In 2008, Lord Darzi stated that: ‘We can only be sure to improve what we can actually measure.’ This applies to end-of-life care (EoLC) as well as many other areas. Yet, EoLC has always been a hard area to measure in any meaningful sense. After Death Analysis (ADA) is a web-based, EoLC audit tool, developed as part of the Gold Standards Framework (GSF) programmes in primary care, care homes and hospitals. It has been used as both a comparative and spot-check benchmarking tool in different care settings and has been extensively evaluated and refined. It is available as a simple, online, audit tool through the new charity Omega, the National Association for End of Life Care (http://www.omega.uk.net). ADA is a means of assessing the provision of care for patients nearing the end of life and can thereby become a key tool for improvement in care standards in the future.
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