Inclusion Health Action in General Practice (IHAGP): evaluation
Evaluation of the Inclusion Health Action in General Practice (IHAGP) programme we introduced in 2023. IHAGP provides GP practices in areas of high deprivation with additional investment to carry out practical action to address healthcare inequalities.
Appendix A: Survey Questionnaire (Staff with Monitoring Form)
Introduction
This survey is for general practice staff involved in the Inclusion Health Action in General Practice (IHAGP) programme. Your responses will help evaluate what has worked, what could be improved, and the overall impact of the programme. Your input is confidential.
Ask all
Section 1: About You and Your Practice
Q1. What is your age?
Single code
16-24
25-34
35-44
45-54
55-64
65+
Q2. What is your gender?
Multicode
Man
Woman
Non-binary
Other
Prefer not to say
Q3. What practice do you work at?
Single code
Randomise
[dropdown with practice names]
Q4. What is your practice code?
[Open text
Q5. What is your role?
Single code
Randomise
Trainee GP
Salaried GP
GP partner
General practice nurses
Practice manager
Admin/reception staff
Link workers/social prescribers
Other members of the multidisciplinary team (e.g. ANPs, pharmacists, physiotherapists, mental health nurses, etc.)
Other (please specify):
Q6. Are you or someone else at your practice responsible for the IHAGP programme?
Multicode
You
Someone else
Ask if Q6=A
Q7. As part of the Inclusion Health Action in General Practice programme, general practices have taken actions across 3 main themes:
Patient engagement: creating or enhancing existing patient/community participation
Workforce knowledge and skills: providing staff access to education, resources, or training on health inequality
Proactive outreach/extended consultations: checking in with patients and/or holding extended meetings to provide support to those at high risk of ill health due to poverty/inequality
Which IHAGP themes has your practice worked on? Please select as many as apply. Multicode
Theme 1: Patient engagement
Theme 2: Workforce knowledge and skills
Theme 3: Proactive outreach / extended consultations
Ask if Q6=B
Q8. As part of the Inclusion Health Action in General Practice programme, general practices have taken actions across 3 main themes:
Patient engagement: creating or enhancing existing patient/community participation
Workforce knowledge and skills: providing staff access to education, resources, or training on health inequality
Proactive outreach/extended consultations: checking in with patients and/or holding extended meetings to provide support to those at high risk of ill health due to poverty/inequality
Which IHAGP themes have you been involved in? Please select as many as apply. Multicode
Theme 1: Patient engagement
Theme 2: Workforce knowledge and skills
Theme 3: Proactive outreach / extended consultations
Ask if Q7=A
Section 2: Theme 1 – Patient Engagement
Q9. What engagement activities have you been involved in since IHAGP started? Multicode
Randomise
Supporting existing health or wellbeing groups
Creating new health or wellbeing groups
Supporting existing peer support groups or patient panels
Creating new peer support groups or patient panels
Seeking feedback from specific patient groups or undertaking patient engagement exercises
Changing how we work with community link workers
Changing how we work with voluntary/community partners
Changing forms of communication to suit patients (texts, calls, etc.)
Providing translated materials
Updating facilities and information, such as websites or waiting rooms
Other (please specify):
Ask if Q9=A-D
Q10. Who led these groups? Single code
Randomise
The practice
Someone else (such as a charity)
Both
Q11. How were patients selected or encouraged to take part?
Multicode
Randomise
Invited based on clinical risk or need
Invited based on societal vulnerability or need
Advertised to a specific group with flyers or other materials
Referred to take part from community or voluntary group
Open to all patients (Single code)
Not sure
Other (please specify):
Q12. What changes have you noticed in patients who participated?
Multicode
Randomise
Increased trust in clinicians
Increased confidence in looking after their health
Increased proactivity in looking after their health
Increased attendance at appointments/meetings
Reduced need for appointments
Improved physical health and wellbeing
Improved mental health and wellbeing
No clear changes (Single code)
Other (please specify):
Q13. What changes have you noticed in staff who participated?
Multicode
Randomise
Increased understanding of the challenges patients face
Increased satisfaction in their work
Increased demand for training
Increased involvement in advocacy work
Decreased stress or workload pressure
Increased stress or workload pressure
Increased collaborative working
Improved morale
No clear changes (Single code)
Other (please specify):
Q14. What factors helped make the engagement successful?
Multicode
Randomise
Strong team buy-in
Support from link workers/community partners
Staff training
Dedicated time or resources
Learning or sharing from other IHAGP practices
Strong connection with the community
Other (please specify):
Q15. What barriers or challenges have you faced when trying to engage patients?
Multicode
Randomise
- Difficulty identifying or reaching patients that would benefit the most
- Competing priorities for patients
- Practical barriers for patients (e.g. time, travel, caring responsibilities)
- Low patient interest
- Limited patient understanding of health inequalities
- Limited internal time or staff capacity
- Language or cultural barriers
- Lack of suitable venues or resources
- Limited support from partner organisations
- Limited capacity in community/partner organisations
- Other (please specify):
Q16. How has IHAGP interacted with and added value to other initiatives or programmes (e.g. the Community Link Worker Programme, Whole Family Support in General Practice)?
[Open text]
Ask if Q7=B
Section 3: Theme 2 – Workforce Knowledge and Skills
Q17. What type of training or development have you taken part in since the beginning of IHAGP?
Multicode
Randomise
Mental health
Trauma-informed care
Inclusion health / working with vulnerable groups
Communication skills
Cultural competence
General knowledge and awareness of health inequalities
Other (please specify):
Q19. Has the training led to changes in the following:
Single code
Rotate scale
Clinical care Ask if Q5 =! F
Practice systems
Scale: yes, no, not sure
Q20. What changes have you implemented as a result?
Open text
Q21. What has supported the use of newly acquired skills and learning in your frontline work?
Multicode
Randomise
Ongoing staff discussions or reflection
Changes to systems/processes
Leadership encouragement
Peer support or shared learning
Longer appointments
Other (please specify):
Q22. What barriers limited the impact of the training?
Multicode
Randomise
Lack of time
Lack of follow-up or reinforcement
Not all staff included
No clear pathway to use learning
Lack of options for psychological support
Other (please specify):
Q23. What changes have you noticed in yourself and staff who participated?
Multicode
Randomise
Increased understanding of the challenges patients face
Increased satisfaction in their work
Increased demand for training
Increased involvement in advocacy work
Decreased stress or workload pressure
Increased stress or workload pressure
Increased collaborative working
Improved morale
No clear changes (Single code)
Other (please specify):
Ask if Q7=C
Section 4: Theme 3 – Outreach and Extended Consultations
Q24. What activities were delivered?
Multicode
Randomise
Extended consultations for complex patients
Proactive patient contact
Home visits
Community-based clinics
Targeted reviews for patients with high clinical and/or social needs
Other (please specify):
Q25. How were patients identified for this work?
Multicode
Randomise
Clinical risk (e.g., long-term conditions)
History of repeated non-attendance
Experiencing poverty/economic deprivation
History of mental health issues
History of drug and/or alcohol use
Asylum Seeker
Multiple conditions
Complex long-term conditions
Additional Language Needs
Other (please specify):
Q26. What changes did this work lead to?
Multicode
Randomise
Better continuity of care
Improved outcomes for specific patients
Increased workload for staff
Deep dive understanding of complex issues
Opportunity to address unmet clinical needs
Development of trust
Increased workload
Improved clinical outcomes
More efficient workload
Improved staff wellbeing
Improved work satisfaction
No clear impact (Single code)
Not sure (Single code)
Other (please specify):
Q27. What helped with delivery of this work?
Multicode
Randomise
Protected staff time
Support from non-clinical staff or link workers
Clear patient lists and targeting
Use of longer appointments
IHAGP resources to support wording/approaches
Shared learning within/between practices
Other (please specify):
Q28. What challenges did you face?
Multicode
Randomise
Lack of time
IT limitations
Staff shortages
Difficulty reaching patients
Repeated non-attendance despite additional efforts
Other (please specify):
Ask all
Section 5: Overall Impact and Sustainability
Q29. What have been the most important impacts of IHAGP? Please select up to three.
Multicode – select three
Randomise
Better access to care
Increased patient trust or satisfaction
Improved staff knowledge or confidence
More inclusive practice approaches
Reduced inequalities
Improved team morale
Time to learn
Opportunities to try new approaches
Establishment of a professional network of IHAGP practices
Improved patient outcomes
Other (please specify):
Q30. Has delivering IHAGP had an impact on your wellbeing and morale?
Single code
Rotate scale
Yes – Positive impact
Yes – Negative impact
No impact (Single code)
Not sure (Single code)
Q31. Has delivering IHAGP had an impact on your own desire to stay in your role?
Single code
Rotate scale
Yes – Positive impact
Yes – Negative impact
No impact (Single code)
Not sure (Single code)
Q32. How has delivering IHAGP impacted your workload?
Significantly increased workload
Moderately increased workload
Slightly increased workload
No impact on workload
Reduced workload
Q33. Are the changes from IHAGP sustainable without further funding?
Single code
Rotate scale
Yes – They are fully embedded into practices
Yes – But only partially sustainable
No – Would stop without funding
Not sure
Q34. To what extent are IHAGP activities integrated into routine practice now?
Single code
Rotate scale
Fully integrated
Partially integrated
Not yet integrated
Not sure
Q35. What would help you sustain or expand this work?
Multicode
Randomise
Additional funding
Continued training or learning sessions
Dedicated staff time or posts
Better data or tracking tools
Leadership or network support
Long-term funding
Other (please specify):
Ask all
Section 6: Final Reflections
Q36. Have there been any unexpected or unintended outcomes?
Multicode
Yes – Positive
Yes – Negative
No
Not sure
Ask if Q36=A OR B
Q37. What unexpected positive or negative outcomes have you seen?
Open text
Q38. Are there any particularly good examples of differences made by IHAGP funding that you would like to share?
Open text
Q39. Are there activities you would like to undertake to address inequality that are not covered by IHAGP?
Open text
Q40. Is there any learning or resources you’d like to share with other practices?
Open text
Q41. Are there any areas you’d like to learn more about or get support on?
Open text
Q42. Is there anything else you would like to share?
Open text
Ask if YES AT Q6
Section 7: Monitoring Form
Filter for each theme
Theme 1: Patient Engagement
M1. What activities has your practice delivered as part of patient engagement from March 2025-August 2025? (e.g. set up a patient group, ran a community event, worked with local peer support networks) [Open text box]
M2. Approximately how many patients have been engaged through these activities? If possible, please identify the number for each activity. This Year:
Since the beginning of IHAGP:
M3. Please give further details on engagement: (e.g. number of groups, number of patients per group, frequency/duration of sessions, type and number of staff involved) [Open text box]
Theme 2: Enhancing Knowledge and Skills
M9. What activities have you undertaken related to this theme? (For example, staff training sessions, resources purchased, etc.) from March 2025-August 2025?
[Open text]
M10. Approximately how many staff members have participated in any training?
Please enter a number:
This Year:
Since the beginning of IHAGP:
M11. Please describe how you collected this information:
[Open text]
M12. Please provide more details about the staff who accessed training or educational resources: (e.g., roles, number of staff, training duration or frequency)
[Open text]
M13. How did you gather this data?
[Open text]
M20. Have you experienced any barriers or challenges while implementing activities under this theme?
[Open text]
M21. What key learning or useful tips would you like to share with other practices? (e.g., helpful websites, feedback, practical advice)
[Open text]
M22. Do you have suggestions for additional support or resources that could help practices deliver actions under this theme?
[Open text]
Theme 3: Outreach and Extended Consultation
M24. What actions have you taken related to proactive outreach and extended consultations? (For example, your approach, target population, planned or ad hoc activities)
[Open text or bullet points]
M25. Approximately how many patients have been engaged through these activities? Please enter a number:
[Numeric input]
M26. Please describe the evidence or method used to gather this information:
[Open text]
M27. Please provide further details about the outreach and consultations: (e.g., approximate length of extended consultations, number of outreach clinics)
[Open text]
M28. Please describe the evidence for this:
[Open text]
M29. Have any Read codes been used to record interactions? Please list any relevant Read codes used:
[Open text]
M30. How has this activity impacted your practice? (For example, effects on staff or changes in practice policy)
[Open text]
M31. Please provide supporting evidence if available:
[Open text]
M32. How has this activity impacted the patients involved? (Describe observed changes or benefits)
[Open text]
M33. Please share any evidence you have:
[Open text]
M34. Have you encountered any barriers or challenges in delivering these activities? Please describe:
[Open text]
M35. What key learning or useful tips would you like to share with other practices? (e.g., helpful websites, patient or staff feedback, practical advice)
[Open text]
M36. Do you have suggestions for additional support or resources that could help practices deliver actions under this theme?
[Open text]
Recruitment
Would you be willing to take part in a follow-up interview or focus group as part of this evaluation?
Interview
Focus Group
If yes, please provide your preferred contact method:
Phone
Other
If focus group
Please select up to three topics you would be most interested in discussing in a focus group:
Missed appointment policies
Registration policies
Additional language needs
Supporting refugees, asylum seekers and recently-arrived people
Cancer screening
Problem drug or alcohol use
Mental health support
Coding and data (for translation, missingness, extended appointments)
“Missingness”
Establishing and supporting community groups
Patient communication and engagement
Supporting patient self-management
Trauma-informed practice
Neurodevelopmental support
Other (please specify):
Contact
Email: socialresearch@gov.scot