Participant eligibility criteria

*Patients

Inclusion criteria: •Males and Females •45 years and over •Registered with a MOSAICS study practice •Joint pain in the past year (in the hand, hip, knee, foot) self-reported in the Health Survey •Consent to further contact from the study team (consent sought as part of the Health Survey) •Consent to medical record review (consent sought as part of the Health Survey) •Consulting with joint pain in the cluster trial recruitment period •Triggered the e-template in EMIS system in the consultation •Returned post-consultation baseline Questionnaire Exclusion criteria: •Excluded via GP screen of practice list •Unable to give fully informed consent e.g., learning difficulties or dementia •Resident in a care or nursing home •History of serious disease e.g., malignancy, terminal illness •Unable to consult in the general practice surgery •Flagged as excluded from research in that practice •Declined to take part in the post-consultation baseline Questionnaire

* All patients registered with MOSAICS practices randomised to the intervention arm of the study had access to the GP and practice nurse clinics, including those who did not consent to be followed up, as these ran as part of normal clinical care within each intervention practice.

Key: EMIS = Egton Medical Information System; GP = General Practitioners; MOSAICS = Management of Osteoarthritis In Consultations Study.