This report explores the current state of end-of-life care policy and practice in the UK. It focuses in particular on the experiences of older people and incorporates their views and the views of carers. Drawing on a comprehensive literature review, analysis of data from an ESRC-funded study, and the outcomes of a consultation exercise with older people hosted by Help the Aged, the report identifies the range of patterns and circumstances of death and dying In old age; outlines the current policy and practice context; compares the experiences of older people who receive specialist palliative care and those who do not; and explores key issues in older people's accounts of death, dying and bereavement, including their practical, social and spiritual concerns. The issues raised in the report will feed into current debates such as those around palliative health and end-of-life care, and right-to-die legislation.

Ageing populations mean that palliative and end of life care for older people must assume greater priority. Indeed, there is an urgent need to improve the experiences of older people at the end of life, given that they have been identified as the 'disadvantaged dying'. To date, models of care are underpinned by the ideals of specialist palliative care which were developed to meet the needs of predominantly middle-aged and 'young old' people, and evidence suggests these may not be adequate for the older population group.
This book identifies ways forward for improving the end of life experiences of older people by taking an interdisciplinary and international approach. Providing a synergy between the currently disparate literature of gerontology and palliative care, a wide range of leading international experts contribute to discussions regarding priority areas in relation to ageing and end of life care. Some authors take a theoretical focus, others a very practical approach rooted in their clinical and research experience. The issues covered are diverse, as are the countries in which discussions are contextualised. Those working in both palliative care and gerontology will find the issues and advice discussed in this book hugely topical and of real practical value.