The End of Life Care Strategy (2008) identified the need to improve co-ordination of care, recognising that people at the end of life frequently received care from a wide variety of teams and organisations. The development of Locality Registers (now Electronic Palliative Care Co-ordination Systems known as EPaCCS) were identified as a mechanism for enabling co-ordination.
By supporting the elicitation, recording and sharing of people’s care preferences, and key details about their care, it is anticipated that EPaCCS will improve the quality of care, with provision meeting people’s expressed wishes and preferences. Early findings from the South West SHA Locality Register pilot showed that the vast majority of people on the register were able to die outside of hospital, and in their preferred place of care. This resource is intended to support commissioners in developing a business case for establishing EPaCCS.