Dying well at home: the case for integrated working

Practice example 5: Bedfordshire Partnership for Excellence in Palliative Support (PEPS)

Partnership for Excellence in Palliative Support (PEPS) is a service that provides 24-hour support to patients in the last year of life and coordination of palliative care across Bedfordshire. A telephone number held at the PEPS centre offers a single point of contact to provide a seamless service for patients, their carers and care professionals when advice and support are needed.

The service was developed by Sue Ryder and NHS Bedfordshire in partnership with 15 other provider organisations in the county. Since its launch in December 2011, more than 1,000 local people have registered to use the service, which sees qualified nurses who are experienced and skilled in palliative care, screen calls to identify the most appropriate health or care professionals to respond to the caller’s needs.

The coordination centre, which is hosted by Sue Ryder at St John’s Hospice in the village of Moggerhanger in Bedford, also hosts an electronic register – the Information System for PEPS (ISP) – which gives nurses up-to-date information about the patient’s condition (with consent), provided in line with the patient’s preferences and choices.

Prior to PEPS, palliative care services were disjointed and provision was not equitable across the county.

Alongside the introduction of the coordination centre, out-of-hours services, including face-to-face nurse assessment and a palliative care support worker service, have been established countywide to enable patients to be cared for at home.

Jo Marshall, Business Development Manager, Sue Ryder.


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  • Dying well at home: the case for integrated working
  • Dying well at home: research evidence