Access to palliative care for homeless people: complex lives, complex care

November 28, 2018

Source: BMC Palliative Care 2018; 17: 119

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Date of publication: Journal Article

Publication type: October 2018

In a nutshell: This study aims to give insight into the extent to which people experiencing homelessness have access to good palliative care. Qualitative interviews were held with people experiencing homelessness at the end of life, as well as with people who were close to them at the end of life.

Length of publication: 11 pages

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

When dying at home is not an option: Exploration of hostel staff views on palliative care for homeless people

July 9, 2015

Source: International Journal of Palliative Nursing 2015 v.21(5) p236-44

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Date of publication: May 2015

Publication type: Article

In a nutshell: The Department of Health in the UK suggests that hostel staff are the most appropriate key workers for their dying homeless residents and that hospital based palliative care maybe the best way forward. However, little is known about the views of hostel staff with regard to this. The article findings clearly lend support to the suggestion that hostel workers probably are indeed the most appropriate people to sup­port a dying homeless person. However, enhanced collaborative working, access to accu­rate and up-to-date medical information and clearer lines of communication between health professionals and hostel workers could result in better outcomes for this population in terms of having a voice that is heard, being offered choices regarding care options, and being treated with the same dignity and respect that the rest of the population has come to expect at the end of life

Length of publication: 9 pages

Some important notes: 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


Homelessness and end of life care

July 1, 2013

Source: St. Mungo’s

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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