Improving health service support for family carers during end-of-life care: implementing a Carer Support Needs Assessment Tool Intervention (CSNAT-I) and principles for organisation change

Impact: Health and wellbeing


Family carers provide essential end-of-life care worldwide, with detrimental consequences to their health. In the UK approximately 500,000 provide such care annually, with 83% suffering significant mental health impact. The University of Manchester, in collaboration with the University of Cambridge, developed and trialled an effective, evidence-based intervention (CSNAT-I) that improves carer health, a CSNAT-I training programme, and provided national recommendations for organisational implementation of carer support. UK and worldwide the research team trained over 830 healthcare practitioners in CSNAT-I. 85 healthcare organisations across the UK and 83 organisations across 11 other nations use CSNAT-I, benefitting up to 120,000 carers. NHS England’s carer Masterclass for general practice and Hospice UK’s carer strategy are based on CSNAT-I and the group’s recommendations. CSNAT-I is currently being rolled out within a structured implementation strategy across Norway and Alberta Province, Canada.
Impact dateAug 2013Jul 2020
Category of impactHealth and wellbeing
Impact levelAdoption