A Nuffield Trust report indicates that enabling people to die in their own homes need not necessarily cost more providing end-of-life care in hospital. The Marie Curie nursing service is taken as a case study, to show that additional costs of £553 per person are offset by a reduction of £1140 in hospital costs. Cost savings are potentially achievable if community-based support could be more widely available to help people to die in their own homes (which is often their preference).
“The research explores whether reduced hospital activity and costs at the end of life were likely to be offset by increased care costs in other health and social care settings using the Marie Curie home-based palliative care nursing service – the subject of a previous study by the Nuffield Trust”.
Georghiou, T. and Bardsley, M. (2014). Exploring the cost of care at the end of life. London: Nuffield Trust, September 2014.