Step 4 - Delivery of high quality services in different settings

Individuals and their families and carers may need access to a complex combination of services and they should receive the same high quality of care irrespective of the setting.

People should have access to tailored information, specialist palliative care advice and spiritual care within a dignified environment, wherever that may be.

Tools to help include:

• The route to success resources - including those by care setting (acute hospitals, care homes, prisons, hostels, ambulance services and environments of care) and those by individual group (people with learning disabilites and lesbian, gay, bisexual and transgender people)
• e-ELCA e-learning modules on symptom management and fast track discharge - free for health and social care staff
• Support sheets, for example on dignity
• The six steps to success programme for care homes
• NHS Choices' end of life care guide
• Social Care Institute for Excellence's (SCIE) dignity in care resource
• Royal College of Nursing's dignity resource.
• Case studies relating to Step 4 of the care pathway