title: Improving the care of dying patients in the community.
abstract: Palliative care services provided by the primary sector have changed considerably over recent years and patients and carers want choice over end-of-life care. In response to this need, the Macmillan Gold Standards Framework has been introduced and funded by the NHS as its chosen end-of-life programme. Clinical experience suggests the framework provides a better quality of care, improves staff morale and patient satisfaction, and reduces hospital and hospice occupancy.
authors.affiliation: Otley clinic, East Leeds PCT.
authors.forename: Alison
authors.initials: A
authors.lastname: Tapsfield
mesh_terms: D003152:Community Health Nursing / Q000458:organization & administration; D019091:Critical Pathways / Q000458:organization & administration; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007588:Job Satisfaction; D009013:Morale; D024802:Nurse's Role; D010166:Palliative Care / Q000458:organization & administration* / Q000523:psychology; D010348:Patient Care Team / Q000458:organization & administration; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration; D011788:Quality of Life / Q000523:psychology; D013222:State Medicine / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*; D006113:United Kingdom