Developing a new approach to palliative care funding

March 10, 2015

Source: NHS England

Follow this link for the full report

Date of publication: March 2015

Publication type: Report

In a nutshell: NHS England has produced a development currency for palliative care which focuses on patient need. The aim of the work is to provide a transparent basis for palliative care commissioning.

Length of publication: 35p.

Acknowledgement: Primary Care Commissioning


Transforming Cancer and End of Life Care

August 11, 2014

Source: Staffordshire Cancer and End of Life Care

Follow this link for the website

Date of publication: July 2014

Publication type: Website

In a nutshell: The Transforming Cancer and End of Life Care Programme is a new and pioneering programme to transform the way people with cancer or those at the end of their life are cared for and supported in Staffordshire and Stoke-on-Trent. Macmillan Cancer Support is working with four Clinical Commissioning Groups (CCGs), local authorities and NHS England.

 


Commissioning home care for older people

July 9, 2014

Source: Social Care Institute for Excellence

Follow this link for website

Date of publication: June 2014

Publication type: Guidelines

In a nutshell: This guide captures the latest research findings on this important and emerging area of social care. It also provides some practice examples of good work in this area. The guide is aimed at health and social care commissioners of home care services for older people with complex needs.

Length of publication: 40 pages

 


A whole system approach to improving acute end of life care: Case study – University Hospital Southampton NHS FT

July 9, 2014

Source: NHS Improving Quality

Follow this link for the full report

Date of publication: June 2014

Publication type: Case study

In a nutshell:  University Hospital Southampton NHS Foundation Trust, one of England’s largest Trusts, includes an inpatient NHS hospice, community specialist palliative care team, day care and  day case services, acute hospital palliative care team, bereavement service and education. The Transform Programme enabled the Trust to bring together a continual programme of quality improvement, building on the 2008 End of Life Care Strategy

Length of publication: 2 pages

 


Transforming end of life care in acute hospitals

July 9, 2014

Source: NHS Improving Quality

Follow this link for the website

Date of publication: June 2014

Publication type: Website

In a nutshell: The Transform Programme aims to improve the quality of end of life care in hospitals across England, enabling more people to be supported to live and die well in their preferred place.

The programme encourages hospital Trusts to develop a strategic approach to reaching their aim to improve quality of care. This includes:

– The involvement of of patients, carers and the public

– Developing staff skills, competencies and confidence through education and development

– Quality assurance, measurement and evaluation

The Transform Programme aims to improve the quality of end of life care within acute hospitals across England, enabling more people to be supported to live and die well in their preferred place.

The programme focuses on both the quality of care provided by acute hospitals, as well as the important role acute hospitals have, as one of many organisations that may provide care for people who are approaching end of life. End of life care includes care for people in their last years, months and days of life as well as care after death.

– See more at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/end-of-life-care/acute-hospital-care.aspx#sthash.FdEV1IAF.dpuf

 

The Transform Programme aims to improve the quality of end of life care within acute hospitals across England, enabling more people to be supported to live and die well in their preferred place.

The programme focuses on both the quality of care provided by acute hospitals, as well as the important role acute hospitals have, as one of many organisations that may provide care for people who are approaching end of life. End of life care includes care for people in their last years, months and days of life as well as care after death.

– See more at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/end-of-life-care/acute-hospital-care.aspx#sthash.FdEV1IAF.dpuf

 

The Transform Programme aims to improve the quality of end of life care within acute hospitals across England, enabling more people to be supported to live and die well in their preferred place.

The programme focuses on both the quality of care provided by acute hospitals, as well as the important role acute hospitals have, as one of many organisations that may provide care for people who are approaching end of life. End of life care includes care for people in their last years, months and days of life as well as care after death.

– See more at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/end-of-life-care/acute-hospital-care.aspx#sthash.FdEV1IAF.dpu

The Transform Programme aims to improve the quality of end of life care within acute hospitals across England, enabling more people to be supported to live and die well in their preferred place.

The programme focuses on both the quality of care provided by acute hospitals, as well as the important role acute hospitals have, as one of many organisations that may provide care for people who are approaching end of life. End of life care includes care for people in their last years, months and days of life as well as care after death.

– See more at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care/end-of-life-care/acute-hospital-care.aspx#sthash.FdEV1IAF.dpuf

 


Future needs and preferences for hospice care: challenges and opportunities for hospices

May 22, 2013

Source: Help the Hospices Commission

Follow this link for the report

Date of publication:April 2013

Publication type: Report

In a nutshell: This report considers how hospices need to develop over the next three to five years to be prepared for the challenges facing them in the future, challenges including building new partnerships and developing stronger business acumen to working more closely with care home and doing more to value carers.

Length of publication: 57p


Improving end of life care through early recognition of need: Exploring the potential for using predictive modelling in identifying end of life care needs

March 4, 2013

Source: National End of Life Care Programme

Follow this link for to download the report

Date of publication: February 2013

Publication type: Report

In a nutshell: Predictive modelling involves the interrogation of datasets to inform professional judgement about potential needs. It is hoped that the findings of this report will be used to enable commissioners and providers of services to better understand and meet people’s end of life care preferences and wishes, supporting more people to live and die well in their preferred place.

Length of publication: 31p.

 


New report looks at the role of local authorities in end of life care

December 21, 2012

Source: LGiU – Local Government Information Unit

Follow this link to download the full report

Date of publication: November 2012

Publication type: Report

In a nutshell: The Local Government Information Unit (LGiU) has published a report into end of life care provision within local authorities. The report is based on findings from a national online survey, which received 135 responses and indicated that:

  • 60 per cent of respondents thought that their existing end of life care arrangements would not be sufficient in future.
  • Four out of 10 respondents thought that Health and Wellbeing Boards should lead on end of life care in future. However, only three out of 10 said that their shadow Health and Wellbeing Boards had identified end of life care as a priority.
  • 40 per cent of respondents reported that their authority had a lead officer for end of life care. Just over half had a local plan for end of life care, either on their own, or jointly with health.
  • 60 per cent of respondents said that their authority intended to develop their role in promoting better end of life care.

Length of publication: 17p.

Acknowledgement: National End of Life Care Programme


What about end of life care? Mapping England’s Health & Wellbeing Boards’ vision for dying people

December 21, 2012

Source: National Council for Palliative Care

Follow this link for the full-text report

Date of publication: November 2012

Publication type: Report

In a nutshell: This report calls on Health and Wellbeing Boards to join up support for people approaching the end of life, based on research from September-October 2012, in which the boards’ emerging strategies were reviewed by NCPC.  NCPC have produced a What about end of life care? Action Sheet to help boards consider end of life care and support – visit www.ncpc.org.uk/influencing-toolkit for more information.

Length of publication: 8 pages


Leeds Strategic Framework for Adult Palliative and End of Life Care 2010 – 2015

October 26, 2012

Source: Leeds Community Healthcare

Follow this link to download the report

Date of publication: October 2012

Publication type: Trust report

In a nutshell: The new Leeds Strategic Framework for Adult Palliative and End of Life Care 2010-2015 provides a clear direction for developing and improving palliative care and end of life services, across the city, during the five years 2010 – 2015.  The aspiration for Leeds is to increase the percentage of patients who are cared for and die in their preferred place of care. This will mean reducing the number of deaths in a hospital setting, and increasing those at home.

Length of publication: 13p.

 


Reviewing end of life care costing information to inform the QIPP End of Life Care Workstream

October 24, 2012

Source: National End of Life Care Programme

Follow this link for the full report

Date of publication: September 2012

Publication type: Report

In a nutshell: This report set out to gather the current, available information on costing end of life care to inform a more robust steer for the potential costs and savings that the EoLC national programme can utilise as a framework for the QIPP activities for 2012/13 and beyond. Available evidence was examined to address the following three questions?:

– What learning has there been, especially in the last two years?
– What does this tell us?
– What is there that can be extrapolated into the national arena?

57 documents were analysed and from the findings the following recommendations were made:

1. Focused modelling work on acute and community EOLC costs

2. Continued efforts to improve data quality

3. Addressing concerns about ‘strategic disinvestment’

Length of publication: 35p.

 


Evaluation of an admission and discharge programme at a UK specialist palliative day hospice

October 3, 2012

Source: International Journal of Palliative Nursing 2012 v.18(6) p275-81

Follow this link to download the article

Date of publication: June 2012

Publication type: Article

In a nutshell: This paper reports on a system of managing admissions and discharges from a specialist palliative day hospice (SPDH) in the south of England. SPDH is a well established component of palliative care provision in the UK, but studies have rarely addressed issues around admission and discharge. The most significant finding from this study was the emotional and psychological impact on the patients of taking the break. Discharge from SPDH is known to be a difficult and sensitive issue, especially when patients are living with life-limiting illnesses that can change quickly. The patients in this study all had some form of dependency on the service and four of the five would have chosen to continue attending if they could.They experienced deterioration in psychological and physical wellbeing during the period in which they did not attend.

Length of publication: 7 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library


Is an advance care planning model feasible in community palliative care? A multi-site action research approach

July 27, 2012

Source: Journal of Advanced Nursing 2012

Follow this link for the abstract

Date of publication: September 2012

Publication type: Article

In a nutshell: This article reports a study to determine the feasibility of an advance care planning model developed with Australian community palliative care services. The article concludes that an advance care planning model is feasible for community palliative care services. Quality audit processes are an essential component of the Model with documentation of advance care planning discussion established as an important outcome measure.

Length of publication: 13 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Developing competencies and training to enable senior nurses to take on full responsibility for DNACPR processes.

June 28, 2012

Source: International Journal of Palliative Nursing

Follow this link for full-text

Date of publication: April 2012

Publication type: Article

In a nutshell: This paper describes how South Central Strategic Health Authority (SHA) in the UK underwent a process of agreeing a competency framework and devising an accompanying training course to enable senior nurses to be decision makers and signatories for DNACPR forms. The competencies that were agreed are presented, along with an exploration of the benefits of nurses completing DNACPR forms, including a costing of apparent financial benefits.

Length of publication: 7 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library