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Community hospitals: an under-recognized resource for palliative care

Payne, Sheila, Kerr, Chris, Hawker, Sheila, Seamark, David, Davis, Carol, Roberts, Helen, Jarrett, Nicola, Roderick, Paul and Smith, Helen (2004) Community hospitals: an under-recognized resource for palliative care Journal of the Royal Society of Medicine, 97, (9), pp. 428-431. (doi:10.1258/jrsm.97.9.428). (PMID:15340022).

Record type: Article


In the UK there are concerns that, in certain groups of dying patients such as the old, those with non-cancer diagnoses and those in rural areas, the quality of care is unacceptably variable. There has been no systematic survey of the extent to which community hospitals provide general palliative care for such patients. Therefore, by means of a structured questionnaire we asked senior nurses/managers at all 478 community hospitals in the UK for information on staff expertise, facilities and specialist equipment, liaison arrangements with specialist palliative care providers, priorities, practice and policy in end-of-life care.

Of the 346 hospitals (72%) that responded, only 28 were in urban areas. 73% of hospitals employed at least one nurse with additional training in palliative care, 72% had access to 24-hour specialist palliative care advice and 51% had separate overnight accommodation for relatives, but only 22% had designated palliative care beds. Most hospitals did not have written policies or guidelines for patient assessment or symptom control.

These findings add to evidence that community hospitals represent an important resource to improve access to palliative care for groups that are currently under-served.

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Published date: November 2004


Local EPrints ID: 33964
ISSN: 0141-0768
PURE UUID: 5b90e2ca-caca-4c92-b010-8d25d4f6e02b
ORCID for Nicola Jarrett: ORCID iD
ORCID for Paul Roderick: ORCID iD

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Date deposited: 16 May 2006
Last modified: 17 Jul 2017 15:51

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Author: Sheila Payne
Author: Chris Kerr
Author: Sheila Hawker
Author: David Seamark
Author: Carol Davis
Author: Helen Roberts
Author: Nicola Jarrett ORCID iD
Author: Paul Roderick ORCID iD
Author: Helen Smith

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