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Palliative Medicine
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End-of-life care in community hospitals: the perceptions of bereaved family members

Sheila Hawker

Chris Kerr

Social Work Studies, University of Southampton, Southampton

Sheila Payne

Palliative End-of-Life Research Group, University of Sheffield, Sheffield

David Seamark

The Honiton Group Practice, Honiton, Devon

Carol Davis

Helen Roberts

Elderly Care Research Unit, Southampton General Hospital, Southampton

Nicola Jarrett

School of Nursing and Midwifery, University of Southampton, Southampton

Paul Roderick

Health Care Research Unit, Southampton General Hospital, Southampton

Helen Smith

Division of Primary Care and Public Health, Brighton and Sussex Medical School, UK

Objectives: The perceptions of bereaved family members were obtained to evaluate the nature and quality of end-of-life care in community hospitals. Design: During organizational case studies in six community hospitals in the South East and South West of England, bereaved family members were asked to participate in semi-structured interviews. Participants: Fifty-one interviews were conducted with family members of patients who had received end-of-life care in a community hospital within the previous year. Results: Respondents were very positive about the care they and the patient had received. They valued the convenience of access for frequent and long-stay visiting and the familiarity of the local hospital. Comparisons were made with more negative experiences at their nearest District General Hospital. Issues raised included the noise at the community hospitals, and the lack of contact with qualified nurses. Discussion: The results of this study have implications for UK government initiatives, such as the National Framework for Older People,1 and the Department of Health's ‘Keeping the NHS Local’2.

Key Words: bereaved carers • community hospitals • end-of-life • older people

Palliative Medicine, Vol. 20, No. 5, 541-547 (2006)
DOI: 10.1191/0269216306pm1170oa
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