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Table 2 Factors seen to determine whether an FLS is approved

From: Making the case for a fracture liaison service: a qualitative study of the experiences of clinicians and service managers

The powers that be don’t want to put the money into it because you’re not going to see an instant result. [Participant ID: 015]
It has kind of lost the quality of care a little bit… quality doesn’t pay the bills unfortunately [Participant ID: 023]
What tends to happen in healthcare is that you get certain things that become a certain flavour of the month. So lets look at this, this and this disease. Right what are we going to do in hospitals, whose doing that, right we think this is a priority would you like to do something in this area. [Participant ID: 026]
I think it often comes down to the individual people who are doing it… you’ve got [a local champion in another hospital] sort of waving his little flag and everybody listens. Well if you hadn’t have had a him you may not have had that service. [Participant ID: 023]
He who shouts loudest gets most [Participant ID: 001]
We have this problem with commissioning the local General Practitioners, if you have a clinical lead who has a strong interest in dementia services then there will be lots of money put into dementia services. [Participant ID: 001]
If the chairman of a CCG had had a mother with a hip fracture (laughs) that CCG, I can tell you, someone would push it through. [Participant ID: 008]