McNab, Duncan https://orcid.org/0009-0002-3805-543X
Jeffries, Mark https://orcid.org/0000-0002-6882-0350
Howells, Kelly https://orcid.org/0000-0002-7281-2492
Bowie, Paul https://orcid.org/0000-0001-6027-2559
Foy, Robbie https://orcid.org/0000-0003-0605-7713
Sanders, Caroline https://orcid.org/0000-0002-0539-928X
Blakeman, Tom https://orcid.org/0000-0003-3298-8423
Funding for this research was provided by:
National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research Programme (NIHR131948)
Article History
Received: 26 November 2025
Accepted: 3 April 2026
First Online: 9 May 2026
Declarations
:
: Ethical approval was obtained from an NHS ethics committee (North West - Greater Manchester East REC reference 305518). Eligible patients were provided with an information sheet and consent-to-contact form. The research team subsequently contacted interested patients to obtain formal consent. Focus group participants received written information and written consent was obtained prior to focus groups. All procedures were conducted in accordance with the Declaration of Helsinki.
: No identifiable patient data included.
: The authors declare no competing interests.