{
  "abstract": "Background Palliative and end-of-life care has become increasingly medicalized and specialist. Yet medical consultant availability in the specialty can be limited and incurs high costs. As hospices continue to be under financial strain, successful methods to reduce costs remain imperative (Hickish, Roberts. Int J Palliat Nurs. 2019;25(3): 143-149). Nurse-led care emerged at our hospice over 10 years ago as an innovation to reduce costs and support a limited amount of medical consultant time.Aim To provide high quality nurse-led palliative and end-of-life care.Method The inpatient ward sister at the time – an advanced nurse practitioner with many years of experience in palliative, end-of-life and hospice care – outlined the model of nurse-led care for our hospice. A pilot project was introduced in 2015 with five inpatients beds assigned to nurse-led care across a 12-month period. The project was successful and the model of nurse-led care continues to work more than ten years on.Results The initial objectives of providing care at reduced cost and supporting limited medical consultant time were achieved. Additionally in the last ten years benefits in relation to care quality have been found. Importantly all patients assigned to nurse-led care have reported being highly satisfied with their care. The nursing structure of the inpatient unit means nurses are available 24 hours per day which enables a truly person-centred approach whereby care needs can be picked up and addressed quickly (Li, Hu, Zhou, et al. Medicine. 2024;103(40):e39817). Continuity and follow-up care within the community was introduced at discharge, whereby our nurse lead visits the patient in their home, helping to alleviate potential discharge anxiety (Edwards, Hooper, Rothwell, et al. Int J Palliat Nurs. 2019;25(5):245-253; O’Connor, Palfreyman, Le, et al. Int J Palliat Nurs. 2016;22(12):581-585) and supports partnership working.Conclusion The inpatient unit sister developed and progressed to nurse consultant and a workforce structure has evolved to ensure development roles of nurses as advanced clinical practitioners. Thus, the successful model of nurse-led care will continue into the future.",
  "authors": [
    {
      "affiliations": [
        "Mountbatten, Isle of Wight, UK"
      ],
      "name": "Jackie Whiller"
    }
  ],
  "title": "P-119 Celebrating over 10 years of nurse-led hospice care",
  "uid": "0b3aa495-9a3a-5683-9444-d0abfd6fecf2"
}