- Depression is the third most common reason for consultation in UK general practice. Whilst depressive disorders are common, they may go unrecognised or be suboptimally managed.
- Simple questionnaires to detect depression and changes in the organisation and delivery of care have been proposed to enhance the recognition and management of depression.
- The routine administration and feedback of questionnaires, such as the General Health Questionnaire, does not improve patient management or outcome of depression.
- Multifaceted interventions providing enhanced care for depression including case management by practice nurses, clinician education and greater integration with secondary care services, can improve the care and outcome of depression.
- Telephone support is a simple intervention that improves the care and outcome of depression.
- The interventions shown to improve the management and outcome of depression in primary care will require enhancement of the role of nurses, investment of resources and greater integration with secondary care.