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Updated: May 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Using care profiles to commission end-of-life services.

Robert Gandy¹, Brenda Roe, Jean Rogers

¹NHS Healthcare Consultant, Spital, Wirral, UK. rob.gandy@ntlworld.com

Primary Health Care Research & Development

|January 6, 2012

Summary

Care profiles effectively commission end-of-life (EoL) services by defining requirements for skill mix, quality, and outcomes. This adaptable methodology enhances integrated care pathways and aids quality audits for improved EoL care delivery.

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Last Updated: May 26, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Healthcare Management
Service Delivery Models
End-of-Life Care

Background:

Department of Health (DH) mandated local reviews of end-of-life (EoL) services.
Liverpool's cross-sector work identified a need for specific EoL service commissioning.
Care profiles were proposed to define service requirements, including skill mix, quality, and outcomes.

Purpose of the Study:

To assess the feasibility of using a care profiles methodology for commissioning EoL services.
To adapt the original care profiles structure for EoL care commissioning.
To develop care profiles covering the entire EoL care pathway.

Main Methods:

An iterative approach using workshops and consensus based on action learning.
Four workshops were conducted, each focusing on a specific EoL care stage.
Outputs were evaluated by an external reference group, involving diverse stakeholders.

Main Results:

The project successfully adapted care profiles for commissioning EoL services in Liverpool.
Identified that core EoL service requirements are consistent across different diseases.
Care profiles are simple, flexible, complement integrated care pathways, and support quality/audit processes.

Conclusions:

Care profiles are a transferable and efficient tool for clinical commissioning.
Benchmarking through care profiles can enhance efficiency in EoL service delivery.
The methodology provides a clinically relevant framework for commissioning EoL care.