Skip to main content

Advertisement

Table 4 Levels of GSF adoption for practices participating in observations and related health professional interviews

From: Primary palliative care team perspectives on coordinating and managing people with advanced cancer in the community: a qualitative study

Key tasks Practice A Practice B Practice C
Communication Set up register Regular GSF meetings Set up register Less regular GSF meetings Set up register Regular GSF meetings
Co-ordination Lead GP has special interest and is responsible for coordinating meeting and register DN input from DN team, no specific lead DN Lead GP has special interest and is responsible for coordinating meeting and registerLead DN for practice GP lead has no ownership, CNS is responsible for coordinating meeting and highlighting patients for register Lead DN for practice
Control of symptoms Confident in symptom control and pool knowledge with other services Do not routinely use assessment tools Lack of confidence in symptom control, but shared care with/supported by CNS and DN services Use assessment tools Lack of confidence in symptom control and leave care to other services Lack of use of assessment tools
Continuity of care Shared care with secondary care Shared care with secondary care Lack of continuity of care with secondary care, will not take responsibility of care or participate in shared care
Continued learning Use of significant/after death analysis Identify and address knowledge gaps Use of significant/after death analysis but infrequency of meetings impinges on this Do not carry out continued learning unless instigated and led by CNS
Carer support Carer support Extend care into bereavement phase Carer support evident but infrequency of meetings impinges on this Extend care into bereavement phase Carer and bereavement support left to CNS and not discussed within practice
Care in the dying phase Involved in dying phase Involved in dying phase Reluctance to engage in dying phase