End of life care in nursing homes: understanding and mapping solutions

Document type
Corporate author(s)
NHS National End of Life Care Programme
NHS National End of Life Care Programme
Date of publication
1 May 2009
Health Services, Older Adults
Social welfare
Material type

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Many care homes feel isolated and do not have the support they need to provide top quality end of life care. The National End of Life Care Programme commissioned a study to examine how these issues affected the care of older people in nursing homes. The study looked at the drivers and barriers to good quality end of life care for older adults in nursing homes through an in-depth study of two nursing homes in northern England and a survey of surrounding nursing homes in the areas. It found many examples of good practice in end of life care, especially among those nursing homes that were implementing end of life care tools such as the Liverpool Care Pathway (LCP) and the Gold Standards Framework (GSF). It also identified a number of areas that needed improvement. This briefing includes the main themes and recommendations emerging from this study.