Table 1
Group-level characteristics.
| Group ID | Setting; population size | Group composition | Group size (N = 48) | |
|---|---|---|---|---|
| Specialists | Generalists | |||
| Site 01 | City, East of England; population <150,000 | Acute care speech and language therapist = 1 Acute care occupational therapist = 1 Stroke consultant = 1 Community occupational therapist = 1 Community speech and language therapist = 1 | GP = 1 Nurse = 1 | 7 |
| Site 02 | City, East of England; population >200,000 | Acute care stroke nurse = 1 Acute care speech and language therapist = 1 Acute care occupational therapist = 1 Community occupational therapist = 1 | GP = 2 Nurse = 1 | 7 |
| Site 03 | Town, East of England; population of <200,000 | Acute care occupational therapist = 1 Acute care physiotherapist = 1 Community physiotherapist = 1 Assistant practitioner = 1 | GP = 1 Nurse = 1 | 6 |
| Site 04 | City, East Midlands population >300,000 | Acute care occupational therapist = 1 Acute care physiotherapist = 1 Acute care nurse = 1 Clinical specialist for stroke = 1 Stroke review officer = 1 Community physiotherapist = 1 | GP = 2 Nurse = 1 | 9 |
| Site 05 | City, East Midlands; population <300,000 | Acute care nurse = 1 Acute care physiotherapist = 1 Acute care clinical psychologist = 1 Acute care occupational therapist = 1 Stroke consultant = 1 Community physiotherapist = 1 Community speech and language therapist = 1 Community occupational therapist = 1 | GP = 2 Nurse = 2 | 12 |
| Site 06 | City, East Midlands; population >300,000 | Acute care physiotherapist = 2 Acute care speech and language therapist = 1 Stroke consultant = 1 Community occupational therapist = 1 Community physiotherapist = 1 | GP = 1 | 7 |
Table 2
Themes and subthemes.
| Theme | Subtheme |
|---|---|
| Generalists and specialists have overlapping roles but are working in silos | N/A |
| Referral decision-making process as influential to generalist-specialist communication | Categories of services for (re-)referral |
| Criteria for (re-)referral | |
| Variable quality of communication | Barriers to communication |
| Enablers to communication | |
| Improved dialogue between generalist and specialist services | N/A |