National Audit of Care at the End of Life 2021/2022. Third round of the audit report

Many Pallaborative members will already have accessed this report which was published in mid-July.

this is the third round of audit results which took place in 2021 with data collected between June and October 2021. The report compares results to round two which took place in 2019.

The report found that the possibility of imminent death (that the patient may die within the next few hours/days) was recognized in 87% of cases audited, compared to 88% in 2019. The median time from recognition of dying to death was recorded as 44 hours (41 hours in 2019). Other key findings include:

  • Results on all key metrics regarding the recording of conversations with the dying person remain similar to 2019, pre-pandemic levels
  • However, from the Quality Survey, the proportion of respondents strongly disagreeing or disagreeing with the statement ‘staff communicated sensitively with the dying person’ increased from 7% (2019) to 11% (2021)
  • There was an improvement in access to specialist palliative care – in particular, face-to-face access 8 hours a day, 7 days a week was available in 60% of hospitals/sites, compared to 36% in 2019.

The report also found that the Case Note Review showed similar results to 2019 regarding the existence of an individualized plan of care, namely 73% of cases compared to 71% in 2019, suggesting this is an ongoing area for improvement.

It goes on to make a number of recommendations, including calling for executive boards to ensure that people who are recognized to be dying have a clearly documented and accessible individual plan of care developed that is discussed with the dying person and those important to them, to ensure the person’s needs and wishes are known and taken into account.

If you haven’t yet had a chance to read the full report please do use the link below

Link to report

The infographic link takes you to a visual display of the key findings

Infographic lin

Please see the separate post relating to end-of-life care in mental health settings

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