Initially, a literature search was conducted of NICE guidelines mentioning acupuncture (up to July 2015). Subsequently, a random sample of 57 GPs in North London was asked to complete an electronic survey.
Literature search identified one new “do not offer” recommendation (CG171: Urinary Incontinence). Four guidelines discussed acupuncture, concluding evidence was insufficient. The survey yielded 19 responses from 34 potential respondents. Patient demand appeared widespread but small; several GPs received enquiries but provided no access. The most common reason for enquiry was pain management. Importance assigned to guidance and awareness of guidance other than for pain varied significantly: GPs’ decision to offer access did not correlate with guideline awareness. GPs often expected recommendations where there were none. GPs professing least trust in guidance appeared more likely to offer acupuncture access.
NICE guidelines appeared not to reflect acupuncture provision in primary care. Electronic questionnaires are a feasible research method in primary care, although obtaining up-to-date contact details poses a challenge.