Table 3.

Topic guide for GPs that participated

NPT area	Question and prompts
	To start off, could you tell me a little about yourself? 1.Your role and how long you have been at the practice 2.Your knowledge and/or experience of clinical microsystems prior to the programme 3.Your involvement in the clinical microsystems programme 4.Tell me about the project(s) you were involved with
Sense making/coherence	What were your expectations for the clinical microsystems programme? 5.What were you hoping the programme would bring to the practice? 6.Why did you feel there was a need for the programme? 7.Did you feel well prepared about what it would involve for the practice?
Participation/engagement	Was there ‘buy-in’ to the programme? 8.Were all staff in the practice happy to be involved in the programme? Did this change over time? 9.Did someone in the practice have to champion it? 10.How important is the enhanced service payment for buy-in? Does it need to be continued to sustain buy-in?
Action/doing	What did the programme actually require the practice to do? 11.How much time did this take? What activities did you have to undertake? 12.How helpful were specific tasks related to mapping the 5Ps? 13.Can you tell me about the coach? 14.How would you describe their approach? 15.How important was the coach? 16.What was their relationship with the practice? 17.How often did you see them? How did they maintain contact? 18.Could they have done things differently?
Appraisal	Finally, what value you think the programme provided? 19.Were there any key ingredients that you think made the project successful? OR Were there any key ingredients lacking from the project that hindered its success? 20.What aspects of the clinical microsystems approach overall do you think are essential? 21.How would you describe the changes the programme bought for the practice? 22.Who has benefited most from the programme and how? 23.How do you think the programme equips your practice for future challenges? 24.Would you recommend the programme to others? Can you elaborate? 25.How could the programme be improved?