ArticleBJGP open2021
Community end-of-life care during the COVID-19 pandemic: findings of a UK primary care survey.
Article in BJGP open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Ethnic inequalities in palliative care prescribing in high income countries - a rapid systematic review.BMC palliative care · 2025Pooled it
- Pooled it
- The impact of Covid-19 pandemic on hospices: A systematic integrated review and synthesis of recommendations for policy and practice.AMRC open research · 2022Pooled it
- Burnout among general practitioners, a systematic quantitative review of the literature on determinants of burnout and their ecological value.Frontiers in psychology · 2022Pooled it
- Unequal goodbyes: disparities in end-of-life care before and after the outbreak of the COVID-19 pandemic across 28 countries.BMC palliative care · 2026Article
- Provision of palliative and end-of-life care by community health nurses: A scoping review on the challenges and potential solutions.International journal of nursing studies advances · 2026Review
- Hidden work and blurred boundaries: a qualitative study of how community nurses navigate and adapt injectable medication processes to provide timely end-of-life symptom control.BMC palliative care · 2026Article
- Measuring the relationship between outpatient family physician visit regularity and acute care utilization during the end of life: a population-level retrospective cohort study.Family practice · 2026Article
- 'We've Taken on a More Advanced Clinical Role': A Multimethod Study of Community Nurses' Extended Roles in Palliative Care.Journal of advanced nursing · 2026Article
- Just-in-case medication use by ambulance paramedics responding to end-of-life care in the community: protocol for a multi-method study (RELIEF).British paramedic journal · 2025Article
- Impact of COVID-19 on place of death for disease-related causes: a population-based study in Nanchang, China.Scientific reports · 2025Observational
- Telehealth for primary healthcare delivery in rural and remote contexts in high-income countries-a scoping review.mHealth · 2025Review
- "I'm not an anxious person": end-of-life care workers constructing positive psychological states.BMC psychology · 2024Article
- Article
- Reforming primary palliative care: a call to arms.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Deaths at home, area-based deprivation and the effect of the Covid-19 pandemic: An analysis of mortality data across four nations.Palliative medicine · 2023Article
- The impact of the COVID-19 pandemic on processes, resource use and cost in palliative care.BMC palliative care · 2023Article
- Article
- Free-text analysis of general practice out-of-hours (GPOOH) use by people with advanced cancer: an analysis of coded and uncoded free-text data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- A bad time to die? Exploring bereaved families/wha-nau experiences of end-of-life care under COVID-19 restrictions: a qualitative interview study.Palliative care and social practice · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThousands of people in the UK have required end-of-life care in the community during the COVID-19 pandemic. Primary healthcare teams (general practice and community nursing services) have provided the majority of this care, alongside specialist colleagues. There is a need to learn from this experience in order to inform future service delivery and planning.
aimTo understand the views of GPs and community nurses providing end-of-life care during the first wave of the COVID-19 pandemic. DESIGN &
settingA web-based, UK-wide questionnaire survey circulated via professional general practice and community nursing networks, during September and October 2020.
methodResponses were analysed using descriptive statistics and an inductive thematic analysis.
resultsValid responses were received from 559 individuals (387 community nurses, 156 GPs, and 16 unspecified roles), from all regions of the UK. The majority reported increased involvement in providing community end-of-life care. Contrasting and potentially conflicting roles emerged between GPs and community nurses. There was increased use of remote consultations, particularly by GPs. Community nurses took greater responsibility in most aspects of end-of-life care practice, particularly face-to-face care, but reported feeling isolated. For some GPs and community nurses, there has been considerable emotional distress.
conclusionPrimary healthcare services are playing a critical role in meeting increased need for end-of-life care in the community during the COVID-19 pandemic. They have adapted rapidly, but the significant emotional impact, especially for community nurses, needs addressing alongside rebuilding trusting and supportive team dynamics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.