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Bolton Palliative and End of Life Care

Gold Standards Framework

  • Background to GSF
    • The focus of the GSF programme is to improve care for the dying in the community by optimising the local primary care team's provision, so that more patients are enabled to live and die where they choose, and un-needed hospital admissions are avoided. Other services and factors are also involved in admission avoidance, and GSF can help in clarifying and measuring these, to better commission local services.
      • It is aimed at COMMUNITY care for patients living at home and in Care Homes - all areas supported by primary care teams
      • It aims to ENABLE GENERALISTS (GPs, DNs/community nurses, Care Home and other staff), so that they can best work with specialists and hospice staff
      • It includes patients in the FINAL YEAR of life - year, months, weeks or life as well as those in the final days
      • GSF is applicable to patients with ANY ADVANCED ILLNESS (heart failure, COPD, neurological disorders, renal failure etc)
      • Once the structure of GSF is in place, it can act as a springboard for other local developments in community palliative care to further improve outcomes for patients and cost effectiveness for health commissioners. More information about the Gold Standards Framework can be found by clicking on the web link below:
        www.goldstandardsframework.nhs.uk
  • Progress in Bolton
  • GSF Documentation (Forms SCR1 to SCR7 are on main website in PDF under standard forms, can they be put here as well)
  • GSF prognostic indicator guidance