Resources | “Workload volume” |
“Increasing number of referrals will put the service to the same problem as in other healthcare foci - waiting times and availability may fall behind which happens to all services sooner or later. Sadly, the better services the sooner you will use your resources” |
“Resources and how best to communicate with varied services/provision” |
“Social care funding. Pent up demand” |
“Cost” |
Clinician awareness and acceptance | “Knowing what services are available in localities” |
“Awareness, especially in primary care” |
“Clinician awareness” |
“Senior medics previous practices” |
“Getting themselves trusted by the consultants” |
Continuing collaborations and communication | “Creating good links between the MS team and the palliative care team” |
“Communication issues between different care providers” |
“Ongoing joined-up work to ensure care continuity and no repetition of service provision” |
“Establishing a robust and efficient process for communicating with all disciplines involved in the patient’s care …” |
Geography | “Geographical limitations - a lot of our patients are not local” |
“Geographic’s” |
“Many of our patients live a long way from the centre to allow active engagement” |
Patient perceptions and acceptance | “Patient resistance” |
“The term hospice which often patients and families feel has a strong association with immanency of dying. People often express fear of contact with a hospice if they do not feel that they are close to death” |