The role, delivery and implementation of video group consultations in UK general practice settings

Scott, Eleanor Rachel

Abstract

Background
Video group consultations [VGCs] are one approach to delivering care in general practice, using a virtual platform to consult with a group of patients with the same/similar medical condition. Yet, the ways in which COVID-19 impacted primary care led to a rapid implementation of VGCs, which meant that little is known about the ways this approach has been used, delivered, and implemented in general practice. The aims of this thesis are: i) to identify the evidence for VGCs, and ii) to explore the experiences of healthcare professionals [HCPs] implementing VGCs.

Methods
Taking a multimethod, pragmatic approach, a systematic review, a crosssectional survey study and a semi-structured interview study, were conducted to explore the role, delivery, and implementation of VGCs across UK general practice settings. Study samples included HCPs who are currently using, or have previously implemented/delivered VGCs in general practice. Findings from each study were synthesised to develop ‘top tips’ for implementation into practice. Stakeholder engagement and patient and public involvement were incorporated throughout.

Results
The systematic review (n=4) highlighted a paucity of research evidence for long-term condition reviews in general practice, as an alternative to routine, clinical care. This was also evident in the cross-sectional survey of HCPs across UK general practice settings (n-36), which found variability in the uptake and use of VGCs, in particular regarding the operationalisation of VGCs. This diversity in terminology was echoed further through interviews with HCPs (n=14), highlighting that the diversity of approaches are driven by differences in practice contexts, professional interests, patient demand and organisational priorities.

Conclusion
This thesis has contributed to a greater understanding of the role, delivery, and implementation of VGCs in UK general practice settings, developing the ‘SPACE’1 approach to aid implementation. Further work is needed to better understand how different UK general practice contexts influence the potential role of VGCs.

1 *(SPACE: Secure a launchpad for VGCs; Publish both research evidence and real-life case studies on VGCs; Advocate for a ‘protected role’ for VGCs; Conceptualise a shared definition of VGCs; Establish a network of practices using VGCs)

Citation

Scott, E. R. The role, delivery and implementation of video group consultations in UK general practice settings. (Thesis). Keele University. https://keele-repository.worktribe.com/output/1109673

• Thesis Type: Thesis
• Deposit Date: Mar 21, 2025
• Publicly Available Date: Mar 21, 2025
• Public URL: https://keele-repository.worktribe.com/output/1109673
• Award Date: 2025-03