1. MARIE CURIE ‘SUPPORTING PEOPLE TO DIE AT HOME’ Dee Sissons. Director of Nursing

2. FACT - THE NUMBER OF DEATHS ARE RISING 2 Deaths rose by 3.1% in England and Wales in 2012 Deaths are expected to be 16.5 % higher by 2030 By 2030 those aged 65 and over will account for 86.7% of all deaths

3. FACT - IN 2012 PEOPLE WERE DYING FROM 3 Cancer accounted for 29% of all deaths Circulatory disease accounted for 28% of deaths Respiratory disease accounted for 14% of all deaths

4. FACT - PLACE OF DEATH IS AFFECTED BY 4 Age Diagnosis Marital status Carer Deprivation Gender Geography Ethnicity

5. FACT - PEOPLE ARE TELLING US THAT :- 5 Overall quality of care has not changed significantly from 2011 to 2013. Quality of care was rated significantly lower for people who died in a hospital, compared to those dying at home, in a hospice or care home. For those dying at home, the quality of coordination of care was rated significantly lower in 2013 compared to 2012. The dignity and respect for patients shown by hospital nurses and hospice nurses has increased between 2011 and 2013. Pain is relieved most effectively in the hospice setting (62%) and least effectively at home (18%). Only one third of people (35%) who express a preference to die at home, actually die at home. National Survey of Bereaved People (VOICES) 2013

6. MARIE CURIE - THE FACTS 6 We cared for nearly 40,000 people across the UK in 2012 Of those 29,010 people were cared for at home Of those 18,239 died Median time from 1 st visit to death is 8 days.

7. MCCC NEW STRATEGY 7 We will reach more people and their families living with a terminal illness We will improve the way terminally ill people are cared for across the UK We will manage our charity as effectively and efficiently as possible

8. OBJECTIVES

9. WE WILL REACH MORE PEOPLE AND THEIR FAMILIES LIVING WITH A TERMINAL ILLNESS 9

10. WE WILL IMPROVE THE WAY TERMINALLY ILL PEOPLE ARE CARED FOR ACROSS THE UK 10

11. WE WILL MANAGE OUR CHARITY AS EFFECTIVELY AND EFFICIENTLY AS POSSIBLE 11

12. JOAN’ S STORY

13. IAN’S STORY

14. CHALLENGES AND OPPORTUNITIES 14 Increase in the number of deaths Multiple needs and care is likely to be much more complex Ensuring everyone with a terminal illness gets the personalised help they want and need Responding to diverse challenges and healthcare environments

15. THANK YOU FOR YOUR TIME For more information phone 0800 716 146 (free) or email info@mariecurie.org.uk “ We passionately believe that everyone who is terminally ill and their families should be able to access high quality personalised care”