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National Indicator: End of Life Care

l Improve end of life care

Indicator Measure
Percentage of the last 6 months of life which are spent at home or in a community setting

Current Status
There has been little change in the percentage of the last 6 months of life spent at home or in a community setting over the last 5 years. The current percentage of 86.3% in 2014/15 compares with 85.8% in 2013/14 and 85.2% in 2010/11.

2010/11 to 2014/15

Source: SMR01 and NRS Death Records
The data for this chart is available at the bottom of the page.

Last Update: 30 August 2016
Next Update: August 2017

Improve end of life care

Why is this National Indicator important?
What will influence this National Indicator?
What is the Government's role?
How is Scotland performing?
Criteria for recent change
Further information
Who are our partners?
Related Strategic Objectives

Why is this National Indicator important?

The indicator will represent the wishes and choices for patients and their carers and also demonstrate the effectiveness of having a planned approach to end of life care. An increase in this measure will reflect both quality and value through more effective, person centred and efficient end of life care with people being better able to be cared for at home or closer to home with a planned approach to end of life care resulting in less time in an acute hospital setting.

What will influence this National Indicator?

  • The resources available for palliative care
  • Taking into account people's wishes on where they would like to die
  • People, their carers and families attitude towards dying

What is the Government's role?

It is now possible to predict the progress of many diseases, enabling a planned approach to palliative and end of life care in ways which reflect best practice and which, as far as is practicable, in accordance with the needs and wishes of patients, carers and their families.

It is the aim of the Scottish Government to ensure the delivery of high quality palliative care to everyone in Scotland on the basis of clinical need and according to established principles of equity and personal dignity.

Improving palliative and end of life care involves a wide range of people and organisations, across the health and social care, professional and public, and statutory and voluntary spectrum. The Scottish Government has therefore worked with stakeholders throughout 2015 to develop a Strategic Framework for Palliative and End of Life Care. The Framework, that is due to be published by the end of 2015, will support improvements in the delivery of high quality palliative and end of life care for all ages and clinical conditions (including babies, children and young people). 

The Framework for Action is being developed to ensure that new national aims and objectives reflect the current and future needs of the population and the future arrangements in the health and social care system that will be required. Development of a new national measurement infrastructure will form part of a Framework implementation plan. Scottish Government has committed additional £3.5 million over the next four years to support implementation.

How is Scotland performing?

There has been little change in the percentage of the last 6 months of life spent at home or in a community setting over the last 5 years. The current percentage of 86.3% in 2014/15 compares with 85.8% in 2013/14 and 85.2% in 2010/11.

The data is available at the bottom of the page.

Criteria for recent change

The evaluation is based on: any difference within +/- 0.5 percentage points of last year's figure suggests that the position is more likely to be maintaining than showing any change. An increase of 0.5 percentage points or more suggests the position is improving; whereas a decrease of 0.5 percentage points or more suggests the position is worsening.

Further Information

For information on general methodological approach, please click here.

Scotland Performs Technical Note

Who are our partners?

Local Authorities

NHS Boards

The Scottish Partnership for Palliative Care in Scotland

Related Strategic Objectives

Healthier

View National Indicator Data

Downloadable document:

Title:Improve end of life care
Description:Improve end of life care
File:Improve end of life care [XLSX, 23.9 kb: 30 Aug 2016]
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