{
  "abstract": "Background There is an urgent need to understand how to improve palliative care provision for people impacted by social disadvantage. This includes supporting healthcare professionals to acknowledge and unpack language used to describe situations related to social deprivation. A focus on choices and patient-led decision-making risks obscuring structural drivers underpinning inequities in end-of-life circumstances. Palliative care professionals need a way of framing and discussing choices that acknowledges the structural causes of inequity.Aim To develop and pilot a workshop for palliative care professionals on the language used when providing care in the context of social deprivation. The workshop aims to support professionals in considering alternative framings and phrases to use in practice.Method Drawing on Developing Evidence Enriched Practice (DEEP) techniques of storytelling and participant-led discussion, the workshop was developed in collaboration with carers and bereaved relatives. The workshop was piloted with, and evaluated by, a group of palliative care professionals. Ethical approval for the evaluation was obtained from Lancaster University.Results Eleven professionals participated in the pilot workshop; ten completed the evaluation. All (n=10) participants described the workshop as relevant to their practice and helpful for reflecting on how they talk about, and with, patients. However, fewer than half (n=4) said it introduced them to new or alternative perspectives. Suggestions for improvement included working with smaller groups, longer time for discussion, and more direction from facilitators on addressing issues.Conclusion The workshop provided space for participants to reflect on the limited choices available to some patients impacted by social disadvantage, and how this is spoken about in practice. Difficulties in introducing alternative ways of framing ‘choice’ highlight the challenge of integrating theories about the structural causes of inequity into palliative care practice. The workshop will be further developed in consultation with carers and healthcare professionals.This research is funded by Marie Curie, and carried out by Lancaster University.",
  "authors": [
    {
      "affiliations": [
        "Lancaster University, Lancaster, UK"
      ],
      "name": "Maddy French"
    },
    {
      "affiliations": [
        "Lancaster University, Lancaster, UK"
      ],
      "name": "Deborah Yates"
    }
  ],
  "title": "O-11 ‘Are they choosing this or is it being done to them?’ Talking about inequity and social deprivation in palliative care",
  "uid": "76955b51-57d8-5ab9-ad70-36b25a4b7292"
}