End of life care modelling tools

These were compiled in 2012 and have not been updated.

The National End of Life Care Programme has teamed up with partners to bring together a suite of tools to support end of life care commissioning and planning.

The tools

Whole Systems Partnership Skills for Health Yorkshire and the Humber logo
Whole Systems Partnership Cohort Model Workforce Functional Analysis Yorkshire & the Humber Co-design Model (formerly known as the Y&H Commissioner Financial Model)

What questions do the tools help to answer?

The tools contribute to helping you answer the following questions:

  1. How many people will die each year and how many will spend their last days in hospital?
  2. How will improving early recognition impact on where people spend their last days and what does that mean in relation to identifying the 1% of people that die each year?
  3. How many people are dying in hospital and what are the financial implications of this in terms of tariff?
  4. What the distribution of needs are across five cohorts of the population in their last year of life.
  5. How the changes simulated in the model impact on the community workforce, including an indication of associated costs.

What do the tools do?

Together the tools enable commissioners and providers of end of life care services to:

  1. Identify the end of life care needs of their population over a 10-year period (Whole Systems Partnership Cohort Model)
  2. Assess what workforce skills are required to ensure quality care provision (Skills for Health Workforce Functional Analysis)
  3. Establish how many people dying in hospital could reasonably end life in an alternative care setting and provide costings for Alternative Care Pathways (Yorkshire and the Humber Co-design Model).

Why have they been developed?

These tools were developed to support organisations to achieve the vision of the National End of Life Care Strategy and the NHS QIPP agenda of improving quality and productivity through innovation. They:

  • provide a bridge between policy and service redesign through analytical support;
  • provide commissioners and planners with a better understanding of local need for end of life care services and model the expected impact of service redesign;
  • explore the workforce required and expected impact of improvements on costs and enable options to be compared. 

How should they be used?

These tools are best used in service planning by clinicians and commissioners working together. Click on the links above for more information about each of the tools and how to use them. The tools adopt a common language that underpins modelling assumptions. Download the Principles and use of language for End of Life Care modelling [April 2012].

See an image of how the modelling tools relate to each other. The three modelling tools are freely available from this website together with guidance and additional support resources. Further support or development work can be undertaken working with analysts and developers if required.


The End of Life Care modelling tools were developed by the National End of Life Care Intelligence Network in partnership with:

End of Life Care Profiles
Data Sources
Advice and information
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