Article Text

Download PDFPDF

P-35  From frailty to community resilience – making a public health approach to end-of-life care a reality
  1. Linda Morris1,2
  1. 1Compassionate Communities
  2. 2Foyle Hospice


Compassionate Communities – Reach Out is a pilot project in Northern Ireland funded by the local commissioning group. Using a public health approach it recognises that communities have the skills, knowledge, expertise and a role to play in end-of-life care.

Modern palliative care has been criticised with some arguing that it has led to the development of a model of care which relies heavily on medical expertise and sits within a framework more aligned with curative outcomes that are not achievable in palliative or end-of-life patients.

The project aims to build capacity within communities to support those living with advanced illness and frailty to reduce social isolation and to enable people to remain living at home and connected to their communities.

At its heart is a network of trained Compassionate Neighbours who provide weekly contact to people who have become isolated as a result of illness. Volunteer involvement is geared towards providing companionship and encouraging the person out of the house. It might be as simple as going for a cup of tea, enjoying a shared interest, doing a bit of shopping or a trip to the local community centre.

The project will be independently evaluated in terms of its impact on the health and well-being of volunteers, clients and carers and the need for primary health care services.

Compassionate Communities – Reach Out recognises that end-of-life care is a social as well as a medical issue and seeks to expand our model of health care to include communities as genuine partners – not simply as targets of service provision.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.