Table 3

Main themes and subthemes

Theme 1Theme 2Theme 3
Lack of consistent approaches in case-finding processesBarriers between primary care and secondary care which impact case-finding outcomesPerceptions of rationale, aims and impacts of case-finding
  • Hospitals implemented different strategies for case-finding (how, when, where).

  • Wide variety of staff involved, with different priorities.

  • Different cognitive assessment tools across and within hospitals.

  • No standard IT system impacts on how case-finding information is captured, recorded and communicated.

  • Poor communication of case-finding outcomes impacts GP judgements about patient care.

  • Lack of access to hospital results leads to duplication of effort.

  • Lack of clarity about roles and responsibilities.

  • Politically and financially driven policy with no evaluation of outcomes.

  • Conflicting priorities for primary care and secondary care regarding case-finding

  • Case-finding raised awareness and improved training in secondary care.

  • Hospital not appropriate environment for case-finding can lead to mislabelling.

  • Impact on families is mixed.

  • Lack of buy-in from GPs (feel they know patient; concerns over lack of postdiagnosis support).

  • Resources diverted—impact on services.

  • GP, general practitioner; IT, information technology.