Priority 11 from the Palliative and end of life care PSP

UNCERTAINTY: How can people who live alone and do not have any friends or family nearby receive adequate palliative care, particularly if they wish to stay in their homes? (JLA PSP Priority 11)
Overall ranking	11
JLA question ID	0026/11
Evidence	Gomes B, Calanzani N, Curiale V, McCrone P, Higginson IJ. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD007760. DOI: 10.1002/14651858.CD007760.pub2
Health Research Classification System category	Generic

Extra information provided by this PSP
Original uncertainty examples	Modern extended families tend not to be local and have pressures of work which leave a vacuum for the very elderly when needing support.
Submitted by	Professionals x 4 ~ Carers x 1 ~ Bereaved carers x 8 ~ Members of the Public x 1 ~ Patients x 1 ~ Volunteers x 2
Outcomes to be measured	Patient Satisfaction; health related quality of life; health related cost; optimal methods of communication

PSP information
PSP unique ID	0026
PSP name	Palliative and end of life care
Total number of uncertainties identified by this PSP.	83 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	21 November 2014