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Bevan Exemplar Cohort 9 projects

In My Place: Hospital Avoidance and Future Care Planning Service

Caroline Tudor-James and Michelle Greene

The Rainbow Foundation and Betsi Cadwaladr University Health Board

The project will promote acceptance and dignity at end of life, to increase the number of people who die well in a place of their choice through:

  1. Rainbow Response Team to support people encountering a palliative crisis in the community.
  2. Social Prescribing (FCP) service to improve the ability of local patients to communicate their wishes at end of life.

The main impact measures for the In My Place service will be:

  • the reduction in unplanned bed days from an agreed baseline, and
  • an increase in the number of people whose end-of-life wishes are met, including the de-medicalisation of their care at the end of life and an increase in the number of people who die at home if that is their wish.