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Equitable palliative care in the community through primary care

Equitable palliative care in the community through primary care (EPIC-PC): a realist study to propose a new integrated neighbourhood team approach to palliative and end of life care

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN61092011
Enrollment
90
Registered
2025-08-01
Start date
2025-11-01
Completion date
Unknown
Last updated
2026-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Palliative and end of life care Other

Interventions

A multi-perspective mixed-methods study will be conducted with patients, caregivers, and health professionals, focusing on socioeconomic deprivation. This study will be structured into four work packa

Sponsors

University of Leeds
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 110 Years

Inclusion criteria

Inclusion criteria: 1. Patients in receipt of palliative care and their carers 2. Health professionals working with patients in receipt of palliative care 3. Commissioners and palliative care leads

Exclusion criteria

Exclusion criteria: Patients and Carers: 1. Adults with advanced serious illness who are unable to participate in a conversational interview for any reason related to their condition 2. Adults with advanced serious illness who are unable to provide informed consent for any reason related to their condition (for example, becoming too unwell or approaching the end of life) 3. Children and young people aged < 18 years 4. Carers and/or family members who have not been invited to take part by the patient participant Health professionals: This is a community-based study, so it excludes participants who work exclusively in hospital trusts

Design outcomes

Primary

MeasureTime frame
To improve access to and experience of palliative care for patients living in areas of socioeconomic deprivation, the following data will be measured using realist methods: 1. The experiences of people (patients with palliative care needs, carers, health professionals) of access to palliative care in the community in the North and North East of England will be captured through conversational interviews 2. Patient and carer priorities for future care via case note reviews detailing patients’ service use (e.g., types and frequency of services accessed, health professionals consulted) will be assessed through a national cross-sectional Discrete Choice Experiment (DCE) survey

Secondary

MeasureTime frame
1. Resource use and cost data will be measured using dynamic simulation modelling developed based on current provision of palliative care in the community (e.g. service use). 2. A second model will be developed that predicts resource use and cost of a proposed integrated approach of the provision of palliative and end-of-life care in the community.

Countries

England, United Kingdom

Contacts

Public ContactJacqueline Birtwistle
j.birtwistle@leeds.ac.uk+44 (0)1133436907

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jul 23, 2026