Introduction Hospital deaths make up more than half of all deaths in England and Wales, despite the finding that the vast majority of patients express a preference for home death. The Royal Liverpool and Broadgreen University Hospitals Trust and Marie Curie Cancer Care have developed the role of Case Manager – End of Life Care (CM-EOLC) and created a Supported Discharge Service (SDS) to facilitate and support urgent and rapid discharges to home of deteriorating and dying patients.

Aim(s) and method(s) To illustrate the impact of the role of CM-EOLC in RLBUHT and of SDS in enabling individuals to meet and remain in their PPC at the end of life.

Results Pertinent information, including outcome data, is collected routinely for each patient referred to the service. Data between December 2012 to November 2013 was analysed and illustrates a 37% increase on the previous year in successful rapid discharges home to die. Forty-seven patients who were deteriorating quickly were also urgently discharged home. Forty-four patients received additional care from SDS enabling them to die at home. There were no readmissions to hospital for this cohort of patients.

Conclusion(s) Through partnership working, the development of innovative new services and improving individual case management, patients who are nearing the end of their lives are being identified earlier. Patients are being discharged to their preferred place of care with additional support and care in the home environment enabling them to remain there for their last hours/days.