Table of contents

Unmet needs and service gaps

Adults :: End of life :: Unmet needs and service gaps

• There is a need for a proactive identification of people approaching End of Life, better coordination of care and communication between services
• There is currently no systematic approach to capturing patients' views in the use of the service, although there is patient representation within the End of Life Care Group.
• More training is required for the wider workforce on End of Life Care
• There is inequity in End of Life Care for non cancer patients especially those with Mental health problems e.g. Dementia
• The main barrier to the delivery of good quality end of life care is because people are not identified early enough to provide this care as they are approaching end of life.
• The majority of people in England would prefer to die at home, however lack of timely access to appropriate community services prevent more people dying in their place of choice. In Medway, over half of the deaths (52%) occur in hospital.
• There is no existing mechanism for identifying the needs, wishes and preferences for end of life care for people with dementia.
• The projected increase in the ageing population in Medway, points to the future needs in developing skills in the community if admissions, especially emergency admissions, are to be avoided.
• Lack of information and data to inform decisions regarding the end of life care needs specific to BME groups, including spiritual and cultural needs.