Discussion
The health professionals who participated in the PACE-D trial have contributed to the implementation of CSP in a busy public sector primary care environment, and they sustained it through COVID-19. This is a significant achievement, especially given the documented pressures of working in Singapore’s polyclinics [The experiences and insights that these health professionals shared allow us to extend theoretical understanding of the significance of health professionals’ interpretive emphases of CSP and the complex interactions of these with external contextual challenges. Our analysis of this, which we report below after a brief discussion of the strengths and limitations of our study methods, is particularly relevant for the development and evaluation of future efforts to introduce CSP and other forms of person-centred support for people with long-term conditions, especially in contexts where prevailing healthcare and broader social cultures include a strong deference on (bio)medical authority. Along with the more evident scope identified in the 