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The NHS England Radiotherapy Service Specification calls for routine use of patient-reported outcome measures (PROMs). However, barriers exist at patient, healthcare professional and service levels. The aim of the present study was to determine the current use of PROMs within radiotherapy services in England. The current attitudes, barriers and enablers to the implementation of PROMs in radiotherapy practice were evaluated and practical recommendations to inform future implementation were developed. A mixed-methods approach was adopted to obtain quantitative and qualitative data. An online questionnaire was developed and disseminated to all radiotherapy operational delivery network managers across England. The questionnaire consisted of 12 open and closed questions relating to PROMs use, with the option to provide free-text responses. Inductive thematic analysis was conducted on free-text comments, whereas descriptive statistics were used to analyse quantitative data. In total, 182 responses were received from 40 of the 50 radiotherapy providers, resulting in a response rate of 84%. The current use of PROMs was analysed, including rationale for use, tools used, format of PROMs collection and timing within the radiotherapy pathway. Most respondents indicated that PROMs were used in the context of clinical trials only. Through thematic analysis, four identical key themes were identified relating to both barriers and enablers to PROMs use; these included IT infrastructure, time, human/financial resources and training/education. A fifth theme, standardisation, was identified as a key enabler to PROMs use. Our findings show that outside of clinical trials, PROMs are not routinely used in radiotherapy services due to barriers identified at professional and service levels. Here we provide recommendations to mitigate the barriers identified and implement PROMs in radiotherapy, including training for healthcare professionals and standardisation of PROMs tools and storage. This study provides a key first step in driving PROMs implementation within radiotherapy services across England. • Outside of clinical trials, PROMs were not widely used within radiotherapy services. • Common PROMs used included QOL, anxiety/depression and urinary/bowel function tools. • PROMs are completed using either paper or electronic forms, by staff or patients. • Barriers include IT infrastructure, time, resources (staff/finances) and training. • Enablers included IT, time, resources, training and standardisation. [ABSTRACT FROM AUTHOR]

Given the evolving and diverse nature of post-16 computing curricula within England, this papers' primary objective was to identify the factors which influence the decision-making processes for education providers when choosing computing curricula. As a main provider of the vast array of post-16 qualifications, and due to their neglect both politically and in research, further education colleges were chosen as the subject of inquiry. Due to the focus on understanding employee perspectives, a qualitative research method was employed where semi-structured interviews were conducted with thirty-two employees from across thirteen colleges within England. These employees included computing lecturers, heads of departments, and members of senior leadership. Findings indicate the extent of the range of post-16 computing qualifications offered by colleges, in addition to identifying who the key players are for computing curricula decisions. Additionally, ten factors were identified as pivotal to influencing curricula choice, and from these factors, a model has been created classifying four central areas that should be considered regarding curriculum choice: labour market information, qualification relevance to industry needs, qualification attractiveness, and current college resources. This model should help inform education providers in making more informed computing curricula decisions. [ABSTRACT FROM AUTHOR]