The Importance of Evaluation

Moments count in caring for people at the end of their lives, but measuring the impact can be challenging.

I have been a Trustee for the Anne Robson Trust since January 2021. I was drawn in by the mission: no one deserves to die alone. It’s simple, yet compelling. I’ve spent time in hospitals and know how lonely and isolating they can be, even when you’ve got family and friends visiting regularly. Making people’s final days more peaceful, comfortable, and supportive for them and their families is clearly worth striving for.

However, demonstrating this impact – evaluating it – is complex. This blog post delves into the crucial role of evaluation in this context. The Anne Robson Trust supports people facing the end of their life, and those close to them.

Checklist

Evaluation allows organisations like the Anne Robson Trust to assess the effectiveness of their services and identify where, and how, to improve. It helps us demonstrate to people, communities and funders that we offer the best possible support. Evaluation of support in end-of-life care involves assessing the impact of services provided. It covers various aspects of our work, such as the effectiveness of emotional support, the accessibility and use of resources, and the overall experience of individuals, families and staff.

Evaluation in this context is challenging due to its subjective nature and the complex dynamics involved. Emotional support relies on multifaceted interactions, making it challenging to quantify and measure.

Assessments of quality are influenced by things like expectations, cultural norms, and individual perceptions. Moreover, the impact is often deeply intertwined with emotions and intangible elements, which may be difficult to capture through traditional evaluation methods. People have different needs and preferences, making it challenging to establish criteria for assessing quality. Overall, the complexity, sensitivity, subjectivity, and contextual nature of the support we provide make its evaluation a challenging task.

At the moment we evaluate by counting what we can and gathering valuable feedback where possible. In 2022 there were 10 hospital partners with 5 active teams of volunteers who made 4,756 hospital visits and supported 1,926 patients on those visits. Patients have told us:

“I was so touched by how gently the Butterfly Volunteer spoke to my partner. [The Butterfly] was calm and caring and had time for them; offering to take over reading. I was very tired and appreciated some time out, knowing they were being looked after.”

Impact 2022This is a good start but only the tip of the iceberg in terms of understanding the impact of the charity. We are working to improve how we understand the effectiveness of our work and identify areas for improvement.

By focusing on the interactions at the heart of our support, we hope to identify a clearer outline of what good support for end-of-life care in hospitals looks like. Through evaluation, we can also better celebrate successes, share best practices and ensure that resources are allocated more effectively.

Evaluation plays a vital role in the realm of end-of-life care, facilitating the ongoing improvement of support. The Anne Robson Trust exemplifies the importance of evaluation, constantly striving to better support people facing the end of their life, and their loved ones. Through evaluation and refinement, we work to ensure that every moment counts and that the journey towards the end of life is filled with dignity, comfort, and support.

Fiona McKenzie, Trustee