1.1 The main legal requirements and agreed ways of working relating to end of life care are:
1. The Department of Health’s 2008 End of Life Care Strategy that provides a framework aimed at promoting high quality care for all adults approaching the end of life in all care settings. It sets out what adults reaching the end of their lives, and their carers can expect from the services provided to them. One of the key aims is to ensure as far as possible their needs and preferences for future care are met. The common factors include:
Being treated as an individual
Being without pain and other symptoms
Being in familiar surroundings
Being in the company of close friends and family
2. The National Institute for Clinical Excellence (NICE) sets out the End of Life Care Quality Standard. This quality standard defines clinical best practice within end of life care. It provides specific, concise quality statements, measures and audience descriptors to provide the public, health and social care professionals, commissioners and service providers with definitions of high-quality care. This quality standard covers all settings and services in which care is provided by health and social care staff to all adults approaching the end of life. This includes adults who die suddenly or after a very brief illness. 3. The Care Quality Commission that states that people who use services who are at the end of their life will have their care, treatment and support needs met because wherever possible. They are involved in the assessment and planning for their end of life care and are able to make choices and decisions about their preferred options, particularly those relating to pain management. There are systems in place to ensure further assessments by specialist palliative care services and other specialists where needed. They have information relating to death and dying available to them, their families or those close to them.