interviewing process

Personal Health Budgets Evaluation

Interviewing Process


Before the interview day24 hour gap between consent and interview

The interviewer to contact the participant before the interview to check that they are still happy to take part

The following information could be completed before the interview. •PCT area –the name of your PCT (e.g. East and Coastal Kent)•NHS user ID (e.g. NHS ID) •Date of interview•Participant’s gender •Participant’s date of birth•Name of interviewer


Participant safetyIf the participant shows signs of distress

The interviewer should draw the interview to a close sensitively

If the participant reveals new health conditionsThe interviewer should ask whether they would like their GP, PCT or other health professional to be notified

If the participant reveals difficulties that they feel have not been responded to appropriately

The interviewer should ask whether they would like their GP, PCT or other health professional to be notified

If the interviewer feels that the participant is uncomfortable with a question they should not force them to answer


Interviewer safety• If interviewing in a participant’s home

– Tell someone who you are interviewing and the address– Tell the person when the interview should be finishing

• All interviewers should be aware of the following– Is there any history of violence?– Does participant hold any prejudices (e.g. racism)? – Any recent events likely to cause distress (e.g.

Bereavement)?


Before the interview begins• Interviewers should remind participants of the

following: – They do not have to answer questions if they do not want to– If they are unhappy with the questions at any time they should tell the

interviewer they would like to move on– They can end the interview should they wish to


Baseline Questionnaire• Nine sections to the questionnaire

• Each question is a standardised measure that has been widely used in health and social care research– Please keep to the wording of the questions and

scales

• The pre-amble before each section is for the interviewer to explain to participants– For consistency interviewer to keep to the wording


Outcome Measures• Section 1: Subjective well-being• Section 2: GHQ-12• Section 3: General health• Section 4: Social Care Outcomes• Section 5: EQ-5D


Dependency Level• Could have an impact on outcomes

– e.g. Lower dependency = improved outcomes

• 11 activities of daily living– We want to know about patient’s ability to perform each

activity rather than outcome (getting from A to B)

• Four responses– On own without help– On own with difficulty– Only with someone else– Not at all


Health and Social Care Services• Health care service use

– Medical records– Hospital Episodes Statistics

• Social care service use– Outcome questionnaire– Data to be used in the cost effectiveness analysis


Equity Implications• Are there equity issues in terms of who is being

offered a PHB?• To explore question, we need information on

– Socio-economic characteristics– Socio-demographic characteristics– Religion– Sexual orientation– Practical help received from family or friends

• Some of the information could be obtained from records


Data Protection

• Names and addresses are kept separately from the personal information collected on the questionnaire

• Only the participant’s NHS ID and the unique ID should be used on the questionnaire

• Questionnaires should be sent back securelySpecial delivery which requires a signatureSent back via a courier

interviewing process

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