Overall quality of end of life care rated good
The overall quality of end of life care across all NHS is rated as good, a ground-breaking survey of bereaved people has found.
The VOICES (views of informal carers for the evaluation of services) survey, commissioned by the Department of Health and carried out by the Office of National Statistics, is the first ever national survey of bereaved individuals.
The survey, published in July 2012, received 22,292 responses from bereaved people, of whom 12% rated care in the last three months of life as outstanding, 30% as excellent, 33% as good, 14% as fair and 10% as poor
The survey also highlighted that:
- Being shown dignity and respect by staff was highest in hospices (87% ‘all the time’ for hospice doctors and 80% for hospice nurses) and lowest in hospitals (57% ‘all the time’ for hospital doctors and 48% for hospital nurses)
- For those who expressed a preference, the majority preferred to die at home (71%), although the most commonly recorded place of death was a hospital (53%)
- For those who spent some or all of the last three months at home, 45% said that community services definitely worked well together and a further 42% said that the services worked well together to some extent.
- For those who had spent some time in hospital in the last three months, 33% reported that hospital services definitely worked well together with GP and other community services and a further 36% said they worked well to some extent.
Elaine Bayliss, Programme Manager for the QIPP EoLC National Workstream, commented: "While outputs from this report show that there is variation in care provision that continues to need attention, it also provides evidence that there is excellent work being done across the country to support people to achieve high quality care in their last year of life.
"This is supported by the latest deaths in usual place of residence (DiUPR) data, which shows sustained improvement over the last eight quarters both at national level and across all SHA regions, with DiUPR increasing from the Q3 08/09 baseline of 37.9% to 41.7% as of Q3 11/12. (See graphs below)
"This is a significant achievement for all involved in end of life care provision and good news for the population that we serve."
Thank you for being part of the Find your 1% campaign; by committing to the aims and objectives of the campaign you have made an important contribution towards helping us improve the quality of care provided to people in their last year of life.
To find out more about the national survey of bereaved people and to view the results broken down by PCT cluster area, please view the Department of Health’s key findings report.