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

Transitions to Palliative Care for Older People in Acute Hospitals

Project Duration

January 2009 - December 2011

Funder

National Institute for Health Research Service Delivery and Organisation Programme

Project Staff

  • Merryn Gott (PI) 1
  • Christine Ingleton (PI) 1
  • Claire Gardner 1
  • Jane Seymour 2
  • Michael Bennett 3
  • Mark Cobb 4
  • Bill Noble 1
  • Tony Ryan 1
  • Sue Ward 1
  • Chris Parker 1

Staff Institutions

  1. University of Sheffield
  2. The University of Nottingham
  3. Lancaster University
  4. Sheffield University Hospitals NHS Foundation Trust
 

Aims

This project is part of the Cancer Experiences Collaborative Portfolio. Its aims are: 

  • To examine how transitions to a palliative care approach are managed and experienced in acute hospitals 
  • To identify best practice from the perspective of older patients and key service providers and commissioners

Methods

A mixed methods design including focus groups with health care professionals, a census of hospital inpatients to ascertain palliative care needs; questionnaire completion by GPs of patients with palliative care needs and interviews with patients whop have palliative care needs or their representatives.

Outcomes and Findings

This study is now complete. View the project report (PDF)

Publications

Ingleton, C., Gardiner C., Seymour, J.E., Richards, N. and Gott, M. (2013) Exploring education and training needs among the palliative care workforce. BMJ Supportive and Palliative Care. Published Online First 13 February 2013 doi: 10.1136/bmjspcare-2012-000233 

Gott, M., Gardiner, C., Ingleton, C., Cobb, M., Noble, B., Bennett, M. and Seymour, J.E. (2013) What is the extent of potentially avoidable admissions amongst hospital in-patients with palliative care needs? BMC Palliative Care, 12:9 doi: 10.1186/1472-684X-12-9 

Gardiner, C., Gott, M., Ingleton, C., Cobb, M., Bennett, M., Seymour, J., Ryan, T., Noble, B. (2012) Extent of palliative care need in the acute hospital setting: a survey of two UK hospitals. Palliative Medicine. DOI: 10.1177/0269216312447592 

Transitions to palliative care for older people in acute hospitals. Issue 9 of The Sheffield University Newsletter, October 2012. 

Gott M, Seymour J, Ingleton C, Gardiner C, Bellamy G. (2011) "That's part of everybody's job": the perspectives of health care staff in England and New Zealand on the meaning and remit of palliative care. Palliative Medicine. Published online before print June 15, 2011, doi: 10.1177/0269216311408993 

Green E, Gardiner C, Gott M, Ingleton C. (2011) Exploring the extent of communication surrounding transitions to palliative care in heart failure: the perspectives of healthcare professionals. Journal of Palliative Care. 27(2):107-116 

Gott M, Ingleton C, Bennett MI, Gardiner C. Transitions to palliative care in acute hospitals in England. BMJ 2011; 342:d1773. 

Gardiner C, Cobb M, Gott M, Ingleton C. Barriers to palliative care provision for older people in acute hospitals. Age and Ageing 2011; 40: 233-238. 

Green E, Gardiner C, Gott M, Ingleton C. Communication surrounding transitions to palliative care in heart failure: a review and discussion of the literature. Progress in Palliative Care 2010; 18(5): 281-290 

Gott M, Ingleton C, Gardiner C, Ryan T, Seymour J, Noble B, Bennett M, Cobb M. How can we improve end of life care for older people in acute hospitals? Nursing Older People 2009; 21(7): 26-29

 

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