NPT constructs applied to the implementation of an ethnic identifier
| NPT construct and explanation | NPT-informed questions |
| Coherence: What sense do stakeholders make of the ethnic identifier? | Is an ethnic identifier considered valuable and worthwhile to all stakeholders? Do they think the current situation (no use of an ethnic identifier) needs to be changed? |
| Cognitive participation: Do stakeholders buy into it and seek to drive it forward? | Do primary care staff think that it is part of their role to engage with the use of ethnic identifier? Will minority ethnic groups ‘buy into’ the idea of answering questions about their ethnicity or will concerns about for example, confidentiality impact on their engagement? |
| Collective action: What is required to enact the ethnic identifier in daily practice? | What are the time implications for service providers of asking questions about ethnicity? Are primary care information systems able to incorporate the data about ethnicity with other practice-level data? Are healthcare staff skilled to ask questions about ethnicity in an effective manner? How might questions about ethnicity impact on trust in service user–service provider relationships? |
| Reflexive monitoring: Can stakeholders appraise the impact of the ethnic identifier on their work? | Will the use of an ethnic identifier produce useful data to compare health between minority and majority ethnic groups? Does the current ethnic identifier need to be changed or reconfigured to make it more useful? |