Adrian "Fletch" Fletcher is a fictional character from the BBC medical dramas Casualty and Holby City, portrayed by Alex Walkinshaw. He first appears in Casualty's series 26 episode "Zero Sum Game", first broadcast on 7 July 2012. Fletch is originally a staff nurse in Holby City Hospital's emergency department (ED). The character is portrayed as fun, likeable, charming and a Jack the lad; he considers his family very important. Fletch's backstory states that he was a mechanic, before retraining as a nurse after the Great Recession. Researchers consulted with the Royal College of Nursing, who said the scenario was realistic. Fletch's most prominent storyline in Casualty sees him begin a "slow-burning" affair with senior nurse Tess Bateman (Suzanne Packer). The characters' relationship was e