Marie Curie Fife service: offering expert support at home
In Fife, Marie Curie has been commissioned to provide a range of home-based support for people living with a terminal illness and those who care for them. The result is better patient experience at reduced cost.
The challenge: reducing hospital admissions in a rural area
NHS Fife wanted to ensure each and every person in the area had access to tailored end of life care delivered at home. With a large older population, and some very rural areas across the patch, avoiding hospital admissions wherever possible was an important aim.
The solution: care at home
A fully integrated Hospice at Home service was launched, run with Marie Curie. Complementing and consolidating existing end of life provision, the service offers care at home – so preventing hospital admissions in the event of a crisis, and supporting speedy discharge in the event of an admission.
The service is delivered by a team of nurses, healthcare assistants and trained volunteers. Together they can offer a variety of nursing, emotional and practical support: everything from helping patients manage symptoms, to help with meals, to a weekly chat.
The outcome: more likely to die at home
People supported by the service:
- experienced 40 per cent fewer hospital admissions
- had 68 per cent fewer visits to A&E
- were two and a half times more likely to die at home.
The project reduced hospital costs for end of life care by £182,283.