More people
should be able to spend their final days in a place of their
choice and new Government funding will help to make this happen,
Health Secretary Andrew Lansley announced today.
The current system of end of life care does not work well enough.
Some patients and their families receive excellent care and
excellent support while others miss out. NHS funding for
palliative care services is often poorly distributed and varies
greatly around the country.
A new fairer funding system is needed but essential information
needed to develop a system doesn’t exist. Eight pilots sites –
with a share of £1.8 million will collect this vital information
and help the Government meet its aim of having a new per-patient
funding system for both adult and children’s palliative care services.
Seven new adult pilot sites will each receive an extra £200,000
and a children and young persons pilot will receive £400,000.
The Government wants to create a fairer system, which supports
people to be cared for in the setting of their choice and enables
end of life care to reach all in local communities who need it.
Speaking at a Marie Curie event, Andrew Lansley
said:
“It is most important to us that both children and adults, their
families and carers get the right care and support at the end of
their lives. This includes being able to make choices about where
they are cared for, including at the end of their life.
“A fair funding system will enable us to ensure that this support
is available. It will ensure all qualified providers of end of
life care, whether they be statutory, voluntary or independent,
are fairly funded. The pilots will have an essential role in
helping us in this work.”
The seven adult pilots selected to help with this essential work
are being led by:
NHS North Yorkshire and YorkSt Christopher's Hospice,
LondonUniversity of SheffieldUniversity Hospital Southampton NHS
Foundation TrustThe Heart of Kent HospicePoole Hospital NHS
Foundation TrustRoyal Wolverhampton Hospitals NHS Trust
The pilot area for children’s palliative care services is a
consortium being led by the following organisations:
East of England Child Health and Wellbeing TeamWest Midlands
Paediatric Palliative Care NetworkGreat Ormond Street Hospital
Northwest Children and Young Peoples Palliative Care Network
Ministers are setting up the pilots following a recommendation
from the independent Palliative Care Funding Review which was
chaired by Tom Hughes-Hallett, Chief Executive of Marie Curie
Cancer Care. The review, which reported last summer, made a number
of proposals on how to make sure that the funding of hospices and
other palliative care providers, for both adult and children’s
services, is fair and transparent. It recommended that pilots be
set up to collect information to test its proposals.
Professor Sir Mike Richards, Chairman of the
Palliative Care Funding Working Group, which considered all the
bids to be pilot sites, said:
“The Palliative Care Funding Review recognised that palliative
care is a very complex area and that we just do not have the
essential information needed to develop a fair funding system. The
pilots will collect this vital information and help the Government
meet its aim of having a new per-patient funding system for both
adult and children’s palliative care services. I was delighted
with the response of the palliative care sector to the Departments
call for pilot sites and the excellent quality of the bids we received.”
Dame Barbara Monroe, Chief Executive of St
Christopher’s Hospice, said:
“St Christopher’s has a long history of being in the forefront of
providing high quality palliative and end of life care. It is
important that we have a funding system that is responsive to the
needs of patients and fairly supports the work of all providers of
care. We and our partner organisations are excited about being
selected to contribute to this work.”
Dr Sheila Shribman, National Clinical Director for
Children, Young People and Maternity Services, said:
“I welcome the pilots very much as it brings us closer to a
fairer funding system for all providers of children's
palliative care, and also puts children and their families in the
driving seat.”
The pilot sites will collect data over two years up to 2014 with
the new funding system being introduced from 2015.
Ends
Notes to Editors
For media enquiries contact the Department of Health news desk
on 020 7210 5221.Our intention through the pilots is to gather
sufficient data in order to form an understanding of the national
picture for palliative care resource use and associated costs.The
Department issued a call for pilots in November last year –
background documents can be found here
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131544A
copy of the Independent Palliative Care Funding Review can be
found here
http://palliativecarefunding.org.uk/wp-content/uploads/2011/06/PCFRFinal%20Report.pdfThe
seven adult sites involve a total of 54 organisations, including
19 hospitals, 13 voluntary sector providers, 11 PCTs or CCGs, five
Local Authorities, two nursing home providers, two community
health trusts, one university and one health and social care
partnership trust. The sites cover a combined population of around
5.4 million people, distributed across six different regions in
England: Yorkshire and the Humber, London, South Central, South
East Coast, South West and the West Midlands. The Department of
Health published today, 2012/13 allocations for the
Children's Hospice at Home grant.The children’s pilot,
involves 39 organisations, including hospitals, voluntary sector
providers, PCTs, community health trusts, a university and
children’s palliative care networks. This is available from the
Department of Health press office.
Contacts:
Department of Health
Phone: 020 7210 5221
NDS.DH@coi.gsi.gov.uk