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Transforming End of Life Care in Acute Hospitals

Wednesday 12 July 2017
Manchester Conference Centre, Manchester

Transforming End of Life Care in Acute Hospitals
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“End of life care is a hospital-wide concern and leadership must be provided at board level and across directorates to achieve high standards.” CQC, 2 March 2017 

“End of life care services are a good example of the variation in quality that exists between hospitals. Over half of the services are rated good or outstanding, with the 7% rated as outstanding providing personalised care that met the needs of individuals. However, 4% were rated inadequate and 33% were rated requires improvement” Care Quality Commission 2 March 2017

“Currently almost half of all deaths (47%) take place in hospital (National End of Life Care Intelligence Network, 2015). Nearly 30% of all hospital beds are occupied by someone in their last year of life…The majority of deaths occur following a period of chronic illness such as respiratory disease, heart disease or cancer. Almost 500,000 people die each year in England, two thirds of whom are 75 years or older. With an ageing population, the number of deaths is set to increase by 17% between 2012 and 2030.” NHS England

“We all need to rise to the challenge of achieving personalised care, treatment and support for the individual within a fast-paced busy acute environment. We must make the experience of care in hospitals as good as it can possibly be for all those who need to be there, especially for those in the last years, months, weeks and days of their life, and those important to them, as well as the staff who work and provide care and support for people in these environments." Professor Bee Wee National Clinical Director for End of Life Care, NHS England

This conference focuses on improving end of life care for people in hospital. Through national updates and learning from the NHS Transform Programme, and case studies demonstrating improvement in practice the conference will support you to meet the six national ambitions for end of life care within hospital, and improve care and outcomes for patients and their families.

“Our first national strategy for end of life care in England, published in 2008, has succeeded in reversing the trend of increasing the proportion of deaths taking place in hospital. Although that significant achievement must be appreciated, the reality is that many people will continue to die in hospitals, sometimes by their own choice, sometimes by necessity of the circumstances leading up to their death. As importantly, many people will need to spend a proportion of their last years, months and weeks of life in hospital because of care and treatment that they need, and wish, to receive. We owe it to them, and those important to them, to make that experience as good as we possibly can whilst they are there.” Transforming End of Life Care in Acute Hospitals, NHS England

“The notion that dying in hospital is always a poor outcome is too simplistic. So is the notion that dying in someone’s ‘usual place of residence’ is always a good thing. It is time to shift that focus. Wherever the person is, and at whatever the stage of illness, how can we make it as good as possible? This should be the focus….The challenge to you is this – what can you do to help in your own hospital? What can be done to influence or change care, or motivate others? If you are already doing this – we’d love to hear about your initiatives and help you to share this with other colleagues.” Professor Bee Wee, National Clinical Director for End of Life Care NHS England, 20th September 2016

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