Abstract
An integrated approach to commissioning is essential for the development of services, and this needs to be steered by national strategy for long-term conditions and end of life care. A commissioning model can draw together a number of key components that enable an integrated service to be delivered for the individual, their family, and carers and ensure that care is delivered in a dignified and respectful way by the right person, in the right place, at the right time.
This chapter focuses on policy in England, and although some aspects are unique to England and Wales, the principles of commissioning good quality end of life care would apply equally to any other developed country. Often the key to delivery is having the correct infrastructure in place which is built on good communications between all parties with the individual and their families/carers at the center. This all needs to be supported by a trained and competent workforce which needs to be included as part of the overall commissioning.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Long term conditions national service framework. London: Department of Health; 2005. Available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4105361. Accessed 28 Oct 2011.
Department of Health. Supporting people with long term conditions. An NHS and social care model to support local innovation and integration. London: Department of Health; 2005.
Building on the best. London: Department of Health; 2003.
Lancashire & South Cumbria Cancer Network; National Preferred Priority for Care Review Team. Preferred Priorities for Care – National End of Life Care Programme Version 2.2. 2007. Available from: http://www.endoflifecareforadults.nhs.uk/tools/core-tools/preferredprioritiesforcare. Accessed 28 Oct 2011.
Thomas K. Caring for the dying at home. Companions on the journey. Oxford: Radcliffe Medical Press; 2003.
Ellershaw J, Wilkinson S, editors. Care for the dying: a pathway to excellence. Oxford: Oxford University Press; 2003.
Research Initiative for Long Term Neurological Conditions website. [Internet] Available from: http://www.ltnc.org.uk/. Accessed 27 Oct 2011.
Leigh N, et al. Defining the palliative care needs of people with late-stage Parkinsons disease, multiple system atrophy and progressive supranuclear palsy. Research Initiative for Long Term Neurological Conditions website. [Internet] 2011. Available from: http://www.ltnc.org.uk/. Accessed 27 Oct 2011.
National end of life care strategy for England. London: Department of Health; 2008. Available from: www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_086277. Accessed 27 Oct 2011.
Darzi L. High quality care for all: NHS next stage review final report. London: Department of Health; 2008.
The operating framework for the NHS in England 2009/10, 2010/11. London: Department of Health; 2008, 2009.
High quality care for all. London: Department of Health; 2008.
Improving EoLC in neurological disease: a framework for implementation. Leicester: National End of Life Care Programme; 2010. Available from: http://www.endoflifecareforadults.nhs.uk/assets/downloads/FC_2010_17____neurology_report___Final_draft___20110208.pdf. Accessed 27 Oct 2011.
Liberating the NHS: legislative framework and next steps. London: Department of Health; 2010.
Information for commissioning end of life care. Leicester: National End of Life Care Programme; 2008. Available from: http://www.endoflifecareforadults.nhs.uk/publications/commissioningeolc. Accessed 27 Oct 2011.
MND Year of Care Pathway. MND Association website. [Internet] 2009. Available from: http://www.mndassociation.org/for_professionals/sharing_good_practice/mnd_year_of_care.html. Accessed 27 Oct 2011.
Payne S, Seymour J, Ingleton C. Introduction. In: Payne S, Seymour J, Ingleton C, editors. Palliative care nursing: principles and evidence for practice. 2nd ed. Maidenhead: McGraw-Hill Press; 2008. p. 6.
Bernard S, Aspinal F, Gridley K, Parker G. Integrated services for people with long-term neurological conditions: evaluation of the impact of the national service framework. Research Initiative for Long Term Neurological Conditions website. [Internet] 2010. Available from: http://www.ltnc.org.uk/. Accessed 27 Oct 2011.
Jackson D, et al. How do carers of people with long term neurological conditions experience the provision of replacement care? Research Initiative for Long Term Neurological Conditions website. [Internet] 2011. Available from: http://www.ltnc.org.uk/. Accessed 27 Oct 2011.
Jackson D, et al. Support for carers particularly those with multiple caring roles. Research Initiative for Long Term Neurological Conditions website. [Internet] 2011. Available from: http://www.ltnc.org.uk/. Accessed 27 Oct 2011.
A Framework of National Occupational Standards to support common core competences and principles for health and social care workers working with adults at the end of life. Leicester: National End of Life Care Programme/Department of Health/Skills for Care/Skills for Health; 2010.
The LTNC Reference Dataset. The Information Centre for Health and Social Care website. [Internet] 2010. Available from: http://www.ic.nhs.uk/webfiles/Services/Datasets/LTNC/LTNC%20Data%20Requirements%20v1.0.pdf. Accessed 27 Oct 2011.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag London
About this chapter
Cite this chapter
Henry, C., Hopcutt, B. (2013). Future Developments in Care: National Strategy and Commissioning. In: Oliver, D. (eds) End of Life Care in Neurological Disease. Springer, London. https://doi.org/10.1007/978-0-85729-682-5_10
Download citation
DOI: https://doi.org/10.1007/978-0-85729-682-5_10
Published:
Publisher Name: Springer, London
Print ISBN: 978-0-85729-681-8
Online ISBN: 978-0-85729-682-5
eBook Packages: MedicineMedicine (R0)