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A survey of the provision of palliative care in community hospitals : an unrecognised resource.

Payne, Sheila and Kerr, Chris and Hawker, Sheila and Seamark, David and Davis, Carol and Roberts, Helen and Jarrett, Nicola and Roderick, Paul and Smith, Helen (2004) A survey of the provision of palliative care in community hospitals : an unrecognised resource. Journal of the Royal Society of Medicine, 97 (9). pp. 428-431. ISSN 0141-0768

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Abstract

In the UK there are concerns that, in certain groups of dying patients such as the old, those with non-cancer diagnoses and those in rural areas, the quality of care is unacceptably variable. There has been no systematic survey of the extent to which community hospitals provide general palliative care for such patients. Therefore, by means of a structured questionnaire we asked senior nurses/managers at all 478 community hospitals in the UK for information on staff expertise, facilities and specialist equipment, liaison arrangements with specialist palliative care providers, priorities, practice and policy in end-of-life care. Of the 346 hospitals (72%) that responded, only 28 were in urban areas. 73% of hospitals employed at least one nurse with additional training in palliative care, 72% had access to 24-hour specialist palliative care advice and 51% had separate overnight accommodation for relatives, but only 22% had designated palliative care beds. Most hospitals did not have written policies or guidelines for patient assessment or symptom control. These findings add to evidence that community hospitals represent an important resource to improve access to palliative care for groups that are currently under-served.

Item Type: Article
Journal or Publication Title: Journal of the Royal Society of Medicine
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 32597
Deposited By: Mr Richard Ingham
Deposited On: 30 Mar 2010 11:28
Refereed?: Yes
Published?: Published
Last Modified: 09 Apr 2014 20:32
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/32597

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