Provision of out-of-hours service delivery in a community palliative care setting: A national survey of hospice providers

Anne Fee, F. Hasson, Paul F Slater, Sheila Payne, Tracey McConnell, Dori-Anne Finlay, Sonja J McIlfatrick

Research output: Contribution to journalArticlepeer-review

Abstract

Background
Community-based palliative OOH services operate outside of normal working hours. However, little is known about the provision and delivery of such care.
Aim
To describe types of provision and delivery of OOH palliative care services provided by United Kingdom hospices.
Methods
Survey questionnaires were emailed to 150 adult hospices in the United Kingdom. Quantitative data was analysed using SPSS and qualitative data was subject to thematic analysis.
Findings
Responding hospices provided the following types of support: telephone advice 72% (n=41), care at home 70% (n=40), and rapid response 35% (n=20). Within each service variability was evident regarding referral mechanism, availability and workforce. Limited integration with statutory services was reported.
Conclusion
Variation in the type of provision and delivery of OOH palliative care services alongside limited integration with statutory care has contributed to inequity of access to community-based palliative care, and potentially sub-optimal patient and informal caregiver outcomes.


Original languageEnglish
JournalInternational Journal of Palliative Nursing
Publication statusAccepted/In press - 20 Jul 2022

Keywords

  • OOH
  • palliative care
  • hospice
  • community care
  • specialised palliative care

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