using the General Practice Assessment Questionnaire (GPAQ)
Standard report and analysis for GPAQ Consultation Version 2.0a
Contents:
How the survey was carried out
Summary of results
GPAQ evaluation questions
GPAQ report questions
Demographics
Appendix 1. Background to the GPAQ questionnaire
Appendix 2. Guidance on how to use the results of the questionnaire to improve care in your practice
Appendix 3. Frequency distribution tables for all GPAQ questions not included in the main body of the report
References
Date: 14 February 2008
How the survey was carried out
The survey was carried out using the ‘after consultation’ questionnaire form and surveying commenced on 26th November 2007. All patients 16 years of age and over were requested to complete a survey form and were provided with clipboards and pens to facilitate this. It was necessary to switch off the automated booking in system for the period of the survey as it was felt that, unless the patients were asked directly, they would be less likely to fill in a form.
All patients were asked to complete the initial questions on the form (numbers 1 – 9) before their consultation and then complete the remainder of the questions (numbers 10 & 11) which related to the actual consultation after they had seen the doctor.
As we wanted to be able to calculate individual GP scores as well as for the practice overall a minimum of 50 questionnaires per GP would be collected. If any patient had insufficient time to complete the form they were offered a stamped addressed envelope so they could complete the form when convenient and post it back to the surgery. Only a very small number used this option. Patients were requested to post the completed into a special box in the waiting room.
Total numbers of forms completed for each doctor were:-
Dr Calder62
Dr Geddes66
Dr Ashley56
Dr Harker – Registrar54
Dr Rogbeer – Registrar52
Dr McArdle – Salaried GP26
TOTAL316
Due to the part-time nature of her employment and 10 days holiday in the survey period it was only possible to obtain 26 completed questionnaires for Dr McArdle.
Summary of results
GPAQ evaluation questions
The following table summarises the individual scores for the evaluation questions in GPAQ, i.e. the ones where patients made a judgment about how good that aspect of care was. Each score is expressed as an average (mean) for all patients who completed the individual question. They are represented as a percentage of the maximum possible score, so the best possible score in each case is 100. You will be able to see the areas where your practice scores well and where improvement may be needed, both comparing aspects of care in your own practice and comparing yourself with others.
The figures in the right hand column contain current national GPAQ benchmarks for that question. Once again, these figures are expressed as percentages of the maximum possible score in this table. These are regularly updated on the GPAQ website. Details of how many patients completed each of the individual responses for each of these questions for your practice are given in full in appendix 3.
Mean score
GPAQ benchmark
Q2. Satisfaction with receptionists
84
77
Q3a. Satisfaction with opening hours
70
67
Q4b. Satisfaction with availability of particular doctor
56
60
Q5b. Satisfaction with availability of any doctor
70
69
Q7b. Satisfaction with waiting times at practice
59
57
Q8a. Satisfaction with phoning through to practice
80
59
Q8b. Satisfaction with phoning through to doctor for advice
75
61
Q9b. Satisfaction with continuity of care
67
69
Q10a. Satisfaction with doctor's questioning
85
81
Q10b. Satisfaction with how well doctor listens
86
84
Q10c. Satisfaction with how well doctor puts patient at ease
86
84
Q10d. Satisfaction with how much doctor involves patient
83
81
Q10e. Satisfaction with doctor's explanations
85
83
Q10f. Satisfaction with time doctor spends
82
80
Q10g. Satisfaction with doctor's patience
85
84
Q10h. Satisfaction with doctor's caring and concern
85
84
Q11a. Ability to understand problem after visiting doctor
68
69
Q11b. Ability to cope with problem after visiting doctor
61
66
Q11c. Ability to keep healthy after visiting doctor
55
62
Table 1. Mean scores of evaluation questions (as percentages) compared to the GPAQ benchmarks
These benchmark figures are based on data from 232,908 respondents to both the postal and post-consultation versions of GPAQ (combined) collected during the 2004/2005 contract year. Separate benchmarks for the two different versions of GPAQ will be posted in due course if on-going analyses show that mode of administration produces significantly different GPAQ scores after controlling for social and demographic factors known to influence patient evaluations.
Please check our website http://www.gpaq.info/benchmarks.htm for further information.