Ranking | Recommendation | Macro | Meso | Micro | Item No. |
---|---|---|---|---|---|
1 | Palliative care should be integrated into mandatory education for undergraduate medical, health and social care professionals. | ✓ | 12 | ||
2 | Outcome measures to assess quality of integrated palliative care services should be developed. | ✓ | 1 | ||
3 | The digital transfer of information should be integrated within and across different palliative care services and general services including community and hospital teams, and patients and families. | ✓ | 3 | ||
4 | National palliative care regulations and policies should be extended to apply to all patients with palliative care needs, not just those with cancer. | ✓ | 5 | ||
5 | Clarification of the language and terms used to describe integrated palliative care and associated services is needed. | ✓ | 10 | ||
6 | There is a need for strong leadership to advocate for integrated palliative care. | ✓ | 16 | ||
7 | Raise awareness of integrated palliative care for senior managers and policy makers. | ✓ | 20 | ||
8 | Disease/condition specific national policies should integrate palliative care. | ✓ | 15 | ||
9 | Continuing professional development for all health and social care professionals should include coverage of integrated palliative care. | ✓ | 13 | ||
10 | For integration to work, new and creative ways of securing resources and specific funding should be established which can support the palliative care infrastructure. | ✓ | 4 | ||
11 | There needs to be national level strategic lobbying to develop and fund better integrated palliative care. | ✓ | 9 | ||
12 | Develop alliances within and between sectors to build better integration. | ✓ | 11 | ||
13 | Social care should be part of integrated palliative care. | ✓ | 14 | ||
14 | Establish needs based referral systems to guide timely referrals to integrated palliative care. | ✓ | 18 | ||
15 | Outcomes of integrated palliative care should be audited and benchmarked. | ✓ | 22 | ||
16 | Building of informal relationships are a foundation for formal structures which are pivotal for the integration of palliative care. | ✓ | 6 | ||
17 | Clinical protocols should be introduced to ensure integration of services for patients and families regardless of the setting where they are treated. | ✓ | 7 | ||
18 | Develop systems that provide adequate out-of-hours palliative care so that health care practitioners can maintain their work/life balance. | ✓ | 8 | ||
19 | Access to readily available and affordable essential medicines are necessary for integrated palliative care. | ✓ | 21 | ||
20 | An information hub (online or face-to-face) with a care co-ordination team should be established to contribute to the integration of palliative care services across the area. | ✓ | 2 | ||
21 | There is a need to invest in the development of future palliative care leadership skills. | ✓ | 17 | ||
22 | Establish a single point of contact for integrated palliative care at local level. | ✓ | 19 | ||
23 | Raise public awareness about palliative care and its integration with healthcare. | ✓ | 23 | ||
10 | 6 | 7 |