Model of Care: Adults Receiving Palliative Care in Community Settings

The model of care for adults in community settings will ensure:

• Palliative care is provided by an interprofessional palliative care team, so that the right care is provided by the right provider.
• The patient and their family/care partners are actively engaged as members of the interprofessional palliative care team and make decisions about their care.
• The patient and their family/care partners have seamless access to palliative care and support 24/7. To ensure services are integrated, every patient will have a designated care coordinator.
• High-quality, person-centred palliative care is provided to patients wherever they are.

Equitable access is a priority; specific considerations for populations such as First Nations, Inuit, Métis and urban Indigenous people, francophones, homeless and vulnerably housed people, and those living in long-term care homes have been included.

This model of care builds on existing capacity and supports local flexibility. Ultimately, it leads toward sustainable, equitable and coordinated palliative care.