Table 4.

Participating GP doctors reported key recommended actions grouped as examples

Key recommended action	Completed (ID number)	Not completed (ID number)	Barriers for non-completion
Review and update repeat prescribing policies	1, 7, 17, 33, 34, 35, 36
Improve processes for conducting significant event audits	17, 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 taken	1,7, 29, 33, 35	17, 28, 31 33	Delays in the practices installing computer system to record all messages
Improve processes for recording consent	16, 34, 51, 54
Improve record keeping, in particular recording of safety netting advice	17, 35, 51
Record the use of chaperones in the medical records	14,16, 36,	51	Not always offered chaperone for male patients
Update practice leaflet	18, 31, 34
Maintain control over personal workload	54, 60	18, 34	Unable to recruit extra doctors/nurses
Ensure all indemnity arrangements in place	33, 51
Change and implement practice policy for handling test results more safely	14
Ensure practice protocols are dated reviewed and old ones archived	34
Change pattern of working out of hours at night to ensure not working the next day	1
Attend recommended group sessions for personal health reasons	16
To continue locum work safely, focus work on GP surgeries that have worked at before	16
Design system to make sure certain medications required to treat medical emergencies in the community are to hand	29
Review confidentiality issues relating to text messaging	35
Introduce use of voice-activated dictation software to speed up the process of electronic record keeping	51

GP, general practitioner.