RT Journal Article SR Electronic T1 A qualitative study to investigate why patients accept or decline a copy of their referral letter from their GP JF British Journal of General Practice JO Br J Gen Pract FD British Journal of General Practice SP 626 OP 629 VO 55 IS 517 A1 Gerry Morrow A1 Amanda Robson A1 Barbara Harrington A1 Shona Haining YR 2005 UL http://bjgp.org/content/55/517/626.abstract AB Background Our practice in Northumberland has offered patients copies of their clinical referral letters for almost 3 years. However, many patients declined this offer and this qualitative study was conducted to determine why almost 80% of patients offered a copy of their referral letter opted not to receive one.Aim To discover why some patients accepted and others declined a copy of the letter written from GP to specialist.Design of study A qualitative focus-group study.Setting General practice in Northumberland.Method Three focus groups of referred patients were created, and discussions were taped, transcribed and analysed for major themes.Results The patients chose to accept or decline a copy of their referral letter for diverse reasons. However, most felt that the ability to choose for themselves whether to have a copy or not was essential.Conclusions The concept of trust in their GP was a major theme that patients related was often behind their decision to decline a copy of their letter. These results, if transferable, may have implications for the application of this policy.