Unrelieved Pain in Palliative Care in England

Unrelieved Pain in Palliative Care in England
OHE September 2019

• This study estimates that currently there are approximately 125,971 end-of-life patients receiving, or in need of, palliative care suffering from unrelieved pain. Of these, an estimated 16,130 patients experience no relief from their pain at all in the last three months of life. There are variations in the quality of care across care settings (e.g. hospice versus at home services).

Enhanced supportive cancer care

Enhanced supportive cancer care
IN: NHS efficiency map: reshaping cancer care, January 2018

• A description of the models of care developed by The Christie NHS Foundation Trust to transform existing palliative care services into what the trust called enhanced supportive care (ESC). The care includes a multi-disciplinary ESC team which patients could access at any stage of their diagnosis or treatment and extended into multiple stand-alone ambulatory care clinics with rapid access for patients. 
• Over the three-year trial, it was estimated almost 600 admissions were avoided by the ESC team. In the first six months ambulatory care clinics were shown to have avoided 141 patients admissions and 59 were discharged early.