Conclusions
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CSP has been implemented and sustained in two busy polyclinics in Singapore. Health professionals’ accounts have illuminated some important challenges and variability of enactments and experiences of CSP. They supported an analysis that highlights the practical significance of health professionals’ interpretations of the purpose of CSP and their valuation of relational, emotional and other perhaps intermediate experiential outcomes as well as the more typically considered behavioural and biomedical outcomes. Health professionals’ interpretations of CSP, along with their communication skill repertoires and support for reflective experiential learning, interact in complex ways with other features of healthcare systems and diverse patient-circumstance scenarios. They warrant careful attention in efforts to implement and evaluate person-centred support for people with long-term conditions.