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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 care™ series.

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 metrics.

Please email for more information