Post on 11-Jan-2017
Purpose of Workshop
Development and Support to enhance the quality of end of life care
Share improvement proposal based on Transform Programme
Understand your initial requirements for support
AgendaTime Topic Speaker
14:00 Welcome Peter BlythinDirector of Nursing, NTDA
14:05Advance Care Planningprocess here at Brighton and Sussex University Hospital
David Howlett, Foundation Year 1 DoctorDilan Joshi, Medical StudentSarah French, Theatre SisterSherree Fagge, Chief NurseBrighton and Sussex University Hospital
14:20 Improvement Support
Jacquie McKennaDeputy Director of Nursing, TDADaljit AthwalNursing Fellow, TDAMaggie Morgan‐CookeLong Term Conditions, NHS IQ
14:55 Next StepsJacquie McKennaDeputy Director of Nursing, TDA
Advance Care Planning
process here at BSUH
Transforming End of Life Care in
Acute Hospitals Conference
18 November 2015
David Howlett Foundation Year 1 Doctor
Dilan Joshi Medical Student
Sarah French Theatre Sister
Sherree Fagge Chief Nurse
The Route to
success in end of
life care –
achieving quality in
acute hospitals
Transforming End
of Life Care in
Acute Hospitals
Five key enablers
1. Advance Care Planning process
2. ShareMyCare our Electronic Palliative
Care Coordination System (EPaCCS)
3. AMBER care bundle
4. Rapid Discharge Pathway for the dying
patient who would like to die at home
5. The Priorities of Care of the Dying Person
What are we doing?
Major focus at BSUH
for all staff on a
personal and professional level
Advance Care Planning
process
I didn’t want that video
(Dying Matters 2012)
Advance Care Planning in Kent,
Surrey and Sussex:
A Report and Recommendations
from the South East Coast Clinical
Senate
Five key enablers
1. Advance Care Planning process
2. ShareMyCare our Electronic Palliative
Care Coordination System (EPaCCS)
3. AMBER care bundle
4. Rapid Discharge Pathway for the dying
patient who would like to die at home
5. The Priorities of Care of the Dying Person
• Engagement & Networking
– End of Life Care Links for all clinical areas
• Education
– End of Life Care Education Series
– End of Life Care Study Days
– End of Life Care Link Workshops
– End of Life Care Newsletter
– End of Life Care Intranet Site
– End of Life Care Conference
Context• Identified Trusts assessed as inadequate or
requires improvement• Key national imperative• TDA working in collaboration with NHS England,
The National Council for Palliative Care and Macmillan
• Part of CQC eight core services inspected
CQC reports – positive themes• Caring and compassionate staff• Specialist team working
relationships• Communication with relatives
and patients
CQC reports – improvement themes
• Documentation – DNA CPR forms and personalised care plans• Leadership and strategy• Mental Capacity – assessments, DNA CPR, staff knowledge• EoLC Training• National guidance – post LPC• Identifying EoLC patients• Lack of measures re care and experience• Staffing levels –impacting opportunities• Incident reporting – inconsistencies, learning• Discharge of EoLC patients
The six ambitions for palliative and end of life care
1. Each person is seen as an individualI, and the people important to me, have opportunities to have honest, informed and timely conversations and to know that I might die soon. I am asked what matters most to me. Those who care for me know that and work with me to do what’s possible.2. Maximising comfort and wellbeingMy care is regularly reviewed and every effort is made for me to have the support, care and treatment that might be needed to help me to be as comfortable and as free from distress as possible3. Each person gets fair access to careI live in a society where I get good end of life care regardless of who I am, where I live or the circumstances of my life.
The six ambitions for palliative and end of life care
4. Care is coordinatedI get the right help at the right time from the right people. I have a team around me who know my needs and my plans and work together to help me achieve them. I can always reach someone who will listen and respond at any time of the day or night.5. All staff are prepared to careWherever I am, health and care staff bring empathy, skills and expertise and give me competent, confident and compassionate care.6. Each community is prepared to helpI live in a community where everybody recognises that we all have a role to play in supporting each other in times of crisis and loss. People are ready, willing and confident to have conversations about living and dying well and to support each other in emotional and practical ways
What support do you needConsider following 3 areas:1. What are the barriers you are facing which
get in the way of delivering high quality End of Life Care?
2. Where there is good practice in your Trust, what supports/facilitates this?
3. Where/what support do you need to improve?
Supporting You ‐ Plan• Year Long Improvement Programme – Transform• Rough timescales
‐ November 2015 to January 2016 – Diagnostics to understand Trust requirements
‐ February 2016 to March 2016 – Improvement Agreements‐ April 2016 to November 2016 – Implement and Evaluate
• Monthly telecon• Learning Webex Events• Trust Visits