and departments
      • School of Policy & Global Affairs
        • About the School
          • Athena Swan
          • Q-Step
        • Department of Economics
        • Department of International Politics
        • Department of Sociology and Criminology
      • School of Communication & Creativity
        • About the School
          • Athena Swan
        • Department of Journalism
          • James Cameron Memorial Lecture
            • Lectures
            • Special awards
            • Winners
        • Department of Media, Culture and Creative Industries
        • Department of Performing Arts
        • The Centre for Language Studies
      • Bayes Business School
      • School of Health & Medical Sciences
        • About the School
          • Athena Swan
          • Selection process
            • Internal Disclosure Form FAQs
          • Occupational Health Checks
          • Disclosure and Barring Service (DBS) enhanced check (formerly CRB)
          • Uniforms for Clinical Placement
          • MSc Nursing - RPL
          • Reference request
          • How to prepare a strong application
          • Information for parents and supporters
          • School of Health & Medical Sciences Research Culture Hub
          • MBBS Medicine admissions statistics
          • Equal representation in academia
          • George's Academic Training (GAT)
            • Academic pathways
            • Clinical academic case studies
            • Clinical academic opportunities
        • Department of Population Health and Policy
          • Health Services Management at City St George's
        • Department of Interprofessional Healthcare
        • Department of Allied Health
          • Radiography undergraduate learning contract
          • Radiography at City St George's
        • Department of Nursing and Midwifery
          • Postgraduate Midwifery at City St George's
        • Department of Optometry and Visual Science
        • Department of Psychology and Neuroscience
        • Department of Medicine
        • Department of Molecular and Biomedical Sciences
      • School of Science & Technology
        • About the School
          • Athena Swan
          • Placements and internships
            • Placement and internship schemes
        • Department of Computer Science
        • Department of Mathematics
          • Potential PhD projects
        • Department of Engineering
        • STEM Digital Academy
      • The City Law School
        • Academic programmes
          • Undergraduate LLBs
          • Graduate Entry Law GE LLB
          • Graduate Diploma in Law GDL
          • LLM Courses
        • Professional programmes
        • Research and Scholarship
        • Athena Swan in The City Law School
        • Equality, Diversity and Inclusion at The City Law School
        • Barrister training
          • Bar Training
          • Pupillage Advice Service
        • Solicitor training
          • Future Solicitor Advisory Service (FSAS)
          • The Solicitors' Qualifying Exam (SQE)
        • Law in real life (Law IRL)
          • Volunteering for Law Students
          • Mock Trials
          • Our partners
        • About The School
          • Prizes from The City Law School
          • Global Engagement
      • The Finsbury Institute
        • Latest news
          • Research: Optimising Growth - The Evolving Role of the CRO
            • Meet the team
            • The Lord Mayor’s Fellowship
            • The research
        • Resources for Researchers
    • History
    • People
      • Academics
      • Research students
      • Students
      • Past students
      • Residencies
      • Professional Services staff
      • International agents and representatives
      • Senior people
      • Extraordinary women
      • Black and Beyond
      • Visible Voices
    • Facilities
      • Campuses
      • Libraries
      • Gym
      • Biological Research Facility
        • Animal research statistics
        • Ethical considerations
        • Openness on animal research
        • Zebrafish Unit
        • Rehoming
      • Education Transformation Project
      • University of London facilities
      • Conference facilities
      • Specialist facilities
      • Tooting Research Facilities
    • Work for us
      • Apply
      • Benefits
      • Career development
      • City St George's Residencies
        • Practitioner in Residence, School of Policy & Global Affairs
        • Creatives in Residence, School of Communication and Creativity
        • Podcaster in Residence, School of Communication and Creativity
    • Vision and Strategy
      • Academic excellence
        • Rankings
        • Education
          • Flexible learning spaces
          • Active and collaborative learning
          • Term dates
        • Student statistics
      • Equality, diversity and inclusion
        • Equality, Diversity and Inclusion Strategy
        • Data and objectives
        • Staff networks
        • Digital Accessibility
      • Sustainable development
        • Get involved
        • Environmental Impact and Performance
      • Civic engagement
      • Social responsibility
        • Social responsibility in our outreach
        • Social responsibility in action
      • Public Engagement Network at Tooting
        • Public Engagement Stories
          • School Governors at City St George's - Tooting
          • Pharma-Factory
          • Infectious Public Interest in Research
          • Inside Science Showcases Art from HMP Wandsworth
          • Diseases, Detectives and Post-Mortems
      • DORA
    • Governance and legal
      • Charter and Statutes
      • Rector
      • Council
        • Audit and Risk Committee
        • Corporate Governance and Nominations Committee
        • Remuneration Committee
        • Finance Committee
        • Strategy and Development Committee
      • Senate
        • Board of Studies
        • Educational Quality Committee
        • Research and Innovation Committee
        • Senate Research Ethics Committee
      • Executive leadership
      • Financial statements
        • Financial Summary
      • Legal documents and policies
      • Committees
    • Global City St George's
      • Erasmus+
    • Contact us and find us
      • Find us
        • Clerkenwell campus
        • Moorgate campus
        • Tooting campus
      • Contact us
    • City and St George’s have united
  • Student Hub
  • Clerkenwell and Moorgate Staff
  • Tooting Staff
  • Prospective students
    Prospective students
    • Courses
      • Undergraduate degrees
      • Foundation courses
      • Postgraduate taught degrees
      • Postgraduate research degrees
      • Apprenticeships
      • Professional and short courses
    • Apply
      • Entry requirements
      • How to apply
      • Prospectus
      • Visas
      • Study abroad programmes
      • Clearing
      • Alternative entry routes
      • Contact Admissions
      • Widening participation
    • Finance
      • Search for funding options
      • Earn while you learn
      • How to pay
      • Additional expenses
      • Grants and bursaries
      • NHS-funded degrees
    • Accommodation and housing
      • Compare residential halls
      • Applying for halls
      • Paying for halls
      • Private accommodation
      • Short-term accommodation
    • Open events and fairs
      • Campus tours
      • Online chats
      • University fairs
    • Student life
      • London experience
      • Local Clerkenwell area
      • Local Tooting Area
      • Sports
      • Social activities and groups
      • Religion
      • Lesbian, gay, bisexual, transgender, queer, intersex, and asexual plus
      • Volunteering
      • Student wellbeing
      • Learn another language
    • Career development
      • Employability through your degree
      • Placements, internships and employment opportunities
      • Career pathways
      • Job prospects and graduate destinations
      • Careers team
    • Subjects
  • Research
    Research
    • Research centres, groups and institutes
    • Research impact
      • Research Excellence Framework
      • Research case studies
    • Research strategy
    • Research support
      • Grants and funding
      • Integrity and ethics
      • Research data
      • Researcher development
      • School of Health & Medical Sciences Research Day
    • The Doctoral College
      • Prospective Doctoral Researchers
      • Current Doctoral Researchers
      • Doctoral Training Resources
      • Scholarships and Funding
      • For Research Supervisors
      • Meet the Team
  • For businesses
    For businesses
    • Start your business
      • Develop your startup idea
      • Launch
    • Grow your business
      • Fund your business
      • Hire an academic consultant
      • Purchase our intellectual property
      • Companies formed
      • Enterprise and innovation (Tooting campus)
      • Using Our Facilities
    • Develop your people
      • Bespoke training
      • My Home Life England
      • Degree apprenticeships for business
    • Business impact case studies
    • Access our student talent
      • Recruit with us
      • Meet and support our students
      • Information for placement partners
    • Selling to City St George's
      • Legacy St George's information for suppliers
  • Alumni and supporters
    Alumni and supporters
    • Alumni benefits
    • Alumni Events
    • Global alumni network
      • Networks and Groups
      • Alumni Ambassadors
      • Special Interest Groups
      • Alumni News and stories
    • Contact us
      • Graduate Outcomes
    • Support City St George's
      • Donate to City St George's
      • Volunteering
      • Your impact
      • Sudden Cardiac Death Fund
      • Neurosciences Research Fund
      • Students Facing Hardships
      • Ravi Ray Medicine Scholarship - Tooting
      • Mental Health and Wellbeing Fund
      • Other Ways To Give
    • New graduates
      • Graduate Outcomes Survey
  • News and events
    News and events
    • News
    • Events
    • Social media
      • WeChat social accounts
  • About us
    About us
    • Schools and departments
      • School of Policy & Global Affairs
      • School of Communication & Creativity
      • Bayes Business School
      • School of Health & Medical Sciences
      • School of Science & Technology
      • The City Law School
      • The Finsbury Institute
    • History
    • People
      • Academics
      • Research students
      • Students
      • Past students
      • Residencies
      • Professional Services staff
      • International agents and representatives
      • Senior people
      • Extraordinary women
      • Black and Beyond
      • Visible Voices
    • Facilities
      • Campuses
      • Libraries
      • Gym
      • Biological Research Facility
      • Education Transformation Project
      • University of London facilities
      • Conference facilities
      • Specialist facilities
      • Tooting Research Facilities
    • Work for us
      • Apply
      • Benefits
      • Career development
      • City St George's Residencies
    • Vision and Strategy
      • Academic excellence
      • Equality, diversity and inclusion
      • Sustainable development
      • Civic engagement
      • Social responsibility
      • Public Engagement Network at Tooting
      • DORA
    • Governance and legal
      • Charter and Statutes
      • Rector
      • Council
      • Senate
      • Executive leadership
      • Financial statements
      • Legal documents and policies
      • Committees
    • Global City St George's
      • Erasmus+
    • Contact us and find us
      • Find us
      • Contact us
    • City and St George’s have united
City and St George's have merged. Find out more.
  1. Home
  2. …
  3. People
  4. Academics
  5. Professor Natalie Armstrong
People
  • Academics
  • Research students
  • Students
  • Past students
  • Residencies
  • Professional Services staff
  • International agents and representatives
  • Senior people
  • Extraordinary women
  • Black and Beyond
  • Visible Voices
photo of Professor Natalie Armstrong

Professor Natalie Armstrong

Executive Dean, School of Health and Medical Sciences

School of Health & Medical Sciences

Contact details

  • +44 (0)20 7040 5060
  • Natalie.Armstrong@citystgeorges.ac.uk
  • About
  • Research
  • Publications
  • Professional activities

About

Overview

Professor Natalie Armstrong joined City St George's as Executive Dean of the School of Health and Medical Sciences in January 2025. Natalie is an internationally recognised health services researcher whose work uses ideas and methods from the social sciences to better understand, and seek to address, problems in the delivery of high-quality healthcare.   Prior to joining City St George’s, Natalie was the Deputy Head of the College of Life Sciences at the University of Leicester, having previously been a Head of Department. As part of her role, Natalie was also the University-appointed Non-Executive Director to the University Hospitals of Northamptonshire Group.   Natalie is Professor of Health Services Research having completed a BSc (Hons) Politics & Sociology at the University of Warwick, an MSc in Medical Sociology at Royal Holloway, University of London, and her PhD at the University of Nottingham.   Following postdoctoral positions at the London School of Hygiene and Tropical Medicine and the University of Warwick, Natalie took up her first academic post in 2008 as Lecturer in Social Science Applied to Health at the University of Leicester. She was promoted to Senior Lecturer/Associate Professor in 2014, and to Professor in 2017.    Natalie’s appointment as the inaugural Executive Dean of the School of Health & Medical Sciences at City St George’s, followed the completion of the merger between City, University of London and St George’s, University of London. As part of her role, Natalie is delighted to be the University-appointed Non-Executive Director to the St George’s, Epsom and St Helier Hospital Group (GESH).

Qualifications

  • Postgraduate Certificate in Academic and Professional Practice, University of Warwick, United Kingdom, 2008
  • PhD, University of Nottingham, United Kingdom, 2005
  • MSc Medical Sociology, Royal Holloway University of London, United Kingdom, 2001
  • BA (Hons) Politics and Sociology, University of Warwick, United Kingdom, 2000

Visiting appointments

  • Honorary Visiting Professor, University of Leicester
  • Honorary Professor, University of Manchester

Fellowships

  • Elected Fellow, Academy of Social Sciences, 2023 - present
  • Senior Fellow, Higher Education Academy, 2016 - present
  • Fellow, Higher Education Academy, 2008 - present

Memberships of committees

  • Member, UK National Screening Committee, 2022 - present
  • Member, NHS England National Overprescribing Review Short Life Working Group, 2019 - 2020
  • Member, UK National Screening Committee Adult Reference Group, 2017 - 2022

Research

Natalie's work uses sociological ideas and methods to understand health and illness, and to address challenges in the delivery of high-quality healthcare. Originally trained in sociology departments, she is committed to applied research and the practical impact of social science learning within healthcare and healthcare improvement. While at the University of Leicester, Natalie was a member of the Social Science, Applied Healthcare and Improvement Research (SAPPHIRE) Group, jointly leading SAPPHIRE from 2016-2018.

Natalie has worked across a range of health and care contexts, with particular interests in women’s and children’s health, preventative healthcare, and overdiagnosis/overtreatment. Her work has involved extensive interdisciplinary collaboration with both clinical and non-clinical colleagues. To date, she has been awarded over £33 million in external research funding as either lead or co-investigator. These awards include project grants, direct commissions for evaluations, infrastructure awards, capacity building awards, and two personal fellowships (an ESRC-funded knowledge transfer fellowship with the Prime Minister’s Strategy Unit in the Cabinet Office in 2009, and an Improvement Science Fellowship from the Health Foundation 2017-2020). Her work has been supported by a range of funders, including various NIHR programmes, the Health Foundation, NHS England, the Wellcome Trust, the ESRC, and The Healthcare Improvement Studies (THIS) Institute.

During her time at Leicester, Natalie held the role of Implementation Theme Lead for the NIHR Applied Research Collaboration (ARC) East Midlands and was a Theme Lead (Ethical, Legal and Social Implications) within the Wellcome Trust Doctoral Training Programme in Genomic Epidemiology and Public Health Genomics.

Since 2023, Natalie has been a Co-Theme Lead within the NIHR Greater Manchester Patient Safety Research Collaboration (PSRC), a role that continues after her move to City St George’s. Together with University of Leicester colleagues, Natalie leads the ‘Enhancing Cultures of Safety’ theme, which aims to explore and understand cultures of safety within health and care organisations to help identify ways to develop positive cultures and improve patient safety.

Research Funding

Natalie has provided extensive expert review of funding applications and final reports for key funding bodies across the health and social sciences, both nationally and internationally. She has served on, and sometimes chaired, funding panels for a variety of UK-based funders, as well as those in Sweden and Ireland.

She has served on several steering/oversight groups for research activity. She is currently a member of the oversight committee for the NIHR-funded project ‘What changes following the launch of the Patient Safety Incident Response Framework in the English NHS?’ and chairs the steering group for the NIHR-funded Birmingham, RAND and Cambridge Evaluation (BRACE) Centre.

Publications

Publications by category

Chapters (5)

  • Armstrong, N. (2021). Population-based screening for detection and prevention. Routledge International Handbook of Critical Issues in Health and Illness (pp. 82-94).
  • Armstrong, N. (2014). Screening for Disease: Challenges. (pp. 2096-2099). Wiley. ISBN 9781444330762.
  • Armstrong, N. (2025). Screening for Disease. (pp. 1-5). Wiley. ISBN 9781444330762.
  • Powell, J. and Armstrong, N. (2009). Involving Patients and the Public in E-Health Research. Patient-Centered E-Health (pp. 115-126). IGI Global.
  • In Cockerham, W.C., Dingwall, R. and Quah, S. (Eds.), (2014). The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society. In Wiley. ISBN 9781444330762.

Conference papers and proceedings (2)

  • Powell, J., Jennings, A., Armstrong, N., Sturt, J. and Dale, J. Pilot study of a virtual diabetes clinic: satisfaction and usability. .doi:10.1258/jtt.2009.003014
  • Armstrong, N., Powell, J., Hearnshaw, H. and Dale, J. Design of a trial of Internet-based self-management for diabetes. .doi:10.1258/135763307781645220

Journal articles (103)

  • Jeffers, S., Pilnick, A. and Armstrong, N. (2025). Disclosing the Decision to Decline Breast Screening and/or Breast Cancer Treatment Due to Concerns About Overdiagnosis and Overtreatment. Health Expectations, 28(5). doi:10.1111/hex.70468

    [publisher’s website]

  • Briggs, A.H., Ibbetson, A., Walters, A., Houchen-Wolloff, L., Armstrong, N., Emerson, T.... Evans, R.A. (2025). Clinical and cost-effectiveness of diverse posthospitalisation pathways for COVID-19: a UK evaluation using the PHOSP-COVID cohort. BMJ Open Respiratory Research, 12(1), pp. e003224-e003224. doi:10.1136/bmjresp-2025-003224

    [publisher’s website]

  • Mackintosh, N., Chew, S., Armstrong, N., Duncan, P., Hill, M., Kelly, T.... Tarrant, C. (2025). Working to support cultures of safety in maternity and neonatal services: a qualitative interview study with service leaders and unit/safety leads. Midwifery, 148, pp. 104461-104461. doi:10.1016/j.midw.2025.104461

    [publisher’s website]

  • Hastings, C., Finnikin, S., Treadwell, J., Tarrant, C. and Armstrong, N. (2025). Navigating ‘not doing’ in primary care: could more explicit guidelines on record keeping help to ease clinician anxiety? British Journal of General Practice, 75(755), pp. 277-279. doi:10.3399/bjgp25x742629

    [publisher’s website]

  • Harrad-Hyde, F., Williams, C. and Armstrong, N. (2025). Deteriorating care home residents as ‘matter out of place’ in both care homes and hospitals: An ethnographic study. Social Science & Medicine, 373, pp. 118012-118012. doi:10.1016/j.socscimed.2025.118012

    [publisher’s website]

  • Keshtkar, L., Bennett-Weston, A., Khan, A.S., Mohan, S., Jones, M., Nockels, K.... Howick, J. (2025). Impacts of Communication Type and Quality on Patient Safety Incidents. Annals of Internal Medicine, 178(5), pp. 687-700. doi:10.7326/annals-24-02904

    [publisher’s website]

  • Armstrong, N. and Taylor-Phillips, S. (2025). The problem with uptake as a quality metric for population-based screening programmes. BMJ Quality & Safety, 34(4), pp. 269-272. doi:10.1136/bmjqs-2024-017709

    [publisher’s website]

  • Pillay, T., Rivero-Arias, O., Armstrong, N., Seaton, S.E., Yang, M., Banda, V.L.... Boyle, E.M. (2025). Optimising neonatal services for very preterm births between 27+0 and 31+6 weeks gestation in England: the OPTI-PREM mixed-methods study. Health and Social Care Delivery Research pp. 1-126. doi:10.3310/jywc6538

    [publisher’s website]

  • Reed, J.E., Antonacci, G., Armstrong, N., Baker, G.R., Crowe, S., Harenstam, K.P.... Woodcock, T. (2025). What is improvement science, and what makes it different? An outline of the field and its frontiers. Frontiers in Health Services, 4. doi:10.3389/frhs.2024.1454658

    [publisher’s website]

  • Doe, G., Clanchy, J., Wathall, S., Barber, S., Edwards, S.A., Evans, H.... Evans, R.A. (2025). Investigating a structured diagnostic approach for chronic breathlessness in primary care: a mixed-methods feasibility cluster randomised controlled trial. BMJ Open Respiratory Research, 12(1), pp. e002716-e002716. doi:10.1136/bmjresp-2024-002716

    [publisher’s website]

  • Onolememen, O., Armstrong, N. and Tarrant, C. (2025). Patient safety improvement in the ear, nose and throat (ENT) speciality: a scoping review of improvement initiatives and involvement of frontline staff. IJQHC Communications. doi:10.1093/ijcoms/lyaf001

    [publisher’s website]

  • Jeffers, S., Pilnick, A. and Armstrong, N. (2024). Decisions to decline breast screening and/or breast cancer treatment based on the potential harms of overdiagnosis and overtreatment: a qualitative study. BMJ Open, 14(12), pp. e089155-e089155. doi:10.1136/bmjopen-2024-089155

    [publisher’s website]

  • Swancott, L., Armstrong, N., Roland, D., Walters, H.L. and Kirk, K. (2024). Emergency department workforces’ experiences and perceptions of well-being from an international perspective: a scoping review. BMJ Open, 14(7), pp. e087485-e087485. doi:10.1136/bmjopen-2024-087485

    [publisher’s website]

  • Overton, C., Tarrant, C., Creese, J. and Armstrong, N. (2024). Role of coproduction in the sustainability of innovations in applied health and social care research: a scoping review. BMJ Open Quality, 13(2), pp. e002796-e002796. doi:10.1136/bmjoq-2024-002796

    [publisher’s website]

  • Abel, K., Agnew, E., Amos, J., Armstrong, N., Armstrong-James, D., Ashfield, T.... Hope, W. (2024). System-wide approaches to antimicrobial therapy and antimicrobial resistance in the UK: the AMR-X framework. The Lancet Microbe, 5(5), pp. e500-e507. doi:10.1016/s2666-5247(24)00003-x

    [publisher’s website]

  • Thomas, S., Littleboy, K., Foubert, J., Nafilyan, V., Bannister, N., Routen, A.... Gordon, A.L. (2024). Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study. Age and Ageing, 53(4). doi:10.1093/ageing/afae071

    [publisher’s website]

  • Mant, J., Modi, R.N., Dymond, A., Armstrong, N., Burt, J., Calvert, P.... Williams, K. (2024). Randomised controlled trial of population screening for atrial fibrillation in people aged 70 years and over to reduce stroke: protocol for the SAFER trial. BMJ Open, 14(4), pp. e082047-e082047. doi:10.1136/bmjopen-2023-082047

    [publisher’s website]

  • Armstrong, N., Sutton, E., Chew, S. and Tarrant, C. (2024). Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification. BMJ Quality & Safety, 33(3), pp. 152-155. doi:10.1136/bmjqs-2023-016809

    [publisher’s website]

  • Cupit, C., Paton, A., Boyle, E., Pillay, T., Anderson, J. and Armstrong, N. (2024). Parenting through place‐of‐care disruptions: A qualitative study of parents' experiences of neonatal care. Health Expectations, 27(1). doi:10.1111/hex.13933

    [publisher’s website]

  • Clark, J.A., Smith, L.K. and Armstrong, N. (2024). Midwives' and obstetricians' practice, perspectives and experiences in relation to altered fetal movement: A focused ethnographic study. International Journal of Nursing Studies, 150, pp. 104643-104643. doi:10.1016/j.ijnurstu.2023.104643

    [publisher’s website]

  • Hoare, S., Thomas, G.P.A., Powell, A., Armstrong, N., Mant, J. and Burt, J. (2023). Why do people choose not to take part in screening? Qualitative interview study of atrial fibrillation screening nonparticipation. Health Expectations, 26(6), pp. 2216-2227. doi:10.1111/hex.13819

    [publisher’s website]

  • Paton, A., Cupit, C. and Armstrong, N. (2023). Organising work in neonatal transfer: Optimising place of care for babies born moderately preterm. Sociology of Health & Illness, 45(8), pp. 1634-1651. doi:10.1111/1467-9566.13656

    [publisher’s website]

  • Sutton, E., Armstrong, N., Locock, L., Conroy, S. and Tarrant, C. (2023). Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care. BMJ Quality & Safety, 32(10), pp. 600-607. doi:10.1136/bmjqs-2022-015162

    [publisher’s website]

  • Cupit, C., Paton, A., Boyle, E., Pillay, T. and Armstrong, N. (2023). Managerial thinking in neonatal care: a qualitative study of place of care decision-making for preterm babies born at 27–31 weeks gestation in England. BMJ Open, 12(6). doi:10.1136/bmjopen-2021-059428

    [publisher’s website]

  • Overton, C., Emerson, T., A Evans, R. and Armstrong, N. (2023). Responsive and resilient healthcare? ‘Moments of Resilience’ in post-hospitalisation services for COVID-19. BMC Health Services Research, 23(1). doi:10.1186/s12913-023-09645-8

    [publisher’s website]

  • Houchen-Wolloff, L., Overton, C., Ibbetson, A., Walters, A., Hastie, C., Gill, R.... Evans, R.A. (2023). A typology of healthcare pathways after hospital discharge for adults with COVID-19: the evolution of UK services during pandemic conditions. ERJ Open Research, 9(4), pp. 00565-2022. doi:10.1183/23120541.00565-2022

    [publisher’s website]

  • Doe, G.E., Williams, M.T., Chantrell, S., Steiner, M.C., Armstrong, N., Hutchinson, A.... Evans, R.A. (2023). Diagnostic delays for breathlessness in primary care: a qualitative study to investigate current care and inform future pathways. British Journal of General Practice, 73(731), pp. e468-e477. doi:10.3399/bjgp.2022.0475

    [publisher’s website]

  • Thomas, S., Machuel, P., Foubert, J., Nafilyan, V., Bannister, N., Colvin, H.... Gordon, A. (2023). Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting. BMJ Open, 13(5), pp. e067786-e067786. doi:10.1136/bmjopen-2022-067786

    [publisher’s website]

  • Tarrant, C., Lewis, R. and Armstrong, N. (2023). Polypharmacy and continuity of care: medicines optimisation in the era of multidisciplinary teams. BMJ Quality & Safety, 32(3), pp. 121-124. doi:10.1136/bmjqs-2022-015082

    [publisher’s website]

  • Ismail, A.Q.T., Boyle, E.M., Pillay, T., Boyle, E.M., Modi, N., Rivero-Arias, O.... Pillay, T. (2023). Clinical outcomes for babies born between 27 – 31 weeks of gestation: Should they be regarded as a single cohort? Journal of Neonatal Nursing, 29(1), pp. 27-32. doi:10.1016/j.jnn.2022.04.003

    [publisher’s website]

  • Mackintosh, N., Agarwal, S., Gong, Q.S., Briley, A., Sandall, J. and Armstrong, N. (2022). Curating the digital space: Structural gate-keeping and boundary work in maternity care. SSM - Qualitative Research in Health, 2, pp. 100145-100145. doi:10.1016/j.ssmqr.2022.100145

    [publisher’s website]

  • McCartney, M., Armstrong, N., Martin, G., Nunan, D., Richards, O. and Sullivan, F. (2022). ‘Delicate diagnosis’: avoiding harms in difficult, disputed, and desired diagnoses. British Journal of General Practice, 72(725), pp. 580-581. doi:10.3399/bjgp22x721349

    [publisher’s website]

  • Zubair, M., Bown, M.J. and Armstrong, N. (2022). Correction: Introducing multi-component cardiovascular health screening into existing Abdominal Aortic Aneurysm (AAA) screening programmes in the UK: a qualitative study of programme staff views. BMC Health Services Research, 22(1). doi:10.1186/s12913-022-08157-1

    [publisher’s website]

  • Zubair, M., Bown, M.J. and Armstrong, N. (2022). Introducing multi-component cardiovascular health screening into existing Abdominal Aortic Aneurysm (AAA) screening programmes in the UK: a qualitative study of programme staff views. BMC Health Services Research, 22(1). doi:10.1186/s12913-022-07975-7

    [publisher’s website]

  • Harrad-Hyde, F., Williams, C. and Armstrong, N. (2022). Hospital transfers from care homes: conceptualising staff decision-making as a form of risk work. Health, Risk & Society, 24(7-8), pp. 317-335. doi:10.1080/13698575.2022.2133094

    [publisher’s website]

  • Brown, K., Armstrong, N. and Potdar, N. (2022). Fertility preservation decisions in young women with breast cancer: a qualitative study of health care professionals’ views and experiences. Human Fertility, 25(5), pp. 903-911. doi:10.1080/14647273.2021.1933219

    [publisher’s website]

  • Martin, G.P. and Armstrong, N. (2022). Speaking up in resource-constrained settings: how to secure safe surgical care in the moment and in the future? BMJ Quality & Safety, 31(9), pp. 631-633. doi:10.1136/bmjqs-2021-014624

    [publisher’s website]

  • Williams, K., Modi, R.N., Dymond, A., Hoare, S., Powell, A., Burt, J.... SAFER Authorship Group, T. (2022). Cluster randomised controlled trial of screening for atrial fibrillation in people aged 70 years and over to reduce stroke: protocol for the pilot study for the SAFER trial. BMJ Open, 12(9), pp. e065066-e065066. doi:10.1136/bmjopen-2022-065066

    [publisher’s website]

  • Harrad-Hyde, F., Armstrong, N. and Williams, C.D. (2022). ‘Weighing up risks’: a model of care home staff decision-making about potential resident hospital transfers. Age and Ageing, 51(7). doi:10.1093/ageing/afac171

    [publisher’s website]

  • Hoare, S., Powell, A., Modi, R.N., Armstrong, N., Griffin, S.J., Mant, J.... Burt, J. (2022). Why do people take part in atrial fibrillation screening? Qualitative interview study in English primary care. BMJ Open, 12(3). doi:10.1136/bmjopen-2021-051703

    [publisher’s website]

  • Chew, S., Armstrong, N. and Martin, G.P. (2022). Understanding knowledge brokerage and its transformative potential: a Bourdieusian perspective. Evidence & Policy, 18(1), pp. 25-42. doi:10.1332/174426421x16149632470114

    [publisher’s website]

  • Harrad-Hyde, F., Armstrong, N. and Williams, C. (2022). Using advance and emergency care plans during transfer decisions: A grounded theory interview study with care home staff. Palliative Medicine, 36(1), pp. 200-207. doi:10.1177/02692163211059343

    [publisher’s website]

  • Cupit, C. and Armstrong, N. (2021). A win-win scenario? Restrictive policies from alternative standpoints. Journal of Health Organization and Management, 35(9), pp. 378-384. doi:10.1108/jhom-06-2021-0239

    [publisher’s website]

  • Doe, G., Clanchy, J., Wathall, S., Chantrell, S., Edwards, S., Baxter, N.... Evans, R.A. (2021). Feasibility study of a multicentre cluster randomised control trial to investigate the clinical and cost-effectiveness of a structured diagnostic pathway in primary care for chronic breathlessness: protocol paper. BMJ Open, 11(11), pp. e057362-e057362. doi:10.1136/bmjopen-2021-057362

    [publisher’s website]

  • Doe, G., Chantrell, S., Williams, M., Steiner, M.C., Armstrong, N., Hutchinson, A.... Evans, R.A. (2021). Breathless and awaiting diagnosis in UK lockdown for COVID-19…We’re stuck. npj Primary Care Respiratory Medicine, 31(1). doi:10.1038/s41533-021-00232-0

    [publisher’s website]

  • Cupit, C., Rankin, J. and Armstrong, N. (2021). Taking sides with patients using institutional ethnography. Journal of Organizational Ethnography, 10(1), pp. 21-35. doi:10.1108/joe-12-2019-0048

    [publisher’s website]

  • Armstrong, N. (2021). Overdiagnosis and overtreatment: a sociological perspective on tackling a contemporary healthcare issue. Sociology of Health & Illness, 43(1), pp. 58-64. doi:10.1111/1467-9566.13186

    [publisher’s website]

  • Paton, A., Armstrong, N., Smith, L. and Lotto, R. (2020). Parents’ decision-making following diagnosis of a severe congenital anomaly in pregnancy: Practical, theoretical and ethical tensions. Social Science & Medicine, 266, pp. 113362-113362. doi:10.1016/j.socscimed.2020.113362

    [publisher’s website]

  • Mackintosh, N., Agarwal, S., Adcock, K., Armstrong, N., Briley, A., Patterson, M.... (Sarah) Gong, Q. (2020). Online resources and apps to aid self-diagnosis and help seeking in the perinatal period: A descriptive survey of women's experiences. Midwifery, 90, pp. 102803-102803. doi:10.1016/j.midw.2020.102803

    [publisher’s website]

  • Sturdy, S., Miller, F., Hogarth, S., Armstrong, N., Chakraborty, P., Cressman, C.... Zappa, M. (2020). Half a Century of Wilson & Jungner: Reflections on the Governance of Population Screening. Wellcome Open Research, 5, pp. 158-158. doi:10.12688/wellcomeopenres.16057.2

    [publisher’s website]

  • Mackintosh, N. and Armstrong, N. (2020). Understanding and managing uncertainty in health care: revisiting and advancing sociological contributions. Sociology of Health & Illness, 42(S1), pp. 1-20. doi:10.1111/1467-9566.13160

    [publisher’s website]

  • Hinton, L. and Armstrong, N. (2020). ‘They don't know themselves, so how can they tell us?’: parents navigating uncertainty at the frontiers of neonatal surgery. Sociology of Health & Illness, 42(S1), pp. 51-68. doi:10.1111/1467-9566.13073

    [publisher’s website]

  • Cupit, C., Rankin, J., Armstrong, N. and Martin, G.P. (2020). Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices. Sociology of Health & Illness, 42(S1), pp. 114-129. doi:10.1111/1467-9566.12998

    [publisher’s website]

  • Pillay, T., Modi, N., Rivero-Arias, O., Manktelow, B., Seaton, S.E., Armstrong, N.... Boyle, E.M. (2019). Optimising neonatal service provision for preterm babies born between 27 and 31 weeks gestation in England (OPTI-PREM), using national data, qualitative research and economic analysis: a study protocol. BMJ Open, 9(8), pp. e029421-e029421. doi:10.1136/bmjopen-2019-029421

    [publisher’s website]

  • Armstrong, N. (2019). Navigating the uncertainties of screening: the contribution of social theory. Social Theory & Health, 17(2), pp. 158-171. doi:10.1057/s41285-018-0067-4

    [publisher’s website]

  • McEwan, H., Baker, R., Armstrong, N. and Banerjee, J. (2018). A qualitative study of the determinants of adherence to NICE falls guideline in managing older fallers attending an emergency department. International Journal of Emergency Medicine, 11(1). doi:10.1186/s12245-018-0192-9

    [publisher’s website]

  • Armstrong, N. and Swinglehurst, D. (2018). Understanding medical overuse: the case of problematic polypharmacy and the potential of ethnography. Family Practice, 35(5), pp. 526-527. doi:10.1093/fampra/cmy022

    [publisher’s website]

  • Brewster, L., Tarrant, C., Willars, J. and Armstrong, N. (2018). Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. BMJ Quality & Safety, 27(8), pp. 625-632. doi:10.1136/bmjqs-2017-006970

    [publisher’s website]

  • Armstrong, N. (2018). Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Quality & Safety, 27(7), pp. 571-575. doi:10.1136/bmjqs-2017-007571

    [publisher’s website]

  • Lotto, R., Smith, L.K. and Armstrong, N. (2018). Diagnosis of a severe congenital anomaly: A qualitative analysis of parental decision making and the implications for healthcare encounters. Health Expectations, 21(3), pp. 678-684. doi:10.1111/hex.12664

    [publisher’s website]

  • Chew, S., Brewster, L., Tarrant, C., Martin, G. and Armstrong, N. (2018). Fidelity or flexibility: An ethnographic study of the implementation and use of the Patient Activation Measure. Patient Education and Counseling, 101(5), pp. 932-937. doi:10.1016/j.pec.2017.12.012

    [publisher’s website]

  • Cupit, C., Mackintosh, N. and Armstrong, N. (2018). Using ethnography to study improving healthcare: reflections on the ‘ethnographic’ label. BMJ Quality & Safety, 27(4), pp. 258-260. doi:10.1136/bmjqs-2017-007599

    [publisher’s website]

  • Armstrong, N., Brewster, L., Tarrant, C., Dixon, R., Willars, J., Power, M.... Dixon-Woods, M. (2018). Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Social Science & Medicine, 198, pp. 157-164. doi:10.1016/j.socscimed.2017.12.033

    [publisher’s website]

  • Tincello, D.G., Armstrong, N., Hilton, P., Buckley, B. and Mayne, C. (2018). Surgery for recurrent stress urinary incontinence: the views of surgeons and women. International Urogynecology Journal, 29(1), pp. 45-54. doi:10.1007/s00192-017-3376-6

    [publisher’s website]

  • Lotto, R., Smith, L.K. and Armstrong, N. (2017). Clinicians’ perspectives of parental decision-making following diagnosis of a severe congenital anomaly: a qualitative study. BMJ Open, 7(5), pp. e014716-e014716. doi:10.1136/bmjopen-2016-014716

    [publisher’s website]

  • Armstrong, N. and Kenyon, S. (2017). When choice becomes limited: Women’s experiences of delay in labour. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 21(2), pp. 223-238. doi:10.1177/1363459315617311

    [publisher’s website]

  • Aveling, E.-.L., Martin, G., Herbert, G. and Armstrong, N. (2017). Optimising the community-based approach to healthcare improvement: Comparative case studies of the clinical community model in practice. Social Science & Medicine, 173, pp. 96-103. doi:10.1016/j.socscimed.2016.11.026

    [publisher’s website]

  • Lotto, R., Armstrong, N. and Smith, L.K. (2016). Care provision during termination of pregnancy following diagnosis of a severe congenital anomaly – A qualitative study of what is important to parents. Midwifery, 43, pp. 14-20. doi:10.1016/j.midw.2016.10.003

    [publisher’s website]

  • Armstrong, N., Shaw, E., McColl, E., Tincello, D.G. and Hilton, P. (2016). Trial participation as avoidance strategy: a qualitative study. Health Expectations, 19(6), pp. 1346-1354. doi:10.1111/hex.12437

    [publisher’s website]

  • Hilton, P., Bryant, A., Howel, D., McColl, E., Shen, J., Homer, T.... Armstrong, N. (2016). Re: Hilton P, Bryant A, Howel D, McColl E, Buckley BS, Lucas MG, et al. Assessing professional equipoise and views about a future clinical trial of invasive urodynamics prior to surgery for stress urinary incontinence in women: A survey within a mixed methods feasibility study. Neurourol Urodyn. 2012;31(8):1223–30. Neurourology and Urodynamics, 35(6), pp. 750-751. doi:10.1002/nau.22778

    [publisher’s website]

  • Armstrong, N., Herbert, G. and Brewster, L. (2016). Contextual barriers to implementation in primary care: an ethnographic study of a programme to improve chronic kidney disease care. Family Practice, 33(4), pp. 426-431. doi:10.1093/fampra/cmw049

    [publisher’s website]

  • Gourna, E.G., Armstrong, N. and Wallace, S.E. (2016). Compare and contrast: a cross-national study across UK, USA and Greek experts regarding return of incidental findings from clinical sequencing. European Journal of Human Genetics, 24(3), pp. 344-349. doi:10.1038/ejhg.2015.132

    [publisher’s website]

  • Tarrant, C., Jackson, C., Dixon‐Woods, M., McNicol, S., Kenyon, S. and Armstrong, N. (2015). Consent revisited: the impact of return of results on participants' views and expectations about trial participation. Health Expectations, 18(6), pp. 2042-2053. doi:10.1111/hex.12371

    [publisher’s website]

  • Hilton, P., Armstrong, N., Brennand, C., Howel, D., Shen, J., Bryant, A.... McColl, E. (2015). A mixed methods study to assess the feasibility of a randomised controlled trial of invasive urodynamic testing versus clinical assessment and non-invasive tests prior to surgery for stress urinary incontinence in women: the INVESTIGATE-I study. Trials, 16(1). doi:10.1186/s13063-015-0928-2

    [publisher’s website]

  • Brewster, L., Tarrant, C. and Armstrong, N. (2015). ‘Patient activation’ as an outcome measure for primary care? Family Practice, 32(5), pp. 481-482. doi:10.1093/fampra/cmv054

    [publisher’s website]

  • Martin, G.P., Armstrong, N., Aveling, E.-.L., Herbert, G. and Dixon-Woods, M. (2015). Professionalism Redundant, Reshaped, or Reinvigorated? Realizing the “Third Logic” in Contemporary Health Care. Journal of Health and Social Behavior, 56(3), pp. 378-397. doi:10.1177/0022146515596353

    [publisher’s website]

  • Hilton, P., Armstrong, N., Brennand, C., Howel, D., Shen, J., Bryant, A.... McColl, E. (2015). INVESTIGATE-I (INVasive Evaluation before Surgical Treatment of Incontinence Gives Added Therapeutic Effect?): a mixed-methods study to assess the feasibility of a future randomised controlled trial of invasive urodynamic testing prior to surgery for stress urinary incontinence in women. Health Technology Assessment, 19(15), pp. 1-274. doi:10.3310/hta19150

    [publisher’s website]

  • Armstrong, N. and Hilton, P. (2014). Doing diagnosis: Whether and how clinicians use a diagnostic tool of uncertain clinical utility. Social Science & Medicine, 120, pp. 208-214. doi:10.1016/j.socscimed.2014.09.032

    [publisher’s website]

  • Gourna, E.G., Armstrong, N. and Wallace, S.E. (2014). Incidental findings from clinical sequencing in Greece: reporting experts’ attitudes. Journal of Community Genetics, 5(4), pp. 383-393. doi:10.1007/s12687-014-0194-0

    [publisher’s website]

  • Chen, J.Y., Eborall, H. and Armstrong, N. (2014). Stakeholders’ positions in the breast screening debate, and media coverage of the debate: a qualitative study. Critical Public Health, 24(1), pp. 62-72. doi:10.1080/09581596.2013.788787

    [publisher’s website]

  • Kenyon, S., Armstrong, N., Johnston, T., Walkinshaw, S., Petrou, S., Howman, A.... Waugh, J. (2013). Standard‐ or high‐dose oxytocin for nulliparous women with confirmed delay in labour: quantitative and qualitative results from a pilot randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology, 120(11), pp. 1403-1412. doi:10.1111/1471-0528.12331

    [publisher’s website]

  • Armstrong, N., Herbert, G., Aveling, E., Dixon‐Woods, M. and Martin, G. (2013). Optimizing patient involvement in quality improvement. Health Expectations, 16(3). doi:10.1111/hex.12039

    [publisher’s website]

  • Chew, S., Armstrong, N. and Martin, G. (2013). Institutionalising knowledge brokering as a sustainable knowledge translation solution in healthcare: how can it work in practice? Evidence & Policy, 9(3), pp. 335-351. doi:10.1332/174426413x662734

    [publisher’s website]

  • Armstrong, N., Jackson, C.J., McNicol, S., Dixon-Woods, M., Kenyon, S. and Tarrant, C. (2013). Unblinding following trial participation: Qualitative study of participants’ perspectives. Clinical Trials, 10(1), pp. 97-103. doi:10.1177/1740774512464726

    [publisher’s website]

  • Aveling, E.-.L., Martin, G., Jiménez García, S., Martin, L., Herbert, G., Armstrong, N.... Woolhouse, I. (2012). Reciprocal peer review for quality improvement: an ethnographic case study of the Improving Lung Cancer Outcomes Project. BMJ Quality & Safety, 21(12), pp. 1034-1041. doi:10.1136/bmjqs-2012-000944

    [publisher’s website]

  • Armstrong, N., Baines, D., Baker, R., Crossman, R., Davies, M., Hardy, A.... Wilson, A. (2012). A cluster randomized controlled trial of the effectiveness and cost-effectiveness of Intermediate Care Clinics for Diabetes (ICCD): study protocol for a randomized controlled trial. Trials, 13(1). doi:10.1186/1745-6215-13-164

    [publisher’s website]

  • Hilton, P., Bryant, A., Howel, D., McColl, E., Buckley, B.S., Lucas, M.... Armstrong, N. (2012). Assessing professional equipoise and views about a future clinical trial of invasive urodynamics prior to surgery for stress urinary incontinence in women: A survey within a mixed methods feasibility study. Neurourology and Urodynamics, 31(8), pp. 1223-1230. doi:10.1002/nau.22328

    [publisher’s website]

  • Armstrong, N., Dixon‐Woods, M., Thomas, A., Rusk, G. and Tarrant, C. (2012). Do informed consent documents for cancer trials do what they should? A study of manifest and latent functions. Sociology of Health & Illness, 34(8), pp. 1230-1245. doi:10.1111/j.1467-9566.2012.01469.x

    [publisher’s website]

  • Armstrong, N., James, V. and Dixon-Woods, M. (2012). The role of primary care professionals in women's experiences of cervical cancer screening: a qualitative study. Family Practice, 29(4), pp. 462-466. doi:10.1093/fampra/cmr105

    [publisher’s website]

  • (2012). The Sociology of Medical Screening. . doi:10.1002/9781118234358

    [publisher’s website]

  • Armstrong, N., Koteyko, N. and Powell, J. (2012). ‘Oh dear, should I really be saying that on here?’: Issues of identity and authority in an online diabetes community. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 16(4), pp. 347-365. doi:10.1177/1363459311425514

    [publisher’s website]

  • Aveling, E., Martin, G., Armstrong, N., Banerjee, J. and Dixon‐Woods, M. (2012). Quality improvement through clinical communities: eight lessons for practice. Journal of Health Organization and Management, 26(2), pp. 158-174. doi:10.1108/14777261211230754

    [publisher’s website]

  • Armstrong, N. and Murphy, E. (2012). Conceptualizing resistance. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 16(3), pp. 314-326. doi:10.1177/1363459311416832

    [publisher’s website]

  • Armstrong, N. and Eborall, H. (2012). The sociology of medical screening: past, present and future. Sociology of Health & Illness, 34(2), pp. 161-176. doi:10.1111/j.1467-9566.2011.01441.x

    [publisher’s website]

  • Murdoch, M., McColl, E., Howel, D., Deverill, M., Buckley, B.S., Lucas, M.... Hilton, P. (2011). INVESTIGATE-I (INVasive Evaluation before Surgical Treatment of Incontinence Gives Added Therapeutic Effect?): study protocol for a mixed methods study to assess the feasibility of a future randomised controlled trial of the clinical utility of invasive urodynamic testing. Trials, 12(1). doi:10.1186/1745-6215-12-169

    [publisher’s website]

  • O'Reilly, M., Armstrong, N. and Dixon-Woods, M. (2009). Subject positions in research ethics committee letters: a discursive analysis. Clinical Ethics, 4(4), pp. 187-194. doi:10.1258/ce.2009.009027

    [publisher’s website]

  • Armstrong, N. and Powell, J. (2009). Patient perspectives on health advice posted on Internet discussion boards: a qualitative study. Health Expectations, 12(3), pp. 313-320. doi:10.1111/j.1369-7625.2009.00543.x

    [publisher’s website]

  • Jennings, A., Powell, J., Armstrong, N., Sturt, J. and Dale, J. (2009). A Virtual Clinic for Diabetes Self-Management: Pilot Study. Journal of Medical Internet Research, 11(1). doi:10.2196/jmir.1111

    [publisher’s website]

  • Armstrong, N. and Murphy, E. (2008). Weaving meaning? An exploration of the interplay between lay and professional understandings of cervical cancer risk. Social Science & Medicine, 67(7), pp. 1074-1082. doi:10.1016/j.socscimed.2008.06.022

    [publisher’s website]

  • Armstrong, N. and Powell, J. (2008). Preliminary test of an Internet-based diabetes self-management tool. Journal of Telemedicine and Telecare, 14(3), pp. 114-116. doi:10.1258/jtt.2008.003002

    [publisher’s website]

  • Armstrong, N., Hearnshaw, H., Powell, J. and Dale, J. (2007). Stakeholder Perspectives on the Development of a Virtual Clinic for Diabetes Care: Qualitative Study. Journal of Medical Internet Research, 9(3), pp. e23-e23. doi:10.2196/jmir.9.3.e23

    [publisher’s website]

  • Armstrong, N. (2007). Discourse and the individual in cervical cancer screening. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 11(1), pp. 69-85. doi:10.1177/1363459307070804

    [publisher’s website]

  • Armstrong, N. (2005). Resistance through risk: Women and cervical cancer screening. Health, Risk & Society, 7(2), pp. 161-176. doi:10.1080/13698570500108644

    [publisher’s website]

Other

  • Armstrong, N. and Eborall, H.(2012). The Sociology of Medical Screening: Past, Present and Future.

    [Wiley]

Professional activities

Editorial activity (2)

  • Natalie has been part of the editorial team at the journal BMJ Quality & Safety since 2012, first as an Associate Editor and most recently as a Senior Editor. She has also been an Associate Editor at the journal Family Practice., Senior Editor, 2012 - present.
  • Natalie has twice been selected through a competitive process to edit the annual special issue monograph of the journal Sociology of Health & Illness. She worked with Helen Eborall to edit a special issue titled ‘The Sociology of Medical Screening: Critical Perspectives, New Directions’ published in 2012, and with Nici Mackintosh to edit another titled ‘Understanding and Managing Uncertainty in Healthcare: Revisiting and Advancing Sociological Contributions’ published in 2020., Special Issue Editor.

Keynote lectures/speeches (10)

  • The challenges of avoiding overuse by ‘not doing’. Cambridge (2024). The Healthcare Improvement Studies Institute Annual Conference (THIS Space)
  • The importance of organisational contexts and how they influence what does (and doesn’t) happen within healthcare. Copenhagen (2023). Preventing Overdiagnosis Conference
  • Panel Discussion: Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. Copenhagen (2023). International Forum on Quality & Safety in Healthcare
  • Doing less in healthcare: the challenges of recognizing and tackling overuse. Bradford (2020). Yorkshire Quality and Safety Research Group
  • Navigating the uncertainties of screening: problems of overdiagnosis and overtreatment. Linkoping, Sweden (2019). Symposium: Screening across the Life Span
  • A Sociological Perspective on Overdiagnosis and Overtreatment. Cardiff University (2018). School of Healthcare Sciences
  • Doing Less: Overdiagnosis and Overtreatment. Bangor (2018). The Cost of (NO) Improvement: Launch of the Betsi Cadwaladr University Health Board Quality Improvement Hub
  • Panel Discussion: Using ethnography to study improving healthcare: reflections on the ‘ethnographic’ label. Nottingham (2018). Health Services Research UK
  • Fidelity or flexibility: An ethnographic study of the implementation and use of the Patient Activation Measure. Cardiff University (2017). Cardiff Business School
  • Navigating the uncertainties of screening. Geneva (2016). European Society for Health and Medical Sociology

Help us to improve this page

City St George's, University of London

The University of business, practice and the professions


University Systems

  • Moodle
  • Canvas
  • Clerkenwell and Moorgate email
  • Tooting email

Resources

  • Clerkenwell and Moorgate library
  • Tooting library
  • Book a room

Information

  • Term dates
  • Schools and departments
  • Freedom of Speech

Contact us

Make an enquiry

  • X
  • Facebook
  • Instagram
  • LinkedIn
  • YouTube
  • TikTok
  • Weibo

Find us

City St George's, University of London
Northampton Square
London EC1V 0HB
United Kingdom

Campuses

  • Clerkenwell campus
  • Moorgate campus
  • Tooting campus

Awards and accreditations

  • TEF Silver Award logo
  • Ofsted, good provider
  • Athena SWAN Bronze Award logo
  • Stonewall Silver award logo
  • Athena Race Equility Charter Bronze Award logo
  • Disability confident employers logo

Useful links

  • Accessibility
  • Privacy policy
  • Cookies
  • City St George's Store
  • Support City St George's
  • Work for City St George's
  • The Edit
  • 中文

© 2026 City St George's, University of London

University of London
Back to top