End of Life Needs Assessment


Please find a link to Cambridgeshire and Peterborough Clinical Commissioning Group's work on End of Life care.



This health needs assessment for End of Life Care in Cambridgeshire was undertaken between November and March 2009. It looks at the population of NHS Cambridgeshire, now and in the future, broken down by local authority areas. It was agreed with the End of life steering group that the HNA would not cover services for children, a detailed review of skill mix, service design or patient pathways, or a detailed strategy for the implementation of any recommendations.

End of life care is defined here, as in the national end of life care strategy, as[1] care that, ‘Helps all those with advanced, progressive and incurable illness to live as well as possible until they die. It enables the supportive and palliative care needs of both patient and family to be identified and met throughout the last phase of life and into bereavement. It includes management of pain and other symptoms and provision of psychological, social, spiritual and practical support.’  The national council for palliative care has categorised palliative care as being delivered by two groups of health and social care professionals. ‘General palliative care’ is provided by the usual professional carers of the patient and family with low to moderate complexity of palliative care need, and ‘Specialist palliative care’ is provided by multi-professional specialist teams to patients and families with moderate to high complexity of palliative care need. In practice the distinction between the two types of care can become blurred.


[1] End of life care strategy. Department of Health. July 2008. Page 47.