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The future of specialist palliative care
1Chief Nursing Officer, Cancer Relief Macmillan Fund.
Abstract:
The National Council for Hospice and Specialist Palliative Care Services (NCHSPCS) has published a discussion paper exploring the future of specialist palliative care in the UK (NCHSPCS 1997). It identifies many problems which are also faced by health carers in other parts of the world as, to a large extent, they arise from trends in economic and social policies which are forcing the rationing of public expenditure. So relentless is this drive that some would argue that the total dismantling of publicly-funded health and welfare programmes is the only way to reduce national debts or deficits. In this context, health services are under enormous pressure.
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