In the study, ten nurses from four GP practices were trained on how to deliver an ‘enhanced’ review for patients with long-term conditions. These are designed to tackle the under-diagnosis and under-management of osteoarthritis-related pain, and anxiety and/or depression in patients aged 45 years and over with other long-term conditions (asthma / COPD / hypertension / ischaemic heart disease / diabetes). The poster presented emerging themes from preliminary analysis of qualitative data from the study. Our researchers are keen to determine the feasibility and acceptability of the study. As part of the study, 24 of the ‘enhanced’ consultations were recorded. In addition to recording the consultations, interviews were conducted with nurses, patients and GPs to gain their feedback on the ‘Enhanced’ consultations.

Although analysis of the data is in its early stages, there are some themes emerging:

1. Nurses used the research project to 'justify' asking patients questions about pain/mood.
2. In some cases, training had been very effective. Nurses took advantage of 'prompts' by the patient to discuss pain/mood.
3. Despite receiving training on enhanced consultations, nurses missed opportunities to discuss pain/mood.
4. In some cases, although the 'prompts' by the patient were acknowledged (and addressed later on in the consultation), they were not picked up at that moment – the 'ideal' situation and model delivered by the training intervention.

These findings will be used to refine the training programme for practice nurses and the content of the ‘enhanced’ consultations for a future trial.