Understanding the cost of end of life care in different settings

Source: Marie Curie  

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Date of publication: February 2012

Publication type: Report

In a nutshell: This report from Marie Curie’s considers the economic impact of providing care to patients in the community, rather than in the acute setting and presents a clear argument for the development of high-quality community-based care.  Marie Curie estimate:

• community care at the end of life costs £145 per day
• specialist palliative in-patient care costs £425 per day
• changing the setting of care could reduce daily costs by £280.
• between 355,000 and 457,000 patients need palliative care annually.
• If community services were developed to enable just 30,000 patients to reduce their hospital stay by just four days, there could be a saving of £34 million.

Length of publication: 8 pages

Marie Curie Delivering Programme Choice Spring 2011 Newsletter

Source: Marie Curie Delivering Programme Choice

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Publication Date: Spring 2011

Publication Type: Newsletter

Publication Length: 13 Pages

In a nutshell: The latest newsletter from Marie Curie Delivering Programme Choice which highlights a number of pilot projects and service initiatives in end of life care service provision.

Marie Curie’s multi-visit service for palliative care patients in Northern Ireland.

Source:European Journal of Palliative Care, 2011, 18(1), p.18-21

You can obtain a copy of this from your local NHS Library

Date of publication: February 2011

Publication type: Article

In a nutshell:  This article examines the organisation and objectives of the interdisciplinary palliative care service through which district nurses and specially trained Marie Curie Cancer Care health care assistants provide care for patient’s in their own homes in Northern Ireland.  Results of a survey to measure satisfaction of district nurses and service users are discussed.

Length of publication: 3 pages.

Acknowledgement: BNI

New approach to palliative care for heart failure patients in Glasgow & Clyde

Source: British Heart Foundation

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Date of publication: March 2011

Publication type: News item

In a nutshell: Marie Curie Cancer Care, British Heart Foundation Scotland and NHS Greater Glasgow & Clyde are working collaboratively on Caring Together, a programme for patients with heart failure. The goal is to improve the quality and access to palliative care services for any patients in the advanced stages of heart failure. The 5 year programme aims to develop an innovative approach to service delivery in all care settings including hospital, hospice, care home and at home.

Acknowledgement: End of Life Care for Adults website

Achieving a good death for all.

Source: British Medical Journal, September 2010,  341(7774) p.656-8

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Date of publication: September 2010

Publication type: Article

In a nutshell: Palliative Care Beyond Cancer. This article discusses best practice to improve quality of care for the last days of life. The Liverpool Care Pathway is discussed along with the Marie Curie Palliative Care Institute report ‘National Care of the Dying Audit of Hospitals in England’ (2009). Patients’ wishes regarding place of death and financial implications from the National Audit Office are considered.

Length of publication: 2 pages

This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library

The Marie Curie Delivering Choice Programme

Title:  The Marie Curie Delivering Choice Programme.

Source:  European Journal of Palliative Care, 2009 16,6 p290-4

Date of publication:  November 2009

Publication type:  Article

In a nutshell:  A review of the Marie Curie Delivering Choice Programme.   Examples of projects using the programme are reviewed with particular focus on the results of an independent evaluation of the 1st project in Lincolnshire.  In their conclusion the authors stress the importance of a ‘whole-system’ approach to the provision of end of life care.

Length of publication: 4 pages

Some important notes:   Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.

Acknowledgement:  BNI

Marie Curie Delivering Choice Programme Newsletter – Issue 9 Winter 2009

Source: Marie Curie Cancer Care – Delivering Choice Programme

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Date of Publication: December 2009

Publication Type: Newsletter

In a nutshell: That latest news from the Marie Curie Delivering Choice Programme. This issue focuses on end of life care support for patients with neurological conditions and looks at number of new EOLC care initiatives across the UK.

Length of Publication: 12 pages

Acknowledgements: Marie Curie Cancer Care

Five out of six for Marie Curie Nursing Services Scotland

Source: Marie Curie Cancer Care

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Date of Publication: December 2009

Publication Type: Website

In a nutshell: The Care Commission has given Marie Curie Nursing Service (MCNS) in Scotland 5 out of 6 for its quality of care. The inspection assessed quality of care and support, staffing, management and leadership and the quality of information given to patients and carers.

Acknowledgement: Marie Curie Cancer Care

Commissioning: Service maps in end of life care in NHS Tower Hamlets; 1. Adult services 2. Children’s services

Source:  National End of Life Care Programme

Follow this link for article.

Date of publication:  October 2009

Publication type:  Website

In a nutshell:   NHS Tower Hamlets has produced maps depicting end of life care services for adults and children and how each service connects with the others and these maps are now being implemented in different commissioning workstreams.  The maps will constitute a  key element of Tower Hamlets’ service redesign and development for end of life care services and wider palliative care services.  The maps have continued to be used in different commissioning workstreams :- The Marie Curie Delivering Choice Programme as well as long-term conditions planning, including COPD and neurological conditions.

Acknowledgement:  National End of Life Care Programme

Lincolnshire Rapid Response Service expanded

Source: Marie Curie Delivering Choice News

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Date of publication: September 2009

Publication type: Webpage

In a nutshell:

Marie Curie Cancer Care Rapid Response Service which was successfully pilotted in the Boston and South Holland areas of the county has now been expanded to cover the whole of Lincolnshire as part of the Lincolnshire Delivering Choices Programme. The Rapid Response Team provides planned and urgent care visits to patients in their own homes during the out of hours period and 17 new jobs have been created as a result of the expansion. The aim of the service is to enhance patient choice and to accommodate double the previous number of patients choosing to be cared for and die at home.

Acknowledgement: Marie Curie website.

End-of-life teams still not in place

Author: Graham Clews

Source: Nursing Times 21 July 2009 Vol 105(28) p3

In a nutshell: Fast-response nursing teams that would allow people to die in their own homes have yet to be rolled out despite them being named as a significant part of the Government’s EOLC strategy. The teams are based on an existing pilot run by Marie Curie Cancer Care in Lincolnshire. One year on, the pilot has been broadened to cover the whole of Lincolnshire however no other PCTs have commissioned similar schemes from the charity. Over the next 18 months, the NHS is set to receive £286m from the Government to implement the EOLC strategy with most of the funding at local level to PCTs. NCPC have reported they will ‘closely monitor’ the investment over the next 2 years ‘ to ensure it is being used effectively to develop local services’.

Publication type: Article

Contact your health library for a copy of this article

Marie Curie Delivering Choice Programme Spring 2009 Newsletter

Title: Marie Curie Delivering Choice Programme Spring 2009 Newsletter

Author: Marie Curie

In a nutshell: The Marie Curie Delivering Choice Programme helps local providers and commissioners of care to develop the best possible local services for palliative care patients, regardless of diagnosis, so that they are cared for in the place of their choice.

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