1. Outcome measures to assess quality of integrated palliative care services should be developed.
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2. An information hub, (online or a face-to-face central resource for the coordination of information exchange), with a care co-ordination team should be established to contribute to the integration of palliative care services across the area.
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3. Palliative care regulations and policies should be extended to apply to non-cancer patients as well (for example COPD, heart failure and dementia).
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4. The digital transfer of information should be integrated within and across different palliative care services and general services including community and hospital teams, and patients and families.
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5. For integration to work, new and creative ways of securing resources and specific funding should be established which can support the palliative care infrastructure.
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6. National palliative care regulations and policies should be extended to apply to all patients with palliative care needs, not just those with cancer.
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7. Building of informal relationships between health professionals are a foundation for formal structures which are pivotal for the integration of palliative care.
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8. Clinical protocols should be introduced to ensure integration of palliative care services for patients and families regardless of the setting where they are treated.
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9. Develop systems that provide adequate out-of-hours integrated palliative care so that health care practitioners can maintain their work/life balance.
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10. There needs to be national level strategic lobbying to develop and fund better integrated palliative care.
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11. Clarification of the language and terms used to describe integrated palliative care and associated services is needed.
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12. Develop alliances within and between health care sectors to build better integration.
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13. Palliative care should be integrated into mandatory education for undergraduate medical, health and social care professionals.
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14. Continuing professional development for all health and social care professionals should include coverage of integrated palliative care.
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15. Social care should be part of integrated palliative care.
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16. Disease/condition specific national policies should integrate palliative care.
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17. There is a need for strong leadership to advocate for integrated palliative care.
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18. There is a need to invest in the development of future integrated palliative care leadership skills.
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19. Establish needs based referral systems to guide timely referrals to integrated palliative care.
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20. Establish a single point of contact for integrated palliative care at local level.
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21. Raise awareness of integrated palliative care for senior managers and policy makers.
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22. Access to readily available and affordable essential medicines are necessary for integrated palliative care.
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23. Outcomes of integrated palliative care should be audited and benchmarked.
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24. Raise public awareness about palliative care and its integration with healthcare.
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25. Integrated palliative care should encompass different dimensions of care including physical, psychological and spiritual aspects.
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26. Integrated palliative care should involve assessments which are regularly updated and shared with other healthcare professionals within the care team.
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