A qualitative study to investigate why patients accept or decline a copy of their referral letter from their GP

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.

To discover why some patients accepted and others declined a copy of the letter written from GP to specialist.

A qualitative focus-group study.

General practice in Northumberland.

Three focus groups of referred patients were created, and discussions were taped, transcribed and analysed for major themes.

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.

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.