34 Specialist palliative care providers’ perspectives on how to meet the service delivery challenges in adult care homes in england: a national survey

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Care homes (CHs) play a vital role in the delivery of care towards the end of life (National Institute for Health Research 2017; Public Health England 2017) yet little is known about specialist palliative care (SPC) support in this setting.


To increase understanding of how SPC services support adult CHs in England and identify from a SPC provider perspective the challenges and enablers to good quality SPC.


SPC services working directly with CHs in the community in England were invited to complete an online survey. Content analysis enabled qualitative data to be described.


108 services participated. A range of challenges were identified including CH staff turnover lack of funding and retention of CH staff knowledge skills and competency.


Proposed ways to reduce/resolve challenges included:


The data are of national relevance and enhances our understanding of the challenges and potential enablers to CH support from a SPC provider perspective. Increased funding and cross-organisational collaboration are thought to be important instruments for change. The views of others including CH staff should be sought.

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