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| Case study practices | Quantitative data:Using EMIS compatible software the trial team will collect information about
Number of recruited patients flagged on EMIS and given a 3D card. When each practice begins to deliver 3D reviews The practice profile form will provide additional information about the number of participating clinicians and nurses and usual care at baseline. Qualitative data: The process evaluation researcher will attend the training of some intervention practices in each area to observe how the training is delivered, how the practice staff respond and what difficulties they anticipate. Informal interview with the research associate working with each case study practice to obtain their impression of the practice and ease of study set-up, for example, whether they have experienced difficulty in arranging meetings or training sessions with practice staff, whether any difficulties have been identified and whether there are any staff who particularly support or oppose the intervention. Semistructured interviews in each case study practice with the lead administrator responsible for arranging reviews, the lead nurse and the lead GP to be conducted when the practice has completed training. Questions will be asked about current care arrangements for patients with LTCs, their opinion of the training received from the research team, and the intervention and its requirements. They will also be asked how the practice has organised appointments to accommodate 3D patients and what barriers and facilitators they are aware of that may affect implementation. Observation and informal interviews of reception staff to understand how care is being organised for participating patients and how they actually go about arranging appointments.
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