End of Life Care

End of Life Care Patient Charter

A charter for the care of people who are nearing the end of their life

“You matter because you are you; you matter to the last moment of your life and we will do all we can, not only to let you die peacefully, but to help you live until you die.” Dame Cicely Saunders

We want to offer people who are nearing the end of their life the highest quality of care and support. We wish to help you live as well as you can, for as long as you can.

care

Therefore, if and when you want us to, we will:

  • Listen to your wishes about the remainder of your life, including your final days and hours, answer as best we can any questions that you have and provide you with the information that you feel you need;
  • Help you think ahead so as to identify the choices that you may face, assist you to record your decisions and do our best to ensure that your wishes are fulfilled, wherever possible, by all those who offer you care and support;
  • Talk with you and the people who are important to you about your future needs. We will do this as often as you feel the need, so that you can all understand and prepare for everything that is likely to happen;
  • Endeavour to ensure clear written communication of your needs and wishes to those who offer you care and support both within and outside of our surgery hours;
  • Do our utmost to ensure that your remaining days and nights are as comfortable as possible, and that you receive all the particular specialist care and emotional and spiritual support that you need;
  • Do all we can to help you preserve your independence, dignity and sense of personal control throughout the course of your illness;
  • Support the people who are important to you, both as you approach the end of your life and during their bereavement.

 

We also invite your ideas and suggestions as to how we can improve the care and support that we deliver to you, the people who are important to you and others in similar situations.

For more information from the Practice End of Life Care Lead, please contact:

Dr M A Mannan on 01706 335353

In Times of Bereavement

In the unfortunate event that a person has passed away, there are three things that must be done in the first few days;

  • Get a medical certificate from your GP or hospital doctor (this is necessary to register the death)
  • Register the death within 5 days (8 days in Scotland). You will then receive the necessary documents for the funeral.
  • Make the necessary funeral arrangements.

Register the death

If the death has been reported to the coroner (or Procurator Fiscal in Scotland) they must give permission before registering the death. All other deaths will be reported to a Medical Examiner (post April 2023). Information on the Medical Examiners Service can be found here.

You can register the death if you are a relative, a witness to the death, a hospital administrator or the person making the arrangements with the funeral directors.

You can use the ‘Register a Death’ page on the gov.uk website that will guide you through the process. This will also explain the registration process for Scotland and Northern Ireland.

Arrange the funeral

The funeral can usually only take place after the death is registered. Most people use a funeral director, though you can arrange a funeral yourself.

Funeral directors

Choose a funeral director who’s a member of one of the following:

 

These organisations have codes of practice - they must give you a price list when asked.

Some local councils run their own funeral services, for example for non-religious burials. The British Humanist Association can also help with non-religious funerals.

Arranging the funeral yourself

Contact the Cemeteries and Crematorium Department of your local council to arrange a funeral yourself.

Funeral costs

Funeral costs can include:

  • funeral director fees
  • things the funeral director pays for on your behalf (called ‘disbursements’ or ‘third-party costs’), for example, crematorium or cemetery fees, or a newspaper announcement about the death
  • local authority burial or cremation fees

Funeral directors may list all these costs in their quotes.