Tests devised by psychologists could replace patient surveys

Measures of the GP-patient relationship that could replace patient surveys have been set out in a discussion paper that will inform the King's Fund inquiry into general practice.

A paper by the think tank says tests devised by social psychologists could be used to measure trust, interpersonal skills and responsiveness in general practice.

Existing patient surveys are ‘too broad in scope to capture the subtle and intimate nature of the relationship’, it says.

Measuring the quality in the therapeutic relationship says that continuity of care has suffered as consultation length falls and patients register with practices, not individual GPs.

‘Some suggest the tendency to audit and performance manage practitioners around standardised quality metrics has inadvertently driven down the quality of the GP–patient relationship,’ says the paper.

Although the GP-patient relationship is hard to measure, the report suggests that ‘there is merit in encouraging practitioners to study [and] improve their own contribution to it’.

Health secretary Andrew Lansley has recently called for an end to the GP patient survey in its current form as well as the 48-hour access target. 

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