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to the way most people appear to avoid speaking of death and the way that bereavement has, all too frequently, been ignored in the health and social care professions.

7.

Despite the publication by the Scottish Health Service Advisory

Council (1991) of “Everybody’s death should matter to somebody”, offering guidance on care of the dying and those who have been bereaved in Scotland, little evidence exists to suggest that care of those who have been bereaved developed to any great extent within healthcare, other than in the specific areas of specialist palliative care and in a number of

localised services, particularly around baby and child death.

8.

In 2005, in response to a range of significant developments in

health care, such as increasing public involvement, extensions of palliative care into non-cancer services, tissue and organ retention and increasing emphasis on meeting spiritual care needs, the then Scottish Executive Health Department, along with NHS Education for Scotland and NHS Quality Improvement Scotland commissioned studies on bereavement care in Scotland. That work carried out by a team from the Joanna Briggs Institute Collaborating Centre based at the Robert Gordon University in Aberdeen, consisted of a systematic literature review on bereavement and bereavement care (Wimpenny et al 2006), followed by a mapping exercise

which explored the practice of Scotland (Stephen et al 2006).

bereavement The literature

care being delivered in review identified 13 key

messages.

The

mapping

exercise

sought

to

combine

the

key

messages

into recommendations for implied a need to re-shape

action.

It is these recommendations, which

bereavement care, which underpin the present

document.

9.

One of the recommendations in the mapping exercise (Stephen et

al 2006) was the development of a national framework which would bring together the significant level of identified expertise, knowledge and

experience and harness this with the

“genuine groundswell of support for the opinion that change was necessary across all sectors to improve bereavement care provision.”

Shaping Bereavement Care 9

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