Table 8 General impact of the trial on the practice staff

Increased staff time needed to carry out study: anybody who knows anything about medical research knows that there are quite a lot of hoops to jump through and you know, you have to dot the I’s and cross the T’s [...], it’s a commitment.

(Recruiter 7 General Practitioner, High Recruiter)

Staff concern for patients who had chest X-rays: everybody was a little bit aw, I hope she... I hope it’s ok, you know it’s sort of er ... um, that sort of feeling […] it’s a bit of a balancing act really on um you know sort of the pros and cons of the study and the pros and cons of patients participating as well.

(Recruiter 5 Research Nurse, Low Recruiter)

Feeling of guilt for unnecessary patient anxiety: I feel guilty now because I wouldn’t have sent her for a chest X-ray unless we were doing the study.

(Recruiter 5 Research Nurse, Low Recruiter)

Increase in medical knowledge: ‘we see so many different types of cancer and I don’t think I was aware that our diagnostic, you know the timing of our diagnosis was so delayed in this country.

(Recruiter 7 General Practitioner, High Recruiter)

I used to believe chest X-rays were dangerous things […] they’ve become a lot safer, so, it’s part of the mind-set anyway that we perhaps should be X-raying more people than we traditionally used to do […] certainly N.I.C.E. say that we should

(Recruiter 8 General Practitioner, Low Recruiter)

Increase in research knowledge: it’s an introduction into research for the, the practice and erm [...] And (Doctor’s name) has been pleased with how it has [...] turned out and so [...] maybe it’s a chance for of them stepping forward and taking more on [...] ‘Coz I know some practices they have um special research nurses there.

(Recruiter 10 Nurse Practitioner, High Recruiter)