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National End of Life Care Model

A needs based model for costing the workforce elements of community based care for a given population for the last year of life in the context of changing underlying demographic trends and national policy priorities.


This model has been developed through the sponsorship of the National End of Life Care Programme Team and has received regular input and support from members of the National End of Life Care Programme Board. The model was developed through an engagement process including commissioners and care professionals from health and social care. It has been built using iThink software and is based on national demographic profiles with the potential to be calibrated to local needs. It reflects the best available research and intelligence through active and ongoing links with the lead Public Health Observatory for End of Life Care and ongoing academic research in this area. The workforce element of the modelling has been undertaken in partnership with Skills for Health who have applied their Functional Health Mapping tool to key points on the pathway that have then been able to translate into quantified and costed care and support that changes in response to the overall model dynamics


The model was built using ithink software following analysis of national cause of death data, including age and place of death. There were two engagement processes that dovetailed to produce the overall result. The first involved a wide group of between 30-40 professionals who were involved in three workshops that were used to define the issue, develop the model framework and respond to work undertaken by the consultants on an iterative basis. Between the second and third of these events a smaller engagement process was undertaken to develop detailed workforce requirements at key points on the end of life care pathway.


The National End of Life Care Programme remains a coalition government priority and is the subject of the development of national tariffs for community services. This project was commissioned in this context in order to support commissioners, in partnership with local stakeholders, in understanding and securing an appropriate and needs led service response to the end of life care needs of their local population.


The final tool has been developed both as a generic framework tool, available on the National End of Life Care Intelligence Network website, and as having the potential to support local strategy and implementation for end of life care services.


Thank you for sending through the draft report which is very comprehensive and I think not only tells the story of the project but really demonstrates the actual and potential of the model. You have also made what is a complicated subject into a very interesting and easily digestible read.  – Anita Hayes, Deputy Director, National Programme for End of Life Care

Further Information

A full report on the EoLC Framework Modelling Tool is available on request from Peter Lacey .


National End of Life Care Programme


Whole Systems Partnership

Key Dates

Work undertaken between June 2010 and March 2011

Contact Person

Peter Lacey

Contact Email

peter.lacey [at]


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