Dr Frazer Underwood


Dr Frazer Underwood

Honorary Associate Clinical Professor

School of Nursing and Midwifery (Faculty of Health)

Honorary Associate Clinical Professor 

Associate Clinical Professor | Consultant Nurse - Older People and Intermediate Care | Associate Director for Nursing, Midwifery and Allied Health Professions Research and Evidence Informed Care - Royal Cornwall Hospitals NHS Trust
Chief Nursing Officer for NMHAPs - NIHR South West Peninsular Clinical Research Network
NIHR 70@70 Senior Research Leader


PhD Applied Health Research
MA Applied Health Studies (Research)
Registered Nurse
Independent Nurse Prescriber (and Designated Prescribing Supervisor)
I have worked extensively in nursing older peoples care for over 30 years, across acute hospital services, intermediate care, rehabilitation, community services and in the care home sector.
In 2020 I completed my PhD with the University of Plymouth, developing the concept of confidence experienced by older people living with frailty. I am now building a postdoctoral clinical academic career researching the concept of confidence with older people living with frailty and the workforce around them.
I am Joint Director of the South West Clinical School in Cornwall with Professor Jill Shawe, leading the growth and development of local clinical academics across nursing, midwifery and the allied health professions working in Royal Cornwall NHS Trust and Cornwall Partnership NHS Foundation Trust.
I am a trained NHS Trust Innovation Leader.

Professional membership

Royal College of Nursing
British Geriatric Society
Higher Education Academy – Associate Fellow

Roles on external bodies

British Geriatric Society Member


Teaching interests

I lead and teach on the Cornwall Chief Nurses Research Fellowship Programme, a yearlong programme developing junior nurses, midwives and allied health professionals deliver evidence informed practice-based projects (using the JBI Evidence Implementation Model), gain research delivery exposure and experience and plan ffor future clinical academic careers.My other teaching interests include older people and frailty care, rehabilitation nursing, nursing leadership and change management, innovation in healthcare, technology in health care, qualitative research methodology, evidence synthesis and implementation.


Research interests

My research interests are broad and wide, and include older peoples care, intermediate care, rehabilitation nursing, patient experience, digital adoption, evidence synthesis, implementation science, postdoctoral lived experience, research strategy and service delivery.
Research methods interest include qualitative systematic reviews, scoping reviews, concept analysis, interpretive phenomenology (van Manen), method triangulation.

Creative practice & artistic projects

University of Plymouth 'Images of Research' competition winner for best image 2018 


Underwood, F., Latour, J.M. & Kent, B. (2021) The meaning of confidence from the perspective of older people living with frailty: a conceptual void within intermediate care services, Age and Ageing. DOI: https://doi.org/10.1093/ageing/afab109Baines, R., Underwood, F., O’Keeffe, K., Saunders, J. & Jones, R.B. (2021) Implementing online patient feedback in a ‘special measures’ acute hospital: A case study using Normalisation Process Theory. Digital Health, 7, 20552076211005962. DOI: https://doi.org/10.1177/20552076211005962

Underwood, F., Dickinson, L., O'Keeffe, K. & George, B. (2020) Strengthening quality assurance by implementing an evidence-based revision of a ward accreditation programme. Nursing Management. DOI: 10.7748/nm.2020.e1957

Underwood, F. (2020) The concept of confidence of older people living with frailty and implications for practice. PhD thesis. University of Plymouth. Available at: https://pearl.plymouth.ac.uk/handle/10026.1/16211

Underwood, F, Latour, JM, Kent, B. (2020) A concept analysis of confidence related to older people living with frailty. Nursing Open, 7: 742– 750. DOI: 10.1002/nop2.446

Lyndon, H., Underwood, F., Latour, J. M., Marsden J., Brown, A. & Kent, B. (2019) Effectiveness of nurse-coordinated, person-centered comprehensive assessment on improving quality of life of community-dwelling frail older people: a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, DOI: 10.11124/jbisrir-d-19-00082

Underwood, F. and Balin-Bull, B.. (2019). What are the best ways of drawing on older people’s experiences of care to improve my practice?. Nursing Older People. 31. 17-17. DOI:10.7748/nop.31.2.17.s14.

Wilcock M., Powell N., Underwood F. (2017) Antimicrobial stewardship and the hospital nurse and midwife: how do they perceive their role? Eur J Hosp Pharm, DOI:10.1136/ejhpharm-2017-001312

Underwood F., Burrows L., Gegg R., Latour J M. & Kent B.2017. The meaning of confidence for older people living with frailty: a qualitative systematic review. JBI Database of Systematic Reviews and Implementation Reports, 15, 1316-1349. DOI: 10.11124/jbisrir-2016-002951

Underwood F., Kent B. James A. (2015) The meaning of confidence for older people living with frailty: a systematic review of qualitative evidence protocol. JBI Database System Rev Implement Rep,13, 62-71.DOI: 10.11124/jbisrir-2015-2074

Fleming K., Barnes B. Underwood F. (2015) Practice question. Pain assessment and management. Nursing Older People27, 14. DOI:10.7748/nop.27.5.14.s20

Wilcock, M., Davidson, I., Underwood, F. (2014) Hospital staff views on their role in providing information to patients on medication side effects. European Journal of Hospital Pharmacy, DOI. 10.1136/ejhpharm-2014-000554

Underwood, F. (2014) ‘Practice Question: Observations of Care.’ Nursing Older People. 26(2). p.13 DOI:10.7748/nop2014.

Underwood, F. and Burnett, W. (2012) ‘Practice Question: Care of frail older people in emergency care.’ Nursing Older People. 24(1). p.13.

Underwood, F and McCullough, F. (2007) ‘Intermediate care services for older people: a development project’. Mental Health Practice. 11(3) p.12-16. DOI: 10.7748/nop2014.

Underwood, F. (2007) ‘Older People's Mental Health and Intermediate Care: Do we really know what's out there to help our patients?’ British Geriatric Society NewsletterIssue 11 p. 12-16. DOI:10.7748/mhp2007.

Underwood, F., Grout, G., Mouland, L. (2007) ‘Ask the Experts: Who cares? Nursing Older People. 19(6). p.20.

Underwood, F., Garrett, D., Baker, W., Waddell, B., Lloyd, C., Jerram, S.(2006) ‘Ask the Experts: What value do consultant nurses place on the white paper, ‘Our Health, Our Care, Our Say: A New Direction for Community Services?’ Nursing Older People. 18(5). p.10-11.

Sugden, M., Waddell, B., Underwood, F. Phair, L. (2005) ‘Ask the Experts: Assistive Technology’. Nursing Older People. 17(5).p.14-15.

Underwood, F. (2004) ‘Supporting and developing new nurse prescribers in secondary care’. Nurse Prescribing 2(6). p.256-260. DOI:10.12968/npre.2004.2.6.17234

Underwood, F. and Parker, J. (1999) Developing and evaluating an acute stroke care pathway through action research. Nurse Researcher 6(2) p.27-38. DOI: 10.7748/nr.6.2.27.s4

Underwood, F. (2000) ‘Unlocking the Key Worker role’. (eds.) Dooher, J. Clark, A. and Fowler, J. Case Studies on Practice Development.Wiltshire: Mark Allen Publishing.p.114-120. ISBN: 1 85642 169 4

Parker, H., Phelps, K., Hewitt, G., Martin, G. and Underwood, F. (2004) Learning from Doing: benefits and challenges of setting up and running a nurse and therapy led intermediate care unit.Leicester: Nuffield Community Care Studies Unit, University of Leicester.

Other Publications
Underwood, F. (2020) The concept of confidence of older people living with frailty and implications for practice. PhD thesis. University of Plymouth. Available at: https://pearl.plymouth.ac.uk/handle/10026.1/16211