6.39% of people had three or more admissions within the last three months of life this result is higher than the England average.
We want people in Bradford district and Craven to receive high quality end of life care irrespective of diagnosis, socio-economic background, religious belief, gender or ethnicity. We need to be able to describe what this means for our population and to our staff, and use this understanding to overcome the variation in outcomes for people approaching the end of life across our local area. We want to develop a system wide approach to end of life care which integrates clinical, psychological, spiritual and social elements and recognise that death, dying, loss and caring takes place in everyday life within the family and community. Recognizing that all parts of our system have a role to play in providing end of life care will give greater opportunities for existing resources and services to work together and provide effective, person centered care.
We have established the following:
- a new steering group has been created to oversee the development of the system wide strategy for end of life care.
- the End of Life strategy will cover the populations of the three Bradford district and Craven CCGs and cover all ages. This is being jointly led by the CCGs and City of Bradford Metropolitan District Council. An action plan will be developed with the strategy and will be used to inform any commissioning decisions.
- greater connections with other programmes will be made in the future to ensure a pathway approach to end of life care, areas include: cancer, dementia, long term conditions and frailty
- an outcomes dashboard will be developed for EoL reporting and key performance indicators will be confirmed that will enable us to show improvements in:
- earlier identification of the end of life stage leading to proactive co-ordination of care and symptom control
- the number of proactive discussions with people which will support choice around their care and help them achieve their preferred place of death