Table 3.
Changes planned in the implementation study in each site
| 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✓ |