A different ending: Addressing inequalities in end of life care
Good practice case studies
As highlighted in our overview report, the organisations National Voices and the National Council for Palliative Care describe good, personalised end of life care in the following way: “I can make the last stage of my life as good as possible because everyone works together confidently, honestly and consistently to help me and the people who are important to me, including my carer(s).”
This emphasises that good care at the end of life places the individual at the centre of their care. The wishes and choices of the person who is dying are paramount, because what is important to each individual in the last phase of their life will be different.
The Care Quality Commission (CQC) recognises the importance of end of life care as an integral part of the good health and care that everyone should receive throughout their life. Good end of life care is consistently described in national standards and guidance, and the National Palliative and End of Life Care Partnership, of which CQC is a member, sets out the action needed to achieve high quality care for everyone in Ambitions for Palliative and End of Life Care.
We are committed to encouraging the improvements in quality that are needed to make sure that everyone receives the good, personalised care they should be able to expect at the end of their life.
This document brings together some examples of good practice in end of life care for different groups. We have identified these examples from our inspections and through our review, including our visits to local areas. They represent only a small proportion of the good care being delivered by committed and compassionate staff to people who are in the last phase of their life.
Furthermore, these examples demonstrate what can be done when commissioners and services themselves understand the needs of everyone in their community and ensure that end of life care is personalised and responsive to people’s individual needs. We hope that others will be able to learn from them.