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

Walshe, Catherine and Caress, Ann and Chew-Graham, Carolyn and Todd, Chris (2008) Implementation and impact of the Gold Standards Framework in community palliative care:a qualitative study of three primary care trusts. Palliative Medicine, 22 (6). pp. 736-743. ISSN 0269-2163

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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.

Item Type:
Journal Article
Journal or Publication Title:
Palliative Medicine
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700
Subjects:
ID Code:
65529
Deposited By:
Deposited On:
10 Jul 2013 10:19
Refereed?:
Yes
Published?:
Published
Last Modified:
01 Sep 2020 01:50