Cost-effective commissioning of end of life care

Exploring the trade-offs associated with shifting care from an acute setting to a primary, community and/or social care setting.



These resources bring together existing evidence in palliative and end of life care, describe the wider policy context, and outline some of the key initiatives supporting the end of life care in England. The economic tool helps to inform commissioners in their decision-making for end of life care services. It explores the trade-offs between shifting end of life care out of secondary services and describes interventions that might be deployed to achieve such savings. Where evidence of the effectiveness (for example in reducing the use of acute care beds) of specific interventions is available, the tool allows users to model the impact of these interventions on their local data, to provide an estimate of the Return on Investment associated with that intervention.

We would welcome your feedback on this tool. Feedback should be sent to

Webpage Last Updated: Thursday, 9th February 2017