End of life care (includes dying phase)

End of Life Care

The following three End of Life Care tools provide practical guidance and support to help health and social care staff to implement the End of Life Care Strategy:-

Gold Standards Framework (GSF) applies to patients in the last 6-12 months of life. It was developed in primary care. Key points include:

•  A palliative care register – this is held by the GP and identifies patients approaching the end of their life. It enables the primary care team to monitor the patient’s progress, anticipate their health and social care needs (including pre-emptive prescribing for anticipated symptoms or complications) and prioritise Advance Care Planning (enabling patients to express their preferences for care at the end of their life)

•  Education for all staff involved with end of life care

•  Improved communication between disciplines and across care settings during the day and out-of-hours

Preferred Priorities for Care aims to document a patient’s preferences for their future care as they approach the end of life:

•  The patient’s preferences for their health and social care e.g. where they would prefer to be cared for in the final days of life

•  Which treatments, if clinically indicated, they would chose to accept or decline, given the likely progression of their condition

Liverpool Care Pathway (LCP) applies to patients in the last days of life.

 •  It covers aspects of nursing care, medical care, and communication and gives detailed prescribing advice for common symptoms

•  It can be implemented in the following care settings: Hospital, community, nursing home or hospice