- Published
- 17 December 2021
- Journal article
Service change and innovation in community end-of-life care during the COVID-19 pandemic: qualitative analysis of a nationwide primary care survey
- Authors
- Source
- Palliative Medicine
Abstract
Background
Primary healthcare teams (general practice and community nursing services) within the United Kingdom provided the majority of community end-of-life care during COVID-19, alongside specialist palliative care services. As international healthcare systems move to a period of restoration following the first phases of the pandemic, the impact of rapidly-implemented service changes and innovations across primary and specialist palliative care services must be understood.
Aim
To provide detailed insights and understanding into service changes and innovation that occurred in UK primary care to deliver end-of-life care during the first phase of the COVID-19 pandemic.
Design
Cross-sectional online survey. Responses were analysed using descriptive statistics and thematic analysis.
Setting / Participants
United Kingdom survey of general practitioners and community nurses, circulated via regional and national professional networks.
Results
A total of 559 valid responses were received from 387 community nurses, 156 general practitioners and 16 “other”. Over a third of respondents (n=224; 40.8%) experienced changes in the organisation of their team in order to provide end-of-life care in response to the COVID-19 pandemic. Three qualitative themes were identified: COVID-19 as a catalyst for change in primary palliative care; new opportunities for more responsive and technological ways of working; and pandemic factors that improved and strengthened interprofessional collaboration.
Conclusion
Opportunity has arisen to incorporate cross-boundary service changes and innovations, implemented rapidly at the time of crisis, into future service delivery. Future research should focus on which service changes and innovations provide the most benefits, who for, and how, within the context of increased patient need and complexity.
Rights
https://creativecommons.org/licenses/by/4.0/This'>https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Cite as
Mitchell, S., Harrison, M., Oliver, P., Gardner, C., Chapman, H., Khan, D., Boyd, K., Dale, J., Barclay, S. & Mayland, C. 2021, 'Service change and innovation in community end-of-life care during the COVID-19 pandemic: qualitative analysis of a nationwide primary care survey', Palliative Medicine, 36(1), pp. 161-170. https://doi.org/10.1177/02692163211049311