{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T17:30:22Z","timestamp":1779125422151,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The need to improve equity of access to palliative care is well recognized; however, much less is known about how new models of hospice community services can be successfully introduced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>We aimed to capture learning from the implementation experiences of hospice stakeholders during the first 12\u2009months of a hospice community services redesign.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>\n                      Qualitative research using individual semi-structured interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200938) and follow-up focus groups (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participants were clinical and non-clinical staff, hospice leaders, volunteers, and external stakeholders. Interviews were analysed with framework analysis using Normalisation Process Theory. Focus groups were used to confirm and prioritise recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Implementation is more likely to be successful where hospice personnel are enabled to work together in understanding and adapting to new ways of working. Participants gave examples of being supported to plan activities, to form networks of participation, to pilot new ways of working, and to appraise and improve their work. Receiving feedback on progress is beneficial. Implementation strategies that are tailored to each context could be effective if they engage with hospice stakeholders to ensure that strategic aims are well-understood and that the necessary resources are available. Positive experiences of implementation are more likely where stakeholders understand the changes and can participate in planning. Where necessary, changes to human resources and technology support systems would ideally be adopted prior to making changes to patient-facing services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study contributes knowledge from a charitable provider of specialist palliative care during the implementation of a hospice community service redesign. We identified opportunities for future improvement, particularly regarding communication, planning, prioritisation, and feedback. Investment of time and reflection during implementation can support the ambition of hospices to become integrated within a place-based system, to improve access to palliative care within the communities they serve. We report key implementation recommendations for organisations considering service redesign.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251349839","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T03:20:32Z","timestamp":1751253632000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Implementation of a hospice community service redesign: Qualitative research identifying lessons learned"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0274-4574","authenticated-orcid":false,"given":"Kate","family":"Sugar","sequence":"first","affiliation":[{"name":"Dorothy House Hospice Care, Bradford on Avon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3593-0027","authenticated-orcid":false,"given":"Candy","family":"McCabe","sequence":"additional","affiliation":[{"name":"Dorothy House Hospice Care, Bradford on Avon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8769-832X","authenticated-orcid":false,"given":"Alison","family":"Llewellyn","sequence":"additional","affiliation":[{"name":"Centre for Health &amp; Clinical Research, University of the West of England, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne","family":"de Leeuw","sequence":"additional","affiliation":[{"name":"Dorothy House Hospice Care, Bradford on Avon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maggie","family":"Crowe","sequence":"additional","affiliation":[{"name":"Dorothy House Hospice Care, Bradford on Avon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0672-227X","authenticated-orcid":false,"given":"Claire","family":"Prendergast","sequence":"additional","affiliation":[{"name":"Dorothy House Hospice Care, Bradford on Avon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Spence","sequence":"additional","affiliation":[{"name":"Dorothy House Hospice Care, Bradford on Avon, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0768-9819","authenticated-orcid":false,"given":"Natasha","family":"Bradley","sequence":"additional","affiliation":[{"name":"Marie Curie Palliative Care Research Department, University College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Morgan E. 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The NHS Long Term Plan https:\/\/www.longtermplan.nhs.uk\/publication\/nhs-long-term-plan (2019 accessed 13 December 2023)."},{"key":"e_1_3_3_7_2","unstructured":"Public Health England. Place-based approaches for reducing health inequalities: main report https:\/\/www.gov.uk\/government\/publications\/health-inequalities-place-based-approaches-to-reduce-inequalities\/place-based-approaches-for-reducing-health-inequalities-main-report (2021 accessed 13 December 2023)."},{"key":"e_1_3_3_8_2","unstructured":"Dorothy House. Strategic plan progress report update 2021 https:\/\/www.dorothyhouse.org.uk\/wp\/wp-content\/uploads\/2022\/04\/Strategic-Plan-Progress-Report-Update-2021.pdf (2021 accessed 14 December 2023)."},{"key":"e_1_3_3_9_2","unstructured":"Marie Curie. End of Life Care Atlas: helping to plan for local end of life services https:\/\/www.mariecurie.org.uk\/professionals\/commissioning-our-services\/marie-curie-atlas?gad_source=1&gclid=EAIaIQobChMI8r39hJy9iAMVWplQBh1EyTuyEAAYASAAEgIapPD_BwE (2015 accessed 5 November 2021)."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002719"},{"key":"e_1_3_3_11_2","unstructured":"Hughes-Hallett T Craft A Davies C et al. Palliative care funding review. Department of Health and Social Care https:\/\/www.gov.uk\/government\/publications\/independent-palliative-care-funding-review (2011 accessed 5 November 2021)."},{"key":"e_1_3_3_12_2","unstructured":"Marie Curie Cancer Care. 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