Lesley Middleton

Dr Lesley Middleton profile picture

Senior Lecturer in Health Policy Health Services Research Centre, Wellington Faculty of Health


Teaching in 2020


BA Cant, MPP Brist, PhD Well


Dr Lesley Middleton is a Senior Research Fellow at the Health Services Research Centre. She has held previous senior management, policy and research roles in the Ministry of Research, Science and Technology and the Ministry of Health. She has a particular interest in health policy and evaluating complex interventions that benefit from a realist logic of enquiry. As a fellow of the Australasian College of Health Service Managers, she keeps in touch with the current issues for those looking to understand, navigate and influence the health care environment. Lesley recently completed a number of research projects for Counties Manukau District Health Board. More recently, she is part of a research team investigating new models of care within the primary health care sector.

Supervision Interests

  • Application of realist evaluation or synthesis to evaluate complex health sector interventions
  • Implementation science research including how and why evidence or knowledge do or do not get used in practice.
  • Critical appraisals of organisational and incentive structures in the health care system

Research Interests

  • Health services research
  • Health policy and reform
  • Realist methodologies
  • Implementation science

Current Projects

  • Enhancing primary health care services to improve health in Aotearoa/New Zealand (a Health Research Council grant looking at current models of delivering primary health care).

Recently completed supervision and/or research projects

  • Primary Care Innovation. A stocktake on the system enablers and barriers to primary care innovation (A report for the New Zealand Productivity Commission).
  • Integrated care. A realist evaluation of local networks designed to achieve more integrated care. (A report for Counties Manukau District Health Board).


View a list of publications by Lesley Middleton


Teaching in 2020