End of Life Care review & improvement plan presented

DignityMembers of the Health & Wellbeing Board were asked in May to consider the findings of its review of End of Life Care and endorse a plan for improvement.


Predicted demographic changes and a sustained increase in long-term illnesses such as dementia are expected in increase uptake of End of Life Care services in Warwickshire.


The review findings illustrated considerable variations in demographic and End of Life Care outcomes across Coventry & Warwickshire.

Deaths in hospital range from 43.4% of all deaths in Stratford-upon-Avon to 54.4% of deaths in Nuneaton & Bedworth and deaths in ‘usual place of residence; range from 40% in Nuneaton & Bedworth up to 51% in Stratford-upon-Avon.

There are perceived gaps in universal services, for example overnight community nursing and in the provision of dedicated care home beds.

Mirroring the national picture, there is a shortfall in Specialist Palliative Care (SPC) consultants, compared to commissioning recommendations and there are differences in the range of specialists available within team, with more deficits apparent for the Warwickshire North Clinical Commissioning Group (CCG) population.

Data for all specialist services demonstrates less access for ethnic minority groups and for non-cancer patients, relative to perceived needs.

The improvement plan reflects the way key stages that need to be taken by health and social care commissioners to ensure the foundations for good End of Life Care can be established. It represents ‘work in progress’ and will need to be delivered in full in order that future measurable outcomes and targets can be specified.

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