The Patients Association - SIGNIFICANT VARIATION IN STANDARDS OF CARE FOR PEOPLE DYING IN HOSPITALS
15 May 2014 01:20 PM
The National Care of the Dying
Audit for Hospitals was led by the Royal College of Physicians (RCP) and has
found significant variations in care across hospitals in England. The audit
shows that major improvements need to be made to ensure better care for dying
people and better support for their families, carers, friends and those
important to them.
Katherine Murphy, Chief
Executive of the Patients Association has said:
“Inequality continues to
distort healthcare in this country. The Patients Association is very concerned
about the significant variations in the quality of care provided in NHS
hospitals to patients who are at the end of their lives. This stage of their
lives can be extremely upsetting and distressing, not only for them, but also
for their families and loved ones. It is paramount the family feel involved and
engaged with the healthcare professionals at this very sensitive time.
We receive many calls to our
Helpline about poor quality of care for their relatives who are at the end of
their life. These include lack of adequate pain relief, patients being put on
DNAR notices without consent or involvement from the families and often lack of
dignity for patients. Many of our callers feel very guilty for not having done
enough for their loved ones and hearing about poor quality of care for their
relatives at the end of their life in hospitals will only add to their guilt of
and the feeling of helplessness.”
“There are clear
guidelines about end of life care plans including the spiritual needs yet the
findings of this audit indicate that patients’ end of life care needs are
not always being met.”
“We find it alarming that
for 87% of patients, recognised by the healthcare professionals as being at the
end of their life, less than half of patients were told about this even though
they were capable of discussing their care. We would like to express our
particular concerns about the way the healthcare professionals communicate with
the relatives of patients in hospitals. There should be clear
communication with the family particularly about decisions regarding withdrawal
of nutrition and hydration in end stages.”
“We welcome the 10 key
recommendations in the report which aim to drive up the quality of care for
people at the end of their life across all trusts. In particular, we support
the recommendation on mandatory training in care of the dying including
communication skills for all staff to ensure that they are competent in
supporting the families and carers of patients who are at the end stages of
their life.”
“We also welcome the
recommendation on the board level accountability and emphasis placed on senior
experienced clinicians making difficult and complex decisions about artificial
nutrition and hydration involving patients where possible and with their
family.”
“A high quality,
safe care that maintains dignity and respect at all times for patients at the
end of their life should be the fundamental principle of care delivery in the
NHS.”
Notes for
Editors
- The Patients Association is a
campaigning charity, listening to patients and speaking up for change. It has
been working for over 50 years to make sure that the patient voice is heard and
listened to by policy makers.
- For further information please
contact the Patients Association on 02084239111 or on comms@patients-association.com.
- To see more information on the
Patients Association visit www.patients-association.com