Cancer Prehabilitation: Staff perspectives on implementation

Annex C: Topic guides

Topic guide 1) Pathways and partnerships

• In an ideal world, what would a multi-modal prehabilitation service look like?
• What would the roles of the third-sector, local authorities and/or private providers be?
• What would communication between teams or sectors look like across the whole pathway? Thinking about, for example, communication between prehabilitation and rehabilitation.
• What would you say about the quality of cross-sector collaboration to deliver prehabilitation?
• Typically, how are practitioners made aware of local prehabilitation activities? How could communication between teams/ sectors be improved to increase awareness of prehabilitation and support available?
• What outcome measures are most likely to engage you in prehabilitation, for example, cost avoidance or clinical outcomes?
• Of the vision that we’ve discussed, where are the ‘quick wins’ (actions that are low effort, high impact) to effective partnership and pathways?
• Is there anything else you would like to say on the topic of prehabilitation (pathways and partnerships) that you haven’t had a chance to during the session?

Topic guide 2) Service redesign, renewal and sustainability

• In your view, what would an ideal prehabilitation service(s) look like?
• What would the funding structure look like?
• Some of the common concerns raised in the survey were around staffing and sustainability: the importance of dedicated funding to support specialist staff to fill gaps, to deliver a full complement of prehabilitation modes and to ensure staff capacity beyond ad hoc delivery. How do these resonate with your experience? Are there any other barriers you experience as practitioners?
• How important is it for us to demonstrate effectiveness and cost avoidance? What outcomes can we measure to support this? How would these be recorded, and used?
• How could prehabilitation services in your area could be improved in a sustainable way?
• Of the vision that we’ve discussed, where do you think the key areas of focus for a sustainable prehabilitation service should be?
• Is there anything else you would like to say on the topic of prehabilitation (service redesign, renewal and sustainability) that you haven’t had a chance to during the session?