OPACE Early Expression of Interest Form for Primary Care/ GP Sites

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Details you provide here will be shared with the NIHR portfolio study teams as part of the process of identifying practices to take part in the study. If you do not agree to this information being shared please do not complete this form. It will not be possible to progress your expression of interest without sharing your details.
Please Note: The study is now open to recruitment and is seeking both recruiting sites and PIC sites in Primary Care.

Email *

Practice Name *

Local Clinical Research Network *

The Local Clinical Research Networks support research infrastructure throughout England. Find yours here https://local.nihr.ac.uk/lcrn/

Other/devolved administration

Practice List Size *

Practice Postcode *

Are you in a high COPD prevalence area? *

Yes

Other:

Estimate number of COPD patients *

Do you have patients with COPD on long term Azithromycin to reduce their risk of exacerbations? *

Yes

Other:

If yes, how many patients approximately? *

<10

10-15

15-20

more than 20

Not applicable

Other:

Practice Identifier (ODS code) *

Practice Phone Number *

Contact Name *

Please provide contact details of personnel who will be able to action the study questionnaire.

Email Address *

Current Electronic Health System *

SystmOne

EMIS

Vision

Evolution

Other:

Which model would you be interested in?

Practice Nurse Supported (Standalone)

CRN Nurse Supported

Other:

Clear selection

Are you a GP Cluster?

Yes

Other:

Clear selection

If yes, please list the names of the practices you intend to include in this study?

If you are not able to participate, please let us know the reasons here.

Cannot respond by EOI deadline (please advise if prepared to submit a late EOI if requested)

Capacity - Nurse Team

Capacity - Admin Team

Capacity - GP / PI

Capacity - Support services, e.g., pharmacy

Competing Studies

Insufficient Patient Population

Lack of clinical interest

Lack of the required facilities / equipment (please specify)

Evening / weekend cover not available

Protocol/Design issues (please specify)

Recruitment window too short

Required drug/device not used at that site

Start date too soon

Funding/costs

Other:

Clear selection

Send me a copy of my responses.

Submit

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