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The End of Life Care Primary Care Trust (PCT) Profiles present over 40 indicators relating to

•population •deaths •place of death •cause of death

•deaths in hospital •care homes •end of life care spend

for each PCT in England.

Also see the End of Life Care Facilitator Competency Framework at :

Compare End of Life Services for  your Area

HealthWatch is a registered Trade Mark  No. 2582262  in name of  Path-to-Health Limited, a Social Enterprise

This site has no relation whatsoever to the Local Healthwatch  under development by  the Care Quality Commission and Department of Health or any other organisation of a similar name. We receive no government,local authority,  NHS or Health and Social Care  Private Sector sponsorship funding and are completely independent

This  short  report  by the  Social Care Centre for Excellence provides evidence  that the two main challenges for implementing personal budgets and direct payments for older people, including those with dementia, are „a lack of information about personal budgets and direct payments and a concern about taking on the burdens that direct payments can bring‟.

Improving personal budgets for older people: A research overview

This is the fourth  full national report on hip fractures and the care of hip fracture patients in England, Wales, Northern Ireland and the Channel Islands. This report covers casemix, care and outcomes of 59,365 cases submitted between 1st April 2011 and 31st March 2012 by 180 hospitals. It found that there has been a 5% year-on-year reduction in length of stays. Summary Database

National Hip Fracture Report 2012


A tool allowing users to compare any Care Quality Commission (CQC) registered home care, residential or nursing home provider is now available online at NHS Choices.  The Provider Quality Profile  allows users to search for local providers within an area and link to CQC reports and information about the provider.

The service is being extended and will allow providers to include key information about themselves including photographs of rooms, pictures of staff along with short biographies, plus information on services such as visiting arrangements, pets and visiting clergy

Online comparison tool for local care providers

patient unconscious

Right Care have produced an Atlas which highlights variation in care for people with respiratory disease.after adjusting for population differences.The introduction states : "if all the PCTs in England were to achieve the COPD mortality rates of the best-performing PCTs, around 7,800 lives would be saved each year.”

Atlas of Variation in Healthcare for People with Respiratory Disease


An excellent and free resource  was been produced by  the  Midlands and East Quality Observatory  that allows anyone  to look at the performance of a particular hospital and compare it nationally and regionally. There are a wide range of comparisons possible  across

  • Preventing people from dying prematurely

  • Enhancing quality of life for people with long term conditions

  • Helping people to recover from episodes of ill health or following injury

  • Ensuring that people have a positive experience of care

  • Treating and caring for people in a safe environment and protect them from avoidable harm.

For more information  go to  the East Midlands Quality Observatory  web site 

Finding out about Acute  Trusts Quality Performance


Latest survey by Care Quality Commission which asked people about their experiences of accident and emergency (A&E) departments in 2012.


Nearly a quarter of patients who arrived by ambulance had to wait more than 15 minutes before they were transferred to staff (one in 20 people had to wait for more than an hour).


33 per cent of respondents said they spent more than four hours in A&E – up from 27 per cent in 2008 and 23 per cent in 2004.


The majority of participants were also not told how long they would wait for their examination.

Peoples' Experience of A&E Survey 2012

Remember how  the media recently focused, yet again, on  the distraction of the selling of Bounty products on maternity wards? Recall  the news of the additional £25m  Government funding  to improve maternity services that also coincided with publication of  the Royal College of Midwifery's (RCM) 'State of Maternity Services' Report.


For the RCM showed that while there had been a turnaround in  training and recruiting midwives there remained a big shortage  as  demand on services continued to increase and has not kept pace with the considerable rise in caesarian births. In areas such as the North West  staffing continues to actually decline.  At the same time as with many other hospital services, centralisation of  maternity service continues


So the reported investment appeared good news considering  that in 2011 the General Sec of the Royal College of Midwives was quoted as saying that  services were  'on the verge of collapse' and others had reported on  the impact of  NHS cuts on midwifery


However as much of the new investment appeared to be yet again capital  investment in  hospitals it does to remember  that  the big challenges  in the UK lie in  reducing stillbirth rates and demands placed on the service by increasingly older  first time mothers.. While a  study   published last year comparing  2006  with 1995 concluded  that  survival rates for  premature births are improving in the UK other  reports indicate  stillbirth rates remain high and  have not improved. As one study  stated , 'understanding the link between deprivation and preterm birth should be a major research priority to identify interventions to reduce preterm birth'.  

Maternity Services. Richer or Poorer?

Carer Watch is campaign group for carers across the UK run by independent, unpaid carers with experience of the care system as it operates in the UK today. They consider it to be desperately under funded and not fit for purpose and aim to provide a non-party-political campaign platform to change the way that opinion-formers, politicians and journalists think about carers.

Find out more  at their web site http://www.carerwatch.com/

Carer Watch Campaigning for Carers