Table 4

Participating GP doctors reported key recommended actions grouped as examples

Key recommended actionCompleted
(ID number)
Not completed (ID number)Barriers for non-completion
Review and update repeat prescribing policies1, 7, 17, 33, 34, 35, 36
Improve processes for conducting significant event audits17, 18, 31, 34, 35, 54
Use electronic workflow systems so that all activities required by letters, telephone and messages are completed, and there is an audit trail of the actions taken1,7, 29, 33, 3517, 28, 31 33Delays in the practices installing computer system to record all messages
Improve processes for recording consent16, 34, 51, 54
Improve record keeping, in particular recording of safety netting advice17, 35, 51
Record the use of chaperones in the medical records14,16, 36,51Not always offered chaperone for male patients
Update practice leaflet18, 31, 34
Maintain control over personal workload54, 6018, 34Unable to recruit extra doctors/nurses
Ensure all indemnity arrangements in place33, 51
Change and implement practice policy for handling test results more safely14
Ensure practice protocols are dated reviewed and old ones archived34
Change pattern of working out of hours at night to ensure not working the next day1
Attend recommended group sessions for personal health reasons16
To continue locum work safely, focus work on GP surgeries that have worked at before16
Design system to make sure certain medications required to treat medical emergencies in the community are to hand29
Review confidentiality issues relating to text messaging35
Introduce use of voice-activated dictation software to speed up the process of electronic record keeping51
  • GP, general practitioner.