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P-193 Equitable care – A starter for ten
  1. Rachael Basak,
  2. Lesley Munro and
  3. Karen Garforth
  1. Princess Alice Hospice, Esher, UK


Background There are inequities in access to hospice care (Hospice UK. Equality in hospice and end of life care: challenges and change. 2021; Tobin, Rogers, Winterburn et al. BMJ Support Palliat Care. 2022;12(2):142–151; Ambitions for Palliative and End of Life Care, 2021) and the sector has historically under-served key communities. At our hospice, we made a commitment in our organisational strategy for 2022–2025, to champion equity of access. This built on one of four objectives set out in our Inclusion Strategy approved in 2021. This abstract focuses on Objective Four: Providing Accessible Care and Support.

Aims Our aim is to devise a programme of work to begin to address inequities in the services we provide and supporting a wider range of our communities better reflecting the populations in our care area.

Methods A new role of ‘Service Development Lead – Diversity and Inclusion’ was approved and filled in November 2022 to progress the hospice’s commitment to ‘Providing accessible care and support’. In February 2023, the Senior Leadership Team approved our first 10-project Diversity and Inclusion work programme.

Results Collaboration and partnership, being responsive to emerging needs or opportunities, as well as learning and openness, were identified as key principles in the programme. Ten areas were recognised as requiring improvement or a new approach. Our 10-project programme was agreed in February 2023 for implementation over the coming months and years and includes:

  • Diversity and Inclusion data.

  • Approach to interpreting and translation.

  • Inclusion ‘lunch and learns’ and inclusion hub.

  • Learning disability outreach.

  • Compassionate Neighbours and Dementia.

  • Improving access to Princess Alice Hospice services to the underserved in Kingston.

  • Homelessness.

  • Bereavement support model in prisons.

  • Public commitment to being an anti-racist organisation, and

  • Financial insecurity at the end of life.

Discussion We do not claim to be experts. We are un- and re-learning, to better support those who are underserved. We will evaluate the impact of our work as the 10-project programme progresses which will contribute to a fuller picture.

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