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Palliative Care for Non-cancer Patients$
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Julia Addington-Hall and Irene Higginson

Print publication date: 2001

Print ISBN-13: 9780192629609

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780192629609.001.0001

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Palliative care for non-cancer patients: a UK perspective from primary care

Palliative care for non-cancer patients: a UK perspective from primary care

(p.172) Chapter 14 Palliative care for non-cancer patients: a UK perspective from primary care
Palliative Care for Non-cancer Patients

Stephen Barclay

Oxford University Press

Maintaining a normal life for as long as possible, being in familiar surroundings cared for by a relative, and supported by health professionals well known to them, have all been found to be aspects of home care services valued by patients and carers. Home is, therefore, both the place where most people spend most of their last months of life and the place where most would want to die, although many do not achieve this. The primary location of palliative care therefore remains in the community, under the care of the patient's GP and district nurse. This chapter explores the quality of palliative care provided in the community in the UK, the relationship between primary care services and specialist palliative care services, and suggests a community view of the extension of specialist palliative care services to non-cancer patients. It begins, however, with an overview of the provision of health and social care in the community in the UK, with particular emphasis on recent changes which have impacted on palliative care.

Keywords:   patient care, home care, dying patients, primary health care, specialist palliative care services, social care, UK

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