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. 2017 Dec 19;68(666):e44–e53. doi: 10.3399/bjgp17X694145
1.0 Background
1.1 Setting
1.2 Participants (age, sex, experience, ethnicity)
1.3 Seniority/particular interest
1.4 Facilitation notes
1.5 Components of ACP discussed
1.6 What wasn’t said
1.7 Other

2.0 Patients’ attitudes to ACP/discussions
2.1 Patients encourage
2.2 Patients reluctant
2.3 Fear/changes patient outlook
2.4 Patients do not have ideas/wishes
2.5 Have discussed with others, for example, family
2.6 Other

3.0 GPs’ attitudes to ACP/discussions
3.1 Important/beneficial
3.2 Feel comfortable discussing
3.3 Not convinced helpful
3.4 Find difficult
3.5 Needs flexibility/part of ongoing conversation
3.6 Other

4.0 Timing of discussions
4.1 Early stage (pros and cons)
4.2 Happens later than would like
4.3 When illness progresses/discharge
4.4 Difficult to pick time
4.5 When patient prompts
4.6 Key event in their life/particular age
4.7 Other

5.0 Barriers to ACP
5.1 Lack of training/inexperience
5.2 GP time
5.3 Family disagreement
5.4 Uncertainty/unclear prognosis/wishes may change
5.5 Clinical/cognitive issues
5.6 Bureaucracy/IT
5.7 Money/practical care limitations
5.8 Other

6.0 Facilitators of ACP
6.1 Public awareness/information/change perception of dying
6.2 Standardise/make routine, for example, particular age
6.3 Knowing patient/family/situation (or not)
6.4 Patient discussion with others, for example, HCP, family
6.5 Float early/sowing seeds
6.6 Association with other planning, for example, wills
6.7 Campaigns and initiatives (for example, admission avoidance/2%)
6.8 Other

ACP = advance care planning. HCP = healthcare professional.