Transitions between services at the end of life for older people – patient carer and provider perspectives

Transitions in care settings are associated with poor continuity and quality of care. At the end of life, health and social care aims to optimise quality of life, yet existing evidence suggests that movements between place of care in the months before death may be frequent, and result in little improvement in pain control or wellbeing. This multi method study funded by NIHR HSR&D explored the causes and consequences of transitions in care settings from the perspective of people living with heart failure, stroke and lung cancer.  




Start Date: 2009
End Date: 2012


Internal Staff

  • Barbara Hanratty

External Collaborators


  • Hanratty B, Lowson E, Grande G, Payne S, Addington-Hall A, Valtorta N, et al. Transitions at the end of life for older adults – patient, carer and professional perspectives: a mixed methods study Health Serv Deliv Res 2014;2 May forthcoming

Papers published using data from patient interviews:

  • Hanratty B, Holmes L, Lowson E. et al. A comparison of strategies to recruit older patients and carers to end of life research in primary care. BMC Health Serv Res 2012;12:342.
  • Hanratty B, Lowson E, Holmes L, Grande G, Addington-Hall J, Payne S, Seymour J. Funding health and social services for older people – a qualitative study of the views of care recipients in the last year of life. J Royal Soc Med 2012;105:201–7.
  • Hanratty B, Lowson E, Holmes L, Grande G et al. Breaking bad news sensitively: what is important to patients in their last year of life? BMJ Palliat Support Care 2012;2:24–28.
  • Lowson E, Hanratty B, Holmes L, Addington-Hall J, Grande G, Payne S, Seymour J. From conductor to second fiddle: transitions in family caring at older people’s hospital admission. Int J Nurs Stud 2012;50:1197–205.
  • Hanratty B, Holmes L, Lowson E, Grande G et al. Older adults’ experiences of transitions between care settings at the end of life in England – a qualitative interview study. J Pain Symptom Manag 2012;44:74–83.


Public Health and Society Research in the Department of Health Sciences