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The study will be carried out as a randomised controlled trial in which IPC (International Primary Care) primary care sites are allocated to the intervention and control arms at equal probability. Sites are assigned to the intervention or control arm at random in a 1:1 ratio using a computer-generated list of random numbers. Sites will then be invited to join the study according to a study-specific randomisation protocol. The intervention will involve a protocol of training for primary care staff in the use of the GPcoach system and access to GPcoach training materials and an additional training session for GPs in using the system. This training will be delivered to all primary care staff who will be using the GPcoach system in practice. In control practices, staff will be made aware of the study and asked to use their own method of patient information management in addition to using the standard medical records system. The allocation sequence will be held by a computerised service provider. Randomisation will be done at the practice level in a 1:1 ratio using a random number list. Practices will be allocated to the intervention or control arm at random. The allocation list will be held by an independent statistical advisor and randomisation will be carried out using a blinded randomisation service provider. GP practices will be informed that they have been allocated to either an intervention or a control group and will be reminded of their participation in the trial at the end of the study. To keep GP practices in the trial, there will be a requirement for each practice to record data on a minimum of three consecutive new attendances for any reason, two prescriptions issued or a GP consultation and one day's recorded date of death. Patients with diabetes will have to report in for their routine blood test. Patients will also be asked to complete a short questionnaire about their experiences of receiving information from their GP. To maintain patient confidentiality, patients will not be asked to provide their name or address. The GP practice will be identified using a unique patient identification number. Practices will be informed that data will be collected from their practice in order to answer trial questions and to assess whether the trial is working. These data will not contain any information about patients themselves. A training manual has been developed for the project. The training manual includes a list of resources, practical examples of what has been delivered, discussion questions and further reading. During the training session, practice staff will be asked to give examples of the resources they have found useful and to reflect on their experiences of using the system. Data
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