Characterisation Howard is billed as a "confident, divorced ex-army captain", and is said to have a "highly different and strict outlook on working life" in comparison to Julia. On Howard's
BBC profile, he is described as "disciplined, highly organised and emotionally repressed". It explains that prior to his debut appearance on
Doctors, Howard has a background in military, and that he worked his to becoming an officer. It notes that as practice manager, he enjoys spreadsheets and that he "would always deal with problems in the correct manner", noting the time when he suspends
Al Haskey (
Ian Midlane) after stalking
Jas Khella (
Vineeta Rishi) as an example. Despite the stern characterisation, the profile explains that when the surgery is in jeopardy, Howard is not opposed to taking risks.
Creation and introduction In an interview with ''
What's on TV'', Kelsey stated that Howard was based on a real person. He explained that somebody stopped working for the army and began as a practice manager of a doctor's surgery, and within three months of him taking over the position, five of the staff members quit. The
Doctors producers heard about the situation and wrote Howard's character based on it. On why Howard chose to join the
National Health Service, Kelsey said that Howard "wants to get his hands mucky", as well as wanting to be in a position with leadership again. He notes that this results in Howard entering the Mill and leading his colleagues "like they're part of his old military unit", scenes he described as hilarious. When he began filming for the role, Kelsey sourced an authentic army watch and shoe polishing kit, in order to "feel right with the part". Kelsey explained that portraying the role of Howard opened his eyes to the chaos of a doctor's surgery, as well as how they are treated like a business. Kelsey revealed that Howard will discover that Emma is pregnant with his baby, a plot he described as "one of the key storylines" that lead to his exit. In the lead up to the episode's airdate, the
Doctors Twitter account tweeted cryptic messages such as "everything changes", "cancel all other appointments" and "consider this a friendly warning, you won't want to miss it." He then spoke about the decision to
kill him off, explaining that there were numerous "different scenarios" in which he could leave, but that his death would "have the most impact and would produce many new stories with a lot of potential". He accredited this to Howard being a "big" character, as well as having "strong relationships" with every single regular character. He stated that it was an interesting experience to write and film, since it gave him the opportunity to work with different storylines and cast members. Kelsey was also involved in the casting process for the episode, casting former
Blue Murder co-star
Caroline Quentin, adding that he wrote the role with her in mind. ==Reception==