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The “average” GP practice in England has 54 deaths per year, leaving 260 people affected by bereavement. Bereavement is an important cause of mortality and morbidity especially among older people and those who are socially isolated, influencing both physical and mental health, and the ability to function at work. Around 10% of bereaved people develop complicated grief following the loss of a loved one, which requires specific targeted treatment for which there is currently little guidance.

Planned Reviews

2.1 Realist review of palliative and end of life care programmes in primary care and community settings: underpinning mechanisms, programme theories, and differential outcomes across patients groups, contexts, and stages in the patient journey

Mila Petrova, Stephen Barclay, Ian Wellwood, Isla Kuhn, Geoff Wong

Lay summary Protocol

2.2.  Realist review of the management of complicated grief in primary care and community settings: what works, for whom, under what circumstances and how in identifying and managing bereaved patients experiencing complicated grief

Mila Petrova, Stephen Barclay, Ian Wellwood, Isla Kuhn, Geoff Wong



For a systematic review of the circumstances that lead out-of-hours clinicians to arrange hospital admissions for end-of-life patients. Funding from RCGP/ Marie Curie

Workstream leads

Mila Petrova (Cambridge), Geoffrey Wong (Oxford) , Ian Wellwood (Cambridge), Stephen I G Barclay (Cambridge)


Workstream outputs

Workstream outputs