Caring for the person in their world: Collaboration in context

The home is commonly the preferred place for end of life care. However, what constitutes home will vary greatly and increasingly includes diverse settings for end of life care, including residential and nursing homes, prisons, and mental health units. This chapter focuses on the challenges of providing individualised patient-centred care at home with a specific focus on addressing inequality in access to healthcare in order to meet individualised needs at the end of life. Some social groups are labelled “hard to reach”, but actually services have not been designed to meet their needs. Inequalities in access to care need to be actively addressed by all professionals, and this includes not making prior assumptions about people and their needs, and using inclusive language.