This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (2) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Thomas, K. Articles by Noble, B. Search for Related Content PubMed PubMed Citation Articles by Thomas, K. Articles by Noble, B. Social Bookmarking                         What's this?

Improving the delivery of palliative care in general practice: an evaluation of the first phase of the Gold Standards Framework

John Taylor Hospice, Birmingham and School of Health Sciences, University of Birmingham, Birmingham

Bill Noble

Academic Unit of Supportive Care, The University of Sheffield, Sheffield, bill.noble{at}sheffield.ac.uk

Background: The Gold Standards Framework (GSF) was developed to improve the delivery of palliative care in general practice.

Aim: The aim of the study was to evaluate the first phase of GSF in terms of its acceptability to primary care teams, effectiveness in changing practice and professionals’ views on the consequences for patient care.

Methods: A prospective longitudinal comparative survey of 12 participating, 12 matched and 18 other practices included focus groups and questionnaires.

Results: Participating practices reported that the GSF was acceptable. They also reported more standards successfully achieved than matched practices. Registers, team meetings and co-ordinated care were thought to have improved communication, teamwork, patient identification, assessment and care planning.

Conclusions: This small study suggests that the GSF appears to be acceptable and its early introduction to a few teams appears to have changed practice. Participants were positive about the effect on care. An evaluation of national uptake and further research into clinical outcomes is required.

Key Words: family practice • Gold Standards Framework • home death • palliative care • supportive care

Palliative Medicine, Vol. 21, No. 1, 49-53 (2007)
DOI: 10.1177/0269216306072501


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				F Badger, C Clifford, A Hewison, and K Thomas An evaluation of the implementation of a programme to improve end-of-life care in nursing homes Palliative Medicine, September 1, 2009; 23(6): 502 - 511. [Abstract] [PDF]

				J Dale, M Petrova, D Munday, J Koistinen-Harris, R Lall, and K Thomas A national facilitation project to improve primary palliative care: impact of the Gold Standards Framework on process and self-ratings of quality Qual. Saf. Health Care, June 1, 2009; 18(3): 174 - 180. [Abstract] [Full Text] [PDF]

				C Walshe, A Caress, C Chew-Graham, and C Todd Implementation and impact of the Gold Standards Framework in community palliative care: a qualitative study of three primary care trusts Palliative Medicine, September 1, 2008; 22(6): 736 - 743. [Abstract] [PDF]

				R. D MacLeod Quality of dying--how are we doing? Qual. Saf. Health Care, August 1, 2008; 17(4): 237 - 238. [Full Text] [PDF]

				D. Munday, K. Mahmood, J. Dale, and N. King Facilitating good process in primary palliative care: does the Gold Standards Framework enable quality performance? Fam. Pract., October 1, 2007; 24(5): 486 - 494. [Abstract] [Full Text] [PDF]