title: Survey of UK hospice and specialist palliative care adult bereavement services.
abstract: METHODS
  Postal survey of UK hospices and specialist palliative care services providing adult bereavement support.
  
  
  METHODS
  Descriptive statistics and content analysis of free text replies.
  
  
  RESULTS
  Three hundred services were identified, with 248 valid responses (83%). Of these, 198 (80%) were in England and 180 (73%) were associated with inpatient units. Most had been in existence for at least 10 years. Paid staff were used by 219 services (88%) and volunteers were involved in 168 services (68%). A small minority did not provide supervision for their bereavement staff. A quarter of services had insufficient staff. The most common activities were individual support, telephone support, written information, memorialization events and group support. Ninety-five services (43%) formally assessed the need for individual support. One hundred and fourteen services (51%) had no formal mechanisms for bereaved people to provide feedback about such support. Formal audit and evaluation of bereavement services was uncommon.
  
  
  CONCLUSIONS
  The main elements of bereavement support can be identified but their combination varies. Assessment of people for individual support varies and the small size of many services may inhibit the effective delivery of support. Audit and evaluation of bereavement support may need to be developed.
authors.affiliation: Department of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UK.
authors.forename: David
authors.initials: D
authors.lastname: Field
authors.forename: David
authors.initials: D
authors.lastname: Reid
authors.forename: Sheila
authors.initials: S
authors.lastname: Payne
authors.forename: Marilyn
authors.initials: M
authors.lastname: Relf
mesh_terms: D000328:Adult; D001601:Bereavement; D019538:Health Care Surveys; D006738:Hospices / Q000458:organization & administration*; D006801:Humans; D010166:Palliative Care / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling; D012944:Social Support; D006113:United Kingdom; D014481:United States; D000078329:Workforce