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Summary of Results

Health Topic:   Cancer
Guidance:   Supportive and palliative care
Description:   The summary of the published cancer service guidance on Supportive and palliative care. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Westwood SJ, Wood G (2007) Are patients' psychological needs being met? European Journal of Palliative Care. 14(4): 157-60.

Description: A survey of all specialist and general teams providing services for patients with cancer or palliative care needs, a sample of GPs, all general NHS counselling services all mental health and clinical health psychology services and a sample of users and carers in one cancer network. Results show patchy and unequal provision of psychological support services with gaps at all levels of the NICE model.

Practice appears not to be in line with guidance Regional

Prostate Cancer Charter for Action (2009) Hampered by hormones? Addressing the needs of men with prostate cancer

Description: The charity invited men with experience of prostate cancer and hormone therapy to respond to a survey and take part in four focus groups. The charity also surveyed 100 partners of men who had received hormone replacement therapy. Overall 332 men responded to the survey, 100 responses were received from partners. Results found that 55% of men received too little information/support, 67% were not asked about effects on mental wellbeing and 32% had no access to a clinical nurse specialist.

Practice appears not to be in line with guidance National

Noble A et al (2010) If you don't ask, you don't get-tackling spiritual needs in oncology patients Palliative Medicine 24(4) PP S86-S87

Description: A questionnaire on spiritual care was developed and sent to all nursing staff within a single oncology unit in the UK. 113 questionnaires were distributed, of which 35% were returned. Findings showed that the majority of respondents didn't understand the term spirituality. Whilst the majority felt that spiritual care was the responsibility of the nurse, only 38% felt confident in their knowledge to discuss spiritual issues with patients.

Practice appears not to be in line with guidance Local

Marie Curie Palliative Care Institute Liverpool (MCPCIL) / Royal College of Physicians (RCP) (2011) National care of the dying audit - Hospitals (NCDAH) Round 3 - Generic report 2011/2012

Description: This national audit presents clinical data from 2011/12 for over 7000 patients whose care was supported by the Liverpool Care Pathway for the Dying Patient, from 127 Hospital Trusts in England. Organisational data regarding provision of care for patients in the last hours or days of life was submitted from 131 NHS Trusts in England. Results show an increase since Round 2 of the audit in the amount of training and education offered in care of the dying for medical staff (R2: 74%; R3: 90%).

Practice appears to be in line with guidance National

Macmillan Cancer Support (2013) Time to choose - Making choice at the end of life a reality

Description: This report seeks to identify the barriers to choice at the end of life and makes recommendations for improvements at a national level. It is aimed at national decision makers in England and includes data from a number of sources. In relation to lack of support for carers, it cites a 2011 report by Macmillan Cancer Support and Ipsos MORI, which stated that only 5% of cancer carers receive a Carer?s assessment.

Doubts about or mixed impact in practice National

This page was last updated: 01 October 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.