Providing end of life care services for rural and remote communities

By Diana Hekerem
Divisional Business and Service Development Manager for Scotland


 Diana Hekerem, Divisional Business and Service Development Manager for ScotlandPeople in rural and remote communities often do not have the same access to care and support services at the end of life than those living in more densely populated areas.

This is partly because models of care delivery tend to be developed in response to the needs or urban populations, which rely heavily on infrastructure that is just not available in remote and rural areas.

In Scotland, rural areas account for 94 per cent of the country’s land mass but only 7 per cent of annual deaths. Terminally ill people in rural Scotland experience barriers to care that include a lack of appropriate transport, physical and social isolation, a limited out of hours services and limited staff resources and specialist services.

Marie Curie has developed innovative approaches to delivering care in remote areas through partnership working in service delivery and design, which is helping to keep terminally ill people out of hospital. Moreover, our work in Argyll and Bute, Dumfries and Galloway, the Highlands and Aberdeenshire demonstrates how collaboration and flexibility help deliver high-quality end of life care and support to people across Scotland.

Marie Curie Twitter chat in association with HSJ


Marie Curie is hosting a Twitter chat with HSJ on Friday 11 April to discuss how we can keep people who are terminally ill out of hospital if there is no medical reason for them to be there. Michael Cooke, Head of Analytics, and Phil McCarvill, Head of Policy and Public Affairs, will be taking questions and offering thoughts on @MarieCurieEOLC from 12pm.

To take part in Friday’s Twitter chat, pose questions using #HSJeolc and follow the conversation on @MarieCurieEOLC.

You can also:

  • Find out how Marie Curie works with commissioners.

  • Sign up to receive our newsletter with news, policy and best practice for end-of-life commissioners. Just email us with your name, Clinical Commissioning Group and commissioning role.