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NHS West Yorkshire Integrated Care Board (ICB) is piloting a novel approach to support end-of-life patients in the community in Leeds. The project includes a digital tool to help GPs identify patients nearing the end of life, improvements to advance care planning, and £50 000 funding for “end-of-life doulas.”

It is estimated that 1.5 million older people have some unmet care needs, with the number projected to rise to 2.1 million by 2030 1 should governments fail to act, Age UK says. This has a knock-on effect on hospitals—as elderly people are admitted to hospital for want of other care—and general practice. GPs are being asked to undertake life administration for the elderly, including to ensure a patient is taking their medication, and to administrate advance care planning and NHS continuing healthcare (funding for domiciliary and social care) applications. They also find themselves fielding calls from lonely patients and from worried family members. End-of-life doulas can provide this sort of support.