Table 2 Thematic framework

1. What influences healthcare professional’s choice of approach?

1.1 Guidelines and Evidence

1.2 Experience

1.3 Training

1.4 Role definition and boundaries

1.5 Multidisciplinary team decision making

1.6 Availability of services/staff

1.7 Clinician–Patient relationship/rapport

1.7.1 Patient preferences

1.7.2 Patient characteristics (including reversible causes)

1.8 Quality of life versus treatment need

1.9 Staff time/burden

2. What do healthcare professionals see as important factors in supporting delivery of effective care?

2.1 Psychological support

2.1.1 Formal

2.1.2 Informal

2.1.3 For staff

2.2 Appropriate understanding, expectations, acceptance and goals

2.2.1 Patients

2.2.2. Healthcare professionals Family/carers/friends

2.3 Professional, service and referral factors

2.3.1 Continuity of care

2.3.2 Multidisciplinary team working

2.3.3 Palliative care philosophy and culture

2.3.4 Physical environment and facilities

2.3.5 Referral process and delays