Type of data	Themes
	Use of template	Establishing patient agenda	A biopsychosocial perspective	Agreeing health plans
	Patient interviews and focus groups	A couple of patients commented that the 3D template distracted the clinician’s attention and/or slowed them down	Patients glad to be ‘allowed’ to talk about all their problems in 3D reviews and to have an all-round review	One patient impressed by questions put by GP who he had not previously seen. Some patients’ needs for depression treatment recognised during review	Some patients appreciated these but many reported not receiving one, or it not having been agreed collaboratively
Clinician interviews	Some GPs disliked being constrained by a template. Nurses had criticisms about the content and some found it unwieldy. Unfamiliarity with it hindered them. A few nurses and GPs welcomed the template	Novel to ask explicitly about patient agenda and focus on that. Some clinicians said it would change future practice. Some issues patients raised were not considered appropriate because intractable or outside the remit of the review	Nurses not always comfortable with administering PHQ-9 questionnaire	Some nurses felt their disease management role had been reduced. Some GPs liked the written health plan as a record of what had been agreed but many were uncomfortable with it; felt it was artificial and trivial; they preferred a verbal summary in accordance with their usual practice

PHQ-9 = nine-item Patient Health Questionnaire.