NICE impact end of life care for adults

NICE| October 2020| NICE impact end of life care for adults

Many people are unable to access all the support they need at the end of their life.

NICE impact end of life care for adults, is a new report from NICE which highlights progress made by the health and care system in implementing NICE guidance on end of life care. This publication highlights how the quality of care can be variable depending on location, social and cultural background, and diagnosis.

Many people are unable to access support at the end of life. We need to understand and strengthen the impact of NICE guidance on people’s experience of end of life care

.Julie Pearce (chief nurse and executive director of caring services) and Dr Sarah Holmes (medical director, service transformation and innovation).

The report makes some of the following key points:

Care of people approaching the end of life

  • Care at the end of life should be identified in a timely way.  If identification is effective and timely, this can allow people, and those important to them, to make decisions about their care. 
  • NICE’s quality standard on end of life care for adults says that the opportunity to develop a personalised care plan should be part of a comprehensive holistic assessment for people approaching the end of life.
  •  90% of people did not have a care plan in place on arrival at their final hospital admission
  • People with conditions such as dementia, which are not always recognised as life-limiting, often face an additional barrier to dying in their preferred place. This is because certain care settings, for example hospices, are not always offered as an option for them.
  • Healthcare professionals did not always consider the communication needs of people with dementia and sometimes assumed that the person with dementia lacked capacity

NICE impact end of life care for adults [news release]

Summary of the report available from NICE

NICE impact end of life care for adults (PDF) [report]

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