Question | Prompts |
---|---|
CKD | |
• Can I ask you how CKD is managed in the practice? | • Do you mind running through how it works, what happens? |
• How do you manage a diagnosis of CKD | • How are people with CKD identified? |
• What issues do you feel are the most important for people with CKD? | • What happens next? |
• How is it discussed in consultations? | • Are there any examples? Have you recently seen anybody with a diagnosis of early-stage CKD |
• (What is your understanding of CKD?) | |
• Is CKD something that is brought up in consultations? | • Is there a practice view on management CKD disclosure — or any differences in practitioners? |
• Can I ask how is it brought up? | |
• Is it possible to know/how do you know what other people are doing in the practice? | |
• How do you think others (in/outside practice) view the management of CKD? | |
• Do you always tell patients they have the diagnosis. If yes — how do you tell? If no — how do you decide who to tell? What criteria: who is this discussed with – in the practice, as a team, individual practice … others | |
• How are people with CKD followed-up? | • What is the role of the computers in managing people with (a) vascular conditions; (b) CKD? |
• Can I ask what do you think about the QOF register for CKD? | • Are there benefits for patients to being on the register? |
• Do patients always know they are on a register? | |
• How is CKD discussed (a) in the practice (e.g. meetings, with other colleagues); (b) in consultations? | • What is the role of (insert type of professional) in the management of people with (a) vascular conditions; (b) CKD? |
• Is CKD something that is discussed? What gets discussed? | • healthcare assistant |
If not, are there any reasons for this? | • GPs |
• Do you have links with specialist services for people with CKD? | • other fellow GPs |
• Are there any specific recommendations/guidance that the practice has used in the management of people with CKD? | • practice nurse |
• reception staff | |
How do you find these recommendations? How has the model/interventions changed practice, the day-to-day management; consultations? | • IT |
• practice manager | |
• Is there anything that you feel helps/hinders care? | • health trainer |
• How is CKD linked to other priorities around vascular care? | |
• Links to vascular disease: what do you feel are the key issues in the (a) management of people with vascular disease and (b) CKD | |
Vascular work | |
• How are people coming in for vascular reviews (such as CHD, blood pressure, stroke) managed in your practice? | • What tends to be discussed in consultations with people who have (a) vascular conditions; (b) CKD; (c) other comorbidities? |
• What do you feel are the key issues in the management of people with vascular disease? | • What happens in your consultations? |
• What is the role of (insert type of professional) in the management of people with (a) vascular conditions; (b) CKD? | |
• Who is involved in the management of people with vascular conditions? | |
• How does discussion around CKD compare with discussion about other clinical parameters such as hypertension, cholesterol, glycaemic control? | • How has care for people with (a) vascular conditions; (b) CKD changed over time? |
• Is it possible to know/how do you know what other people are doing in the practice? | |
Multimorbidity work | |
• How are people with multimorbidities including CKD managed in (a) the practice; (b) your consultations? | |
• How does the management of CKD relate to the management of somebody with (a) high blood pressure; (b) heart failure; (c) diabetes; (d) other morbidity? | |
Illness work | |
• What do you see as the role of the practice in supporting people in living with (a) vascular conditions; (b) CKD? | |
• How do people with (a) vascular conditions; (b) CKD navigate their care? | |
• What would you want an information resource to look like? | |
• How would it help with the disclosure of CKD? | |
Demographics | |
• Age | |
• Practice size | |
• Training practice | |
• Nurse title (practice nurse, nurse practitioner, etc) | |
• Disease-management clinics (if so, what) |
CHD = coronary heart disease. CKD = chronic kidney disease.