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Br J Gen Pract. Jun 2000; 50(455): 477–478.
PMCID: PMC1313727

Providing palliative care in primary care: how satisfied are GPs and district nurses with current out-of-hours arrangements?


The complex needs of palliative care patients require an informed, expert, and swift response from out-of-hours general medical services, particularly if hospital admission is to be avoided. Few general practitioners (GPs) reported routinely handing over information on their palliative care patients, particularly to GP co-operatives. District nurses and inner-city GPs were least satisfied with aspects of out-of-hours care. Most responders wanted 24-hour availability of specialist palliative care. This indicates a need to develop and evaluate out-of-hours palliative care procedures and protocols, particularly for GP co-operatives, and to improve inter-agency collaboration.

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Selected References

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  • Barclay S, Rogers M, Todd C. Communication between GPs and cooperatives is poor for terminally ill patients. BMJ. 1997 Nov 8;315(7117):1235–1236. [PMC free article] [PubMed]
  • Pugh EM. An investigation of general practitioner referrals to palliative care services. Palliat Med. 1996 Jul;10(3):251–257. [PubMed]

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