End of life care still requires improvement at nearly half of hospitals, report finds

Almost half of hospitals provide unacceptable care services at the end of life, a summary of data collected from inspections and published in a report by the Department of Health has found.

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In July 2013 an independent review of the Liverpool care pathway by the rabbi and peer Julia Neuberger recommended that use of the pathway, which had been introduced in the 1990s, should be phased out in England because, although it delivered good care when used well, in many cases it was regarded as a tick box exercise

Doctors’ and nurses’ views and experience of transferring patients from critical care home to die: A qualitative exploratory study

Authors: Maureen CoombsTracy Long-SutehallAnne-Sophie Darlington and Alison Richardson

Extract from Palliative Medicine

Background: Dying patients would prefer to die at home, and therefore a goal of end-of-life care is to offer choice regarding where patients die. However, whether it is feasible to offer this option to patients within critical care units and whether teams are willing to consider this option has gained limited exploration internationally.
Aim: To examine current experiences of, practices in and views towards transferring patients in critical care settings home to die.

Report on public health approach to improve end-of-life care

Using a public health approach to improve end-of-life care: results and discussion of a health needs assessment undertaken in a large city in northern England

This extract was taken from BMJ Support Palliat Care doi:10.1136/bmjspcare-2014-000662

“A detailed health needs assessment (HNA) for end-of-life care (EoLC) services was led by public health in Leeds to inform a commissioning strategy. To answer the question: are we delivering the best possible EoLC services within the resources available? Mixed methods were used with three approaches: epidemiological, corporate and comparative” …

Read the full article at: http://spcare.bmj.com/content/early/2014/09/05/bmjspcare-2014-000662.abstract

 

Issue 90 of the AQuA Bulletin

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–         Update on Urgent and Emergency Care Review

–         A national review of choices in end-of-life care

–         Population level commissioning for the future

·         Productivity:   Focus on how money is spent, not just how much

·         Integration:     The relationship between delayed discharge and care home bed supply

·         Reducing Mortality:  Cancer survival in England by stage

 ·         Safer Care:   National flu programme training slide set for healthcare professionals

 ·         Public Health:  Ambitious for recovery: tackling drug and alcohol addiction in the UK

 ·         Reducing Mortality:  NHS England sets out plan for a sustainable Cancer Drugs Fund

 ·         Productivity:  Help for NHS to recover costs of care from visitors and migrants

 ·         Patient Experience:  Aim to improve patient protection and public confidence in doctors

 ·         Prevention:  Asthma admissions rise in September

 ·         Safer Care:  Model process flowchart for raising concerns

 ·         Prevention:   MRSA screening and suppression guidance

 ·         Data & Intelligence:    Data round up