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Table 2 The four levels of adoption of the GSF

From: Primary palliative care team perspectives on coordinating and managing people with advanced cancer in the community: a qualitative study

Level 1 Communication Compiling and maintaining a supportive care register to record, plan, and monitor patient care
Coordination Having a nominated coordinator to oversee implementation and maintenance of the framework
Level 2 Control of symptoms Patients’ symptoms, problems, concerns are assessed, recorded, discussed and acted upon to an agreed process. Advanced care planning tools are recommended
Continuity Systems to ensure continuity of care delivered by inter-professional teams and out-of-hours providers are used. Anticipatory care in place to reduce crises and inappropriate admissions
Continued learning Commitment to learning about end-of-life care and developing action plans to meet identified learning needs. Reflection on past events, what went well and why, and what did not go well and why
Level 3 Carer support Work in partnership with carer and assess and support their needs for emotional, practical, and bereavement support
Care of the dying Appropriate care provided in the last days of life
Level 4 Sustain, embed and extend improvements in end-of-life care Sustain and build on all developments as standard practice. Develop a practice protocol and extend to other settings, e.g.: care homes, non-cancer, ACP