Usha Grieve
ushagrieve.bsky.social
Usha Grieve
@ushagrieve.bsky.social
Director of Partnerships & Services @AGoodDeath. Death, dying, autonomy, occasional bad parenting.
Reposted by Usha Grieve
Dying people’s voices must be at the centre of design and delivery.

Our latest blog responds to the government’s prioritisation and commitment to improve Palliative and End of Life Care through a new Modern Service Framework.

compassionindying.org.uk/blog-post/tu...
A turning point for end of life care?
Our response to the announcement of a Palliative and End of Life Care Modern Service Framework.
compassionindying.org.uk
November 26, 2025 at 9:51 AM
Reposted by Usha Grieve
The next stages of the SPR must incorporate people in the last year of life and include the option to complete advance care planning within the delivery of the NHS App.
November 18, 2025 at 4:32 PM
Reposted by Usha Grieve
It’s been almost two years since the HSJ published our piece highlighting how dying people are being failed by the NHS’s approach to sharing information.

Unfortunately, from what we hear through the people we support, not much has changed.
Dying people are being failed by the NHS's approach to sharing information
Usha Grieve explains how in the realm of digital health data, the spotlight on the Federated Data Platform overshadows the sluggish progress in enhancing electronic end-of-life records, hindering meaningful patient-centric change and necessitating urgent action
www.hsj.co.uk
November 18, 2025 at 4:32 PM
Good to hear @sharonbrennan.bsky.social @nationalvoices.bsky.social championing the crucial role that VCSE’s will play in realising the shift to community and brilliantly making the point that the 10YP care plan target must not result in tokenistic recording of patient wishes. #LabourConference2025
September 29, 2025 at 12:29 PM
Reposted by Usha Grieve
Thanks @nationalvoices.bsky.social

As assisted dying laws are being considered across the British Isles, our latest blog explores what information and support people need to understand the law and have conversations with healthcare professionals about assisted dying.
🚀 New to the blog!

Over 2300 people told @compassionindying.bsky.social what they need to make informed choices about assisted dying. Jemma Woodley shares their findings, and why the third sector must lead the way with clear information and supportive conversations.

👉 tinyurl.com/yhum8eyn
August 20, 2025 at 10:16 AM
Reposted by Usha Grieve
Usha: we are not talking about corralling people into a certain set of decisons...one size does not fit all.
June 2, 2025 at 11:57 AM
How do you make culture change real?
“If you’re like me, you’ve been to endless conversations where we say we need culture change, but not much happens to make this a reality" @charlotteaugst.bsky.social

Join our webinar to explore how we make culture change real at the end of people's lives

www.eventbrite.com/e/supporting...
May 23, 2025 at 10:15 AM
Reposted by Usha Grieve
📢 New webinar!

Join us as @charlotteaugst.bsky.social chair’s a 60 minute solutions-focused webinar where we discuss what’s needed to build a successful public health campaign that helps people to make end-of-life decisions that are right for them.

www.eventbrite.com/e/supporting...
Supporting people to make end-of-life decisions: A public health campaign
A free webinar to consider what’s needed to build a successful campaign to help people make end-of-life decisions that are right for them.
www.eventbrite.com
May 2, 2025 at 11:30 AM
Reposted by Usha Grieve
🎙️ New episode in our #ACPDay2025 series!

Dani, James & I talk:
🎯ADRTs @kitzingercelia.bsky.social
🎯LPAs
🎯How YOU can be part of the movement on 7 May & beyond

🎧 speakforme.co.uk/podcast-epis...
📣https://advancecareplanday.org/

#AdvanceCarePlanning #DyingMatters #LPA #ADRT #OpenJustice
April 21, 2025 at 7:08 AM
This is a great example of what we do at Compassion in Dying - find practical solutions to help people navigate decisions when they're not being listened to.

We see lots of examples that show how policy is good but the gap between that and practice can be vast.
Health attorneys call us because they need urgent help.

Often they struggle to be heard when trying to refuse treatment on behalf of the person they love.

In our blog we discuss the lack of support for attorneys and what we're doing to fill this gap 👇

compassionindying.org.uk/blog-post/re...
Resolving disputes: Health and welfare attorneys tell us they need more support
There are significant gaps in the support available to enable health attorneys to make decisions for the people they love.
compassionindying.org.uk
April 23, 2025 at 10:38 AM
Reposted by Usha Grieve
This is such an important point. We can't 'sort' dying just by investing in services (important though that is). We need to invest in community: its understanding, choices and agency.
There are many conversations happening now about improving dying.

They often focus on service design & resources.

What's sometimes missing is how, at the end of life, we don’t just need service change, we need culture change.

Read our blog👇
compassionindying.org.uk/blog-post/at...
At the end of life, we don’t just need service change, we need culture change.
How can we foster a societal shift where people and communities own dying, not healthcare services?
compassionindying.org.uk
March 19, 2025 at 9:10 PM
We need to make sure what comes out of the 10 year plan for end of life care includes a new focus on listening to and foregrounding the wishes of people.

👀 Some thoughts from me 👇
There are many conversations happening now about improving dying.

They often focus on service design & resources.

What's sometimes missing is how, at the end of life, we don’t just need service change, we need culture change.

Read our blog👇
compassionindying.org.uk/blog-post/at...
At the end of life, we don’t just need service change, we need culture change.
How can we foster a societal shift where people and communities own dying, not healthcare services?
compassionindying.org.uk
March 19, 2025 at 6:32 PM
Reposted by Usha Grieve
In 2023 my lovely former colleague, Pavi Brar, & I identified a gap – there was no space for those beginning their career in the VCSE sector to meet & grow together.

This acted as the catalyst for @nationalvoices.bsky.social's Next Generation Network.

www.nationalvoices.org.uk/project/nati...
National Voices’ Next Generation Network
National Voices’ Next Generation Network events are aimed at early career policy, communications and engagement professionals with an interest in health, care, and addressing inequalities.
www.nationalvoices.org.uk
March 18, 2025 at 12:02 PM
Reposted by Usha Grieve
New findings from @mariecurieuk.bsky.social @nuffieldtrust.bsky.social and Health Economics Unit make for an important read.

Current health spending for people in their last year of life is disproportionately distributed towards hospital care rather than primary and community care services.
‼️🗨️ New research finds that UK public expenditure for people in the last year of life across healthcare, social care and social security is in the region of £22 billion.

Here's a breakdown of what UK governments spend on people in their final year of life. 👇
February 5, 2025 at 11:24 AM
I agree with this wholeheartedly. We need both.
I have written a short piece in BMJ about why the debate about Friday's vote on the Assisted Dying Bill is smacking of medical paternalism - creating some false dichotomy between wanting better palliative care AND the right to a gentler death. We can have both, you know! www.bmj.com/content/387/...
Medical and political paternalism and the end of life
www.bmj.com
November 27, 2024 at 11:51 AM