IMPACT: Implementation of Quality Indicators in Palliative Care Study Newsletter 2; Summer 2013 Interviews Implementing quality indicators Last time we told you we were coming to the end of interviews with professionals all across Europe about barriers to good quality palliative care: Here is a sneak preview of some of the findings which we have recently submitted for publication: Publications We have started using the quality indicators in settings across Europe, in England this has been substantially delayed by the recent changes to the structure of the NHS and the approval process because of this. So far In England we have used them in 1 hospice, 1 community hospice team, and 2 care homes. Two papers have been published in Dementia: The international journal of social research and practice: • Palliative care services for people with dementia: a synthesis of the literature reporting the views and experiences of professionals and family carers doi:10.1177/1471301212450538 • Evaluating educational initiatives to improve palliative care for people with dementia: a narrative review doi:10.1177/1471301212474140 AND we have another FOUR under review with various journals including palliative Communication medicine and Ageing and difficulties between Mental health. The variation of Difficulties in Problematic processes the integration funding palliative of care, including of services care services boundaries, definitions, services, and between knowledge, skills and professionals and inclusiveness families “[W]ell, it is difficult for “[...] the entire chaotic the healthcare system organisation, and all and the social system those financial “[I wouldn’t recommend] a to set up palliative care arrangements [...] it is strategy adopted by the all so complicated.” oncologists in our, in my together...everything is (Regional Head of healthcare system, that social or healthcare Palliative care, the doesn’t understand when related, and working Netherlands) it is time to stop in terms projects patients and their together is still difficult” of treatments” (Geriatrician, Italy) (Hospice Director, Italy) “[T]hey don’t warn either Family Carers Nathan has completed 46 interviews with family carers of people with dementia as part of his PhD. These interviews are currently being transcribed and he will begin to analyse these soon. the person but more specifically the relatives and the carers that dementia is a disease that you’re dying of” (GP, England) Contact us Want to know more or a copy of our publications contact Nathan Davies: Nathan.davies.10@ucl.ac.uk 020 7794 0500 ext: 34141 Twitter: @theimpactproject1 www.impactpalliativecare.eu