The National Clinical Programme for Diabetes (NCPD) was established to standardise the delivery of services, improve the quality of care and health outcomes for patients with diabetes. This will be achieved through the implementation of various interventions. Our aim is to evaluate the ongoing roll out of the NCPD, using a realist evaluation approach, to ascertain the context and mechanisms which have facilitated or hindered implementation.
Design: qualitative study using semi-structured interviews.
Sampling: purposive sampling selected all current members of the national diabetes working group.
Additional key stakeholders were identified by snowball sampling.
Recruitment: invitation letters & information sheets sent to all stakeholders (July-Sept 2014).
Data collection: interviews were carried out with a pre-piloted topic guide. All interviews were recorded & transcribed verbatim.
Data analysis: Framework approach using Nvivo software for data management. Initial team meetings to clarify codes. Preliminary analysis using multiple coders: open coding of two interviews to define and refine coding of context, mechanisms and outcomes.