Table 5

Role of the GP

ThemesExplanationExemplar quotes
GP as information giver and sounding board.Prior discussion with GPs helped participants to prepare. Often this meant more interest or confidence in I-WOTCH.‘Talking through (with the GP) made me realise I was ready’ 4 control
Trust in doctorParticipants spoke of a history of trying everything else before opioids and often upward titration. They accepted this as they trusted their doctor.‘I sort of trusted my doctor that he was doing the right thing by me…’ 28 control
TeamworkSome participants described a good working relationship with their doctor who supported and encouraged tapering.‘… I’d come down an awful lot and my doctor was absolutely gobsmacked… she calls me ‘her star patient…’…she’s a fantastic GP…. she wanted me to succeed as much as I did so it was teamwork but if you’ve got a good GP like that you’re sailing aren’t you but some are too busy!’ 31 intervention
GP reluctanceThere were some participants whose doctor was resistant to them tapering.‘they didn’t think I would get off them’ (opioids) (because of their pain) 13 intervention
‘(You)Can’t come off them we’ve tried all sorts’ 15 control
Access to GPSome participants felt it was difficult to get to see their GP.‘… getting help really it’s very difficult and getting an appointment up here is very difficult!’ 20 control
  • GP, general practitioner.