Table 6.

Themes, sub-themes, and codes describing pharmacists’ views of the determinants of the number of NHS influenza vaccinations provided at pharmacies

Main themeSub-themesCodes
Pharmacy factorsPharmacist numbersOther pharmacist(s) available to maintain day-to-day functions of the pharmacy
Maximising the number of pharmacists able to immunise
Reliance on pharmacist to provide the (flu) service
Extended tradingEvening opening hours
Weekend opening hours
Pharmacy locationProximity/co-location with GP practice
Footfall
Pharmacy as part of defined community
Rurality
Town centre
Population served by pharmacy
Staff supportDelegation of roles to staff
Training
Recruiting patients
Flexibility to offer vaccinationsDrop in/no appointments needed
Identifying patientsChecking against prescriptions
Promoting vaccination to people accessing other pharmacy services
Targeting specific at-risk groups
Planning approachBusiness focus — profitability
Providing a high-quality professional service (altruism)
Capacity or absence of planning
Planning to supplement (mop up) GPs
Impact on other servicesReducing level of other services to accommodate vaccination
Premises/facilitiesNumber of consultation rooms
Public awarenessWord of mouthSnowballing
Staff raising awareness
Promotional materialCorporate display materials
Insufficient/inadequate/delayed promotional materials
Promotional displays
Restrictions on advertising
No awareness of NHS service
Decision not to promote by pharmacy
Importance of flu vaccination/eligibility
External factorsFinanceProfit motive
Incentives
Unimportance of profit
GP relationshipsReciprocity
Conflict avoidance
Views of GPs and practice staff
Vaccine availabilitySupply chain shortages
Purchasing restrictions
Uncertain demand
Administrative burdenPaperwork
Commissioning processesAccreditation processes
Patient Group Direction
Approval by health board