A second class ending: Exploring the barriers and championing outstanding end of life care for people who are homeless

December 19, 2017

Source: CQC

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Date of publication: November 2017

Publication type: Discussion paper

In a nutshell: This paper explores the reasons why homeless people do not experience
good care at the end of life and demonstrates that there are many opportunities to improve standards of care.

Length of publication: 24 pages

Some important notes: This paper is linked to the  2016 report ‘A different ending: End of life care review’ which can be accessed here


End-of-life care for homeless people: A qualitative analysis exploring the challenges to access and provision of palliative care

July 17, 2017

Source: Palliative Medicine 2017 July 3. [e-pub ahead of print]

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Date of publication: July 2017

Publication type: Journal Article

In a nutshell: Being homeless or vulnerably housed is associated with death at a young age, frequently related to medical problems complicated by drug or alcohol dependence. Homeless people experience high symptom burden at the end of life, yet palliative care service use is limited.

Length of publication: 10 pages

Advance care planning, palliative care, and end-of-life care interventions for homeless people: A systematic review

March 9, 2017

Source: Palliative Medicine 2017 Feb; 31 (2): 109-119

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Date of publication: February 2017

Publication type: Journal Article

In a nutshell: This systematic review aims to summarize and evaluate the evidence surrounding advance care planning, palliative care, and end-of-life care interventions for homeless persons.

Length of publication: 11 pages

Challenges to access and provision of palliative care for people who are homeless: a systematic review of qualitative research

January 10, 2017

Source: BMC Palliative Care 2016; 15: 96

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Date of publication: December 2016

Publication type: Journal Article

In a nutshell: This review presents a synthesis of published qualitative research exploring from the perspective of homeless people and those working to support them, current challenges to palliative care access and provision.

Length of publication: 18 pages

Homelessness and end of life care

July 1, 2013

Source: St. Mungo’s

Follow this link to download resource pack

Date of publication: February 2013

Publication type: Resource pack

In a nutshell: The resource pack, called Homelessness and End of Life Care, has been created by homelessness charity St Mungo’s and Marie Curie Cancer Care, the UK’s leading end of life care charity. The pack pulls together tools, templates and relevant resources for staff working in homelessness organisations and with people who are homeless, enabling frontline staff to talk confidently about end of life issues with their service users as well as when working with health and social care professionals.

Length of publication: 80 pages

Acknowledgement: Marie Curie Cancer Care

Recommendations for improving the end-of-life care system for homeless populations: A qualitative study of the views of Canadian health and social services professionals.

September 24, 2012

Source: BMC Palliative Care 2012, 11(1) p.14

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Date of publication: September 2012

Publication type: Article

In a nutshell:  Homeless populations have complex and diverse end-of-life care needs. However, they typically die outside of the end-of-life care system. To date, few studies have explored barriers to the end-of-life care system for homeless populations. This qualitative study involving health and social services professionals from across Canada sought to identify barriers to the end-of-life care system for homeless populations and generate recommendations to improve their access to end-of-life care. The article concludes that homeless people may be underserved by the end-of-life care system as a result of barriers that they face to accessing end-of-life care services. Changes to rules and regulations that reflect the health needs and circumstances of homeless people and measures to improve continuity of care have the potential to increase equity in the end-of-life care system for this underserved population.

Length of publication: 16 pages