Implementation and impact of the Gold Standards Framework in community palliative care: a qualitative study of three primary care trusts

Palliative Medicine
Catherine WalsheChris Todd

Abstract

The Gold Standards Framework (GSF) has been widely adopted within UK general practices, yet there is little understanding of its impact on the provision of community palliative care services. This study presents data on the anticipation and adoption of the GSF within three Primary Care Trusts in North West England. Forty-seven interviews were conducted with generalist and specialist palliative and primary care professionals. Important aspects of the GSF identified were the patient register, communication and out-of-hours protocols. Positive benefits to professionals included improved communication between professionals and appropriate anticipatory prescribing. Negative aspects included increased nursing workload and the possibility of fewer or later visits for patients. Many respondents believed that the GSF needed local champions to be sustainable. Slow or incomplete adoption was reported. The GSF was recognised as important because it facilitated changes to previously difficult aspects of work between professionals, but few respondents reported direct benefits to patient care.

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Citations

Jan 17, 2016·BMC Palliative Care·Richard SawatzkyKelli Stajduhar
Dec 18, 2015·Journal of Pain and Symptom Management·Yoko NakazawaYoshiyuki Kizawa
Jul 15, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Naomi GeorgeJanette Baird
Apr 8, 2015·Journal of Pain and Symptom Management·Yoshiyuki KizawaKenji Eguchi
Feb 28, 2018·Journal of Social Work in End-of-life & Palliative Care·Susanny J Beltran
Feb 4, 2010·Palliative Medicine·Karen L ShawUNKNOWN Gold Standards Framework Paediatric Group
Aug 2, 2012·British Journal of Community Nursing·Sally LawtonAlison Davie
Nov 15, 2018·Journal of Palliative Medicine·Hanan KhalilEli Ristevski
Dec 9, 2016·ANS. Advances in Nursing Science·Richard SawatzkySally Thorne
Aug 22, 2018·Journal of Palliative Medicine·Mary McCarronSandy Stemp
Mar 12, 2010·British Journal of Community Nursing·Nigel KingJan Firth

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