Improving choice at the end of life
Consensus has grown around the urgency of acting to address the lack of choice at the end of life and it is widely accepted that if more people are treated in the community setting then the NHS can make savings in the acute sector.
To enable more people to die in the manner and place of their choosing, the Government must fund and implement the independent Review of Choice in End of Life Care’s recommendations, which would ensure people receive good quality care that meets their individual needs and wishes.
This Review provides a blueprint for how greater choice in end of life care can be achieved. Improvements to choice must be delivered through a number of means including ensuring:
- sufficient services in the community, including 24/7 care provided locally and improved coordination of services;
- advance care planning embedded as usual practice;
- fast and free access to social care is provided at the end of life by local authorities;
- training in end of life care given priority, with a focus on community, primary and multi-integrated health and care; as well as support in embedding a culture of talking about death;
- appropriate infrastructure to record end of life care plans; and improved forecasting of the needs of people at end of life and funding to commission services.
Read Macmillan's report on Making choice at the end of life a reality [PDF, 169 Kb] >