It is clear that we must ensure that people receive the most appropriate care personalised to their individual needs as they approach the end of their life.
The NHS Long Term Plan, prepared by the NHS and published in 2019, builds on previous commitments made by the Government to personalise care through informed conversations between healthcare professionals and dying people. Part of this is a commitment to help people to live independently for longer, as well as a promise to give more people more say about the care they receive and where they receive it, particularly towards the end of their lives. I believe empowering people with terminal conditions in this way will better enable them to access palliative care when and where they most need it.
The creation of the Personalised Care Institute has made training available to help staff identify and support patients and to introduce personalised care planning for everyone identified as being in their last year of life. Importantly, this enables meaningful conversations to take place and allows staff to help patients and families, address their concerns and to explain the breadth of services available in the local area.
On the funding of hospices, NHS England and NHS Improvement have recently provided funding to support seven strategic clinical networks to deliver palliative and end of life care. The Health and Care Act requires Integrated Care Boards (ICBs) to commission palliative care and end of life services.
Furthermore, NHS England has actively increased its support to local commissioners to improve the accessibility, quality and sustainability of palliative and end of life care for all. This has included the publication of statutory guidance and service specifications, with further resources available on the FutureNHS Collaboration Platform.
In addition, NHS England has funded the establishment of a Palliative and End of Life Care Strategic Clinical Network in every NHS England region, which works closely with local commissioners regarding the development of accessible, high quality and sustainable services.