| Knowledge |
“Lifestyle as well, I personally felt a little bit out of depth because we’ve never been fully trained on lifestyle… and I was like ok, so I go to the gym, what did I google myself, what did I do myself for myself, so like that.”
Ph6
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| Skills |
“I cheated you see, I got my [relative] to be my first one. She’s a brilliant, like poorly controlled diabetes, so, you know, she could have benefited from it, but that was like, having someone who I knew, who it didn’t really matter if I screwed up on it.”
Ph7
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| Social/professional role and identity |
“Knowing that information [HbA1c] would be useful but, like I say, at the practice next door, if it’s high then they do something about it… So for us to see it would be useful, from our perspective but we wouldn’t really do an awful lot with it because the nurse next door is doing, the diabetic nurse is dealing with that kind of thing… So it’s kind of duplicating people doing the same thing really.”
Ph1
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| Beliefs about capabilities |
“I don’t think I felt fully confident after my first, until after my first consultation. [Ph1 agrees]. That’s why I always explain to the person, he was my first so I told him [laughter amongst group].”
Ph5 “I mean initially, occasionally I would get some, I mean X would come in and do a little bit [pharmacist cover] if I had a few patients booked in, but yes it has been a struggle fitting everything in and like I said, managing patients is difficult.”
Ph3 “The problem with the goals was that the goals were anything, lifestyle, anything. If it had been, if it’d narrowed the field down and you can sort of like say like it’s going to be diet, it’s going to be exercise or whatever maybe you could sort of like focus in on that, but some of them were some really…”
Ph1
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| Optimism |
“it got you feeling a bit like motivated at the end of the day, like ‘yeh we can do this’.”
Ph6 “it was kind of exciting to be part of something that you know kinda shapes something that could be rolled out in the future”
Ph4
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| Beliefs about consequences |
“…it was like, let the patient decide the goals, which is fine, because you don’t want them to do something you want them to do, they’ve got to decide, that’s fine. But that makes it so broad… So, yeh, you ended up with any sort of goal, from a lot of people just wanting to do the obvious thing like lose weight and like other people who wanted to do like slightly different things… It’s quite broad.”
Ph2 “…we had a lot of emphasis on ‘you have to get patients who’s going to stick with this’ so then I picked kind of really regular customers who always want a chat anyway, and that was kind of what I was told to do. But then they are not necessarily the people who are going to benefit from it the most [agreement].”
Ph7
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| Reinforcement |
“…my staff initially they were like ‘we’re not getting paid for it, so why are we doing it’ but I was like ‘no but you know, it’s for human kind’, but they don’t even see that do they?”
Ph6
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| Goal setting |
“…for the first reviews I would have 10 patients one month and 10 patients the next month, so to take that pressure off myself. So, just to fit in a couple a week isn’t as much as trying to fit in 20 over 2 weeks.”
Ph3
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| Environmental context and resources |
“I think even with 20 though, that’s 20 hours of work that you’re supposed to fit around” Ph2 “I’d say it was more than 20 hours.” Ph7 [agreement around room] “already besides all the work you do reading things at home, writing the paperwork on top of everything you already do. I think we were quite fortunate because our manager did attend one of the trainings and he was like ‘there’s no way they can do this without double cover’ and we did get double cover for the initial session. I think if that wasn’t the case I don’t think I’d have been able to do it.”
Ph2 “The healthcare assistant who I had at the training left shortly after and then you are kind of just stuck really. I had to train other members of the staff up without really having the training myself. Ph7 “Yeh, I really relied on NHS websites, so I…[cut off by 7]… 12 week diet plan”
Ph3
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| Social influences |
“I think initially whenever something is new it always takes a bit of time, sometimes you have to be the role model to show your team, so like you do your first few then let them take over.”
Ph5 “What might have been a good idea is… getting your 10 shops together, or 10 pharmacists in a room and let them discuss how to go about it before the consultations start. We never had that but I think that would have been a good idea. …but that would have been a better sell, because if I had been able to talk to 3, then we could have gone back and yeh, first consultation ‘let’s go for it’ and know roughly how it’s going to work.”
Ph5 “I used ‘so this is a pilot scheme that the NHS is doing, you are so special like fit the criteria’, like quite a few people went with that because they were like ‘aw, it’s for the NHS’.”
Ph6
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| Emotion |
“I think they [training team] were a very motivational team. They inspired you to do the project, and kind of showed us or told us how important, we were an important part of the project and that makes you want to do well in it really and.”
Ph3 “It felt great, yeh, because the time and effort that you’ve put in you’ve actually seen a positive change and that, you’ve played a part in that patient making a difference to them, because you don’t see them every day, but they see the change everyday, they see the benefit everyday and if you can do that with every patient you can interact with it’s a good feeling.”
Ph4
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| Behavioural regulation |
“If you’ve done it [training for obtaining clinical measurements] then your team do think ‘well the pharmacist can do it’, whereas this way, I just took a back seat on that one and let my HCA do it and then train everyone else as well so that way they weren’t expecting me to be part of that, the metrics as well.”
Ph6
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