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

CHITNIS Xavier, et al
Nuffield Trust
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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 paper summarises research which looked 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 research 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 paper briefly describes the study methodology and presents key points from the results, covering place of death and hospital use and costs. It reports that people who received MCNS care were significantly more likely to die at home than those who received 'standard' care: 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. The study concluded 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 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;
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