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Appendix 2 - Discussion Guides

Consultant radiographer interview template

SECTION 1

Current position

I’d like to start by asking you about your consultancy post and the background to your gaining that position.

  1. How long have you been a consultant radiographer here? When were you appointed?
  2. Were you employed here prior to gaining this post?    [YES]   [NO]
  3. i If YES, What was your band/position prior to becoming a consultant?
    ii. Were you involved in developing the proposal to create the consultant role?
    iii. If YES, Can you tell me how that happened?
    iv. Would you give me a brief outline of what the job entails?
    v. Is that how it was originally anticipated? (ie has the post changed between design and appointment?)

  4. What is the AfC band for the consultant’s post? 
  5. i. Is this the band you started on when appointed to the consultant position?
    [YES]   [NO]
    ii. If NO, ask for details about the change to grading

  6. How long has the ‘Four tier system – Career Progression Framework’ been fully implemented here?

 

SECTION 2

Background to introducing consultant posts

If interviewee has indicated they were involved in introducing the post, ask this section. If not, jump to section 3.

  1. What was the rationale for seeking to introduce the consultant role(s)?
  2. If service provision/quality not mentioned, ask if any service provision or service quality issues were part of the context to making the bid for consultant post.
  3. Were there any other issues that you or your colleagues thought a consultant would particularly help the department address?
  4. If so, what were these?
  5. How did you think the consultant position would help?
  6. How was/were the consultant post(s) developed?
  7. Who led the development process?
  8. Did any factors emerge as more important than others during this process?
  9. If advanced practitioner(s) also in post – was/were this/these post(s) introduced for similar reasons to those for the consultant post, or different? If different, what were the main reasons?

 

SECTION 3

Role Content

  1. What are the core elements of your job description? (If more than one consultant) Is the emphasis of the job descriptions the same for both/all of the consultant posts, or do they differ?
  2. Are any areas of specialist practice specified?   [YES]   [NO]
  3. i. If YES, what are these?

  4. Who decided the content for the job description(s)?
  5. (Ask only if the consultant was part of the team that developed/proposed the post) Do you think that these job components/elements fully reflect the needs that were expressed prior to agreement for the post?
  6. If any difference, why was this?
  7. Was the content of the job descriptions/person specification for the consultant post subject to any negotiation prior to agreement?  [YES]    [NO]
  8. i. Who was involved in these
    negotiations?

  9. Who is your line manager?
  10. To whom are consultant radiographers clinically accountable if different from line manager?
  11. Are there agreed CPD arrangements for the consultant(s) (and for Advanced Practitioners, if in post)? [YES]   [NO]
    If YES, what are they? If NO, what has happened so far regarding CPD provision?

 

 

SECTION 4

Impact

  1. What, in your view, have the main impacts been from introducing the consultant post(s)?
  2. If not specified, Do you believe that introduction of the consultant post(s) has had an impact on service quality?
  3. Has there been any impact on service capacity since introduction of the consultant post(s)? [YES]    [NO]
  4. Are these the types of benefits that were anticipated in introducing the post(s), or different?  SAME   DIFFERENT
  5. If different, how are they different? Why do you think this is the case?
  6. If not previously mentioned Has there been any impact on proportion of patients meeting 18 weeks targets pre-and post-implementation of the consultant post(s)?
  7. If not previously mentioned Has there been any impact on patient waiting-list length pre- and post-implementation?
  8. How do you record/monitor service throughput?
  9. Are you required to record information on capacity/throughput for the trust? [YES]   [NO]
  10. How is this recorded?
  11. Do you record overall number of patients who come through the department/unit?  [YES]   [NO]
    If  YES,
  12. i. Is this per week, month, quarter, year?
    ii. If YES, how many is this?

  13. Do you record overall number of imaging ‘events’? [YES]   [NO]
  14. If YES, is this per week, per month, per quarter?
  15. Per unit/modality?
  16. Is this for the department/unit overall? If not recorded as an overall departmental figure or figures, how is this information recorded?
  17. Do you report these figures internally?
  18. Who to? What happens to the information?
  19. Are year on year comparisons made?
  20. Are these figures noted at Board level?
  21. Does it impact on your funding?
  22. Are you required to report these figures externally? Who to? (SHA? DH?) 
  23. Do you keep a record of number of complaints made against the department/unit?
  24. If so how are these recorded?
  25. Do you make year on year comparisons? Has there been any change between [year consultant post was introduced] and now?
  26. Are there any other indicators of service improvement you would like to mention?
  27. Do you think there have been any benefits since introduction of the consultant post(s) for referrers or for multi-disciplinary teams?
  28. (Only if employed in same department before becoming consultant) Has there been any impact of introduction of the consultant post(s) on other staffs’ time use?
  29. Overall, what has it cost to introduce the consultant post(s)?
  30. Did the department receive additional funding to resource this? [YES]   [NO]
  31. i. If YES, has this continued or were you required to find ways to make the post(s) self-sustaining/funding (eg through cost/efficiency savings)?

  32. If not, how was it funded?
  33. Do you have data that demonstrate the cost-benefits or could be used to calculate cost savings?
  34. Have you done so yourself (made these calculations)?
  35. Have you tried to collect any additional information to demonstrate the value of your post (and AP post, if appropriate) for the trust and/or for service users?
  36. Overall, what do you think the main benefits have been?
  37. Do you have any other comments you would like to make about the process of introducing the consultant post(s) or the impact of doing so

Thank you.

 Manager interview template

 

SECTION 1

Current position

I’d like to start by asking you for some details about the current situation in your trust.

  1. How many consultant radiographer posts are there in the trust?
  2. What were the dates of appointment?
  3. What are their AfC bandings?
  4. Are these the bands they started on when appointed to the consultant position?  [YES]   [NO]
  5. If no, ask for details about the change to grading
  6. How many advanced practitioners are there in post?
  7. What is their field of practice?
  8. What were the dates of appointment/promotion?
  9. What are their AfC bandings?
  10. Are these the bands they started on when appointed to the advanced practitioner position?  [YES]   [NO]
  11. If no, ask for details about the change to grading
  12. How many assistant practitioners are there in post?
  13. What is their field of practice?
  14. What were the dates of appointment/promotion?
  15. What are their AfC bandings?
  16. ‘How long has the ‘Four tier system – Career Progression Framework’ been fully implemented here?

 

SECTION 2

Background to INTRODUCING consultant posts

  1. What was the rationale for seeking to appoint the consultant(s)?
  2. If service provision/quality not mentioned, ask if any service provision or service quality issues were part of the context to making the bid for consultant post.
  3. Were there any other issues that you thought a consultant would particularly help to address within the department?  [YES]   [NO]
  4. i. If YES, what were these?
    ii. How did you think the consultant position would help?

  5. Who led the development process and who was involved?
  6. i. What did the process entail?

  7. Did any factors emerge as more important than others during this process?  [YES]   [NO]
  8. i. If YES, what were they?

 

SECTION 3

Role Content

  1. Who decided the content for the job description(s)?
  2. Do you think that these job components/elements fully reflect the needs that were expressed prior to agreement for the post?
  3. If any difference, why was this?
  4. i. Was the content of the consultant post job descriptions/person specification subject to any negotiation prior to agreement?
    ii. Who was involved in those negotiations?

  5. What criteria did you adopt for assessing/selecting applicants for the consultant post(s)?
  6. Did you manage to recruit an individual / individuals who met all the desired criteria for the post(s)?   [YES]   [NO] 
  7. i. If NO, what did you do?

 

SECTION 4

Impact

  1. What, in your view, have the main impacts been from introducing the consultant post(s)?
  2. Are these the types of benefits that were anticipated in introducing the post(s), or different?    [SAME]   [DIFFERENT]
  3. If DIFFERENT, how are they different?
  4. Why do you think this is the case?

  5. If not specified, Do you believe that introduction of the consultant post(s) has had an impact on service quality?
  6. Has there been any impact on service capacity since introduction of the consultant post(s)?
  7. Has there been any impact on proportion of patients meeting 18 weeks targets pre-and post-implementation of the consultant post(s)?
  8. Has there been any impact on patient waiting-list length pre- and post-implementation?
  9. How do you record/monitor service throughput?
  10. Are you required to record information on capacity/throughput for the trust?
  11. Do you record overall number of patients who come through the department/unit?   [YES]   [NO]    
  12. Is this per week, month, quarter, year?
  13. How was it in the year prior to employing a consultant?
  14. Do you report these figures internally?
  15. Are year on year comparisons made?
  16. Are these figures noted at Board level?
  17. Does it impact on your departmental income?
  18. Are you required to report these figures externally, if so who to?
  19. Do you keep a record of number of complaints made against the department/unit in relation to the consultant?
  20. If so how are these recorded?
  21. Do you make year on year comparisons?
  22. Has there been any change between [year consultant post was introduced] and now?
  23. Are there any other indicators of service improvement you would like to mention?
  24. Has the introduction of the consultant post(s) had any impact on other staff’s  time use?
  25. Do you think there have been any benefits since the introduction of the consultant posts for referrers or for multi-disciplinary teams?
  26. Has the introduction of advanced practitioner post(s) had any impact on other staff’s time use?
  27. Do you think there have been any benefits since the introduction of the advanced practitioner posts for referrers or for multi-disciplinary teams?
  28. Has the introduction of assistant practitioner post(s) had any impact on other staff’s time use?
  29. Do you think there have been any benefits since introduction of the assistant practitioner posts for referrers or for multi-disciplinary teams?
  30. Overall, what has it cost to introduce the consultant post(s)?
  31. Did you receive additional funding to resource this?
  32. If yes, has this continued or were you required to find ways to make the post(s) self-sustaining/funding (eg through cost/efficiency savings)?
  33. Overall, what do you think the main benefits have been?
  34. Do you have data that demonstrate the cost-benefits or that could be used to calculate cost savings?
  35. Have you tried to collect any additional information to demonstrate the value of the consultant (and advanced practitioner posts, if appropriate) posts for the trust and/or for service users?
  36. Do you have any succession plans in case the consultant moves on? [YES]   [NO]
  37. If the consultant left now would you reappoint to the post? [YES]   [NO]
  38. If YES, do you have any succession plans in place?
  39. If NO, why is that?
  40. Do you have any other comments you would like to make about the process of introducing the consultant post(s) or the impact of doing so?
  41. Thank you.

 

Radiologist interview template

 SECTION 1

Background to INTRODUCING consultant posts

I would like to start by asking you for some details about the current situation in your trust

  1. What was the rationale for seeking to appoint the radiographic consultant(s)?
  2. If service provision/quality not mentioned, ask if any service provision or service quality issues were part of the context to making the bid for consultant post.
  3. Were there any other issues that you thought a consultant would particularly help the department address? [YES]   [NO]
  4. If YES, what were these?

 

SECTION 2

Impact

  1. What, in your view, have the main impacts been from introducing the consultant post(s)?
  2. Are these the types of benefits that were anticipated in introducing the post(s), or different? 
  3. [SAME]   [DIFFERENT]

  4. If DIFFERENT, how are they different?
  5. i. Why do you think this is the case?

  6. If not specified, Do you believe that introduction of the consultant post(s) has had an impact on service quality?
  7. Has there been any impact on service capacity since the introduction of the consultant post(s)?
  8. Has there been any impact on proportion of patients meeting 18 weeks targets pre-and post-implementation of the consultant post(s)?
  9. Has there been any impact on your role and if so what is it?
  10. Are there any indicators of service improvement you would like to mention?
  11. Do you think there have been any benefits since the introduction of the consultant posts for referrers or for multi-disciplinary teams?
  12. Has the introduction of the advanced practitioner post(s) had any impact on other staff’s time use?
  13. Do you think there have been any benefits since the introduction of the advanced practitioner posts for referrers or for multi-disciplinary teams?
  14. Has there been any impact of introduction of assistant practitioner post(s) on other staffs’ time use?
  15. Do you think there have been any benefits since introduction of the assistant practitioner posts for referrers or for multi-disciplinary teams?
  16. Overall, what do you think the main benefits have been of introducing the consultant posts and the four tier framework?
  17. Do you have any succession plans in case the consultant moves on?
  18. If the consultant left now, would you reappoint to the post? [YES]   [NO]
  19. If YES, do you have any succession plans in place? [YES]   [NO]
  20. If NO, why is that?
  21. Do you have any other comments you would like to make about the process of introducing the consultant post(s) or the four tier framework or the impact of doing so?

Thank you.

 

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