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* Improved community services: asking primary care trusts and working with local authorities to ensure that rapid response community nursing services are available in all areas 24/7. This will enable more people to be cared for and die at home if they wish.
* Workforce training and development - to train health and social care professionals in assessing the needs of patients and carers and providing the best possible quality care.
* Development of specialist palliative care outreach services - we will encourage PCTs and hospices to work together to develop specialist services in the community, which will support all adults regardless of their condition.
* Setting up a national End of Life Research initiative - to further understand how best to care for those at the end of their lives.
* Quality Standards - we will work with SHA Next Stage Review End of Life Care leads to develop quality standards against which PCTs and providers can assess themselves and be assessed by regulators.
* Lord Darzi’s Next Stage Review focused on End of Life Care as one of its key pathways, and this strategy follows on from the Review, helping to make that commitment a reality.


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We were able to provide good End of Life care in my practice compliant with the Liverpool Care Pathway, until our local PCT reorganised the District Nursing Services out of our building into a super-centralised location such that we rarely see them now to enable this level of care.
JW, Notts,
Unfortunately it is way too late for so many but any even slight improvements are welcome.However I remain sceptical until it has been proven that all such strategies are in place and actually deliver . I just wonder how much money will be wasted, people failed and costly flaws in systems lie ahead.
A Richards, Rhondda Cynon Taf, Wales