End of Life

Below is a summary of the standards for end of life care. Please click the PDF to read the full explanation and additional details.


What you should expect from your GP practice:


  • Your care preferences and key details about your end of life care will be properly recorded on the Electronic Palliative Care Co-ordination Systems (EPaCCS)

  • Your practice will arrange one extended Gold Standard Framework meeting, facilitated by specialist palliative care staff, to improve advance care planning and keep a record of the discussions i.e. minutes and a log of attendees

  • As a minimum, one GP and one practice nurse per practice should attend the training. Practices with more than four GPs would require 50% of GPs to attend

  • Your practice will use the knowledge and skills learnt in the extended meeting in discussions with you

  • Your practice will arrange an ‘After Death Analysis’ meeting to reflect on ONE death of a patient and what lessons were learnt, or what could have been done differently

  • Or, arrange a ‘Significant Event Analysis’, relating to a patient in the last days of life, to understand what worked well or what could have been done differently

  • The practice will provide the times, dates and location of the After Death Analysis/Significant Event Analysis meeting and provide a copy of a completed and implemented action plan on request

  • GPs will attend taught sessions on communication issues, including Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) or deactivate an Internal Cardiac Defibrillator (more commonly known as a pacemaker) decisions

  • Patients will be added to EPaCCS, have their resuscitation status discussed, and the DNACPR and ICD Deactivation policies are adhered to

  • The practice will keep a log of the dates and a list of attendees who participated in the DNACPR training sessions


Download full deails of Standard 1.8 End of Life