The final injustice: variation in end of life care in England

Macmillan Cancer Support
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Using data analysis from Public Health England, this report looks at the experience of cancer patients in England and their access to palliative and end of life care. The report highlights geographic variation and inequality of access to personalised and high quality end of life care. It also shows that the most deprived in society have less choice over their place of death. The analysis found cancer patients from the most deprived areas experience more emergency hospital admissions in the final year of life than those from the least deprived areas and are 18 per cent more likely to die in hospital and . It finds that progress at a national level has been slow and lacking clarity, while locally many sustainability and transformation partnerships (STPs) have failed to set out how they will address the end of life care needs of their populations. It makes recommendations to end inequalities in end of life care and highlights the need for improved access to care and support in the community. (Edited publisher abstract)

Subject terms:
end of life care, access to services, cancer, patients, health inequalities, socioeconomic groups, poverty, emergency health services, palliative care;
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