Appendix 1

Appendix 1 - Semi-structured interview

Name -

Department -

Position held in department -

How long position held -

Q1 - Are you aware that The Department of Clinical Psychology offers potential input to all medical and surgical departments within the hospital?

Q2 - How did you become aware of the service?

Q3 - Please rate how important you consider the service to be to the care of patients within your department? (rating 1-10, 1= not important at all, 10= of vital importance)

Q4 - Do you refer patients to the service? If YES go to (5), if NO go to (7)

Q5 - Roughly how many patients would you refer to the service in an average year?

1-5, 6-10, 11-15, 16-20

Q6 - Do you think you are currently making full use of the service? Now go to (8)

Q7 - Do any of the following reasons identify why you may not have referred to the service in the past?

a) You do not have enough information about psychological services offered to your department

b) You do not have enough information about the role of clinical psychologists within the hospital

c) You do not consider the service to be of relevance to your department

d) You do not consider clinical psychologists to have a role in the care of patients attending medical and surgical departments

e) You consider that waiting lists may be too long

f) You considered referral to another agency (psychiatry, GP, social work, OT) would be most appropriate in the first instance

g) Other (please specify)

Q8 - What would you consider to be an acceptable waiting time for a clinical psychologist to make contact with your patient, following

a) an urgent referral

b) a routine referral (number of days, weeks, months)

Q9 - Can you give an example/examples of services the department may offer medicine and surgery?

Q10 - Please indicate on Handout A which services you think are offered by the department.

Q11 - Please indicate on Handout B how relevant you consider these services might be to medical and surgical departments. (rating 1-10, 1= extremely relevant, 10= totally irrelevant)

Q12 - Which of the following factors do you think might be involved in your decision whether or not to refer to the service:

a) Waiting times for treatment

b) Family’s motivation for the patient to seek psychological support

c) Patient’s motivation to seek psychological support

d) Presence of physical symptomatology

e) New diagnosis of a serious illness

f) Knowledge of a member of staff at the department of clinical psychology

g) Good outcome from a previous referral

h) Other (please specify)

Q13 - Do you see a possible role for clinical psychology to be involved with patients in your care in the future?

Q14 - Do you see a role for a clinical psychologist in any of the following areas within your department?

a) One-to-one patient contact

b) Contact with patients in a ward setting

c) Consultative role with staff in your department

d) Work with groups of patients

e) Support for carers and staff

- Are there any others?

Handout A

Advice about compliance with treatment ..........

Behavioural management ..........

Adjustment to life events ..........

Hypnotherapy ..........

Pain management ..........

Neuropsychological assessment ..........

Relaxation techniques ..........

Illness prevention ..........

Advice about medication ..........

Psychological preparation for physical treatment ..........

Handout B