Domain	Measure
1. Schemes’ impacts on quality of care outside DES18 and DIS	Population achievement of all QOF clinical indicators excluding the dementia annual review and diagnosis indicator (a weighted measure of overall achievement of the QOF clinical domains [excluding dementia review and diagnosis indicator], with the maximum points for each indicator used as weights) Population achievement of the QOF dementia annual review indicator
2. Patient-centred care	Mean percentage of responders answering ‘good’ or ‘very good’ to each part of the question: ‘Last time you saw or spoke to a GP from your GP surgery: How good was that GP at involving you in decisions about your care? How good was your GP at listening to you? How good was that GP at treating you with care and concern?’
3. Access to care	Percentage of responders answering ‘good’ or ‘very good’ to: ‘Last time you saw or spoke to a GP from your GP surgery, how good was that GP at giving you enough time?’
4. Continuity of care	Percentage of responders answering ‘almost always’ or ‘always’ to: ‘How often do you see (or speak to) the doctor you prefer to see?’
5. Doctor–patient relationship	Percentage of responders answering good or very good to: ‘Last time you saw or spoke to a GP from you GP surgery, how good were they at explaining tests and treatments?’ Percentage of responders answering ‘yes, definitely’ to: ‘Did you have confidence and trust in the GP you saw or spoke to?’

DES18 = Directed Enhanced Service 18. DIS = Dementia Identification Scheme. QOF = Quality and Outcomes Framework.