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Next steps for delivering compassionate care
Dr Phil McCarvillHead of Policy & Public Affairs Marie Curie Cancer Care @MarieCuriePA
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MARIE CURIE
• Major UK end of life charity working people with all terminal illnesses
• Major service provider – Network of 2000 Nurses caring for people in the last few days, weeks and months of life
• 9 hospices across the UK reached 8,931 people in 2013-14• Our services reached a total of 40,519 people last year• Major funder of academic and health service research with an
Open Access research policy • Working to influence policy and practice through
our policy and public affairs work.
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Delivering High Quality Services
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Next Steps For End Of Life Care
Focus on three key aspects:
• Ensuring compassionate care• Commissioning end of life care • Repositioning end of life care
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Compassionate Care
• Putting people at the centre – Five priorities of care
• We learn the lessons from the VOICES Bereavement Survey & RCP/Marie Curie Hospital Audit
• Drive up quality of care in all settings • Ensure people with different conditions can
access the highest quality care
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Compassionate Care - Lessons
• Variation across different settings
• Lack of 24/7 support
• Lack of access to face to face palliative care
• Poor communication with individuals &
families
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Commissioning End of Life Care
• Start from the point of view of terminally ill people and their families
• Align what terminally ill people want and what the health and social care system needs
• Recognise the role of charities and community services in delivering high quality care
• Move the focus away from hospitals and shift resources accordingly – backed by evidence from Nuffield Trust
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Repositioning End Of Life Care
• For too long end of life care has been seen as a niche subject
• Demographics & financial pressures mean that we need to view end of life care differently
• Focusing on end of life care can help solve a number of the major challenges facing the NHS and wider health and social care system
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THANK YOU@MARIECURIEPA