THE HOSPICE FRIENDLY HOSPITALS PROGRAMME IN THE SAOLTA UNIVERSITY HEALTHCARE GROUP

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1 THE HOSPICE FRIENDLY HOSPITALS PROGRAMME IN THE SAOLTA UNIVERSITY HEALTHCARE GROUP D R E I L E E N M A N N I O N C O N S U L T A N T I N P A L L I A T I V E M E D I C I N E G A L W A Y U N I V E R S I T Y H O S P I T A L S R O S C O M M O N U N I V E R S I T Y H O S P I T A L G A L W A Y H O S P I C E F O U N D A T I O N

2 Consultant in Palliative Medicine - 3 days / week in GUH - 1 day/week Galway Hospice Foundation - 1 day / week Roscommon County Hospital / Roscommon Home Care Team

3 What is our brief... The Clinical Care Programme HSE Palliative Care Operational Plan 2015 Key Priorities Ensure effective and timely access to palliative care services Ensure integrated palliative care structures are in place Ensure quality improvement in palliative care services

4 Challenges Management of increasing workload on all sites - changing landscape in oncology : - integration of palliative care earlier in disease - Patients living longer with advanced disease - new treatment strategies Targeted Therapies -? Role for Palliative Care for Cancer Survivors

5 Increase in Non Malignant Referrals - Dementia - End Stage Respiratory Disease - End Stage Heart Failure - End Stage Kidney Disease

6 SAOLTA UNIVERSITY HEALTHCARE GROUP JANUARY 2012 : Galway and Roscommon University Hospitals Group JULY 2013 : West / North West Hospitals Group - Galway University Hospitals - Portiuncula University Hospital - Roscommon University Hospital - Mayo University Hospital - Sligo University hospital - Letterkenny University Hospital Academic Partner : NUI Galway

7 SAOLTA UNIVERSITY HEALTH CARE GROUP 1,770 Beds 7,620 Staff 600 million euro budget

8 ACTIVITY TABLE FOR SAOLTA GROUP CATEGORY BIRTHS 10,253 9,553 DAY CASES 158, ,892 ED ATTENDANCES 195, ,080 ED ADMISSIONS 55,639 57,214 INPATIENTS 110, ,254 OUT PATIENTS 513, ,024

9 INPATIENT DEATHS IN SAOLTA GROUP 2013 HOSPITAL IN PT DEATHS 2013 UHG & Merlin Park 562 Mayo University Hospital 376 Sligo University Hospital 276 Letterkenny University Hospital 271 Portiuncla University Hospital 216 Roscommon University Hospital 72 Additional Deaths (Deaths outside hospital that are brought to hospital/ people who present at ED and die there) 408

10 Galway University Hospitals Linked with HFH since 2010 EOLC Committee with subcommittee for maternity unit EOL Symbol, Candles, Collars, Bags and Altars all in use Keen participation of staff in Final Journeys and Breaking Bad News workshops. Bereavement and Breaking Bad News booklets

11 Annual Ecumenical Service Design & Dignity Projects St Monica s Gynaecology Ward received grant to create a patient en suite bedroom for care of women experiencing pregnancy loss and gynaecology patients approaching end of life. Refurbishment of family rooms in St Anthony s and St Mary s medical wards. Refurbishment of Mortuary.

12 Plan for End- Of -Life Care Coordinator for SAOLTA Group in 2016

13 Portiuncula University Hospital EOLC Committee now established Maternity & Neonatal Committee in place led by Dr Kevin Connolly Funding for EOL symbols from Nursing & Midwifery Unit 1st Final Journeys this month

14 Design & Dignity Projects IHF Funding awarded early 2015 for family room and garden EOLC Committee plan to form subgroup to refurbish mortuary.

15 Roscommon University Hospital EOLC Committee in place Final Journeys well established - to date 45 staff have undertaken programme Design & Dignity Projects IHF funding for Mortuary & Family Room Refurbishment

16 Mayo University Hospital EOLC Committee in place EOL Symbol, Altars, Drapes in use Final Journeys coordinated through the CNME Design & Dignity Projects IHF funding for refurbishment of Family Room and ward reception completed 2014 Plan to refurbish mortuary

17 Sligo University Hospital EOLC Committee established 2007 CNM3 EOLC Coordinator in place since Jan 2015 Sligo Hospital participated in the End-of-Life Care National Audit in 2008/9 and Audit & Review Project 2012/13.Involved all staff who cared for patients. Also involved a bereaved relatives survey.

18 Final Journeys training programme well established but continuing to strive to increase staff participation EOLC hope to address deficits noted in medical education / training relating to death notification/post mortems/cremations. Design & Dignity Projects IHF funding for refurbishment of Mortuary.

19 Initiative nominated for SAOLTA CEO Award - Keepsake Tapestries for Bereaved Parents

20 Letterkenny University Hospital EOLC Committee established 2007 HFH Quality Standards incorporated into all clinical care programmes End-Of-Life Care Development Coordinator Participated in 2008/9 National Audit of End-of- Life Care

21 Final Journeys coordinated through CNME Group - keen participation from Letterkenny Hospital staff and staff from 11 Community Hospitals. - Alt Na Gelvin Hospital, Derry, adopted Final Journeys Breaking Bad News workshops facilitated for Medical and nursing staff.

22 Thanks to all for update and feedback from your hospital for this presentation. Special thanks to everyone participating in the HFH Programme to ensure it s ongoing success.

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