Find your 1%

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GPs are in an opportune position to make a real difference to a person's last 12 months of life. The care received during this time can have a significant impact on their wellbeing and a long-lasting effect on their loved ones.

The National End of Life Care Programme and Dying Matters urge GPs to identify those patients who may be in their last year of life and talk to them about their preferences. By doing so, people are more likely to get high quality end of life care, have fewer emergency admissions to hospital and have a good death in the place of their choosing.

This A6 pack has been developed to be a practical tool to help GPs do exactly that. As well as links to useful sources of information, the pack contains postcards with support and advice on:

Identifying people at the end of life
Having end of life care conversations
Putting plans in place
Managing and co-ordinating care
Space to include local information such as the telephone numbers of hospices, palliative care teams and pharmacies which stock palliative care drugs.

Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013

Published in: Health & Medicine
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Find your 1%

  1. 1. Find your 1% Helping GPs to support people to live and die well
  2. 2. Do you know the 1% of your patients who are in their last year of life? By identifying which of your patients are in their last year of life and talking to them about their preferences, they are more likely to get high quality end of life care, have fewer emergency admissions to hospital and have a good death in the place of their choosing. n Around 1% of the UK population dies each year n With an increasingly ageing population, the number of deaths in England is set to rise from 500,000 to 590,000 over the next 20 years n We know that over 70% of people would prefer to die at home, yet 51% die in hospital n 76% of people who are included on an electronic palliative care co-ordination system (EPaCCS) die in their preferred place, and only 8% die in hospital n Cutting the number of deaths in hospital by 60,000 per year, approximately one patient per GP per year, would lead to an annual NHS saving of £180 million n The average GP cares for 20 dying patients each year n Research has shown that after friends and family it is GPs who people want to turn to for information about end of life care. Find your 1%.
  3. 3. Useful websites Department of Health – End of Life Care Strategy (2008) www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/ DH_086277 Dying Matters – raising awareness of dying, death and bereavement: www.dyingmatters.org e-ELCA – free e-learning on all aspects of end of life care: www.e-lfh.org.uk/projects/e-elca/index.html and open access taster sessions: www.endoflifecareforall.com Find your 1% – microsite, resources, case studies and further information: www.dyingmatters.org/gp General Medical Council – Treatment and care towards the end of life: good practice in decision making (2010): www.gmc-uk.org/guidance/ethical_guidance/end_ of_life_care.asp National End of Life Care Intelligence Network – reports, modelling tools and profiles by PCT and Local Authority area: www.endoflifecare-intelligence.org.uk National End of Life Care Programme – guides, support tools, service specifications and more: www.endoflifecare.nhs.uk National Institute for Health and Clinical Excellence – quality standard on end of life care for adults (2011): http://guidance.nice.org.uk/QS13 National Institute for Health and Clinical Excellence – guide for commissioners on end of life care for adults (2011): www.nice.org.uk/usingguidance/ commissioningguides/endoflifecare/ endoflifecareadults.jsp Royal College of GPs – end of life care web resource, strategy and patient charter: www.rcgp.org.uk/end_of_life_care/home.aspx
  4. 4. www.dyingmatters.org/gp Published by the National End of Life Care Programme ISBN: Programme Ref: Publication date: Review date: 978 1 908874 37 5 PB0048 A 10 12 October 2012 October 2014 © National End of Life Care Programme (2012) All rights reserved. For full Terms of Use please visit www.endoflifecareforadults.nhs.uk/terms-of-use or email information@eolc. nhs.uk. In particular please note that you must not use this product or material for the purposes of financial or commercial gain, including, without limitation, sale of the products or materials to any person.

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