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Research into best models of palliative care

The project is one of two new projects that will look at how to best organise and deliver healthcare services in palliative care and epilepsy.

‘Each of these projects aims to provide solid evidence that will support the development of the best models of care in their respective areas’, says Graham Love, the Chief Executive of the HRB.  ‘Over the past few years, the HRB, HSE and Royal College of Physicians in Ireland have made a focussed, coordinated effort to increase the level of funding available for quality and patient safety research that addresses knowledge gaps of national priority. These two projects are the latest ones to come through that process’.  

According to Professor Charles Normand, Trinity College Dublin, who will be conducting detailed research into what are the best models of palliative care in an Irish context; 

‘We do not know enough about the extent to which better provision of palliative care takes pressure off other health and social care. Nor do we know enough about the effects of different models of palliative care on the burden on families and informal care givers.  There are a lot of important and as yet unanswered questions regarding the strengths and weaknesses of different models of care, the extent to which those that cost more achieve more, and the differences in experiences and outcomes.'

 Dr Mary Fitzsimons, from Beaumont Hospital will lead the project on patient-centred epilepsy care.

These latest awards will join two ongoing projects in Emergency medicine and Rheumatology care that have been funded under this partnership scheme, the RCQPS (the Research Collaboration on Quality andPatient Safety). To date over €1.5 million has been committed to research under this specific scheme.  

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Ireland has ‘fastest rising need’ for palliative care in Europe

Rapidly-ageing Irish population behind trend, new study suggests

Ireland has the fastest rising need for palliative care in Europe due to its rapidly ageing population, a new study suggests.

Significant increases in funding will be needed to cater for the increase in deaths from cancer, dementia and neurodegenerative diseases such as Alzheimer’s, according to the study published by British and Irish researchers in the Journal of Pain and Symptom Management.

Eighty per cent of the deaths recorded between 2007 and 2011 were from conditions recognised as having associated palliative care needs. This compares to 63 per cent in the UK and 50 per cent in Australia.

The study shows that while deaths from cancer increased by 9.5 per cent over this period, the increase in deaths caused by dementia and neurodegenerative diseases was far greater, as 51 per cent and 43 per cent respectively. In contrast, deaths from heart and respiratory disease, and stroke, are falling.

It says new models of palliative care may be required to address these trends. Current funding levels are running at only half the required amount.  

“It is internationally recognised that the prevalence of advanced chronic conditions such as cancer, dementia and neurodegenerative disease, which have recognised palliative care needs, increases with older age,” said lead author Dr Pauline Kane of King’s College London. “With Ireland’s population ageing at the fastest rate in Europe, this palliative care need will continue to grow.

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