Table of contents

Recommendations for commissioning

Adults :: End of life :: Recommendations for commissioning

• Encourage the use of the Gold Standard Framework's (GSF) Prognostic Indicator Guidance in primary care to ensure early identification of people approaching the end stages of their disease.
• Medway CCG needs to encourage the GP/primary care team to work closely with other professionals in hospitals, hospices and specialist teams to help to provide the highest standard of care possible for patients and their families.
• Given the generally ageing population and the likely increase over time in percentage of people over the age of 75 from a Black, Asian and minority ethnic (BAME) background, it is recommended that Medway CCG looks at their demographic projections and works accordingly with their clinicians, community groups and secondary palliative care services to develop, fund and evaluate appropriate, cost-effective services.
• There should be a standardised advance care plan, which can be used across whole system and to be recognised and staff supported.
• A gap has been identified in pre-bereavement in Medway. Commissioners should consider the provision of the service through a suitable provider or developing alternative models for providing this service.
• Continued commitment is needed to provide high quality care to enable people in Medway to die in the place of their choice.
• Use local population data available from National End-of-Life Intelligence Network, Hospital Episode Statistics, QOF and end-of-life care analytical tool which is published by Public Health England.
• Ensure workforce development (training and education) around the core competencies as outlined in the End-of-Life Strategy: Assessment of needs and preferences, communication, advanced care planning and symptom management.
• Encourage joint working and shared resources across all providers, with an identified lead provider coordinating all services that support the end-of-life pathway.
• Support the development of a single point of access to services to improve the coordination of end-of-life services.
• Voluntary sector organisations should be involved appropriately, especially around issues relating to culture and religion.
• Disseminate information on integrated health and social care end-of-life teams to the public, to ensure timely access to continue care funding.
• Develop a shared IT system to facilitate a more streamlined service through data sharing.