Evidence indicates that the majority of people would like to die at home. However, only about 35% of people achieve that aim. Most deaths in England occur in acute hospitals. With forward planning some admissions of dying people to hospital are avoidable. Staff in care homes and carers in the home setting need to be supported if the dying person is to be managed at the care home or in their own home. Reducing hospital admissions will help people to die in the place of their choice, improve quality of care and be more cost-effective for the NHS. This article will provide an overview of the problems associated with avoidable hospital admissions. It will describe how the Gold Standards Framework in Care Homes training programme can help achieve people’s wish to die in their home environment. It will also provide practical advice for care staff to manage the dying person at home.
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