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We were led by the practice manager in their choice of methods that seemed to fit best with their practice.
Receptionists within participating practices will be informed about the study by the Practice Manager but they will not be told the calls will be specifically about stroke.
A single practice survey was completed by the practice manager or lead physician; it contained items describing practice environment (including the team structure, hours of operation, and the availability of medical and social services in the local community).
Data on the type of GP surgeries and diabetes clinics that take up HeLP-Diabetes will be collected from Population Manager Data, Public Health Observatories [ 21] data and a data collection form to be completed by the Practice Manager or Clinic Lead at each site.
For example, we observed doctors being upbraided by the practice manager for making outgoing calls on the this line during the advertised time slot, and patients who phoned reception to make prescription requests were asked to redial using the correct line.
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Participants indicated their willingness to participate by contacting the practice manager and scheduling an interview time.
In addition to GPs and nurses identifying patients during the consultation, lists were generated by the practice managers of all patients who had sleep difficulties using clinical (Read) codes for insomnia and hypnotic drugs.
If no response was received, we contacted the practice manager by telephone.
General Practices in the local Primary Care Trust were contacted by a letter sent to the practice manager.
The whole practice was invited but the meetings were generally attended by the GP s) most involved and the practice manager and lasted between 30 and 60 min.
Following today's reports on BBC News, the practice manager has been removed from their duties by the Primary Care Trust.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com