Level 1 | Communication | Compiling and maintaining a supportive care register to record, plan, and monitor patient care |
Coordination | Having a nominated coordinator to oversee implementation and maintenance of the framework | |
Level 2 | Control of symptoms | Patients’ symptoms, problems, concerns are assessed, recorded, discussed and acted upon to an agreed process. Advanced care planning tools are recommended |
Continuity | Systems to ensure continuity of care delivered by inter-professional teams and out-of-hours providers are used. Anticipatory care in place to reduce crises and inappropriate admissions | |
Continued learning | Commitment to learning about end-of-life care and developing action plans to meet identified learning needs. Reflection on past events, what went well and why, and what did not go well and why | |
Level 3 | Carer support | Work in partnership with carer and assess and support their needs for emotional, practical, and bereavement support |
Care of the dying | Appropriate care provided in the last days of life | |
Level 4 | Sustain, embed and extend improvements in end-of-life care | Sustain and build on all developments as standard practice. Develop a practice protocol and extend to other settings, e.g.: care homes, non-cancer, ACP |