C-CHANGE: Delivering high quality and cost-effective care across the range of complexity for those with advanced conditions in the last year of life

South LondonCancer
Start Date: 1 Jun 2013 End Date: 31 May 2018

C-CHANGE: Delivering quality and cost-effective care across the range of complexity for those with advanced conditions in the last year of life.

C-CHANGE is a research project to develop and test a system – a 'case-mix classification' – to accurately capture the complex needs of people with advanced disease. This system of classification will help palliative and end of life services to better understand and quantify the needs of people in the last year of their life, and to fairly allocate resources, such as equipment or staff, to meet them.

Adopted by CLAHRC South London in February 2016, the NIHR-funded project is led by Dr Murtagh, based at the Cicely Saunders Institute. The ultimate goal of the project is to develop a case-mix classification that could be used across palliative care services in England.

The CLAHRC team will be collecting data from clinicians on the range and complexity of palliative care needs of patients in different settings, including in patients' homes, as well as hospitals, hospices and care homes. They will also be testing case-mix criteria at eight sites across England.

As part of this research project the team have created some videos with PPI members, to show how their PPI input has shaped the course of the project. The project is looking at improving patient and carer palliative healthcare by better understanding their needs and complexities. The research team aim to understand the range of needs for palliative care patients and families, so that resources can be better matched to individual care. To view the videos visit:

Contact 
Dr Fliss Murtagh
fliss.murtagh@kcl.ac.uk