Palliative care in the community

BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39174.605081.80 (Published 19 April 2007) Cite this as: BMJ 2007;334:809
  1. Daniel Munday, Macmillan consultant and honorary clinical senior lecturer in palliative medicine,
  2. Jeremy Dale, professor of primary care
  1. Health Services Research Institute, Warwick Medical School, University of Warwick, Coventry CV4 7AL
  1. d.munday{at}warwick.ac.uk

    UK programme shows promise but services also need adequate investment

    Primary care has a vital role in delivering palliative care.1 2 In most developed countries more people die in hospital than at home,3 although substantially more people would prefer to die at home.4 Primary care professionals play a central role in optimising available care, but they often lack the processes and resources to do this effectively.1 5

    The Gold Standards Framework for community palliative care6 is a primary care led programme in the United Kingdom that is attracting international interest.2 The framework enables general practitioners and community nurses to optimise practice by providing guidance through workshops and locally based facilitation on how to implement processes needed for good primary palliative care. It is supported by a plethora of practical tools, guidance documents, and examples of good practice.7 It integrates many established aspects of primary palliative care: identifying patients systematically; naming a lead general practitioner and community nurse for each patient; …

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