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Table 3 Changes planned in the implementation study in each site

From: Improving palliative care in selected settings in England using quality indicators: a realist evaluation

Settings Place Changes planned and achieved
Care Home 1 Rural More systematic use of pain scales
Care Home 2 Urban Workshops with staff on End of Life Care
Hospital ward 1 Urban Protect beds from other departments
Improve utility of electronic records
Hospital ward 2 Suburban Writing an EOLC manual
Establish links with hospice
Establish rules for referral to other services (e.g. hospice)
Community PC team 1 Urban/rural Implement validated pain assessment scales
Standardise transfer of information about discharge to GPs
Hold regular Multi-disciplinary team meetings
Community PC team 2 Urban/rural Documenting conversations with patients
Explorations of family carer experiences
Improve transfer of information to next setting
Hospice 1 Urban/rural Implement validated pain assessment scores
Standardise transfer of information on discharge and assessment by home care teams
Develop criteria for referral of patients to other services (e.g. hospital)
Hospice 2 Urban/rural Documenting conversations with patients
Explorations of family carer experiences
Improve transfer of information on discharge to next setting