The 2020-21 Last Years of Life (LYOL) locally commissioned service (LCS) specification will continue in 2021-22 and has not been updated due to Covid-19.
The aims of this locally commissioned service are to:
- Improve outcomes for patients in the last years of life and their carers, including appropriate signposting or referral to bereavement services.
- Ensure that dying patients are supported where possible to die in their preferred place of care. Evidence suggests this is usually their home.
- Reduce the number of avoidable hospital admissions for patients in their last years of life who are nearing the end of life thus reducing secondary care spend.
- Increase the use of CMC for community urgent care plans.
- Enable GPs to attend a training event focused on last years of life care.
Appropriate care will be delivered by a well-trained practice team, delivering high-quality care to people in the last years of life and at the end of life.
For 2021-22, the LCS requirements are limited to:
- One-off attendance of last years of life care training.
- Creating a CMC Urgent Care Plan on the electronic Co-ordinating My Care register, having had and recorded the conversation regarding end of life care wishes.
This should result in a decrease in the number of patients dying in hospital.