Table 7 Summarising key emerging themes related to Individually Tailored Prescribing
| NPT Domain | Emerging themes | Identified Enablers and barriers | Implications for practice |
|---|---|---|---|
| Sense making |
ITP is valued ITP is valuable ITP lacks clarity Value is not recognised/shared |
ITP is an INTEGRAL part of professional person-centred practice, But LACKS CLARITY amongst professionals, patients and the wider community | Need work to raise UNDERSTANDING of ITP as a legitimate part of the expert generalist clinical role |
| Engagement |
Leadership Levels of engagement Patient engagement Barriers to engagement |
Professionals lack the time, energy and head space to be engaged with this way of working as ITP is NOT PRIORITISED within current models of practice | Need work to PRIORITISE ITP within the range of services within primary care |
| Action |
Formal training Experiential learning Collective action Partial action Barriers |
Much of the support and training for ITP comes from experiential learning and peer support. Particular areas of concern for practitioners are in making and recording DEFENDABLE DECISIONS; and getting PRACTICAL ADVICE on how to translate ideals of professional practice in to care on the ground | Need TRAINING and SUPPORT for INTERPRETIVE PRACTICE |
| Monitoring |
Mixed feedback Challenges of feeding back Challenging the status quo Potential power of feedback |
The importance of feedback from/learning from patients to support ITP emphasises the significance of CONTINUITY of care. The need for formal monitoring/ feedback to RECOGNISE this complex form of practice | Need to support informal feedback and monitoring through peer reflection and continuity with patients; and consider the impact of formal monitoring on care |