I seriously think, as people working within the system, navigating the system is incredibly difficult, particularly for someone not functioning; they need as much help as they can get. (P5)

I tend to write to the GP to refer in a specific way because that’s what they need to access the service. (P6)

Sometimes GP’s won’t know any more than you about the system, or you would know more about mental health services. (P4)

Some GPs I know find it increasingly hard to manage people who are very chronically mentally unwell because they don’t have the time to sit down and do more counseling based sessions. (P1)