Table 1
Methods and levels of data collection and sample sizes.
| METHOD | MACRO | MESO | MICRO |
|---|---|---|---|
| Semi-structured interview conducted online or in person | National policy representative N = 1 | Hospice and palliative care service representatives, N = 2 | Total: N = 15
|
| Observations– in person | Observations of MDT meetings N = 3 | ||
| Reflective journal | Service users, their families and MDT | ||
| Fieldnotes | Research team | ||
| Service documents and artefacts | Newspaper articles, photos, letters, e-mails, annual reports, service plans, agendas, meeting minutes and other administrative documents provided by the service and the family of the service founder | Newspaper articles, photos, letters, e-mails, annual reports, service plans, agendas, meeting minutes and other administrative documents provided by the service and the family of the service founder | |
| Survey and workshop – online | National representative N = 1 | Service providers and management team, N = 11 | |
| Service metrics (routine data) | Key Performance Indicators plus individual level service use data: last year of life for all service users who died in 2019 and 2020 (N = 1727) incl. demographic, referral source and reason, hospital admissions, time using syringe driver/infusion pump, place of death, any other services used, and other service experience measures collected. | ||
| Literature review | International perspective and context |

Figure 1
Description of the project plan.

Figure 2
An iterative process of the case study research approach.
Table 2
Dimensions of the Maturity Model of the SCIROCCO Exchange Tool.
| MATURITY MODEL |
|---|
| 1. Readiness to Change |
| 2. Structure & Governance |
| 3. Digital Infrastructure |
| 4. Funding |
| 5. Process Coordination |
| 6. Removal of Inhibitors |
| 7. Population Approach |
| 8. Citizen Empowerment |
| 9. Evaluation Methods |
| 10. Breadth of Ambition |
| 11. Innovation Management |
| 12. Capacity Building |
