Last phase of life

Make sure health and care staff are aware of and respect people’s wishes during their last phase of life.

What we have achieved so far:

  • Launched 111 for care homes, to provide care home staff direct contact with a clinician, rather than calling 999.

We will continue to:

  • make sure patients have a plan in place for care during their last phase of life – and that health and care staff respect it
  • provide care home staff with easy access to 24/7 advice, plus extra training and education, to help them support people in their last phase of life
  • make sure there is sufficient nursing and GP care available for people in their last phase of life in care homes and the community.

It is better for people because:

  • most residents say they want to die at home, but majority end up in dying in hospital
  • an agreed plan in place, with trained and supported staff,  will save residents unnecessary unplanned overnight stays in hospital.

Key facts:

  • around fifty thousand residents of NW London  are in their last phase of life
  • nationally, just under half (47%) of all deaths happen in hospital but where care plans have been used in London, that has dropped significantly to 18 per cent
  • 4 in 5 people would prefer to die at home, but only 1 in 5 currently do
  • according to figures published by Macmillan Cancer Support in April 2017, 99 per cent of cancer sufferers say they do not want to die in hospital, but 38 per cent still do.

Expected outcomes:

  • staff in care homes fully trained to support residents during their last phase of life
  • multi-disciplinary teams in place to support resident’s care and wishes
  • all care home residents should have an agreed and shared care plan in place.