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Enhancing the day therapies service for people with palliative neurological conditions: an economic evaluation

Yvonne Whitehouse, Day Therapies Manager, St Columba's Hospice

Yvonne's case study was completed in 2019 and reflects 2019 prices

Government policy in Scotland is to increase access to palliative and end of life care for all who can benefit from it. This includes people with progressive neuromuscular degenerative illnesses (such as Motor Neurone Disease [MND], Progressive Supranuclear Palsy [PSP], Multi-systems Atrophy [MSA] and Corticobasal Degeneration [CBD]) who have a high level of physical impairment and need full assistance with personal care, moving their limbs, eating, drinking and communicating.

Yvonne, Day Therapies Manager at St Columba's Hospice in Edinburgh, recognised that her current day therapies service model did not optimally support the needs of these patients. Therefore she proposed introducing an additional day ('assisted day') designed specifically to address their needs. Her economic assessment identifies the full costs of her service innovation. By bringing services to the hospice and tailoring these to each individual patient's needs, Yvonne identifies the benefits for patients, their families and the NHS, as well as the Hospice.

By engaging with stakeholders and enabling them to work differently, investing in volunteers and redeploying hospice staff, Yvonne has shown the difference that can be made with a modest investment.

You can contact Yvonne by email: ywhitehouse@stcolumbashospice.org.uk.

Case study

One page summary