Julie Kinley

TL;DR: The provision of health care that meets the needs of future nursing care home residents needs to be 'proactively' obtained rather than left to chance.

TL;DR: Dementia is substantially more common in care homes than recorded diagnoses would suggest, but studies using brief screening instruments may overestimate prevalence and high prevalences of depressive and/or behavioural symptoms and psychotropic use suggest significant unmet need.

TL;DR: It was hypothesised that action learning alongside high facilitation when implementing the Gold Standards Framework for Care Homes programme will result in a reduced proportion of hospital deaths for residents and improvement in the care home staff ability to facilitate good end-of-life care.

TL;DR: Care home staff need to develop the knowledge, skills, and confidence to engage in discussions around end-of-life care, and the assistance of a trained facilitator who role-models this process should be explored.

TL;DR: The studies provided limited evidence on improved outcomes following the implementation of the Gold Standards Framework in Care Homes programme, the Liverpool Care Pathway and educational/training interventions to support the provision of end of life care within nursing care homes within the UK.