National Audit of Care at the End of Life (NACEL)

The three-year project, commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP), focuses on the quality and outcomes of care experienced by those in their last admission in acute, community and mental health hospitals throughout England and Wales. Outputs from this project will be of interest to those who receive, deliver and commission care, so will have a far-reaching audience.

The NHSBN has a track record of delivering National Clinical Audits, with the successful National Audit of Intermediate Care, being delivered for the last five years. Claire Holditch, NHSBN Director, confirmed, “Our focus at the Network is delivering user-friendly outputs to help participants improve the quality of services for patients and carers. We are delighted to have this opportunity to bring our tried and tested benchmarking and improvement methodologies to the NACEL”.

The scope of the NACEL will now include the following elements:

- A case note review of inpatients in hospital in the last few days and hours of life

- An organisational level audit covering service models, activity, workforce, finance quality and outcomes

- The development and administration of an innovative Carer Reported Experience Measure

- The development and administration of a Staff Reported Measure, and

- Topics for periodic, time-limited ‘spotlight’ audits

Over the next few months, the Network team will be establishing the governance structure for the NACEL and consulting widely with stakeholders on the scope of the audit. The first iteration of the audit will take place in 2018.

You can find out more about the National Audit for Care at the End of Life by contacting the Project Coordinator, Jessica Walsh (Jessica.walsh1@nhs.net or 0161 266 2313). More information to follow.