Priority 7 from the Palliative and end of life care PSP

UNCERTAINTY: What are the core palliative care services that should be provided no matter what the patients’ diagnoses are?  (JLA PSP Priority 7)
Overall ranking 7
JLA question ID 0026/7
Evidence

None identified
Health Research Classification System category  Generic
Extra information provided by this PSP
Original uncertainty examples How does counselling and psychotherapy help?  Which kind of counselling is most effective for people in end of life care?  ~  Should counselling be available to all patients or those who cross a clinical threshold of measured distress?  ~  What's the best way to evaluate effectiveness/outcomes of intervention (especially psychological spiritual care)?  ~  Those who are rapidly approaching end of life but fall outside the Specialist Palliative Care services fail to get the holistic assessment and management associated with these services - when people in this situation find themselves in an acute hospital setting how can we improve and ensure appropriate end of life attention? HPC Teams are not staffed to meet these core needs.  ~  What is the best model of care for specialist palliative care for those with long term conditions such as Parkinson's disease, multiple sclerosis, COPD, heart failure etc..
Submitted by Professionals
Outcomes to be measured Patient Satisfaction; health related quality of life; health related cost.
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