Background
Methods
Results
Recruiting practices | Non-recruiting practices | Total | |
---|---|---|---|
GPs | 5 | 4 | 9 |
Non-clinical staff (practice managers, practice IT leads, research coordinator, research nurse) | 2 | 5 | 7 |
Total | 7 | 9 | 16 |
“It puts the details in which is time saving”: views of automated data capture
“I think as an idea it’s brilliant. … it means you haven’t got piles and piles of paperwork … that you’ve then got to somehow get scanned to email through. … it self-populates. … it puts the details in which is time saving. Cos time is one of the big things in general practice” (GP09)“there’s not a spare minute in primary care at the moment. … Research in primary care, I think we’re, I think we’re struggling a bit. … There’s such a burden on, on GP time for major problems that research … the GPs would look at the studies and say, ‘Yeah, I don’t have time to do this’.” (Research Nurse, ITA03)
“It has taken an awful lot of time”: experiences of software
“to be brutally honest with it was quite a nightmare … I’ve probably spent about 10 h in total trying to install the piece of software on one computer. Um, quite often there would be loads of errors with it installing, with it not working. Um, I’d then have to send emails to the people that were dealing with it. … it’s definitely taken so much longer than what we thought it was going to take.” (Practice Operations Manager, ITA02)“the major problem, um, of the installation is actually getting time to get into the GP’s room. … we’re really limited on space so if that GP isn’t in there’ll be a locum in their room … from eight in the morning ‘til 6.30 or seven o’clock at night. So actually trying to get in to have… 2 h… is virtually impossible. (Research Nurse, ITA03)
“I’ve spent literally hours on this trying to install the software, hours. I think our clinicians have said that, you know, enough’s enough. They don’t want me to spend any more time on it. … they [GP partners] just [got] cross ‘cause I wasn’t doing other things …. I do all the QOF stuff so all the quality registers and things and all the statistics, all the claims. … all that sort of was a bit on hold really.” (Data Manager, IT01)“I started to refuse to install stuff because we were having so many problems with what it was doing to our computers … it was probably towards the end of the QOF year … I said I wasn’t prepared to put it back on until after we finished the QOF year because I couldn’t risk the machines not working. (GP09)
“I’ve worked extra time to do it as well. I’ve, they’ve actually paid me extra to come in and do the REST software so I think that’s sort of annoyed them a little bit.” (Data Manager, IT01)
“We’re not all IT proficient”: variations in primary care IT provision and skills
“we are a fairly small practice … it was pretty much … me on my own … just trying to go through the installation step by step to work out where it wasn’t working and then trying to work out why so, trial and error” (GP06)“we didn’t locally have full admin rights. Well the Practice Manager did but you know, to get her to sit down for a couple of hours and set it all up was very difficult, she didn’t have a couple of hours.” (Research Co-ordinator, ITA05)
“we’re not sort of in charge of our own IT, the IT goes out to another company … our IT people who are [name A], they’re not really supposed to give admin rights to anybody in a practice … [company name A]will not get involved with other people’s software. …they have a list of software that’s allowed on the system and if we’re going to put some other software onto it they will not support us installing that software” (Practice Data Manager, ITA01)“we do have [name C] but I didn’t get them involved in it…’cause … [name C] wouldn’t help with it anyway. … because it hadn’t been signed off by our CCG so we shouldn’t be installing it on our computers.” (Operations Manager, ITA02)“[name E] are our … IT support … they were much more obliging than I thought they'd be to be honest but we have worked with them before on other studies with software that downloads onto the PC so they were fine about it … we had a very good relationship with you know one particular person on the IT team, willing to help us” (Research Co-ordinator, ITA05)
“we had a big change at our practice erm, something called single domain which basically means that they’ve taken a lot of admin rights away from a lot of the users including me… cause I think it was becoming problematic across the practices that you know, we had free rein really. And that’s going to cause a problem with things like REST because we can’t install it, so you give us a set of instructions and we won’t be able to do it because it has to go to our localised IT who has to verify they're okay with it first.” (Assistant Practice Manager, ITA04)“the CCG took it upon themselves to be responsible for all of our hardware and software, so when Windows 10 came for the whole of the CCG, they then took charge of everything really, which in a way makes sense because they paid for it and therefore they should control it and the flow of information that’s available and try to link it all up with other bits of the NHS, but as a result things … fell by the wayside, unfortunately.” (GP05)“because of the way that the NHS is set up we had to get firewalls opened, … to enable the software to contact [trial database] and then also for them to contact back through to our software so basically you had to go through the firewall through a different port. … so that was quite complicated at the beginning, having to go through these firewalls by logging it with our IT and then our IT doing it and that took a while.” (Data Manager, ITA01)“[I] installed the software once I had permission from the CCG and that took [from] July/August … until December … it’s just checking the security side of things, just make sure we’re not going to get any viruses... it’s about data protection, you know they want to make sure that no patient identifiable data is going to be sent over for the studies.” (IT Support Manager, IT07)
“I think [the CCG] are quite – lax might be the wrong word, but we can install software and we do install software. So we’ve installed software for other research studies with no problems.” (GP09)“[we] needed to change our operating system … [to] Windows 10 … we couldn’t [install] ourselves any more, we had to get the CCG computer boffins in to do it for us, they didn’t want to do it because they said its software may corrupt the NHS software and they wanted more assurance from higher levels than me that it was all safe to go, soooo… I got cross … told them it was all, it had been approved at high level, … co-ordinated at committee level and approved and was being used elsewhere and they shouldn’t be so silly … so they then did come and put it on for me, so it’s now up and running” (GP05)