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<p>High quality community care is crucial to the delivery of end of life care services
and our Choice Commitment, this includes out-of-hours and weekend services. Work undertaken
by NHS England and system partners at a national level includes supporting sustainability
and transformation partnership planning to address end of life care in all settings
and providing key data on services; providing guidance on cost effective commissioning
in end of life care; and providing practical examples of how out-of-hours access to
palliative care, seven days a week, can be achieved.</p><p> </p><p>Going forward,
we will have new measures in place to assess progress and hold commissioners to account,
including a new indicator to measure deaths in hospital after three or more emergency
admissions in the final 90 days of life, which will help us assess quality and provision
of out of hospital care.</p><p> </p><p>NHS England is currently working with experts
to develop new commissioning models for children and young people’s palliative care
as it can be difficult for some clinical commissioning groups to meet the needs of
this vulnerable group given the relatively small number of children concerned and
their geographical spread.</p>
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