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Table 4 Levels of GSF adoption for practices participating in observations and related health professional interviews

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

Key tasks Practice A Practice B Practice C
Communication Set up register
Regular GSF meetings
Set up register
Less regular GSF meetings
Set up register
Regular GSF meetings
Co-ordination Lead GP has special interest and is responsible for coordinating meeting and register
DN input from DN team, no specific lead DN
Lead GP has special interest and is responsible for coordinating meeting and registerLead DN for practice GP lead has no ownership, CNS is responsible for coordinating meeting and highlighting patients for register
Lead DN for practice
Control of symptoms Confident in symptom control and pool knowledge with other services
Do not routinely use assessment tools
Lack of confidence in symptom control, but shared care with/supported by CNS and DN services
Use assessment tools
Lack of confidence in symptom control and leave care to other services
Lack of use of assessment tools
Continuity of care Shared care with secondary care Shared care with secondary care Lack of continuity of care with secondary care, will not take responsibility of care or participate in shared care
Continued learning Use of significant/after death analysis
Identify and address knowledge gaps
Use of significant/after death analysis but infrequency of meetings impinges on this Do not carry out continued learning unless instigated and led by CNS
Carer support Carer support
Extend care into bereavement phase
Carer support evident but infrequency of meetings impinges on this
Extend care into bereavement phase
Carer and bereavement support left to CNS and not discussed within practice
Care in the dying phase Involved in dying phase Involved in dying phase Reluctance to engage in dying phase