Dr Rebecca Elizabeth Payne
Clinical Senior Lecturer
Additional Contact Information
My research interests lie in how technology can support the delivery of primary care (in and out of hours). I have particular interest in the safety aspects of telephone and video consultations, as well as in the important question as to how the patient accesses medication after a remote consultation.
This research interest builds on my clinical and leadership career in the same sector. Previous roles include Unscheduled Primary Care Clinical Director, Aneurin Bevan University Healthboard and National Professional Advisor on Urgent Primary Care to the Care Quality Commission. I have worked as an out of hours GP since 2008, working in both Wales and Scotland. I have also worked as a GP for a private provider of video consultations, and during the pandemic was seconded to be the National Primary Care Clinical Lead for the roll out of video consultations in Wales. Drawing on these experiences, I led work on the quality and safety themes of the Remote by Default 2 study, and lead the REMEDY project, exploring technological solutions for access to urgently required medication after a telephone consultation.
In addition to my research role, I am a salaried GP for NHS Orkney, working on a rotational basis as a remote island doctor on the isle of Hoy and in GP Out of Hours on Orkney Mainland. I chair NICE’s Quality Standards Committee. I am a qualified coach.
Qualifications
- PhD: Virtual consults: Real consequences
2025 - MSc: Public Health (distinction)
King's College London, 2022 - Professional: MBBch (honours)
University of Wales, College of Medicine, 2001
Postgraduate Project Opportunities
I am willing to supervise a PhD
Publications
2025
- PublishedCommunication settings and skills for video consultation in primary care
Payne, R. E., Kirk, U. B. & King, K., 3 Jul 2025, Remote Consultation in Primary Care. Demurtas, J. (ed.). Springer, p. 87 99 p.
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review - PublishedConsultation Structure and Models
Payne, R. E. & Kirk, U. B., 3 Jul 2025, Remote Consultation in Primary Care. Demurtas, J. (ed.). Springer, p. 101-111
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review - E-pub ahead of printDigital maturity: towards a strategic approach
Greenhalgh, T. & Payne, R., 2 May 2025, (E-pub ahead of print) In: British Journal of General Practice. 75, 754, p. 200-202 3 p.
Research output: Contribution to journal › Article › peer-review - PublishedHow to make remote consultation safer
Saul, H., Cassidy, S., Swaithes, L., Greenhalgh, T. & Payne, R. E., 23 Jan 2025, In: BMJ. 388, q2526
Research output: Contribution to journal › Article › peer-review - PublishedMind the (widening) gap: why public health must engage with AI now
del Rey Puech, P., Payne, R., Saund, J. & McKee, M., 12 Nov 2025, In: BMC Public Health. 250, 106047.
Research output: Contribution to journal › Article › peer-review - E-pub ahead of printMitigating health inequalities in rural European communities through collaborative primary care research: A position paper of the WONCA Europe network EURIPA
Dolan, M., Petrazzuoli, F., Wynn-Jones, J., Fosse, A., Clark, C. E., Falanga, R., Dumitra, G. G., Gussy, M., Lionis, C., Colosio, C., Payne, R., Kenkre, J., Javorská, K., Tsiligianni, I., Kurpas, D., Halata, D., Glynn, L. & Sanders, T., 24 Nov 2025, (E-pub ahead of print) In: The European journal of general practice. 31, 1, 2585560 .
Research output: Contribution to journal › Article › peer-review - PublishedPoint-of-care C-reactive protein testing in general practice out-of-hours services: tool or trap?
Payne, R., Mills, S., Wilkinson, C. & Hansen, M. P., 28 Aug 2025, In: British Journal of General Practice. 75, 758, p. 388-389 2 p.
Research output: Contribution to journal › Editorial › peer-review - PublishedPrimary care video consulting: a view from Northern Europe.
Payne, R., Kirk, U. B., Nymberg, V. M., Sandal, N., Huibers, L. & Hvidt, E. A., 1 Jun 2025, In: British Journal of General Practice. 75, 755, p. 281-284 4 p.
Research output: Contribution to journal › Article › peer-review - E-pub ahead of printRemote consulting
Payne, R., Raman, K. & Walker, D. P., 5 May 2025, (E-pub ahead of print) In: InnovAiT: Education and inspiration for general practice.
Research output: Contribution to journal › Article › peer-review - PublishedSafety and unintended consequences
Kirk, U. B., Payne, R. E., Ferreira, A., Rochfort, A. & Matillya, N., 29 Aug 2025, Digital Health for Primary Care. Neves, A. L. & Laranjo, L. (eds.). Taylor & Francis
Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review - PublishedTechnostress, technosuffering and relational strain in contemporary general practice
Dakin, F., Hemmings, N., Kalin, A., Moore, L., Ladds, E., Payne, R. E., Rosen, R., Byng, R., Wherton, J., Wieringa, S. & Greenhalgh, T., 8 Jan 2025, In: British Journal of General Practice.
Research output: Contribution to journal › Article › peer-review
2024
- PublishedAfter the teleconsultation: getting medicines to patients when pharmacy services are not available
Payne, R., Lodge, A., Mackridge, A., O'Keeffe, D., Swann, N., Clarke, A., Schmidt, J., Allen, T., Sloan, C. & Bond, C., Sept 2024, In: British Journal of General Practice. 74, 746, p. 422-425 4 p.
Research output: Contribution to journal › Article › peer-review - Published‘A tool for every job’: use of video in urgent primary care
Kirk, U. B., Payne, R., Tweedie, J.-A. & Huibers, L., Oct 2024, In: British Journal of General Practice. 74, 747, p. 443–444 2 p.
Research output: Contribution to journal › Editorial › peer-review - E-pub ahead of printChallenges to quality in contemporary, hybrid general practice: a multi-site longitudinal case study
Payne, R. E., Dakin, F., MacIver, E., Swann, N., Pring, T., Clarke, A., Kalin, A., Moore, L., Ladds, E., Wherton, J., Rybczynska-Bunt, S., Husain, L., Hemmings, N., Wieringa, S. & Greenhalgh, T., 18 Nov 2024, (E-pub ahead of print) In: British Journal of General Practice. 0184.
Research output: Contribution to journal › Article › peer-review - PublishedDo new models of primary care risk exacerbating existing inequality?
Payne, R., MacIver, E. & Clarke, A., Oct 2024, In: British Journal of General Practice. 74, 747, p. 436-437 2 p.
Research output: Contribution to journal › Editorial › peer-review - PublishedMaking remote healthcare safer
Greenhalgh, T., Payne, R. & McCabe, F., 29 Feb 2024, In: International Journal for Quality in Health Care. 36, 1, mzae023.
Research output: Contribution to journal › Editorial › peer-review - PublishedMedia depictions of primary care teleconsultation safety: a thematic analysis of UK newspapers
Song, K., Hey, M. & Payne, R., Oct 2024, In: British Journal of General Practice. 74, 747, p. e695–e701
Research output: Contribution to journal › Article › peer-review - PublishedMuscle weakness post-COVID: a practical guide for primary care
Payne, R. E., Pring, T., Hey, M., Payne, G. & Greenhalgh, T., 1 Dec 2024, In: British Journal of General Practice. 74, 749, p. 573-575 3 p.
Research output: Contribution to journal › Article › peer-review - PublishedPatient involvement in developing clinical guidelines
Greenhalgh, T., Misak, C., Payne, R. E. & Swann, N., Nov 2024, In: BMJ. 2024, 387, 2433.
Research output: Contribution to journal › Editorial › peer-review - PublishedPatient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis
Payne, R., Clarke, A., Swann, N., van Dael, J., Brenman, N., Rosen, R., Mackridge, A., Moore, L., Kalin, A., Ladds, E., Hemmings, N., Rybczynska-Bunt, S., Faulkner, S., Hanson, I., Spitters, S., Wieringa, S., Dakin, F. H., Shaw, S. E., Wherton, J. & Byng, R. & 2 others, Husain, L. & Greenhalgh, T., 16 Aug 2024, In: BMJ Quality & Safety. 33, 9, p. 573-586 14 p.
Research output: Contribution to journal › Article › peer-review - E-pub ahead of printTeaching patient safety in remote consulting
King, K. & Payne, R., 16 Sept 2024, (E-pub ahead of print) In: Education for Primary Care. 4 p.
Research output: Contribution to journal › Article › peer-review - PublishedTen tips to carry out video consultations in nephrology
Woywodt, A., Payne, R. E., Huuskes, B. M. & Hezer, B., Oct 2024, In: Clinical kidney journal. 17, 10, 9 p., sfae287.
Research output: Contribution to journal › Article › peer-review - PublishedThe place of remote consultation in modern general practice
Payne, R. & Dakin, F., Jan 2024, In: British Journal of General Practice. 74, 738, p. 7–8
Research output: Contribution to journal › Editorial › peer-review - PublishedTraining needs for staff providing remote services in general practice: a mixed-methods study
Greenhalgh, T., Payne, R., Hemmings, N., Leach, H., Hanson, I., Khan, A., Miller, L., Ladds, E., Clarke, A., Shaw, S. E., Dakin, F., Wieringa, S., Rybczynska-Bunt, S., Faulkner, S. D., Byng, R., Kalin, A., Moore, L., Wherton, J., Husain, L. & Rosen, R., Jan 2024, In: British Journal of General Practice. 74, 738, p. e17–e26
Research output: Contribution to journal › Article › peer-review - PublishedVideo consulting for GP trainees
Leach, H., Payne, R., Hanson, I. & King, K., Mar 2024, In: InnovAiT: Education and inspiration for general practice. 17, 3, p. 113–117
Research output: Contribution to journal › Article › peer-review
2023
- PublishedHow and why are video consultations used in urgent primary care settings in the UK? A focus group study
Payne, R. E. & Clarke, A., Sept 2023, In: BJGP open. 7, 3, 11 p.
Research output: Contribution to journal › Article › peer-review
2008
- PublishedRugby (the religion of Wales) and its influence on the Catholic church: should Pope Benedict XVI be worried?
Payne, G. C., Payne, R. E. & Farewell, D. M., 1 Dec 2008, In: BMJ. 337, p. a2768 2 p.
Research output: Contribution to journal › Article › peer-review
Activities
2025
- AI in healthcare: secretary not physician
Digidol AI 2025
10 Dec 2025
Activity: Invited talk (Speaker) - Equality and Diversity for Managers
Dec 2025
Activity: Participation in Academic workshop, seminar, course (Participant) - Visual distortion in clinical images: safety risks and research in digital care
Presentation to the European Digital Primary Care Learning Lunch
Dec 2025 →
Activity: Invited talk (Speaker) - You can add tech, but you can't replace people. Unexpected learnings from a Churchill Fellowship
Invited talk to the rural service network
26 Nov 2025
Activity: Invited talk (Speaker) - AI in primary care (OOH included!): Secretary not physician
Invited talk at the winter meeting of EUROOHNET - European OOH research network
24 Nov 2025
Activity: Oral presentation (Speaker) - CRP in GPOOH, tool or trap?
Presentation at the winter meeting of the European OOH research network, EUROOHNET
24 Nov 2025
Activity: Oral presentation (Speaker) - Gwenllian Wynne-Jones
Hosted Gwenllian as she visited for the NWMS research seminar
Nov 2025
Activity: Hosting an academic visitor (Host) - Aarhus University
Visit to the faculty of public health
Oct 2025 →
Activity: Visiting an external academic institution (Visiting researcher) - From remote consulting to remote practice
Invited talk to the faculty of public health
Oct 2025
Activity: Invited talk (Speaker) - General practice in Wales, evidence summary
Talk to the national primary care assistant medical director group
Sep 2025 →
Activity: Invited talk (Speaker) - Patient safety in remote primary care encounters: key findings and getting the messages out
Talk at the European digital primary care learning lunch
May 2025 →
Activity: Invited talk (Speaker) - Bangor University Health Services Research Summer School Guest Lecture
2025
Activity: Participation in Academic workshop, seminar, course (Speaker) - Journal of Health Services Research and Policy (Journal)
Associate Editor
2025 →
Activity: Editorial activity (Editorial board member) - Looking for the REMEDY
Oral presentation at the EURIPA
2025 →
Activity: Oral presentation (Speaker) - Remote consulting
Talk to the All Wales Palliative Care Group
2025 →
Activity: Invited talk (Speaker)
2024
- Lunchtime learning events in digital primary, community and urgent care
2024 →
Activity: Participation in Academic workshop, seminar, course (Speaker) - Patient safety in remote encounters, combined Safety I and Safety II analysis
Presentation at SAPC South West
2024 →
Activity: Oral presentation (Speaker) - Remote and Resilient, a GP's Adventures in the Falkland Islands
2024
Activity: Invited talk (Speaker) - Risks to patient safety in remote consulting
Presentation at the BJGP Conference 2024, awarded Senior Researcher prize
2024
Activity: Oral presentation (Speaker)
2006
- Remote consulting, now and in the future
Invited Keynote at the IX Conference of the Association of Family Physicians of South Eastern Europe
30 Jun 2006
Activity: Invited talk (Speaker)