Abstract
Background: In March 2020, the delivery of NHS general practice consultations was rapidly modified to mitigate the spread of COVID-19. Remote triage and consultations became the default, with adapted models for face-to-face contact if clinically required. This study aimed to gain insight into public perception of these adaptations. Methods: Two online surveys were developed, and conducted in August and September 2020. Survey A, open to adults (>18 years) receiving the link to it, considered respondents’ perspectives on healthcare contacts since March 2020, and their understanding of the adapted delivery. Survey B, open to survey A respondents only, then considered how healthcare communication had been received and individual preferences for this. Survey participation was voluntary. Results: The perceptions of 150 members of the public were obtained. 105 had considered contacting general practice, although half avoided this or delayed doing so for longer than usual. While some patients did so ‘to help the NHS’, others experienced reduced access for reasons including concerns about telephone consultations and about COVID-19 safety. Some however reported benefitting from remote consultation availability and regular texts/emails from their practice. 68% (102/150) of respondents were unaware that patients with COVID-19 were seen separately from other patients during general practice appointments. 27% in survey B who had avoided or delayed contact said they would have felt more comfortable contacting general practice had they known this. Conclusions: Experience and use of the adapted general practice models varied. Some patients felt their access to healthcare was reduced, often due to technological requirements. For some who found attending face-to-face appointments difficult however, remote contact was advantageous. Most of those surveyed were unaware of the COVID-19 control measures in place during face-to-face general practice consultations. Assessment of adapted delivery model accessibility and clearer public messaging about the changes may help reduce inequalities.
Highlights
With the onset of the COVID-19 pandemic, delivery of general practice consultations changed rapidly and extensively throughout England as in other countries.[1]
Face-toface consultations were used only when clinically necessary[2] and their proportions dropped from 80% of total general practice consultations in February 2020, to 47% in April 2020, as shown in Table 1. [Table includes selected months only - from February to May 2020, and August 2021 - for illustrative purposes]
The reduction in face-to-face appointments was offset by increased proportions of telephone contacts, which rose from 14% of totals in February 2020, to 48% two months later (Table 1)
Summary
With the onset of the COVID-19 pandemic, delivery of general practice consultations changed rapidly and extensively throughout England as in other countries.[1]. The reduction in face-to-face appointments was offset by increased proportions of telephone contacts, which rose from 14% of totals in February 2020, to 48% two months later (Table 1). They remained above pre-pandemic levels, at 38% in August 2021. Conclusions: Experience and use of the adapted general practice models varied Some patients felt their access to healthcare was reduced, often due to technological requirements. For some who found attending face-to-face appointments difficult remote contact was advantageous Most of those surveyed were unaware of the COVID-19 control measures in place during face-to-face general version 2 (revision)
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