Article Text

Download PDFPDF
Assessing organisational development in primary medical care using a group based assessment: the Maturity Matrix™
  1. G Elwyn1,
  2. M Rhydderch1,
  3. A Edwards1,
  4. H Hutchings1,
  5. M Marshall3,
  6. P Myres4,
  7. R Grol2
  1. 1Primary Care Group, University of Wales, Swansea SA2 8PP, UK
  2. 2Centre for Quality of Care Research, University of Nijmegen, 6500 HB Nijmegen, The Netherlands
  3. 3National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL, UK
  4. 4CAPRICORN Primary Care Research Network, Croesnewydd Hall, Wrexham LL13 7YP, UK
  1. Correspondence to:
 M Rhydderch
 Primary Care Group, University of Wales, Swansea SA2 8PP, UK;


Objective: To design and develop an instrument to assess the degree of organisational development achieved in primary medical care organisations.

Design: An iterative development, feasibility and validation study of an organisational assessment instrument.

Setting: Primary medical care organisations.

Participants: Primary care teams and external facilitators.

Main outcome measures: Responses to an evaluation questionnaire, qualitative process feedback, hypothesis testing, and quantitative psychometric analysis (face and construct validity) of the results of a Maturity Matrix™ assessment in 55 primary medical care organisations.

Results: Evaluations by 390 participants revealed high face validity with respect to its usefulness as a review and planning tool at the practice level. Feedback from facilitators suggests that it helped practices to prioritise their organisational development. With respect to construct validity, there was some support for the hypothesis that training and non-training status affected the degree and pattern of organisational development. The size of the organisation did not have a significant impact on the degree of organisational development.

Conclusion: This practice based facilitated group evaluation method was found to be both useful and enjoyable by the participating organisations. Psychometric validation revealed high face validity. Further developments are in place to ensure acceptability for summative work (benchmarking) and formative feedback processes (quality improvement).

  • organisational assessment
  • primary care
  • quality improvement

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Funding: Melody Rhydderch holds an NHS Research and Development National Primary Care Researcher Development Award and would like to thank Professor Yvonne Carter and Professor Cliff Bailey at the National Co-ordinating Centre For Research Capacity Development for their encouragement and support.

  • Conflict of interest: none