RCP study shows variations on quality of palliative care

Significant variations in the standard of palliative care offered by hospitals across England have been highlighted in a new report from the Royal College of Physicians (RCP).

According to the findings of the study, 87 percent of dying patients found healthcare professionals had recognised they were in the last days of life, but had informed only 46 percent of patients who were capable of discussing such matters.

Most – though not all – patients were given medication to alleviate common end-of-life symptoms, though there was a lack of communication and consideration on other issues, including spiritual needs.

Meanwhile, it was also revealed that family members are not always closely involved on key treatment-related discussions, while there was also dissatisfaction with the organisation of care.

Dr Kevin Stewart, clinical director of the RCP's clinical effectiveness and evaluation unit, said: "I am deeply concerned that some hospitals are falling short of the excellent care that should be provided to both dying people and those important to them."

The government has made a number of efforts to improve the quality of care for the dying in recent months, including through the abolition of the controversial Liverpool Care Pathway last year.