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National surveys of NHS patients: general practice 1998 - national report

  • Document type:
    Publication
  • Author:
    Colin Airey and Bob Erens (National Centre for Social Research) for the Department of Health
  • Published date:
    1 October 1999
  • Primary audience:
    Professionals
  • Product number:
    1841821047
  • Gateway reference:
    1999
  • Pages:
    332
  • Copyright holder:
    Crown Copyright

The 1998 General Practice Survey was the first in a programme of national surveys looking at patient experience, so that patients' views on quality of care can then be taken into account to improve local services. General practice is the service used by the greatest number of people, and is the 'gateway' for the majority of patients into other parts of the health service. Moreover, the role of GPs in commissioning secondary care is increasing with the setting up of Primary Care Groups.

The survey was designed to help assess the quality of General Practice through the patient's eyes, and covers a wide range of issues including access and waiting times, communication between patients and GPs, patients' views of GPs' knowledge, out-of-hours care, compe-tence and courtesy, and the helpfulness and availability of other surgery staff and services including practice nurses and receptionists.

A sample of 1,000 people was randomly selected from each of the 100 Health Authorities in England, and a questionnaire was posted to each of these 100,000 people. Completed questionnaires were returned by 61,426 people.

Overview of survey results

The survey focused on respondents who had had contact with their GP surgery within the last 12 months (four in five of the sample). Most of this group had favourable views of their GP services. In general, most patients felt that their GPs took their opinions seriously, were easy to understand, and kept them well-informed about their condition or treatment. Seventy nine per cent considered that their GP knew which treatment was best, and 84% that their GP made the right diagnosis, most or all of the time.

To the extent that patients were critical, the highest levels of discontent had to do with access-ing services and waiting times. For example, one in four patients said that they usually had to wait four or more days for an appointment with their GP. Among people who were referred to hospital by their GP, 36% said their condition got worse while they were waiting to be seen.

Moreover, certain groups of patients appeared to be less satisfied than others. Patients with less favourable views included younger people (the under 45s), those living in the London region, and those from ethnic minority groups. People in paid work or in full-time education were the least satisfied with arrangements for accessing their surgery.

In general, there were very few differences in views between patients from different social classes.

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