Transforming end of life care in acute hospitals - 'How to' guide
28 February 2012
This 'how to' guide builds upon the overarching framework set
out in The route to success in end of
life care - achieving quality in acute hospitals,
published in 2010. The route to successhighlighted
best practice models developed by acute hospital Trusts, providing
a comprehensive framework to enable hospitals to deliver high
quality care to people at the end of life.
This 'how to' guide aims to help clinicians, managers and
directors implement The route to success more
effectively, drawing on valuable learning from the NHS Institute
for Innovation and Improvement's
Productive Ward: Releasing time to
This guide contains individual sections that can be worked on in
any given order, dependent upon the individual hospital and its
current end of life care provisions.
It places emphasis on existing 'enabling' tools and models,
which support and follow a person-centred pathway. These are
Advance Care Planning, Electronic Palliative Care Co-ordination
Systems (EPaCCS), AMBER Care Bundle, Rapid Discharge Home to Die
Pathway, and the Liverpool Care Pathway.
The 'how to' guide box set is complemented by an e-version,
containing 14 podcasts. These cover topics such as the 'enabling'
tools, communications skills, DNACPR, environments of care,
implementing care after death guidance and the use of data and
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