Per patient funding would end inequalities in palliative care provision, says review

BMJ 2011; 343 doi: (Published 04 July 2011) Cite this as: BMJ 2011;343:d4242
  1. Zosia Kmietowicz
  1. 1London

A national tariff for palliative care where the money follows individual patients would eliminate variations in the provision of end of life care across England and save the health service many millions of pounds, a review of palliative care funding has concluded.

The review, carried out at the request of the health secretary, Andrew Lansley, says that lack of a national model for paying for palliative care has led to a wide variation in the amount of state money available for services in different parts of the country. Whereas one primary care trust in England spent £0.2m (€0.22m; $0.3m) on specialist palliative care in 2010-11, another spent about £21m. This translates to a variation in spending from £186 per death in one trust to £6213 in another.

The type of block contracts supplemented by so …

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