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A full mixed-methods evaluation of CLECC is feasible, and structured observation of staff patient interaction quality has potential but requires further testing.

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Jackie Bridges 1,2,*, Ruth M Pickering 1, Hannah Barker 1, Rosemary Chable 2,3, Alison Fuller 4, Lisa Gould 1, Paula Libberton 1, Ines Mesa-Eguiagaray 1, James Raftery 1, Avan Aihie Sayer 2,5,6,7, Greta Westwood 1,2,8, Wendy Wigley 1, Guiqing Yao 1, Shihua Zhu 1, Peter Griffiths 1,2

1 Faculty of Health Sciences, University of Southampton, Southampton, UK
2 NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Wessex, Southampton, UK
3 Training, Development & Workforce, University Hospitals Southampton NHS Foundation Trust, Southampton, UK
4 Institute of Education, University College London, London, UK
5 NIHR Newcastle Biomedical Research Centre, Newcastle, UK
6 Older People’s Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK
7 Faculty of Medical Sciences, Newcastle University, Newcastle, UK
8 Research and Innovation, Portsmouth Hospitals NHS Trust, Portsmouth, UK
* Corresponding author Email: Jackie.Bridges@soton.ac.uk

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