NACEL Quality Audit — SCE Palliative Medicine MCQ
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Correct answer: E — Quality of care in the last admission before death in hospitals—including recognition of dying
Explanation lettering: C = shown as A · A = shown as B · B = shown as C
NACEL is a national comparative audit of care quality during the last hospital admission before death, using multiple data sources: Case Note Review (covering recognition of dying, communication, individualised planning, symptom control), Bereavement Survey (families’ experiences), Hospital/Site Overview (specialist palliative care provision), Staff‑Reported Measures, and Annual Death Data. Option E is the only choice reflecting this comprehensive, multi-domain structure. Options A–D each incorrectly reduce NACEL to a single narrow focus and therefore misrepresent its scope.
Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer/palliative-care