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.
- 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
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.
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 6 years. Newly published figures show that in 2015/16, 86.8% of the last 6 months of life was spent in the home or a community setting. This compares with 85.3% in 2010/11.
However, the increase from 2014/15 to 2015/16 (0.5%) is the second largest increase in any one year since 2010/11.
The data is available at the bottom of the page.
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.
For information on general methodological approach, please click here.
Scotland Performs Technical Note
The Scottish Partnership for Palliative Care in Scotland