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Table 1 Innovation Centres and identified focus areas

From: Impact of the Macmillan specialist Care at Home service: a mixed methods evaluation across six sites

Site A
Develop volunteer provision to support home visits to patients
Streamline service delivery across the two areas
Establish a local primary care learning network to widen knowledge about palliative and end of life care
Develop protocols and deliver clinical interventions at home
Site B
Create a single point for access for referral
Fund additional personnel, in particular two part-time consultants in palliative medicine
Work to integrate community teams and create a central ‘hub’
Develop systems for early referral
Develop protocols and deliver clinical interventions at home
Site C
Fund a speciality doctor to set up another palliative care clinic
Work with local care homes to provide education and support
Create an end of life education programme
Develop volunteer provision to support home visits to patients
Develop protocols and deliver clinical interventions at home
Site D
Fund additional personnel, including community support workers and an occupational therapist
Work to integrate community teams
Develop systems for early referral
Increase rapid response and 24/7 access
Develop protocols and deliver clinical interventions at home
Site E
Fund additional personnel, including a staff grade doctor, advanced nurse practitioner and two part-time health care assistants (HCAs)
Develop systems for early referral
Develop as rapid response team of HCAs
Develop volunteer provision to support home visits to patients
Develop protocols and deliver clinical interventions at home/hospice
Site F
Fund additional personnel, in particular a nurse consultant
Create a single point for access for referral
Develop volunteer provision to support home visits to patients
Work to integrate community teams