The National End of Life Care Audit is released
today (31st March 2016) by the NHS England and the
Royal College of Physicians.
Our clinical site at the Royal Liverpool & Broadgreen
University Hospitals NHS Trust has performed well across
all measures in the audit.
The Trust is complaint with all 8 Organisational
Audit indicators, including access to a 7-day specialist
palliative care service, which is available in only 37% of
hospitals nationally, and providing in-house training in
communications skills for all medical, nursing and allied
health professional staff.
In the five Clinical Audit indicators, the Trust
performed close to or well above the average
for hospitals nationally, including documentary evidence
that it was recognised when patients may be in the
last hours or days of their lives, that conversations were
taking place with patients where possible and with those
important to the patient, and that, in 91% of cases (84%
nationally), their concerns were being listen to.
There was documented evidence within the last episode of care
that it was recognised that the patient would probably die in
the coming hours or days in 77% of patient records (83%
nationally), which increased to 100% once sudden or
unexpected deaths were taken in to account, for example when a
patient dies within 24 hours of admission (compared with
Deborah Murphy, Assistant Chief Nurse for Medicine and End of
Life Care Lead, at the Royal Liverpool & Broadgreen
University Hospitals NHS Trust and Associate Director of the
Marie Curie Palliative Care Institute Liverpool, said: "Caring for
patients at the end of their lives is a very
high priority in our hospitals so it is good to see that the
high quality of care we strive for is reflected in the
findings of this national audit.
"We only have one chance to get this care right for each
patient and, importantly, for those they leave behind. Because
of this, we also conduct locally, in addition to this national
audit of patient records and organisational indicators, a
local survey of the experiences of the bereaved relatives
of patients who have died in our hospitals. This has found
that relatives feel their loved ones receive a high
standard of end of life care at our hospitals, whilst also
identifying areas where we can continue to
further improve our services.
"There is clearly still too much variation in the quality
of care for dying patients between hospitals in England
and we remain determined in our Trust to work with patients,
families, clinicians, researchers and our unique
volunteers service to maintain and continually improve on the
high quality of care that we provide."
The national report can be viewed by clicking