Exploring the User Experience of CGA-Q

* As people become older they may start to have more than one health issue at one time. * Geriatricians are doctors who specialise in looking after older people. * A tool that geriatricians use is the Comprehensive Geriatric Assessment (CGA). * Its purpose is to make sure that all parts of an older person's health are looked after. This includes their physical, psychological, social, environmental, and functional health. * The problem with CGA is that sometimes it does not focus on what is important to the patient. * When a clinician makes sure that they are looking after the things that are most important to a patient this is called person-centred care. * The CGA-Q is a questionnaire. It aims to improve how person-centred someone's care. * This study aims to find out what people think of CGA-Q.

Comprehensive Geriatric Assessment (CGA) is a multi-disciplinary, multi-domain intervention that involves reviewing an older person's physical, psychological, social and environmental health and then implementing a plan in collaboration with the patient. Its purpose is to facilitate a holistic assessment of an older person that considers the multiple, and potentially overlapping, issues they may be experiencing. Cochrane reviews have shown that when CGA is delivered in an inpatient setting it reduces the risk of an individual dying or moving into a care facility. It has also been shown, through randomised control trials, to improve outcomes in the perioperative, hospital-at-home, and oncology setting. As a result, it is considered the gold-standard for managing frailty in older adults. Person-centred care describes care that is focused on the needs and expectations of an individual, rather than a single disease or process. It improves the individual's quality of life and their satisfaction with their care. Its impact on outcomes is such that the World Health Organisation has called for it to be a key priority in healthcare delivery. Person-centred care is heralded as the gold-standard method for delivering care. Currently, research on person-centred care primarily focuses on how an individual can measure whether care is person-centred. Conversely, there is clinical equipoise in regards to how a clinician can be supported to deliver person-centred CGA. The CGA-Q is a tool that is currently being used as part of routine care in some outpatient CGA clinics in the NHS and it seeks to facilitate person-centred care. The CGA-questionnaire was adapted from the CGA-GOLD questionnaire, which is validated for use in the outpatient older person's oncology service. The CGA-GOLD questionnaire's purpose is to identify which older person needs to undergo a CGA. However, the CGA-questionnaire differs significantly from this as its purpose is not for a needs assessment but instead to facilitate person-centred care. To understand the acceptability and impact of the CGA-Q and how it integrates into an NHS service the investigators will conduct focus groups with stakeholders including patients, carers, and healthcare professionals. The aim is to understand the stakeholder experience of using the CGA-Q. The investigators will also seek to understand the experience of engaging with CGA and their opinions of person-centred care. By understanding the experience of using the CGA-Q the investigators will be able to generate an evidence base to inform its future use and wider application in healthcare services.