Contact details
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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- (2012). The Sociology of Medical Screening. . doi:10.1002/9781118234358
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Armstrong, N. (2005). Resistance through risk: Women and cervical cancer screening. Health, Risk & Society, 7(2), pp. 161-176. doi:10.1080/13698570500108644
Other
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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