Table 2.

Excerpts from a toolkit to support SJR completion: ‘end-of-life care’ phase

End of life care: dying cannot be recognised in all patients, but in those for whom it is clinically appropriate, dying should be recognised and documented. If it is clinically appropriate, a programme of end-of-life care can be started at this time. Specialist palliative care teams can be involved in end-of-life care or advanced care planning. There are clear National Institute of Health and Care Excellence (NICE) quality standards for end-of-life care that inform this guidance.
ThemeVery poorPoorAdequateGoodExcellent
Dying recognised and documentedDying not recognised, with inappropriate intervention and/or escalation leading to potential or real harm to patient, family and staffDying not recognised when clinically appropriate, with inappropriate intervention or escalation given clinical status. This has the potential to harm patients, family and staffDying recognised and documented as appropriateDying is recognised and documented, with appropriate interaction with patient and loved onesRecognition of dying process is clear and clearly documented, is rational and understood by whole team
This recognition is broached with patient/family/loved ones as appropriate
ACP/EOLC planning is enacted appropriately and quickly
  • ACP = advanced care planning; EOLC = end of life care.