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<p>NHS England and the Department do not currently have any processes for measuring
or monitoring collaboration between services involved in delivering children’s palliative
care. NHS England and the Department would expect all the partners involved to be
regularly talking to, and working with, relevant organisations, given their remit
to identify overall local need and to join up services.</p><p> </p><p>As with the
vast majority of NHS services, the funding and commissioning of palliative and end
of life care is a local matter over which individual National Health Service commissioners
have responsibility. Local commissioners are best placed to understand the needs of
local populations and commission services to meet those needs accordingly. The only
exception to this are small numbers of specialist paediatric palliative care inpatient
services, commissioned nationally by NHS England from eight centres across England
as part of its remit to deliver specialised services.</p><p> </p><p>To support effective
service collaboration locally, NHS England has worked with Public Health England and
the Care Quality Commission to provide bespoke end of life care data and support packs
to sustainability and transformation partnerships to plan for, and improve, end of
life care services.</p>
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