• Adult emergency services
• Cancer
• Cardiovascular
• Commissioning support
• COPD
• Children and young people
• Dementia
• Diabetes
• Disabled children
• End of life care
  • Case for change
  • Engagement
  • Good Practice Guide
  • End of life care register
  • Economic modelling tool
  • QIPP
  • FAQs
  • Useful links
  • Publications
• Immunisations and vaccinations
• Local hospitals
• London and South East England specialised burns project
• Major trauma
• Maternity
• Medically unexplained symptoms
• Mental health
• Paediatric emergency services
• Polysystems
• Quality and Safety Programme
• Staying healthy
• Stroke
• Tuberculosis
• Unscheduled care

QIPP

The Department of Health has set up 12 workstreams to help manage the delivery of QIPP (quality, improvement, productivity and prevention) in the NHS. The QIPP programme aims to improve the quality of care that is delivered whilst making efficiency savings that can be reinvested in services to deliver year on year quality improvements. The national QIPP workstreams have been identified in order to deliver the quality and productivity challenge and fit into three key areas:

• Commissioning pathways
• Provider efficiency
• System enablers.

The end of life care QIPP workstream focuses on improving systems and practice for identifying people as they approach the end of life and planning their care. It aims to:

• Build a social movement for a good death
• Change national levers to support good end of life care
• Support the development of better intelligence about end of life care
• Help clinicians know when and how to start the conversation about end of life care
• Support systematic care planning, including advance care planning, for people approaching the end of life
• Identify and share successful good practice.

Meeting the challenge in London

The London end of life care QIPP workshop was held in November 2010. The aim of the workshop was to place end of life care within the context of QIPP, describe the challenges specific to London and develop measures to demonstrate improvements in end of life care services across the capital. Following the workshop, a full report with recommendations for improvement was developed.

The National End of Life Care Intelligence Network (NEoLCIN) has developed an online tool to help commissioners and providers monitor the quality of end of life care locally. The End of Life Care Quality Assessment (ELCQuA) tool enables users to assess their progress in delivering end of life care services against a range of assessment criteria. These include quality markers from the Department of Health’s End of Life Care Strategy, Quality, Innovation, Productivity and Prevention (QIPP) criteria, end of life care key performance indicators (KPIs) and the Care Quality Commission’s ‘prompts’ for end of life care. Other standards and measures will be included over time.