The impact of the Marie Curie Nursing Service on place of death and hospital use at the end of life: research report

Authors:
CHITNIS Xavier, et al
Publisher:
Nuffield Trust
Publication year:
2012
Pagination:
63p.
Place of publication:
London

The Marie Curie Nursing Service (MCNS) provides home-based end of life care to around 28,000 people at the end of life in the UK each year. This report looks at the impact of the MCNS on place of death and hospital use at the end of life, and in particular at whether MCNS care allowed more people to die at home and reduced the use and costs of hospital care at the end of life. The evaluation used retrospective analysis and compared 29,538 people who received MCNS care and died between 2009 and 2011 and a matched control group of 29,538 people selected from the population of England who died in the same period. The report describes the study, including its methodology, and presents the results, covering place of death and hospital use and costs. It reports that there was a significant difference in place of death between those who received MCNS care and the matched controls: 76.7% of those who received MCNS care died at home and only 7.7% died in hospital, while 35% of the controls died at home and 41.6% died in hospital; people who received MCNS care were less likely to use all forms of hospital care than those in the control group. It concludes that the results provide evidence that home-based nursing care can reduce hospital use at the end of life and help more people to die at home, and evidence of the potential benefits of home-based nursing care.

Subject terms:
home care, hospitals, nursing, older people, palliative care, cancer, costs, death, dying, end of life care;
Content type:
research
Location(s):
England
Link:
Register/Log in to view this resource

Key to icons

  • Free resource Free resource
  • Journal article Journal article
  • Book Book
  • Digital media Digital media
  • Journal Journal

Give us your feedback

Social Care Online continues to be developed in response to user feedback.

Contact us with your comments and for any problems using the website.

Sign up/login for more

Register/login to access resource links, advanced search and email alerts