In in 2010. The NEoLCIN does a number

In what ways have End of Life policies developed and what has been the
reason for change?

In this piece of work, I am going to be
discussing in what ways have the end of life policies developed and the reasons
for the change. The government published in 2008 the national End of Life Care
strategy which is created to promote and give a high-quality care to all adults
at the end of their lives. The very up to date strategy reports its
progressions and also sets out a plan to shift the responsibilities of this to
the NHS England.

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The focus on the end of life care is developed by
each strategic health authorities in England and is a part of the eight
medicine-based pathways of the next stage review. The Department of Health is
one of the Ends of Life Medicine based leads. The Department of Health has
developed and further improved on the newly-visible findings by working with a
number of health and social care professionals, carers, patients and the public
in different areas. In order to improve and develop on End of Life National
strategy of promoting high-quality care to adults they gave them the chance to
give and share new ideas with each other. The End of Life Strategy is fully
supported by the department of health so they can reach their aims of providing
a high-quality of care in end of patients’ lives and for their families. The
End of Life policy has developed by involving its patients and their families
in the end of their lives and takes into account their needs and
preferences/wishes. Other ways it has developed is that it’s now planned and
co-ordinated this is so it can provide high-quality care. Also, patients care
and support are managed wherever they are in the last days of their lives and
after death as well. The strategy also develops by having a number of
researches done on End of Life in order to improve its services. It has done this
by commissioning the National End of life care Intelligence Network which is
established in 2010. The NEoLCIN does a number of researchers and improves the
national analysis and data of end of life services for adults. The main aim of
doing these research is to help the NHS and other Agencies to deliver a better
quality of care for adults in end of life by using latest information and
resources.

The reason for the change of this was because
‘every year an estimated of 500 thousand individual dies in England’
(dyingmatters.org). Some of those receive the great level of care at the end of
their lives however, others don’t. It is recognized that one of the underlying
issues is that many health and social care services aren’t connected together.
Due to this, the communications between staffs and different agencies are not
well enough and the quality of services given to patients are poor. ‘An
estimated 48,000 people who died last year experienced poor care when dying,
says a report from seven charities including Macmillan'(BBC News, 2016) There
have been many surveys done by the general public and from those, it informed
us that by giving individuals approaching the end of life the correct support
and chances most people would like to die at their home. ‘7% say they would
prefer to die in hospital, compared to two-thirds (67%) who would prefer to die
at home’ (Public Health England 2013). However, in reality, a small number of
them manage to do this and majority pass away in services such as a
hospital,’89.6% had some hospital care in the final year'(Theo Georghiou et al,
2012). This is not where the majority of people would like to die in as found
in surveys. Death is not usually openly spoken about within the society and
many adults don’t discuss the way they would like to die with a friend or
family. This then makes it hard for their family to know what their wishes are.
Health and social care professionals also find it hard to discuss with their
patients about their end of life and how to go on about it. Often death is seen
as a failure by professional as they haven’t received professional training in
how to communicate about it. As there is an absence of this discussion it is
harder to meet individual’s requirements and preferences. Patients approaching
the end of life require support from a variety of services and also, they might
want to be changed to different places such as a hospital to home. However,
this cannot be met as coordination are poor. In the past years, hospices and
specialist palliative services have displayed the many things that can be done
to give patients mental, physical, social and emotional care for themselves and
their families. The End of Life policy builds on the way we see things and on
the expertise of a number of individuals, services, and organizations.

To conclude the End of Life Strategy provides
all the health and social care services a framework which gives a solid basic
structure on which they can build on. It also sets the government
responsibility and dedication to improving the funding that is made available
to end of life services. As a consequence, we can be strongly confident that
the quality of care will continue to improve as time goes on. This is very
important as the end of live care matters to every one of us no matter if it’s
one us reaching the end of our lives or member of our family as it affects the
way we live on.