To the core

    Researching the execution of the key functions of NPZ (Palliative Care Network the Netherlands)

    Publication date: 01 March 2015

    Since the establishment of the Fibula foundation in 2011 as a national organisation of all palliative care networks (NPZ) in the Netherlands, it worked on - partly with a subsidy from the Ministry of Health, Welfare and Sport - a policy document setting out the plan of action of the foundation (Fibula, 2014 ). In 2014, the Fibula foundation released a “brochure on a minimum requirements palliative care network” with which it established the starting point for the development of quality, professionalism and visibility of the NPZ in the Netherlands.


    Research questions

    The study answers the following main and sub-questions:

    Main question: To what extent are the core functions of coordinate, inform, identify and facilitate from the “Brochure of the minimum requirements of palliative care networks” (2014) of the Fibula foundation secured within the 66 palliative care networks (NPZ)?


    1. In what way and to what extent are the core functions of the Guidelines executed by the NPZ?
    2. What is the role of the network coordinator in the execution of the core functions?
    3. What is experienced by NPZ as barriers and facilitators in the execution of the core functions?
    4. How does NPZ see its own impact in the region and what factors influence the impact of an NPZ on regional developments?
    5. What expectations does the NPZ have concerning the supportive role of the Fibula foundation in pursuing the implementation of the guidelines?
    6. How does the NPZ give substance to an appropriate regional supply (local colour) and how does this relate to the overarching principle of the National Palliative Care Programme?


    The project offers insight into how far the core functions of the NPZ are realised. This insight is important to be able to represent the NPZ nationwide. This insight is also desirable because it is not unthinkable that quality requirements will be developed in the future in which the NPZ should meet. This is connected with the wish to better align the work method of networks, and to measure the effectiveness of the NPZ over time regarding their contribution to the quality of palliative care.