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Project information

Proof there are better places to die than hospital

50% of us will die in hospital and 90% of us don’t want to. We want to show that hospice care can offer a solution. This project aims to identify examples of hospices working with other care providers and demonstrate the economic and human value of these so they can be replicated across the UK.

September 2015 - September 2017

Charity information: Hospice UK

Hospice UK logo
  • Need


    500, 000 people will die in England this year. Inadequate links between hospitals and services like hospices, and limited capacity means that half of them will die in hospital with no clinical need or wish to be there. This is a huge cost to the NHS and means too many people do not receive the care they need at the end of life. Different ways of partnership working are happening but we have no evidence of the money they save, the increase in quality of care received or if they are replicable.


    This project will identify the different ways of working that are happening around the country, evaluate the economic and human value of 6 examples through robust data collection and analysis and determine if they are replicable elsewhere. Then provide local hospices with the tools and evidence they will need to approach care providers like hospitals in order to explore replicating these models in their community.

  • Aims

    Aim 1

    Identify hospice-managed care examples in other settings in reducing inappropriate deaths in hospita


    » To be achieved through a scoping exercise where hospices will submit expressions of interest and we will select 6.

    What success will look like

    Six hospice based care settings will be selected for data collection and analysis to determine if they are replicable.

    Aim 2

    Evidence the cost effectiveness and human value of each model.


    » To be achieved through robust data collection, analysis and evaluation.

    What success will look like

    Hospices across the country will have access to a robust, independent evaluation of models of care they could manage in other settings.

    Aim 3

    Disseminate the evidence and learning to explore replicating the models in other communities.


    » Provide local hospices with the tools and evidence they will need to approach care providers.

    What success will look like

    Hospices are able to make an evidence-based case to commissioners and other external partners to consider how to develop these alternative care service models.

  • Impact


    Our long term aim is to reduce by 50,000 (20%) the number of people who die in a hospital who have no clinical need or wish to be there. Preliminary estimates show that reducing hospital deaths by 50,000 a year could generate gross savings to the NHS of around £160 million a year. If half of this was to be reinvested in hospice care, that would still be a net annual saving of £80 million to the NHS and increase the quality of care being given to more people each year.


    Failure to identify the appropriate models for evaluation would mean the project could not proceed in its entirety; the project not being delivered within timescales would delay the evidence needed, and services being unable to collect data are the main risks identified. These will be mitigated through the appointment of a project manager and robust monitoring processes.


    Donors will receive regular updates on general progress (as agreed with them from the start), plans for ongoing and forthcoming activities and updates on any changes or revisions to the project that may be made as the project delivery evolves.

  • Budget

    Budget - Project Cost: £525,000

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      Amount Heading Description
      £50,000 Project manager To manage and oversee the running of this project.
      £300,000 Data collection Data collection at 6 example sites (£50,000 each)
      £175,000 Evaluation Evaluation and data analysis by academic partner, Dissemination of report & support for replication.
  • Background


    The project will be managed and monitored at a national level by Hospice UK but the 6 example models to be evaluated will be in hospices located around the country. The sites will be identified by firstly seeking expressions of interest to be involved from hospices offering such services, and then through an open and transparent selection process.


    The beneficiaries will be the hospices that wish to meet the needs of more people in their community. The hospitals and other care providers, such as care homes, by having access to the expertise and experience of hospice staff and through a cost saving partnership with them. The ultimate beneficiaries will be patients who will receive high quality and appropriate care in a place of their choice.

  • Why Us?

    Why Us?

    Hospice UK is the leading charity supporting and championing hospice care across the UK. Hospice care transforms lives; we believe it should be available to everyone who needs it. As the national membership charity for hospices across the UK, we are best placed to access their knowledge and experience and work with them to identify and evaluate how they can work in partnership differently.

    Read more about the Charity running this project.


    Jonathan Ellis (Director Of Policy & Advocacy)

    One of the UK’s leading policy experts on hospice and palliative care.

    Dr Ros Taylor MBE DL (National Director For Hospice Care)

    Leads and oversees the development of the national clinical agenda for hospice care.