Table 2. Themes and Subthemes .

Fear of Conflict	Polarised Views	Emotional Burden	Vulnerable Patients	Organisational Challenges	Decision-Making
Between staff Between/ with families In the community With patients who don’t qualify for VAD	Ethical, moral and religious objections Transgressing the Hippocratic Oath, patient trust Strong supporters of VAD	Support for staff Support for patients and families	Pressure from family to undergo VAD Concern that other options may not have been tried	Physical resources Staff education Capacity/ resources -specialist VAD team Storage and management of the drug	Patient capacity often unclear Patient prognosis often unclear Uncertainty

Abbreviation: VAD, voluntary assisted dying.