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IMplementation of quality indicators in PAlliative Care sTudy


IMPACT is the acronym of a collaborative research project. The full project name is: IMplementation of quality indicators in PAlliative Care sTudy. The overall aim of the IMPACT project is to develop optimal implementation strategies for using quality indicators to improve the organization of palliative cancer and dementia care in Europe and to study factors influencing the effectiveness of the strategies. Palliative care is becoming better known and accepted, and in many European countries it is under active development. However, the rapid developments of our understanding of palliative care and measures to improve its organization have not been followed by the implementation of these insights and the spread of best practice. 

Research team

A consortium of 12 teams: Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Healthcare (IQ healthcare) & Nijmegen Alzheimer Centre, University College London, University Clinics Bonn, Rheinische Friedrich Wilhelms University of Bonn, Norwegian University of Science and Technology & European Palliative Care Research Centre, Alma Mater Studiorum, University of Bologna, Assistance Publique Hôpitaux de Paris, Hôpital Broca, Free University Medical Centre, Amsterdam, INTRAS Foundation, Catholic University Leuven, King’s College London, Poznan University of Medical Sciences, and The University of Sheffield.


Co-financed by the European Commission (7th Framework Programme, HEALTH-2010-two stage, Grant Agreement No: 258883)   


Multiple methods (literature study, systematic review, integrative review, interviews, focus group interviews and an intervention study) are being used to develop and implement improvement strategies using quality indicators in palliative cancer and dementia care. SCWRU will contribute to all elements: especially the organization of palliative care, development of setting specific implementation strategies, evaluation of implementation activities, dissemination. 


2011 - 2015


Findings will be published on the website: and see the UCL website.


Raymond, M., Warner, A., Davies, N., Nicholas, N., Manthorpe, J. & Iliffe, S. (2014) 'Palliative and end of life care for people with dementia: lessons for clinical commissioners', Primary Health Care Research & Development, 15(4): 406-417.

Davies, N., Maio, L., Vedavanam, K., Manthorpe, J., Vernooij-Dassen, M. & Iliffe, S. (2013, online) 'Barriers to the provision of high-quality palliative care for people with dementia in England: a qualitative study of professionals' experiences', Health & Social Care in the Community.

Davies, N., Maio, L., van Riet Paap, J., Mariani, E., Jaspers, B., Sommerbakk, R., Grammatico, D., Manthorpe, J., Ahmedzai, S., Vernooij-Dassen, M. & Iliffe, S. (2013, online) 'Quality palliative care for cancer and dementia in five European countries: some common challenges', Aging & Mental Health.

Iliffe, S., Davies, N., Vernooij-Dassen, M., van Riet Paap, J., Sommerbakk, R., Mariani, E., Jaspers, B., Radbruch, L., Manthorpe, J., Maio, L., Haugen, D. & Engels, Y. (2013) 'Modelling the landscape of palliative care for people with dementia: a European mixed methods study', BMC Palliative Care, 12: 30.

Raymond, M., Warner, A., Davies, N., Baishnab, E., Manthorpe, J. & Iliffe, S. (2013, online) 'Evaluating educational initiatives to improve palliative care for people with dementia: A narrative review', Dementia.

Raymond, M., Warner, A., Davies, N., Manthorpe, J., Ahmedzhai, S. & Iliffe, S. (2012, online) 'Palliative care services for people with dementia: A synthesis of the literature reporting the views and experiences of professionals and family carers', Dementia: the International Journal of Social Research and Practice. 


IMPACT team (2015) 'Scaling up palliative care for an ageing population: proposals from the IMPACT project', European Association for Palliative Care Conference, Copenhagen, 11 May.

Davies, N., Maio, L., Vedavanam, K., Manthorpe, J. & Iliffe, S.(2013) 'Professional perspectives on palliative care services for people with dementia in England' [pdf, 275 KB] , Society for Academic Primary Care Regional Conference, Madingley Hall

Davies, N., Maio, L., Manthorpe, J., Ahmedzai, S. & Iliffe, S. (2012) 'Improving palliative care in dementia and cancer: organisation of palliative care – IMPACT study' [pdf, 496 KB], European Association of Palliative Care Congress, Trondheim, 8 June.


One of the literature reviews has been used in the development of Health Education England’s curricula guidance on dementia education (2014), to which the Unit also responded. The study hopes to improve both dementia and cancer care services by building a set of quality indicators by which services can be assessed.

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