Table 1 Motivating factors and barriers identified by PCOs.
Question | Options | N (%) |
|---|---|---|
PCO-s that have (or are considering) a respiratory GPwSI service (n = 42) | ||
What are the factors motivating your PCO to have/or consider a respiratory GPwSI service? (n = 41)* | Identified local needs | 33 (80) |
| Â | Winter pressures on hospital beds | 19 (46) |
| Â | New GP contract targets | 13 (32) |
| Â | Government directive | 5 (12) |
| Â | Influence of local personalities | 5 (12) |
| Â | Drug cost containment | 4 (10) |
| Â | Secondary care initiative | 4 (10) |
| Â | Local patient pressure | 1 (2) |
| Â | There's a pot of money available | 1 (2) |
| Â | Pharmaceutical company influence | 0 |
What are the major problems you will have to overcome? (n = 39)* | Competition with other local priorities | 25 (64) |
| Â | Inadequate funding for respiratory GPwSI | 20 (51) |
| Â | Inadequate infra structure support funding | 15 (38) |
| Â | Respiratory disease is not a national priority | 8 (21) |
| Â | Lack of local interest/expertise from GPs | 6 (15) |
PCOs that are not considering a respiratory GPwSI service (n = 69) | ||
Why is a respiratory GPwSI service not a priority in your PCO? (n = 67)* | Lack of local interest/expertise from GPs | 24 (36) |
| Â | We have a respiratory specialist nurse | 24 (36) |
| Â | Inadequate funding for respiratory GPwSI | 13 (19) |
| Â | Inadequate infra structure support funding | 13 (19) |
| Â | Respiratory disease is not a local priority | 10 (15) |
| Â | Lack of local patient pressure | 7 (10) |
| Â | Respiratory disease is not a national priority | 6 (9) |
| Â | Opposition from secondary care | 1 (1) |
| Â | Winter pressures are not a problem locally | 0 |