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NICE: Treat terminally ill children in home settings

Terminally ill children should have access to around-the-clock homecare, according to a draft standard published by NICE.


The proposal says families who are caring for terminally ill children at home should have 24-hour access to specialist medical support and advice.

NICE says 'families caring for a terminally ill child should be supported so that the child can receive the right care, in the environment of their choice'.

There are around 40,000 terminally ill children and young people in England, estimates show.

According to research from Dying Matters, half of expected deaths currently happen in hospital.

However, research says 68% of families would prefer to spend their final days together at home, and that this desire increases to 80% when the child is thought to be in their last month of life.

However, the 2012 British Social Attitudes Survey found nearly two thirds of people (adults and children) would change their minds about dying at home if sufficient support from family, friends and healthcare staff were not available.

'Final moments'

Professor Gillian Leng, deputy chief executive at NICE, said: 'A hospital is not always the best place for a dying child. Sometimes being cared for at home, in familiar surroundings with the people they love beside them can be much more beneficial.

'We need to make sure families have the support they need. Children should be able to access the right care in the right place for them.

'The final moments we spend we loved ones can form some of the strongest memories. We have to get it right.'