Evidence map›Paper›PMID 39304311›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025

Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relatives.

Anne-Marie Slowther, Celia Janine Bernstein, Caroline Huxley, Jenny Harlock, Karin Eli, Claire Mann, Rachel Spencer, Jeremy Dale, Paramjit Gill, Hazel Blanchard and 2 more

Erratum issuedAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Attitudes to earlier advance care planning: a qualitative interview study in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  2. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Anne-Marie SlowtherWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0002-3338-8457
Celia Janine BernsteinWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0001-5854-7306
Caroline HuxleyWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0001-9755-6096
Jenny HarlockWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0002-2300-750X
Karin EliWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0001-9132-8404
Claire MannWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0003-2281-7970
Rachel SpencerWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0003-2578-6954
Jeremy DaleWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0001-9256-3553
Paramjit GillWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0001-8756-6813
Hazel BlanchardForrest Medical Centre, Coventry.ORCID 0009-0006-4958-6059
Martin UnderwoodWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0002-0309-1708
Frances GriffithsWarwick Medical School, University of Warwick, Coventry.ORCID 0000-0002-4173-1438

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) has been implemented in many areas of the UK. It is unclear how ReSPECT is used in primary and community care settings.

aimTo investigate how the ReSPECT process is understood and experienced in the community by clinicians, social care staff, patients, their relatives, and identify obstacles and enablers to its implementation. DESIGN AND

settingA qualitative interview and focus-group study across 13 general practices in three areas of England, between January and December 2022.

methodWe interviewed GPs, specialist nurses, patients and relatives, and senior care home staff. Focus groups were conducted with community nurses, paramedics, and home care workers. Questions focused on understanding experiences of, and engagement with, ReSPECT. We analysed data using thematic analysis and a coding framework drawn from normalisation process theory.

resultsParticipants included

conclusionThe ReSPECT process has not translated as well as expected in the community setting. A revised approach is needed to address the challenges of implementation in this context.

Indexed as

Emergency Medical ServicesGeneral PracticePatient Care PlanningPrimary Health CareAttitude of Health PersonnelEnglandFamilyFemaleFocus GroupsHumansMaleQualitative Researchemergency care treatment plansgeneral practicepatient-centred carequalitative researchReSPECT

Identifiers

PMID39304311
PMCPMC11755578

What OpenQuestion holds

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Registered trials

None linked

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.