Present: Clinical lecturer in general practice at the Norwich Medical School, Honorary Consultant in Primary Care, and General Practitioner at the Acle Medical Practice.

Past appointments
1988-2010 GP, Coastal Villages Practice, Norfolk
1991-2000 GP Trainer, Eastern Deanery
1994-2010 GP Tutor, Eastern Deanery
1997-2001 Clinical Governance Lead, Gt Yarmouth PCT
2002-2010 Honorary Senior Lecturer, Norwich Medical School
2005-2009 Chair Eastern Deanery CPDMG

Professional Qualifications and professional memberships

Member of the Royal College of Physicians
Fellow of the Royal College of General Practitioners
Fellow of the Higher Educational Academy

Research interests 

Measuring the quality of prescribing, cost effective prescribing, patient safety, and pay for performance schemes in primary care.

Career summary 

GP 1988 – present
GPwSI in clinical education, Gt Yarmouth and Waveney PCT 2004-2010
Honorary senior lecturer in primary care, Norwich Medical School 2001-2010
Clinical Governance lead, Gt Yarmouth PCT 1997-2001

1981 MbChB (Sheffield)
1986 MRCP
1988 MRCGP
1988 DRCOG
2004 MSc in Health Sciences, University of East Anglia (with distinction)
2009 MD, University of East Anglia (Quality and Costs in the New GMS Contract for Primary Care)

My research interests include costs and quality in UK primary care, including translational medicine. My MD examined the potential health gain of the GMS contract for UK primary care, including the alignment of incentives, effect of exception reporting on potential health gain, and the relationship between the quality and costs of prescribing. I am currently active in patient safety including prescribing quality and the effectiveness of Significant Event Audit.  

Selected publications

1. Ashworth, M, Schofield, P, Doran, T, Cookson, R, Sutton, M, Seed, PT, Howe, A and Fleetcroft, R (2013) The Public Health Impact score: a new measure of public health effectiveness for general practices in England. British Journal of General Practice, 63 (609). pp. 291-299. ISSN 09601643

2. Fleetcroft, R, Steel, N, Cookson, R, Walker, S and Howe, A (2012) Incentive payments are not related to expected health gain in the pay for performance scheme for UK primary care: cross-sectional analysis. BMC Health Services Research, 12 (1). p. 94. ISSN 1472-6963

3. Fleetcroft, R, Cookson, R, Steel, N and Howe, A (2011) Correlation between prescribing quality and pharmaceutical costs in English primary care: national cross-sectional analysis. British Journal of General Practice, 61 (590). pp. 556-564. ISSN 09601643

4. Fleetcroft, R, Parekh-Bhurke, S, Howe, AC, Cookson, RA, Swift, L and Steel, N (2010) The UK pay-for-performance programme in primary care: estimation of population mortality reduction. British Journal of General Practice, 60 (578). pp. 649-654.

5. Walker, S, Mason, A, Claxton, K, Cookson, R, Fenwick, E, Fleetcroft, R and Sculpher, M (2010) Value for Money and the Quality and Outcomes Framework in Primary Care in the UK NHS. British Journal of General Practice, 60 (574). e213-e220.

Current Research Projects and Grants 

1. NIHR RfPB 2013. Improving Outcomes From Adverse Drug Reactions - An exploratory study to enhance cross-sector performance in recording, reporting, reviewing and learning from prescribing error. [start date to be confirmed] Duration 20 months. Principal investigator. £228,223

2. Norfolk and Waveney PCT 2013. Academic development post. 01/08/2013 to 01/18/2014, duration 12 months. Lead applicant £33,015

3. Norfolk and Waveney PCT 2013. Research Capacity Funding, Development of an NIHR RfPB grant proposal on statins and the primary prevention of cardiovascular illness. 01/07/2013 to 31/08/2013, duration 2 months. Principal Investigator £5,793

4. NIHR (National Institute for Health Research, Health Services Delivery and Research Programme) 01/01/2013 t0 31/12/2015, Developing indicators of change in NHS equity performance. Duration 36 months. Co applicant. £493,638

5. NIHR (National Institute for Health Research). Are NICE clinical guidelines for primary care based on evidence from primary care? 01/07/2011 to 01/07/2013, duration 2 years.Co applicant. £194,743.00

6. NIHR RfPB 2010. Will a dedicated service improve medicine administration in older persons with dysphagia? 01/08/2009 to 01/06/2012, duration 34 months. Co applicant. £79,621.00

7. DoH Policy Research Programme 2007. The potential health gain impact of the new GMS contract. 01/01/2007 to 01/07/2007, duration 6 months. Joint project with The Health Economics Unit at York University and the Department of General Practice at Manchester University. Principal investigator. £89,000

8. Eastern Strategic Health Authority. NHS Research Enterprise Award 2000. (funding to support MSc.)1/04/2000 to 01/04/2003, duration 36 months. Principal Investigator £36,000.







 

• I am involved in a variety of teaching on the MBBS including lectures, examination, and student advising. I supervise postgraduates including Masters Students and Academic Foundation Doctors. I am academic lead supervisor for the Academic Clinical Fellows training programme in Primary Care.

Academic Clinical Fellows Programme for Primary Care
Academic Foundation Programme for Primary Care

• I assist with the administration of the Academic Clinical Fellows and Academic F2 programmes for primary care