We know about
end of life
Meeting local demand with coordinated services Marie Curie Cancer Care’s nursing service is in operation throughout the UK. In many areas this is provided through planned overnight care by Marie Curie Registered Nurses and highly trained healthcare assistants. In Somerset, Marie Curie has delivered a planned night service for many years and has a good relationship with commissioners and providers.
Specialised care is provided to patients
whose needs are greatest, avoiding unnecessary hospital admissions.
The challenge • Increased demand for care provision due to better identification of end of life care patients. • Many different professionals involved in end of life care. • Increased complexity of patients being cared for in the community. Increased elderly population and • patients living alone requiring support overnight. Reconfiguration of other local • services resulting in a gap in care provision.
The service solution Marie Curie works closely with the local end of life coordination centre to provide night nursing care in Somerset. The centre prioritises patients in need of a higher level of care and allocates them to the Marie Curie Nursing Service. Marie Curie healthcare assistants provide practical care, as well as emotional and psychological support for both the patient and their loved ones. This flexible approach complements the district nursing service to make sure care needs are met in a timely and seamless manner, as well as being cost effective. Marie Curie now typically has five nurses working each night which has enabled a more efficient and consistent service as well as developing closer working relationships with district nurses. In 2013/14, the local commissioners in Somerset made a significant investment in the Marie Curie planned night service, and it is now estimated that the number of patients being cared for in 2013/14 will grow by 306%, in comparison to 2011/12. This is also reflected in the estimated hours of care provided also increasing by 485% for the same period.
The number of patients will grow by
306% in 2013/14 compared to 2011/12.
Expected service benefits • Specialised care is provided to patients whose needs are greatest, avoiding unnecessary hospital admissions. Patients receive greater continuity • of care. • A cost-effective approach that is tailored to the precise level of need.
Efficient and consistent service working closely with district nurses.
Charity reg no. 207994 (England & Wales), SC038731 (Scotland) S276i_Casestudy_Somerset
“Our relationship with Marie Curie Cancer Care is going from strength to strength as we expand the scale of the planned night service in Somerset. With Marie Curie, we know patients receive an exemplary level of care, delivered with the right flexibility to meet a range of complex needs.” Simon Edwards, Commissioning Manager, Somerset Clinical Commissioning Group
Contact email@example.com mariecurie.org.uk/commissioning
Somerset: Meeting local demand with coordinated services