Key Challenges in Implementing the 5 Priorities of Care. Monday 30 th March 2015 Cedar Court Wakefield

Transcription

1 Key Challenges in Implementing the 5 Priorities of Care Monday 30 th March 2015 Cedar Court Wakefield

2 The Five Priorities for Care National Update (Bee Wee s slides adapted) Suzanne Kite 30 March 2015

3 One Chance to Get it Right Sets out five new priorities for care to help dying people and those important to them understand what care in the last days and hours of life should be like. The priorities promote a culture of compassion that puts people and their families at the centre of decisions about their treatment and care. They also underline the importance of sensitive and effective communication between staff and the person who is dying and those important to them.

4 The Five Priorities for Care The possibility that a person may die within the next few days or hours is recognised and communicated clearly, decisions made and actions taken in accordance with the person s needs and wishes, and these are regularly reviewed and decisions revised accordingly. Sensitive communication takes place between staff and the dying person, and those identified as important to them. The dying person, and those identified as important to them, are involved in decisions about treatment and care to the extent that the dying person wants. The needs of families and others identified as important to the dying person are actively explored, respected and met as far as possible. An individual plan of care, which includes food and drink, symptom control and psychological, social and spiritual support, is agreed, coordinated and delivered with compassion.

5 05/05/2015

6 National Audit 2015 End of Life Care Audit: Dying in Hospital (to be confirmed) Adults 18 years or above - who died in hospital and had been under the care of the hospital trust for 4 or more hours prior to death: during May 2015 Domains for clinical tool organised around Priorities for Care Broad timescales Pilot: April 2015 Organisational audit data collection period : July 2015 Clinical audit data collection period: July Sept 2015 Individual site reports available to participants : Feb/Mar 2016 National report published: Mar 2016

7 Education and training e-elca: Updating of content (APM) New platform for e-lfh: 8 am: Tues 24th March Core sessions for PfC Self assessment tool and mapped sessions for PfC HEE Review efficacy of all types of published resources, core programmes and practice developed for educating and training healthcare professionals on care for the dying (contact: saminamalik@nhs.net)

8 NHS Standard Contract Must be used by CCGs and NHS England for all their clinical services contracts, with the exception of those for primary care services. Published: 17 th Mar 2015 Includes requirement to have regard to guidance on Care of Dying People, following publication of One Chance to Get it Right: improving people s experience of care in the last few days and hours of life SC34 Care of Dying People and Death of a Service User 34.1 The Provider must have regard to Guidance on Care of Dying People The Provider must maintain and operate a Death of a Service User Policy.

9 NHS Choices In 2014, NHS England published Actions for End of Life Care One action we have committed to is: Update and improve the range and quality of information about palliative and end of life care provided on NHS Choices about care, treatment and support options, including advance care planning. By June This action comes under the Engaged, informed individuals and carers the left hand wall of the house of care model. A while a go we asked for volunteers to form a steering group to review the content of EoLC on the Choices website - to highlight gaps and areas for refresh/development. First meeting held in February where we discussed options; limitations (wider transformation of Choices) and ideas to improve the current content. Also discussed opportunities for including case studies and ensuring partners are linking to the Choices website. NHS Choices are pulling together a report, outlining the proposed changes and updates based on the groups feedback I will circulate the report to this group and there will be an opportunity for you all to comment /make further suggestions. 05/05/2015

10 Other updates from Actions for EoLC VOICES-SF consultation Palliative Care Clinical Data Set pilot during Palliative care development currency testing during EoLC Commissioning Toolkit Developing the Ambitions for End of Life Care 05/05/2015

11 Publications Resuscitation Council: Implanted cardiac devices To come: Care after death (Hospice UK) When someone close to you is dying (NCPC) MDS report? Parliamentary and Health Services Ombudsman Ambitions for End of Life Care 05/05/2015

12 One year on report, One Chance to Get It Right High level summary of progress made by NHSE, HEE, NHSIQ, GMC etc Incorporating local learning on implementation, problems, barriers, best examples

13 Five Priorities for Care How are you doing? How are you evaluating? Who is your Trust lead?

14 Themes from discussion Focus on approach rather than form Regional vs provider-based documentation Relationship with LETBs (eg HEYH) Difficulties of releasing staff for training How to change behaviours, create culture change care of the patient who is ill enough that they might die (NW) Role of improvement methodologies

15 Key Challenges in Implementing the 5 Priorities of Care Monday 30 th March 2015 Cedar Court Wakefield