Priority 11 from the Palliative and end of life care PSP

UNCERTAINTY:  How can people who live alone and do not have any friends or family nearby receive adequate palliative care, particularly if they wish to stay in their homes?   (JLA PSP Priority 11)
Overall ranking 11
JLA question ID 0026/11
Evidence

Gomes B, Calanzani N, Curiale V, McCrone P, Higginson IJ. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD007760. DOI: 10.1002/14651858.CD007760.pub2
Health Research Classification System category  Generic
Extra information provided by this PSP
Original uncertainty examples Modern extended families tend not to be local and have pressures of work which leave a vacuum for the very elderly when needing support.
Submitted by Professionals x 4  ~  Carers x 1  ~  Bereaved carers x 8  ~  Members of the Public x 1  ~  Patients x 1  ~ Volunteers x 2
Outcomes to be measured Patient Satisfaction; health related quality of life; health related cost; optimal methods of communication
PSP information
PSP unique ID 0026
PSP name Palliative and end of life care
Total number of uncertainties identified by this PSP. 83  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 21 November 2014