OA18 Population based end of life care – meeting the challenge of the ageing population. Issue Volume 5: Issue (2015)Supplement 1 (1st April 2015)

• Record Type: Journal Article
• Authors: Thomas, Keri
• Is Part Of: BMJ supportive & palliative care. Volume 5: Issue (2015)Supplement 1
• Page Start: A6
• Page End: A6
• Publication Date: 2015-04-01
• Subjects: Palliative treatment -- Periodicals; Terminal care -- Periodicals; 616.029
• DOI: 10.1136/bmjspcare-2015-000906.18
• Languages: English
• ISSNs: 2045-435X

Abstract

Abstract : Background: The key challenge for most developed countries is meeting the needs of our ageing population, in particular, those nearing the end of their lives – population-based end-of-life care. Building on a public health approach to meet needs of an area-wide population, and a practical approach of enabling generalist frontline staff care for all people in a variety of settings using the GSF Quality Improvement Programmes, we describe progress in a few GSF Cross-Boundary Care Foundation Sites taking a population-based view to meet the challenges of the ageing population. Aims: Taking a whole-system view, we explore ways to ensure all people receive quality care towards the final stages of life in line with their needs and wishes in a way that is cost-effective, responsive and compassionate. Expanding concepts of palliative/end-of-life care to include care for people with long-term conditions, dementia, and frailty. Methods: We describe practical progress in a number of GSF XBC Sites, enabling generalist frontline staff including: Identifying and prioritising people earlier Reducing 'diagnostic apartheid' Enabling more to live well and die well in the place and manner of their choosing Encouraging integrated person-centred care, reducing inappropriate over-Hospitalisation and prevention of over – medicalising. Results: Use of GSF in various settings to enable generalist frontline staff is described, with key outcome measures and evaluations in the UK, and internationally. Conclusion: As the population ages, population-based end of life care will be one of the most significant developments to meet the challenges for a fit-for-purpose health service of the future.