Leading a project on the impact of hospice care on hospital use at the end of life

Hospice UK has had a long-standing interest in the potential contribution that hospice care can make in reducing the number of people dying in a hospital bed who have no clinical need or wish to be there. 

Around the country, hospices are already leading a range of initiatives that seek either to prevent avoidable unwanted admission to hospital for people approaching the end of life, or facilitate the appropriate and timely transfer of hospital patients who have no clinical need or wish to be in a hospital bed, often by working in creative ways with other services.

But little is known about the critical factors that contribute to the success of these initiatives, and even less is known about their cost effectiveness, or the extent to which these initiatives can be replicated more widely to achieve a significant impact on the experiences that people have at the end of life.
Hospice UK has been commissioned by NHS England to lead a new project to examine this in more detail. The HOLISTIC (Hospice Led Innovation Study To Improve Care) project, which will run until November 2017, will involve careful analysis of a number of hospice-led initiatives around England that appear to be having a positive impact on where people are cared for as well as where they die.

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We invited hospices to express an interest in taking part in this study, and 25 hospices were selected from those expressions of interest. Initial site visits of the hospices involved are complete, with follow-up visits planned over the next few weeks.

The final report will be launched at the Hospice UK conference in November 2017. We will also be organising two workshops in the autumn – more details on those will be available soon.

Further information

Contact the team for further information about the HOLISTIC project.

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