• Scott A Murray, Adam Firth, Nils Schneider, Bart Van den Eynden, Xavier Gomez-Batiste, Trine Brogaard, Tiago Villanueva, Jurgen Abela, Steffen Eychmuller, Geoffrey Mitchell, Julia Downing, Libby Sallnow, Erik van Rijswijk, Alan Barnard, Marie Lynch, Frederic Fogen, and Sébastien Moine.
• Primary Palliative Care Research Group, Medical School, University of Edinburgh, Edinburgh, UK Scott.Murray@ed.ac.uk.
• Palliat Med. 2015 Feb 1; 29 (2): 101-11.

BackgroundA multidisciplinary European Association of Palliative Care Taskforce was established to scope the extent of and learn what facilitates and hinders the development of palliative care in the community across Europe.AimTo document the barriers and facilitators for palliative care in the community and to produce a resource toolkit that palliative care specialists, primary care health professionals or policymakers, service developers, educationalists and national groups more generally could use to facilitate the development of palliative care in their own country.Design(1) A survey instrument was sent to general practitioners with knowledge of palliative care services in the community in a diverse sample of European countries. We also conducted an international systematic review of tools used to identify people for palliative care in the community. (2) A draft toolkit was then constructed suggesting how individual countries might best address these issues, and an online survey was then set up for general practitioners and specialists to make comments. Iterations of the toolkit were then presented at international palliative care and primary care conferences.ResultsBeing unable to identify appropriate patients for palliative care in the community was a major barrier internationally. The systematic review identified tools that might be used to help address this. Various facilitators such as national strategies were identified. A primary palliative care toolkit has been produced and refined, together with associated guidance.ConclusionMany barriers and facilitators were identified. The primary palliative care toolkit can help community-based palliative care services to be established nationally.© The Author(s) 2014.

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