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Measuring for Quality Care: Use of the GSF After Death Analysis
  1. Professor Keri Thomas, National Clinical Lead for the Gold Standards Framework Centre, Honorary Professor End of Life Care
  1. University of Birmingham. Email: keri.thomas{at} For further information:


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 ( 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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