3.1.8 Establishing effectiveness of the tools
Service users felt that the use of QCancer in patient consultations should be evaluated for effectiveness before allowing all practitioners to use them:
“But I think if you are going to roll something out rather than going to everybody I would start with the doctors, see how the doctors do with it after evaluation and then move on to the practice nurses”(Service User 12: individual interview).
Practitioners also felt that evaluating the tools would help them to compare the effectiveness of the tools with current practice:
“We have to make sure that it is better than what we are already doing” (Practitioner 13 [GP]: FG 2).
3.1.9 Need to integrate the tool into general practice IT system
Practitioners were concerned about the lack of integration of the tool in their practice systems. They felt the tool needed to be integrated into practice information technology (IT) systems to avoid the difficult task of searching for a tool from the internet for each patient being assessed for cancer risk:
“It will not be easy downloading or Googling the tool during patient consultation. So, the tool needs to be integrated into our practice IT systems” (Practitioner 2 [GP]: FGD 3).
The facilitators to implementation of QCancer which related to the CFIR construct of relative advantage10 were: supporting clinical decision making; modifying patient health behaviours; improving processes and speed of cancer assessment and treatment and personalising patient care.