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NCPC Aug2015 Policy Round-up

Andrew Grey
August 2015

Getting Serious About Prevention: enabling people to stay out of hospital at the end of life

NCPC, Hospice UK, Marie Curie
October 2015

Getting serious about prevention: enabling people to stay out of hospital at the end of life, warns that the NHS is paying too much to care for people approaching the end of life in hospitals, where they often don’t want or need to be.

The report makes a number of recommendations for commissioners, service providers and health and social care staff. These include commissioning 24/7 care in community settings, better use of anticipatory prescribing of medicines, improving coordination between hospitals and community settings, encouraging better sharing of records of people’s end of life wishes and a more proactive approach by health and care staff to identifying and meeting the needs of people approaching the end of life.

Every Community Prepared to Help

Julian Abel, Libby Sallnow, Scott Murray, Michael Kerin
July 2016

Ambition six of the Ambitions for Palliative and End of Life Care is ‘each community is prepared to help’. This guidance has been written as a summary of how organisations in particular and society as a whole can participate. Communities that are prepared to help falls into the category of Public Health Approaches to end of life care. Many will not be familiar with this field of work, which has been developing on an international basis for the last 20 years. Public health approaches aim to be inclusive for all people and for all ages. These approaches include community development to support the dying, those important to them, and those who are bereaved. Despite best efforts following publication of the National End of Life Strategy in 2008, the expected increase in the number of people accessing end of life care, particularly advance care planning, and people being supported to die at home has been relatively muted. Professional care is struggling to meet current demands. Using a public health approach to end of life care is a way of enhancing supportive networks other than the professional ones.

Dying Well Community Charter Pathfinder Project

Gavin Eyres
July 2016

This document is published in conjunction with ‘Each Community Is Prepared to Help: Community development in end of life care - Guidance on Ambition Six’. The guidance provides a theoretical framework and gives practical examples of how different health and social care organisations can start to use community development as a routine part of their provision of end of life care. The Pathfinder Report provides examples in different settings of how this implementation takes place and describes some of the early benefits of doing so.