Hospice provision and usage amongst young people with neuromuscular disease in the United Kingdom

Eur J Paediatr Neurol. 2011 Jul;15(4):326-30. doi: 10.1016/j.ejpn.2011.02.003. Epub 2011 Mar 2.

Abstract

Aim: To identify the nature of services for children and young people with progressive neuromuscular disorders (NMD) provided by Children's Hospices in the UK.

Methods: A questionnaire requesting aggregate data on the number of patients with a neuromuscular condition was sent to all children's hospices in the UK, in addition, specific data was collected on services for young people with DMD presenting to a single local hospice.

Results: 87% of eligible hospices responded (27/31). 756 young people with an NM condition were being cared for by the hospices. These patients accounted for a mean of 17% of the total hospice population (range 5-35%). The age at which young people were required to leave the children's hospices varied from 18 up to 35 years. 73% of 'visits' were described as 'planned stays'. Although 'end of life care' is provided, few young people with NMD died in a hospice.

Conclusions: Children and young people with NMD form a large proportion of the Children's Hospice's caseload. Many valued services provided by children's hospices are not available through NHS funding. The lack of similar adult based services is a concern as increasing numbers of young people are surviving into adulthood.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Child
  • Child, Preschool
  • Female
  • Hospices / statistics & numerical data*
  • Hospices / trends*
  • Humans
  • Male
  • Neuromuscular Diseases / mortality*
  • Neuromuscular Diseases / therapy*
  • Palliative Care / statistics & numerical data
  • Palliative Care / trends
  • United Kingdom / epidemiology
  • Young Adult