Table 1

Representative quotes from interviews related to ‘Fast’ concept

FAST — acting quickly to address rapidly accelerating crisis—making decisions about suspending or continuing programmes, deploying ad hoc strategies to expedite communication with teams, other programmes.
I think, for instance all through the—those very rapid changes during the height of the pandemic, we were constantly talking with each other (other screening programs) and saying “are you considering to do, for instance not refer onwards for colonoscopy or are you considering to stop the invitations”, or—we have shared, for instance materials that we have produced for informing participants and how the appointment will look like in COVID-19 situations.PR6
P10
… Flexible and nimble and just listening to, you know, see on a daily basis what’s going on, what the environment is like. I don’t think any of these things are etched in. And we’re all living—learning to live with a little bit of uncertainty.PR5
P5
So, very quickly our multidisciplinary team (MDT) meetings moved from face-to-face to virtual. And systems came in place to allow clinicians to continue to discuss patients and to plan treatment schedules in a virtual way and reduce their own risk of infection. …There was also a lot of very quickly established collaborations across the oncology sector that really allowed people to work together in a way that we had never seen before. … there were a number of changes that really were quite significant and happened fast in a way that health reform hasn’t occurred in the past. …There were a number of different organisations and agencies came together who had not done that before. And I think that was quite significant…. a year ago the concept that I could work from home and have Zoom meetings with people … incredible really. We could never have done this and yet we very quickly established those systems and the same with Telehealth with patients and with MDT’sPR1
P15