St Christopher's and the Future

The founding vision of St Christopher's Hospice was based on a recognition that permeating mainstream health care services would be essential and an emphasis on an adaptable philosophy rather than a building. Today, demographic and disease related changes mean that need and demand for end-of-life care will inevitably outstrip professional and financial resource. Hospices must engage with the development of cost-effective models of service delivery and rational planning. Only partnership working with the National Health Service, care homes, and others will ensure that appropriate care is available to everyone wherever the bed in which they die, regardless of diagnosis. Only collaboration and active engagement will ensure that future strategy in end-of-life care retains the original insight that its focus rightly includes not only patients but also the social context that will be affected by their death. Cost and patient choice dictate an emphasis on care at home. Health-promoting, public education and family-focused strategies will be essential. At a pivotal moment for the delivery of health care generally, hospices can play a vital part by marrying the role of "insistent conscience" of the health care service with continued cost-effective clinical innovation

Computer Science · Geology · Grief, Bereavement, and Mental Health · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy

• Physical, psychological, social, and spiritual aspects of end-of-life trajectory among patients with advanced cancer

  Geok Ling Lee, Akhileswaran Ramaswamy•Death Studies•2018

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• A Conversation with Dame Commander Barbara Monroe

  David E Balk•Death Studies•2019

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• Developments in end-of-life and palliative care social work

  Open Access•Malcolm Payne•International Social Work•2009

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• Public Health Approaches to Palliative Care

  Sally Paul•The British Journal of Social Work•2013

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• Casas para os que morrem

  Open Access•Ciro Augusto Floriani, Fermin Roland Schramm•História Ciências Saúde-Manguinhos•2010

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• Factors influencing death at home in terminally ill patients with cancer

  Open Access•Barbara Gomes, Irene J Higginson•BMJ•2006

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• Older people's views about home as a place of care at the end of life

  Open Access•Merryn Gott, Julie Seymour et al.•Palliative Medicine•2004

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• Health-promoting palliative care

  Allan Kellehear•Mortality•1999

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