Appendix 2

 

Guidance on how to use the results of the questionnaire to improve care in your practice – taking action on GPAQ scores

 

There is little purpose in doing a survey unless you are prepared to act on the results. In this section, we discuss briefly how you might do this.

 

GPAQ has been designed so that it is as easy as possible to know how you can use your scores to improve care in your practice. All the questions can be linked directly to some action which you could take. For example, in the communication questions, we have included questions on listening and explaining rather than important but rather nebulous concepts like trust. So for every question in GPAQ, there is some behaviour which you could think about improving.

 

Some of the work of deciding how to use the results can be done with the practice staff. So, for example, some of the access questions throw up issues which can be addressed through the practice management – e.g. managing the appointment system, phone answering, etc. The access questions form the largest single group of questions.

 

The next largest group is about communication. This is more difficult to address, but there are well tested methods of improving doctors’ communication skills in consultations. These generally rely on critical analysis of videotaped surgeries, usually with a partner or friendly mentor. This is something which all training practices will have had experience of in recent years, as consultation skills training forms an important part of vocational training.

 

In thinking about who to discuss your survey results with, you should think about:

 

·          Your partners and other doctors working in the practice

·          Nurses working in the practice

·          Your practice managers and receptionist / admin staff.

 

Some issues, e.g. scores on the access scale, will need to be discussed with all your staff.

 

To get level 2 and level 3 payments for the new contract, you will need to do more than this, and will have to have discussed the results of your survey with patients (e.g. a ‘critical friends’ group, or a patient participation group), and shown that you have done something about the results.

 

We are aware that most practices have little experience of how to use questionnaires to help them improve care. So, the National Primary Care Research and Development Centre, with the University of Exeter and CFEP have written a practical handbook on this subject. This handbook is freely available to download from NPCRDC’s website (http://www.npcrdc.man.ac.uk/PublicationDetail.cfm?ID=111).

 

 
 
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