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Implementation of the Needs Assessment Tool for patients with interstitial lung disease (NAT:ILD): facilitators and barriers
  1. C Reigada1,
  2. A Papadopoulos2,
  3. J W Boland1,
  4. J Yorke3,4,
  5. J Ross5,
  6. D C Currow1,6,
  7. S Hart1,
  8. S Bajwah7,
  9. G Grande3,
  10. A Wells8,
  11. M J Johnson1
  1. 1 Hull York Medical School, University of Hull, Hull, UK
  2. 2 Kent Business School, University of Kent, Canterbury, Kent, UK
  3. 3 Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK
  4. 4 The Christie NHS Foundation Trust, Manchester, UK
  5. 5 St Christopher's Hospice, Sydenham, Kent, UK
  6. 6 University of Technology, Sydney, Australia
  7. 7 Cicely Saunders Institute, King's College London, London, UK
  8. 8 Royal & Harefield Trust Foundation, London, UK
  1. Correspondence to Professor M J Johnson, Hull York Medical School, University of Hull, Hertford Building, Hull HU6 7RX, UK; miriam.johnson{at}


A Needs Assessment Tool (NAT) was developed previously to help clinicians identify the supportive/palliative needs of people with interstitial lung disease (ILD) (NAT:ILD). This letter presents barriers and facilitators to clinical implementation. Data from (1) a focus group of respiratory clinicians and (2) an expert consensus group (respiratory and palliative clinicians, academics, patients, carers) were analysed using Framework Analysis. Barriers related to resources and service reconfiguration, and facilitators to clinical need, structure, objectiveness, flexibility and benefits of an ‘aide-memoire’. Identified training needs included communication skills and local service knowledge. The NAT:ILD was seen as useful, necessary and practical in everyday practice.

  • Palliative Care
  • Interstitial Fibrosis

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  • Contributors MJJ and DCC conceived the project and design. MJJ, DCC, JY, JR, GG, AP, JWB and AW contributed to the design. MJJ, JWB, AP, SH, CR and JY collected the data. CR and TP conducted the analysis. CR drafted the first manuscript. All authors contributed to data interpretation, contributed to and agreed the final manuscript.

  • Funding This study was funded by the Marie Curie Research Grants Scheme, Grant C30598/A16976.

  • Competing interests None declared.

  • Ethics approval NRES Committee North East—Sunderland 14/NE/0127.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement Researchers may request anonymised data from MJJ.

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