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Emily Fletcher

Research Fellow

 2826

 

Emily graduated with a BSc Hons in Psychology from Southampton Solent University in 2006, before completing a MSc in Health Psychology at the University of Southampton in 2007. She worked as a trial administrator for the stroke research network at Torbay Hospital before joining the department of Primary Care in late 2007. Emily has worked on various projects, including the HEALTH study (a randomised controlled trial of a physical activity intervention for patients with mild COPD who were being treated with Tiotropium) and conducting an economic evaluation of an exercise intervention to prevent falls in patients with Parkinson's disease (GETuP trial). She has also worked as a case notes reviewer for the South West on the DESCARTE study (decision rule for severe symptoms and complications of acute red throat in everyday practice) and contributed to the development of workstreams concerning the validation of the GP Patient Survey (GPPS). In 2010, Emily worked as trial manager on the ESTEEM trial (effectiveness and cost effectiveness of telephone triage of patients requesting same day consultations in general practice: a cluster RCT comparing nurse-led and GP-led management systems with usual care), a large multi-centre trial funded by NIHR (HTA programme). In 2014, she also worked as interim trial manager on the COBRA trial (cost and outcome of behavioural activation versus CBT for depression), within the Complex Interventions Research Group, with Professor David Richards. Emily is currently the project manager of the recently-funded NIHR (HS&DR) ReGROUP project: Retaining the Experienced GP Workforce in Direct Patient Care. ReGROUP is a comprehensive programme of work comprising six interlinking workstreams to identify implementable policies and strategies to support the current GP workforce in direct patient care and to support the return of GPs from a career break.

Qualifications

MSc Health Psychology

BSc (Hons) Psychology

Research

Key publications | Publications by category | Publications by year

Publications by category


Journal articles

Finning K, Richards DA, Moore L, Ekers D, McMillan D, Farrand PA, O'Mahen HA, Watkins ER, Wright KA, Fletcher E, et al (In Press). Cost and outcome of behavioural activation versus cognitive behavioural therapy for depression (COBRA): a qualitative process evaluation. BMJ Open, 7(4). Abstract.  Author URL.  Full text.
Spooner S, Fletcher E, Anderson C, Campbell J (In Press). GP workforce pipeline. British Journal of General Practice
Fletcher E, Abel GA, Anderson R, Richards SH, Salisbury C, Dean SG, Sansom A, Warren FC, Campbell JL (In Press). Quitting patient care and career break intentions among general practitioners in South West England: findings of a census survey of general practitioners. BMJ Open, 7(4). Abstract.  Author URL.  Full text.
Sansom A, Terry R, Fletcher E, Salisbury C, Aylward A, Welsman J, Sims L, Campbell J, Dean S (2018). Why do GPs leave direct patient care and what might help to retain them? a qualitative study of GPs in South West England. BMJ Open, 8 Full text.
Richards DA, Rhodes S, Ekers D, McMillan D, Taylor RS, Byford S, Barrett B, Finning K, Ganguli P, Warren F, et al (2017). Cost and Outcome of BehaviouRal Activation (COBRA): a randomised controlled trial of behavioural activation versus cognitive-behavioural therapy for depression. Health Technol Assess, 21(46), 1-366. Abstract.  Author URL.  Full text.
Richards DA, Ekers D, McMillan D, Taylor RS, Byford S, Warren FC, Barrett B, Farrand PA, Gilbody S, Kuyken W, et al (2016). Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial. Lancet Full text.
Holt T, Fletcher E, Warren F, Richards S, Calitri R, Green C (2016). Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomised controlled trial. Br J Gen Pract Full text.
Varley A, Warren FC, Richards SH, Calitri R, Chaplin K, Fletcher E, Holt TA, Lattimer V, Murdoch J, Richards DA, et al (2016). The effect of nurses’ preparedness and nurse practitioner status on triage call management in primary care: a secondary analysis of cross-sectional data from the ESTEEM trial. International Journal of Nursing Studies, 58, 12-20. Full text.
Calitri RA, Warren FC, Wheeler B, Chaplin K, Fletcher E, Murdoch J, Richards SH, Taylor R, Varley A, Campbell JL, et al (2015). Distance from practice moderates the relationship between patient management involving nurse telephone triage consulting and patient satisfaction with care. Journal of Health & Place Abstract.  Full text.
Warren FC, Calitri R, Fletcher E, Varley A, Holt TA, Lattimer V, Richards D, Richards S, Salisbury C, Taylor RS, et al (2015). Exploring demographic and lifestyle associations with patient experience following telephone triage by a primary care doctor or nurse: secondary analyses from a cluster randomised controlled trial. BMJ Qual Saf, 24(9), 572-582. Abstract.  Author URL.  Full text.
Murdoch J, Varley A, Fletcher E, Britten N, Price L, Calitri R, Green C, Lattimer V, Richards SH, Richards DA, et al (2015). Implementing telephone triage in general practice: a process evaluation of a cluster randomised controlled trial. BMC Fam Pract, 16 Abstract.  Author URL.  Full text.
Campbell JL, Fletcher E, Britten N, Green C, Holt T, Lattimer V, Richards DA, Richards SH, Salisbury C, Taylor RS, et al (2015). The clinical effectiveness and cost-effectiveness of telephone triage for managing same-day consultation requests in general practice: a cluster randomised controlled trial comparing general practitioner-led and nurse-led management systems with usual care (the ESTEEM trial). Health Technol Assess, 19(13), 1-viii. Abstract.  Author URL.  Full text.
Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL (2015). The impact of using computer decision-support software in primary care nurse-led telephone triage: interactional dilemmas and conversational consequences. Soc Sci Med, 126, 36-47. Abstract.  Author URL.
Campbell JL, Fletcher E, Britten N (2014). Erratum: Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster-randomised controlled trial and cost-consequence analysis (Lancet (2014) 384 (1859-1868)). The Lancet, 384(9957).
Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL (2014). Question design in nurse-led and GP-led telephone triage for same-day appointment requests: a comparative investigation. BMJ Open, 4(3). Abstract.
Campbell JL, Fletcher E, Britten N, Green C, Holt TA, Lattimer V, Richards DA, Richards SH, Salisbury C, Calitri R, et al (2014). Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster-randomised controlled trial and cost-consequence analysis. Lancet, 384(9957), 1859-1868. Full text.
Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL (2013). Question design in nurse-led and GP-led telephone triage for same-day appointment requests: a comparative investigation. BMJ Open, 4
Campbell JL, Britten N, Green C, Holt TA, Lattimer V, Richards SH, Richards DA, Salisbury C, Taylor RS, Fletcher E, et al (2013). The effectiveness and cost-effectiveness of telephone triage of patients requesting same day consultations in general practice: study protocol for a cluster randomised controlled trial comparing nurse-led and GP-led management systems (ESTEEM). Trials, 14 Abstract.  Author URL.  Full text.
Fletcher E, Goodwin VA, Richards SH, Campbell JL, Taylor RS (2012). An exercise intervention to prevent falls in Parkinson's disease: an economic evaluation. BMC Health Services Research, 12, 426-426.
Fletcher E, Goodwin VA, Richards SH, Campbell JL, Taylor RS (2012). An exercise intervention to prevent falls in Parkinson's: an economic evaluation. BMC Health Serv Res, 12 Abstract.  Author URL.  Full text.
Faulkner J, Walshaw E, Campbell J, Jones R, Taylor R, Price D, Taylor AH (2010). The feasibility of recruiting patients with early COPD to a pilot trial assessing the effects of a physical activity intervention. Prim Care Respir J, 19(2), 124-130. Abstract.  Author URL.
Richards SH, Campbell JL, Walshaw E, Dickens A, Greco M (2009). A multi-method analysis of free-text comments from the UK General Medical Council Colleague Questionnaires. Med Educ, 43(8), 757-766. Abstract.  Author URL.

Conferences

Abel G, Gomez Cano M, Smart PA, Mustafee N, Fletcher E, Campbell J (2017). Primary Care Workforce: How can we Identify those General Practices at Risk of a Supply-Demand Imbalance?. 46th Annual Scientific Meeting of the Society for Academic Primary Care (SAPC ASM 2017). 12th - 14th Jul 2017.

Publications by year


In Press

Finning K, Richards DA, Moore L, Ekers D, McMillan D, Farrand PA, O'Mahen HA, Watkins ER, Wright KA, Fletcher E, et al (In Press). Cost and outcome of behavioural activation versus cognitive behavioural therapy for depression (COBRA): a qualitative process evaluation. BMJ Open, 7(4). Abstract.  Author URL.  Full text.
Spooner S, Fletcher E, Anderson C, Campbell J (In Press). GP workforce pipeline. British Journal of General Practice
Fletcher E, Abel GA, Anderson R, Richards SH, Salisbury C, Dean SG, Sansom A, Warren FC, Campbell JL (In Press). Quitting patient care and career break intentions among general practitioners in South West England: findings of a census survey of general practitioners. BMJ Open, 7(4). Abstract.  Author URL.  Full text.

2018

Sansom A, Terry R, Fletcher E, Salisbury C, Aylward A, Welsman J, Sims L, Campbell J, Dean S (2018). Why do GPs leave direct patient care and what might help to retain them? a qualitative study of GPs in South West England. BMJ Open, 8 Full text.

2017

Richards DA, Rhodes S, Ekers D, McMillan D, Taylor RS, Byford S, Barrett B, Finning K, Ganguli P, Warren F, et al (2017). Cost and Outcome of BehaviouRal Activation (COBRA): a randomised controlled trial of behavioural activation versus cognitive-behavioural therapy for depression. Health Technol Assess, 21(46), 1-366. Abstract.  Author URL.  Full text.
Abel G, Gomez Cano M, Smart PA, Mustafee N, Fletcher E, Campbell J (2017). Primary Care Workforce: How can we Identify those General Practices at Risk of a Supply-Demand Imbalance?. 46th Annual Scientific Meeting of the Society for Academic Primary Care (SAPC ASM 2017). 12th - 14th Jul 2017.

2016

Richards DA, Ekers D, McMillan D, Taylor RS, Byford S, Warren FC, Barrett B, Farrand PA, Gilbody S, Kuyken W, et al (2016). Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial. Lancet Full text.
Holt T, Fletcher E, Warren F, Richards S, Calitri R, Green C (2016). Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomised controlled trial. Br J Gen Pract Full text.
Varley A, Warren FC, Richards SH, Calitri R, Chaplin K, Fletcher E, Holt TA, Lattimer V, Murdoch J, Richards DA, et al (2016). The effect of nurses’ preparedness and nurse practitioner status on triage call management in primary care: a secondary analysis of cross-sectional data from the ESTEEM trial. International Journal of Nursing Studies, 58, 12-20. Full text.

2015

Calitri RA, Warren FC, Wheeler B, Chaplin K, Fletcher E, Murdoch J, Richards SH, Taylor R, Varley A, Campbell JL, et al (2015). Distance from practice moderates the relationship between patient management involving nurse telephone triage consulting and patient satisfaction with care. Journal of Health & Place Abstract.  Full text.
Warren FC, Calitri R, Fletcher E, Varley A, Holt TA, Lattimer V, Richards D, Richards S, Salisbury C, Taylor RS, et al (2015). Exploring demographic and lifestyle associations with patient experience following telephone triage by a primary care doctor or nurse: secondary analyses from a cluster randomised controlled trial. BMJ Qual Saf, 24(9), 572-582. Abstract.  Author URL.  Full text.
Murdoch J, Varley A, Fletcher E, Britten N, Price L, Calitri R, Green C, Lattimer V, Richards SH, Richards DA, et al (2015). Implementing telephone triage in general practice: a process evaluation of a cluster randomised controlled trial. BMC Fam Pract, 16 Abstract.  Author URL.  Full text.
Campbell JL, Fletcher E, Britten N, Green C, Holt T, Lattimer V, Richards DA, Richards SH, Salisbury C, Taylor RS, et al (2015). The clinical effectiveness and cost-effectiveness of telephone triage for managing same-day consultation requests in general practice: a cluster randomised controlled trial comparing general practitioner-led and nurse-led management systems with usual care (the ESTEEM trial). Health Technol Assess, 19(13), 1-viii. Abstract.  Author URL.  Full text.
Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL (2015). The impact of using computer decision-support software in primary care nurse-led telephone triage: interactional dilemmas and conversational consequences. Soc Sci Med, 126, 36-47. Abstract.  Author URL.

2014

Campbell JL, Fletcher E, Britten N (2014). Erratum: Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster-randomised controlled trial and cost-consequence analysis (Lancet (2014) 384 (1859-1868)). The Lancet, 384(9957).
Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL (2014). Question design in nurse-led and GP-led telephone triage for same-day appointment requests: a comparative investigation. BMJ Open, 4(3). Abstract.
Campbell JL, Fletcher E, Britten N, Green C, Holt TA, Lattimer V, Richards DA, Richards SH, Salisbury C, Calitri R, et al (2014). Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster-randomised controlled trial and cost-consequence analysis. Lancet, 384(9957), 1859-1868. Full text.

2013

Murdoch J, Barnes R, Pooler J, Lattimer V, Fletcher E, Campbell JL (2013). Question design in nurse-led and GP-led telephone triage for same-day appointment requests: a comparative investigation. BMJ Open, 4
Campbell JL, Britten N, Green C, Holt TA, Lattimer V, Richards SH, Richards DA, Salisbury C, Taylor RS, Fletcher E, et al (2013). The effectiveness and cost-effectiveness of telephone triage of patients requesting same day consultations in general practice: study protocol for a cluster randomised controlled trial comparing nurse-led and GP-led management systems (ESTEEM). Trials, 14 Abstract.  Author URL.  Full text.

2012

Fletcher E, Goodwin VA, Richards SH, Campbell JL, Taylor RS (2012). An exercise intervention to prevent falls in Parkinson's disease: an economic evaluation. BMC Health Services Research, 12, 426-426.
Fletcher E, Goodwin VA, Richards SH, Campbell JL, Taylor RS (2012). An exercise intervention to prevent falls in Parkinson's: an economic evaluation. BMC Health Serv Res, 12 Abstract.  Author URL.  Full text.

2010

Faulkner J, Walshaw E, Campbell J, Jones R, Taylor R, Price D, Taylor AH (2010). The feasibility of recruiting patients with early COPD to a pilot trial assessing the effects of a physical activity intervention. Prim Care Respir J, 19(2), 124-130. Abstract.  Author URL.

2009

Richards SH, Campbell JL, Walshaw E, Dickens A, Greco M (2009). A multi-method analysis of free-text comments from the UK General Medical Council Colleague Questionnaires. Med Educ, 43(8), 757-766. Abstract.  Author URL.

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