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Bureaucracy, trust and time: recruitment in a low-risk study of paediatric protocols forchildren who miss medicalappointments
  1. Helen M Roberts1,
  2. Terence J Stephenson1,
  3. Lisa Arai2
  1. 1 UCL Great Ormond Street Institute of Child Health, London, UK
  2. 2 School of Social and Community Medicine, University of Bristol, Bristol, UK
  1. Correspondence to Professor Helen M Roberts, UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London WC1N1EH, UK; h.roberts{at}

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As Roe et al 1 point out, failing to ensure access to paediatric appointments has implications for a range of outcomes, including safeguarding. Here we report challenges we experienced in finding out from the frontline how protocols intended to address this problem are experienced on the ground.

Following our did not attend (DNA)2 3 studies, we reviewed recruitment notes on our attempts to talk to people tasked with producing or implementing these protocols. After speedy institutional ethics review, we required research and development (R&D) approval from each trust where we had identified a relevant DNA protocol in order to ask potential interviewees if we could talk to them. R&D contacts were helpful but risk-averse. Challenges included …

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  • Funding The Policy Research Unit in the Health of Children, Young People and Families is funded by the Department of Health Policy Research Programme. This is an independent report commissioned and funded by the Department of Health. This research was also supported by the National Institute for Health Research Biomedical Research Centre at Great Ormond Street Hospital for Children NHS Foundation Trust and University College London.

  • Disclaimer The views expressed are not necessarily those of the department.

  • Competing interests None declared.

  • Ethics approval UCL Ethics Committee.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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