The GSF Centre provides a solution to maximise the use of available health and social care resources by improved coordination and collaboration for the benefit of patients within the local community. GSF supports and enables generalist frontline staff in any setting by providing service improvement/training programmes and guidance to ensure all people in the final years of life receive the right care at the right time in the right place, every time.

Building on the first pilot sites, we are now inviting new Cross Boundary Care Foundation Sites to join with us to improve integrated care in the community, in a stepwise strategic plan involving all sectors, with measures and outcomes leading to a tangible difference for patients in your community.


What is it? 

The GSF Cross Boundary Foundation Sites bring together in a stepwise manner the well developed and evidenced GSF programmes in primary care, community, hospital and social care, developing a common plan and way of working with patients at the heart of care.  Gradually, as each group begins to speak this common language, new ways of working develop, leading to better integrated care, with better quality of living and dying for patients, better use of resources and improved cost effectiveness.

The Gold Standards Framework aims are to improve the: 

  • Quality of care provided for all patients approaching the end of life and improving their experience of care wherever that care is received.
  • Coordination and collaboration of care within and between teams and across boundaries to ensure seamless person centred care through improved - organisational working.
  • Outcomes for patients, reducing unnecessary acute hospitalisation in the final years of life and enable more people to live well and die well in their preferred place of care.

How has GSF helped so far? 

1) GSF Primary Care  

  • Early identification of patients on palliative / supportive care register
  • Reduce hospitalisation
  • More advance care planning discussions
  • Improved support for carers and bereaved


2) GSF Acute/Community Hospital

  • Early alerting of patients in the last year/years of life
  • Reduce length of stay, so reducing hospitalisation
  • Improve confidence of staff and more advance care planning  discussions
  • Improved culture of care

3) Care Homes

  • Halving of hospital deaths and reducing crises and admissions
  • All residents offered ACP discussions
  • Better GP collaboration
  • Transformed culture of care and staff  morale



Next Steps with Integrated Cross Boundary Care 

10 Step by Step Guide:











“Every organisation involved in providing end of life care will be expected to adopt a co-ordination process, such as the GSF”

-Department of Health End of Life Care Strategy 2008


For more information please contact The Gold Standards Framework Centre at, or phone  01743 291891