Table 1

 Key themes

Key questionResponses
*Rogers20 (p.19) maintains that "homophily" occurs when similar individuals belong to the same groups, live or work near each other, or share the same interests.
What is the problem?Waiting times
Complaints
Anxiety
Inefficient working
Why now?Targets
Visibility
What facilitated adoption?Mass media
Roadshows
ESC networks
Near peer groups
Leadership
Enthusiasm
Ownership
Professional development
Homophily*
It matters
It’s adaptable
It’s simple
It’s testable
It’s observable
Timing
Type of decision
How was support organised?MA
ESC
Existing networks
Near peer groups
Strategic health authority (SHA) reporting
What inhibited adoption?Interpretation
Inexperience
Roles and resistance
Quality and safety
A&E mindset
Demand
Resources
Existing performance