Table 7 Challenges with implementation in practice

V4:

I can’t say I have been trying it with absolutely everybody …erm… I’ve had quite a difficult run of the types of patients I have had…there has been bigger issues [than self-management] I suppose that had to get dealt with.

LK:

Yeah so it’s kind of been a kind of difficult caseload you’ve had?

V3:

And it’s absolutely time.

V1:

And it’s adding onto your…[workload].

V3:

And that’s not what we would normally do.

V1:

And it’s trebling the workload.

LK:

Yep so you think in terms of kind of workload it would put extra pressure on you?

V3:

See but the goal setting part I don’t think is unachievable I think it’s more if you’ve to fill in all these other things afterwards [the action plan and PAM].