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March 14, 2026Journal of Intellectual Disabilities0 citations

Can the P-C-P quality framework be used to understand service quality from the perspective of service users and their significant others accessing specialist community teams for people with learning disabilities? A framework analysis

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SRShauni RichardsonCumbria Northumberland Tyne and Wear NHS Foundation TrustDLDani LewisUniversity of EdinburghDDDave Dagnan

Key Points

  • The research aims to explore how the P-C-P quality framework can illuminate service quality from users' perspectives in specialist teams for learning disabilities.
  • Conducted an online survey with 267 individuals with intellectual disabilities and 226 significant others.
  • Analyzed survey data using framework analysis.
  • Coded responses into the attributes of the Peripheral-Core-Pivotal framework.
  • 78.0% of responses from people with intellectual disabilities emphasized Core attributes.
  • 73.8% of significant others highlighted the importance of service processes.
  • Core attributes included empathy, assurance, reliability, and responsiveness, deemed more significant than Peripheral and Pivotal attributes.

Abstract

There is no research that considers service user perspectives on the quality of Community Teams for People with Learning Disabilities (CTPLDs) from within standard quality assessment frameworks. Two hundred and sixty-seven people with intellectual disabilities and 226 significant others completed an online survey detailing their experiences of six specialist CTPLDs in the North of England. Data were analysed using framework analysis. The data from service users and significant others were coded into the attributes of the Peripheral-Core-Pivotal (P-C-P) framework. Responses emphasised the Core attribute which describes service processes (78.0% of responses from people with intellectual disabilities and 73.8% of responses from significant others) and include aspects of empathy, assurance, reliability, and responsiveness, over Peripheral (service structure) and Pivotal (service outcome) attributes. We discuss the advantages of using a quality framework such as the P-C-P and the important aspects of service quality identified by people with intellectual disabilities and their significant others.

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Cite This Study

Richardson et al. (2026) studied this question.

synapsesocial.com/papers/69b4fbd5b39f7826a300c552https://doi.org/10.1177/17446295261434776
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