NCARE (Nottingham Centre for the Advancement of Research into Supportive, Palliative and End-of-life Care)

Independent Evaluation of the Marie Curie Cancer Care 'Delivering Choice' Programme

Project Duration

April 2005 - December 2009

Funder

Marie Curie Cancer Care

Project Staff

  • Sheila Payne (PI) 1

Co grant holders

  • Jane Seymour 2
  • Christine Ingleton 3

Research staff

  • Anita Sargeant 4
  • John Chatwin 1

Staff Institutions

  1. Lancaster University
  2. The University of Nottingham
  3. University of Sheffield
  4. University of Bradford
 

Aims

The Marie Curie 'Delivering Choice Programme' is for people with life limiting illnesses. 

The programme aims to help people to be cared for and die in the place of their choice. 

This evaluation has examined the impact of interventions introduced by Marie Curie to improve services in Lincolnshire, Tayside and Leeds. We are particularly looking at:

  • Implementation of 24 hour services to serve local needs and allow more people to be cared for and die in the place of their choice 
  • Access and barriers to palliative care services 
  • Co-ordination and communication between stakeholders 
  • Information provision to patients and carers, and relationship to informed choices about place of care

Methods

We have used a pragmatic realist evaluation design, employing mixed methods to collect data, including interviews, focus groups, surveys and documentary analysis to access the views and experiences of health care professionals, Directors and Managers of services; patients and their family carers; bereaved family carers, and to find out how services are organised and how they change once the Delivering Choice interventions are in place.

Outcomes and Findings

Fieldwork is now complete and the final reports of the Lincolnshire, Leeds and Tayside evaluations delivered to Marie Curie. A comparative report is being compiled.

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Publications

Chatwin J, Seymour J, Ingleton C and Payne S (2010). The role of health assistants in supporting district nurses and family carers to deliver palliative care at home: findings from an evaluation project. Journal of Clinical Nursing. Journal of Clinical Nursing, doi: 10.1111/j.1365-2702.2010.03563.x 

Ingleton, C., Payne, S., Sargeant, A and Seymour J. (2009) Barriers to achieving care at home at the end of life: transferring patients between care settings using patient transport services. Palliative Medicine, available at: Palliat Med OnlineFirst, published on July 30, 2009 as doi: 10.1177/0269216309106893 

Sargeant, A., Payne S, Ingleton C and Seymour JE (2008) Heart failure nurses’ experiences of specialist palliative care. End of Life Care, 1(3): 55-61.

 

 

NCARE (Nottingham Centre for the Advancement of Research into Supportive, Palliative and End-of-life Care)

University of Nottingham
School of Health Sciences
Queen's Medical Centre
Nottingham, NG7 2HA


email: kristian.pollock@nottingham.ac.uk