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Interviews on Time and Care in NHS General Practice, 2020 - 2021
Creator
Davies, S, Goldsmiths
Study number / PID
857332 (UKDA)
10.5255/UKDA-SN-857332 (DOI)
Data access
Restricted
Series
Not available
Abstract
These data were collected as part of a four-year Wellcome Trust funded research project tracking the relation between waiting and care in general practice in a moment of overlapping crises for the NHS. A researcher at Birkbeck College set out to observe the forms that waiting could take across all areas of life and work in two Practices: one serving a densely populated urban area in Central East London, the other serving a large rural area in Devon. The transcripts comprise a series of recurring interviews with two general practitioners, and a collection of one-off interviews with other members of the general practice team including reception, managerial and administration workers. All the interviews were carried out between June 2020 and April 2021.Waiting, Staying and Enduring in General Practice was a 4-year research study (2018 – 2022) based on observations and interviews carried out over the course of 1 year in two NHS general practices in England. Its original aim was to study the relationship between care and time during long periods of ‘watchful waiting’ in general practice. The emphasis on achieving clinical outcomes by adhering to tightly controlled timeframes when providing access, advice and treatments was at odds with the temporalities of much of the healthcare falling within its remit (intractable, complicated, long term and medically unexplained health conditions often with no clear ‘outcomes’). Responding to the discrepancy, this research investigated what forms of care could issue from time in general practice in situations in which nothing appeared to improve or get better. Based on interviews with healthcare workers in clinical and non-clinical roles, observations of routine GP appointments, observations of Balint group meetings and personal testimonies of general practitioners made publicly available online, it explored this understudied area of everyday healthcare through a series of ethnographically derived cases. The study formed part of...
Terminology used is generally based on DDI controlled vocabularies: Time Method, Analysis Unit, Sampling Procedure and Mode of Collection, available at CESSDA Vocabulary Service.
Methodology
Data collection period
09/07/2020 - 30/04/2021
Country
United Kingdom
Time dimension
Not available
Analysis unit
Individual
Organization
Event/process
Geographic Unit
Time unit
Group
Universe
Not available
Sampling procedure
Not available
Kind of data
Text
Data collection mode
There are fourteen interviews all carried out remotely by the same researcher through online video calls due to the social distancing requirements of the time. They took place over a period of thirteen months.They vary in length, and some are short, ending abruptly. This is because they take place during the working day at a time when general practices were understaffed and under pressure. A single opening prompt is used to guide the conversation towards areas of ongoing or longstanding clinical concern as a pretext for reflecting on relationships between time and care. All the interviews were recorded but to avoid recording copious amounts of patient data, they were not transcribed. Instead, summary notes were taken in the moment by the researcher and written up immediately afterwards. Videos were destroyed after the final notes were taken to comply with the terms set out in the consent form. Two general practitioners appear in eight of the interviews as part of a pre-agreed plan to track their clinical labour over time. The other participants include a Practice Manager, a receptionist, administrative workers, and a Balint group leader. Interview prompts are included in the transcript texts. A blank copy of the information and consent form is stored in the supporting documentation.
Funding information
Grant number
Wellcome Trust [205400]
Access
Publisher
UK Data Service
Publication year
2024
Terms of data access
The Data Collection is available for download to users registered with the UK Data Service.