Case studies

This page provides links and a brief summary to a range of useful reports relating to the end-of-life care agenda.

Report  Brief summary
Ambitions for palliative and end of life care
National Palliative and End-of-Life Care Partnership
This national framework for local action looks at a movement towards better end-of-life care through six ambitions: each person is seen as an individual, each person gets fair access to care, maximising comfort and wellbeing, care is coordinated, all staff are prepared to care, and each community is prepared to help. These compliment the priorities of care for the dying person.
What's important to me. A review of choice in end of life care
The choice in end-of-life care programme board, February 2015
This document identifies the concerns of people approaching the end-of-life and offers a plan for how greater choice in end-of-life care can be achieved. It takes feedback from the public into account including results from the national VOICES survey of bereaved people, which many trusts use as a tool to audit their end-of-life care services.

End of life care strategy
Department of Health, July 2008
This report sets out a vision for giving more choice to people approaching the end of life, in respect of where they would like to die.
End of life care audit - dying in hospital 2016
Royal College of Physicians , March 2016
This audit looks at key organisational elements that underpin the delivery of care, and case note reviews of all patients that died within a hospital setting within a certain timeframe. It also looks at how the quality of care and services can be improved for patients at the end of their lives.
Improving end of life care: professional development for physicians
Royal College of Physicians, March 2012
This report informs and recommends how physicians can continue with professional development and who within the healthcare sector can support with the implementation. Taking into account data from 2000 physicians, this document includes recommendations for trust boards, commissioners, physicians and palliative care teams.

More care, less pathway. A review of the Liverpool Care Pathway
Independent government review, July 2013
This is an independent review which recommended the phasing out of the Liverpool Care Pathway (LCP) by 2014. It looks at the way in which the LCP was used, and the failings of using the pathway to provide high quality end-of-life care for a significant number of patients. It recommended that a more individualised approach to end-of-life care to be implemented.
NICE guidelines [NG31]. Care of dying adults in the last days of life
National institute for health and care excellence,
December 2015
This guideline covers the clinical care of adults who are in their last two to three days of life. The guideline is aimed at all healthcare professionals and other care providers, and covers how to manage common symptoms without causing unacceptable side effects and maintain hydration in the last days of life.
NHS five year forward view
October 2014
The five year forward view looks at ways to engage further with people who use services, and a range of care models to support better integration of services across providers. It also looks at supporting more patients to move from acute to primary and community services. Several models have the potential to support improvement to end-of-life care.
One chance to get it right
Leadership alliance for the care of dying people,
June 2014
This report looks at the needs and wishes of the dying person and those close to them, to ensure that they receive high quality focused care in their last few days and hours of life. The report takes the form of five new priorities for care which replace the Liverpool Care Pathway as the new basis for end-of-life care. These are recognise, communicate, involve, support, plan and do.
One chance to get it right, one year on
Department of Health,
July 2015
This report is an overview of progress on commitments made in One chance to get it right, including a new approach to inspection from the Care Quality Commission (CQC), new NICE guidelines, and improvement of end-of-life care education and training.
Priorities of the dying person
Leadership alliance for the care of dying people,
June 2014
This report sets out the five priorities for care in the last few days or hours of life. The five priorities are recognise, communicate, involve, support plan and do. It also outlines the duties and responsibilities of health and care staff in the care of dying people.

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