Table 1

Summary of tools used and processes followed*

ToolSourcePrepared by
Multi-source feedback (MSF)*General Medical Council (GMC) colleague survey18 19GMCPractice manager and colleagues
2Q MSF18 20Developed by study author
Patient satisfaction questionnaires*GMC patient survey18 19GMCPatients and practice staff
Consultation and relational empathy18 21Developed by study authors
Open book self-assessed knowledge testConsisted of 60 items focusing on chronic disease management, referral issues and prescribingRoyal College of General Practitioners (RCGP Scotland)GP undertook test
Prescribing safety data feedback12 measures of undesirable co-prescriptions18 22Developed for studyWeb-based report
Quality of care data feedbackSingle area of interest selected for each participant's practice by an external assessor18Quality outcome frameworkWeb-based report
Patient complaints-As receivedPractice staff including GP
  • * For the purpose of the research study programme, participants collected and reflected on output from two patient satisfaction questionnaires and two MSF questionnaires, both on two occasions, in order to test the reliabilities of individual tools. In any real system, only one tool would be used and the collection of data would likely be spread over a longer period of time. The reliabilities of individual tools are not reported here.

  • These data on 12 undesirable co-prescriptions were developed for the purpose of this study.18 22 Other tools used are available to GPs to include when considering data for current appraisal submission.

  • GP, general practitioner.