Table 3.

Collective action and reflexive monitoring quotations (2014–2015)

Collective action
Well I think it, information coming out from the CCG, we’ve put it on the CCG website and things like that so that more GPs are aware of it, because I would say it’s probably true that most GPs were not aware of the TARGET website.—Stakeholder 5
[e]verything comes off the computer doesn’t it? You’re in the consultation and that’s what you hit the button for, the patient doesn’t need antibiotics and you explain why and out it comes, I would have thought that would be useful.—GP M11 (The Treating Your Infection leaflet) And similarly, and additionally the languages that are on offer don’t necessarily reflect all the languages we need.—Stakeholder 3 (The Treating Your Infection leaflet)
[w]e would probably have a relatively high illiteracy rate in some parts of (region) because of deprivation etc, it (The Treating Your Infection leaflet) might not be as easily understandable by some of our population,—Stakeholder 10
It is now I think audit quality improvement, the trainees are required to do them in each post. It’s kind of a bit more, it’s embedded.—GP M7 (audits)
It was quite time consuming. And I’m not sure how likely GPs would be to spend that much time doing it—Stakeholder 7 (learning modules)
Yes, I think that would be quite fun, because you could do that at home in the evening, of course.—GP M11 (learning modules)
Probably because there’s not one person that’s responsible for them but there again that might be considered,—GP M2 (posters)
M But I think we, I think as a practice we’re probably quite good, so I don’t think it’s a, I think there are other things that are…
M More important.—FG G1
Well we don’t have a colour printer on the desk but if we did it would be very expensive, yeah… But I think even if we had a colour printer I don’t think many GPs would be printing that kind of thing out, that is expensive as soon as you do a few of those.—GP M1

Reflexive monitoring
but we haven’t monitored it in any formal way, so I only have anecdotal feedback really from prescribers—Stakeholder 10
No, I am not, I am assuming that that’s going to come out of Public Health England, I am not doing any monitoring,—Stakeholder 5
I think that’s the kind of thing we’re usually enthusiastic at the time and say, oh yes, that would be a good idea, but then we don’t take it forward because it’s not our idea and I suppose we can’t see immediate benefit.—GP M1
we were able to highlight to them actually it wasn’t always appropriate, and we fed back to them, also the antibiotics that they were using, and then when we re-audited it actually there was a significant change in everyone’s practice really.—GP M9
Now I am told that we will have some figures for those practices where we have delivered the workshop, the prescribing will be collected and then, yes, we will get that information maybe in six months’ time, has their prescribing gone down as compared to what it was previously?—Stakeholder 4
We’re using that checklist alongside sending the GPs quarterly antibiotic prescribing data for their practice so that they can, hopefully, see that the use of the materials, implementing delayed prescribing strategies, use of the leaflet, to reflect and see whether that has had any impact on their prescribing as a practice.—Stakeholder 9