7 Not Addressed

We recommend that the MSF includes specific guidelines and requirements for ICBs to enable access...

Recommendation
We recommend that the MSF includes specific guidelines and requirements for ICBs to enable access to 24/7 PEoLC services, including access to symptomatic medication, and in-person care where necessary. We call on the Government to provide an assessment of both the workforce needed to deliver such a service and the potential savings to the wider health and care service that such an offer would deliver. (Recommendation, Paragraph 36)
Government Response Summary
The government response discusses the Single Patient Record and its legislative framework, but it does not address the recommendation to include specific guidelines in the MSF for 24/7 PEoLC services or to provide an assessment of the workforce and potential savings.
Government Response
Not Addressed
HM Government Not Addressed
Accept Integrated palliative care and end-of-life care services are central to the shift towards community-based care. They enable care to be delivered closer to people’s homes. NHS England’s statutory guidance for palliative care and end-of-life care highlights the importance of high-quality, coordinated care, including sharing key information about the individual’s needs and priorities shared digitally, through Shared Care Records, to enable more effective and efficient care. The objective of the Single Patient Record is to bring together patient information from the source records of different services across health and social care in England, to provide a single account of people’s health and care needs for use in different care settings. It will not, however, replace conversations with clinicians or become another complex IT system. The Single Patient Record will focus on the health and social care service in England, but the aim is for a truly comprehensive health and care record that overtime and where technical solutions are in place could extend to independent / private providers and the voluntary sector. The development of the Single Patient Record will seek to embrace records from as wide a range of providers as possible, always ensuring the appropriate clinical and information governance, and technical security, is in place. Our ambition is that, from 2028, patients in England will be able to view their Single Patient Record via the NHS App, starting with maternity and frailty. Healthcare professionals will access, via a secure interface, a single, reliable source of data on each patient, so they can give appropriate, safe and more coordinated care. In addition, people will have their record in their hands and will be able to share key information with their health and care providers through the NHS App enabling care providers to access key information about their health and care. The Single Patient Record will support our wider integration work such as the Neighbourhood Health Service and Integrated Health Organisations by providing a single trusted source of patient information, including care plans, that will be available to providers of health and care enabling them to offer more seamless co-ordinated care across the range of health and care services. We will bring forward legislation to provide a framework for the Single Patient Record. The powers we are taking will mean that we can enable all providers of health and social care in England, including private and voluntary sector providers to contribute to, and access, the Single Patient Record, as the programme develops and in line with the prioritised use cases.
Addressee Bodies
Department of Health and Social Care
Timeline
Recommendation age 0.4 yrs
Report published 24 Mar 2026