Projects per year
I qualified from Sheffield Medical School in 1981 and trained initially in general medicine, followed by general practice. I have combined 35 years of clinical work with an academic career in GP education (as GP trainer and GP tutor), undergraduate medical education, and primary care research.
General Practitioner, Acle Medical Practice
I have a wide range of teaching interests at both undergraduate and postgraduate levels. My main interest is in getting research into current practice. I currently teach medical students in primary care. I have previously been involved in a variety of teaching on the MBBS including lectures, examination, and student advising. I have supervised postgraduates including Masters Students, General Practice Research Fellows and Academic Foundation Doctors. I was lead for the Academic Clinical Fellows training programme and Academic Foundation programme in Primary Care between 2010 and 2016.
1986 Member of the Royal College of Physicians (MRCP)
1988 Member of the Royal College of General Practitioners (MRCGP)
1988 Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG)
2004 MSc in Health Sciences, University of East Anglia (with distinction)
2005 Fellow of the Royal College of General Practitioners (FRCGP)
2008 MD, Norwich Medical School (Quality and Costs in the New GMS Contract for Primary Care)
Current: General Practitioner at the Acle Medical Practice, Honorary Senior Fellow at Norwich Medical School
1988-2010 GP, Coastal Villages Practice, Norfolk
1991-2000 GP Trainer, Eastern Deanery
1994-2010 GP Tutor, Eastern Deanery
1997-2001 Clinical Governance Lead, Great Yarmouth PCT
2001-2010 Honorary Senior Lecturer, Norwich Medical School
2005-2009 Chair, Eastern Deanery Continuing Professional Development Management Group
2010-2016 Clinical lecturer in general practice at the Norwich Medical School
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
Post-nominals Mb ChB MSc [distinction] MD FRCGP MRCP DRCOG FHEA
Key Research Interests and Expertise
Health care quality and costs, access and evaluation
The causes of variations in performance
Translational medicine, including the effectiveness of guidelines in practice
Effectiveness of pay for performance in primary care
Significant event audit
Health Care Quality, Access and Evaluation
Delivery of Health Care
Health Services Research
Quality of Health Care
Postgraduate Research Student Supervision:
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.
Fleetcroft, R, Schofield, P, Duerden, M and Ashworth, M (2012) Achievement of cholesterol targets and prescribing of higher-cost statins: a cross-sectional study in general practice. British Journal of General Practice, 62 (605). pp. 815-820.
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
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.
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.
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.
Fleetcroft, R, Steel, N, Cookson, RA and Howe, AC (2008) Mind the gap! Evaluation of the performance gap attributable to exception reporting and target thresholds in the new GMS contract: national database analysis. BMC Health Services Research, 8. p. 131.
Maisey, SP, Steel, N, Marsh, R, Gillam, S, Fleetcroft, R and Howe, AC (2008) Effects of payment for performance in primary care: qualitative interview study. Journal of Health Services Research and Policy, 13 (3). pp. 133-139.
Steel, N, Maisey, SP, Clark, AB, Fleetcroft, R and Howe, AC (2007) Quality of clinical primary care and targeted incentive payments: an observational study. British Journal of General Practice, 57. pp. 449-454.
Fleetcroft, R and Cookson, R (2006) The relationship between the quality and cost of prescribing: small-scale observational study of GP practices in East Anglia in 2002-3. British Journal of General Practice (529). pp. 613-619. Fleetcroft, R and Cookson, RA (2006) Do the incentive payments in the new NHS contract for primary care reflect likely population health gains? Journal of Health Services Research and Policy, 11 (1). pp. 27-31.
Current Research Projects and Grants
- Research for Patient Benefit (RfPB) Programme: PB-PG-0212-27059 - Can a practice based approach using significant event audit indentify key factors that might reduce avoidable non-elective hospital admissions? A feasibility study. Start date June 2014. Principal investigator. £228,223
- NIHR RfPB 2013 - Evaluation of the Bronchiectasis Empowerment Tool. Jan 2013, Duraction. Co applicant. £173,019
- NIHR RfPB 2013 - SERVED Memory: Feasibility study of Screening & Enhanced Risk management for Vascular Event related Decline in Memory. [Start date to be confirmed] Co-investigator £232,388
- Norfolk and Waveney PCT 2013. Academic development post. 01/08/2013 to 01/18/2014, duration 12 months. Lead applicant £33,015
- 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
- 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
- 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
- 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
- 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
- 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.
- Member of the RCGP ‘clinical advisors’ programme (2010 - current)
- Expert Advisor, NICE methods review (2011)
- Expert Reviewer, Norfolk and Suffolk Primary Care Research Management Team, Research Capacity Funding Programme (2011-present)
- Peer reviewer, British Medical Journal (2012- present)
- Reviewer, British Journal of General Practice (2011- present)
Expertise related to UN Sustainable Development Goals
In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):
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- 9 Finished
SERVED Memory: Feasibility study of Screening and Enhanced Risk management for Vascular Event related Decline in Memory
1/09/15 → 30/09/18
Can a practice based approach using significant event audit identify key factors that might reduce avoidable non-elective hospital admissions? A feasibility study
1/06/14 → 8/02/16
21/03/13 → 6/06/14
Randomised controlled trial of the effect, cost and acceptability of a bronchiectasis self-management interventionBrockwell, C., Stockl, A., Clark, A., Barton, G., Pasteur, M., Fleetcroft, R., Hill, J. & Wilson, A. M., 2020, In: Chronic Respiratory Disease. 17
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile2 Citations (Scopus)9 Downloads (Pure)
Are patients in heart failure trials representative of primary care populations? A systematic reviewGollop, N. D., Ford, J., Mackeith, P., Thurlow, C., Wakelin, R., Steel, N. & Fleetcroft, R., 2018, In: BJGP Open. 2, 1, bjgpopen18X101337.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile5 Citations (Scopus)13 Downloads (Pure)
Does practice analysis agree with the ambulatory care sensitive conditions list of avoidable unplanned admissions: cross-sectional study in the East of England.Fleetcroft, R., Hardcastle, A., Steel, N., Price, G., Purdy, S., Lipp, A., Myint, P. K. & Howe, A., 28 Apr 2018, In: BMJ Open. 8, 4, e020756.
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile2 Citations (Scopus)22 Downloads (Pure)
Fleetcroft, R., Asaria, M., Ali, S. & Cookson, R., 1 Jan 2017, In: British Journal of General Practice. 67, 654, p. e1-e9
Research output: Contribution to journal › Article › peer-reviewOpen AccessFile14 Citations (Scopus)6 Downloads (Pure)
Steel, N., Fleetcroft, B. & Hassan, Y., Jun 2017, In: British Journal of General Practice. 67, 659, p. 246-247
Research output: Contribution to journal › Editorial › peer-review