Abstract
Background The Friends and Family Test (FFT) was introduced into general practices in England in 2015 to provide staff with information on patients’ views of their experience of care.
Aim To examine the views of practice staff and patients of the FFT, how the results are used, and to recommend improvements.
Design and setting A qualitative study of a national representative sample of 42 general practices.
Method Semi-structured interviews with 43 clinicians, 48 practice managers, and 27 patient representatives. Interviews were audiotaped, transcribed, and analysed thematically.
Results Although the FFT imposed little extra work on practices, it was judged to provide little additional insight over existing methods and to have had minimal impact on improving quality. Staff lacked confidence in the accuracy of the results given the lack of a representative sample and the risk of bias. The FFT question was judged to be inappropriate as in many areas there was no alternative practice for patients to choose, patients’ individual needs would not be the same as those of their friends and relatives, and an overall assessment failed to identify any specific aspects of good- or poor-quality care. Despite being intended to support local quality improvement, there was widespread unease about the FFT, with many responders perceiving it as a tool for national bodies to monitor general practices.
Conclusion If the use of a single-item questionnaire is to continue, changes should be made to the wording. It should be focused on stimulating local quality improvement, and practice staff should be supported to use the results effectively.
- Friends and Family Test
- general practice
- patient experience
- quality improvement
- surveys and questionnaires
- qualitative research
- Received December 21, 2016.
- Revision requested January 12, 2017.
- Accepted February 16, 2017.
- © British Journal of General Practice 2017