Quality statement 9: Palliative care needs

January 2014. Following the independent review of the use of the Liverpool Care Pathway (LCP) for the dying patient and the subsequent announcement of the phasing out of the LCP, reference to the LCP has been removed from the health and social care professionals' audience description for this statement.

Quality statement

People in the later stages of dementia are assessed by primary care teams to identify and plan their palliative care needs.

Quality measure

Structure: Evidence of local arrangements for primary care teams to assess the palliative care needs of people in the later stages of dementia.

Process: Proportion of people in the later stages of dementia whose palliative care needs are assessed by primary care teams and the resulting information is communicated within the team and with other health and social care staff.

Numerator – the number of people whose palliative care needs are assessed by a primary care team and communicated within the team and with other health and social care staff.

Denominator – the number of people in the later stages of dementia.

What the quality statement means for each audience

Service providers ensure that all people in the later stages of dementia have their palliative care needs assessed by primary care teams and that the needs are communicated to other health and social care staff.

Health and social care professionals ensure that people who are in the later stages of dementia have their palliative care needs met in accordance with the DH's End of Life Care Strategy. This includes use of appropriate tools and pathways including:

Commissioners ensure primary care teams are resourced and trained to provide palliative care for people with dementia.

People in the later stages of dementia can expect their palliative care needs to be assessed by their primary care team and for the results to be communicated to relevant staff.

Definitions

Later stages of dementia can be defined as those with an established diagnosis of moderate or more severe dementia.

Data source

Structure: Local data collection

Process: Local data collection