Table 3.

Details of each result theme, linked categories, theory and supporting quotations.

Theme (categories)	Selected verbatim quote
1. Personal and professional impacts and actions behavioural change in personal work circumstances linked to MRR action on MRR recommendations made behavioural change linked to the Clinical Communication Programme (CCP) recognised benefits following changes changes in personal and professional circumstances/contexts since MRR	‘The change of my attitude, not only to look at myself, my feelings, I think the best is to put myself in the patient’s shoes’. Dr 17, GP ‘I did give up my out-of-hours work. I spend more time within the surgery doing thing like medication reviews, running audits, so all sorts of other things that feels more relaxed’. Dr 33, GP ‘I’m more proactive at calling them and see how they are and making sure that they know they have got their results. That reduces my risk of missing results’. Dr 60, GP ‘I changed my practice a little bit a result of that, for consent to be more inclusive even of less common complications of procedures that I might otherwise have just discounted’. Dr 64, consultant ‘The one thing that I learnt is to always make sure that the patient is happy with your treatment plan and they understand that’. Dr 1, GP ‘I’ve lost that exponential relationship of adverse events to the busyness of my practice’. Dr 64, Consultant ‘I was working hard, probably too hard. But since last August, no private practice, it’s been great’. Dr 53, Consultant ‘We used to be 8 partners and then we went down to 6, then we went down to 5, then we down to 4’. Dr 14, GP ‘ …the proof of the pudding is that in the two years since I’ve engaged, I’ve had only one incident that I’m aware of that might go somewhere…’. Dr 64, Consultant
2. Comprehension and validity of intervention personal understanding of causes of medicolegal cases understanding/misunderstanding of education process and implications relevance of MRR process to self sharing report findings with others	‘If you don’t explain to them that look, we really do want to make your system safer, it almost, sort of, feels like an investigation’. Dr 36, GP ‘I think the CCP will dramatically reduce my risk of future claim or pre-claim. I think the Member Risk Review might reduce the risk of a successful suit’. Dr 35, GP ‘We weren’t doing anything horrendously wrong…’. Dr 14, GP
3. Feedback and proposals perceptions of the MPS MRR facilitator perceptions of MRR usefulness members suggestions to improve the MRR process.	‘Helpful, wise, experienced, very approachable, friendly, head teacher, lovely chap, personable, professional, pastoral, identify with, neutral, not intimidating’. ‘He seemed to understand the issues very well. He seemed to be a wise person, who has obviously done it before, and I think a lot of the issues that relate to good practice or otherwise or common sense really. Sometimes it just requires an older, wiser, practitioner I thought he was very good and very positive and very understanding and not actually critical in a negative sense, it was all positive criticism’. Dr 64, Consultant ‘I don’t think anyone really looks forward to a CQC inspection, but we do’. Dr 33, GP ‘I think if it’s seen as supportive, it’s actually very good’. Dr 28, GP ‘Make booking website simpler to use, they ought to find a way to prioritise booking on workshops’. Dr 35, GP

GP, general practitioner; MPS, Medical Protection Society; MRR, Member Risk Review.