'Palliative and End of Life Care in the UK' - HFH Conference 2016 Keynote Address by Prof. Bee Wee (Presentation at HFH 2016 Conference)
•
1 gefällt mir•618 views
'Palliative and End of Life Care in the UK' - HFH Conference 2016 Keynote Address by Prof. Bee Wee (Presentation at HFH 2016 Conference)
Empfohlen
Empfohlen
Weitere ähnliche Inhalte
Was ist angesagt?
Was ist angesagt? (20)
Andere mochten auch
Andere mochten auch (20)
Ähnlich wie 'Palliative and End of Life Care in the UK' - HFH Conference 2016 Keynote Address by Prof. Bee Wee (Presentation at HFH 2016 Conference)
Ähnlich wie 'Palliative and End of Life Care in the UK' - HFH Conference 2016 Keynote Address by Prof. Bee Wee (Presentation at HFH 2016 Conference) (20)
Mehr von Irish Hospice Foundation
Mehr von Irish Hospice Foundation (20)
Kürzlich hochgeladen
Kürzlich hochgeladen (20)
'Palliative and End of Life Care in the UK' - HFH Conference 2016 Keynote Address by Prof. Bee Wee (Presentation at HFH 2016 Conference)
- 1. Compassionate Care at End of Life in Hospitals: Hospice Friendly Hospitals Conference: April 2016 Palliative and end of life care in the UK Professor Bee Wee National Clinical Director for End of Life Care, NHS England Consultant in Palliative Medicine, Oxford, UK
- 2. www.england.nhs.uk Context: NHS and social care Palliative and End of Life Care Focus on hospitals Reflections and lessons
- 3. www.england.nhs.uk DHParliament 10 Strategic Health Authorities 152 Primary Care Trusts CQC 3 NHS Trusts NHS Foundation trusts Monitor NHS TDA National improvement bodies, e.g. NEoLCP
- 5. www.england.nhs.uk • Health and wellbeing gap • Care and quality gap • Finance and efficiency gap
- 7. www.england.nhs.uk National End of Life Care Strategy 2008: ‘End of Life Care Pathway’ Step 2 Assessment, care planning and review Step 3 Coordination of care Step 4 Delivery of high quality services in different settings Step 5 Care in the last days of life Step 6 Care after death Discussions as the end of life approaches Step 1 Social care Spiritual care services Support for carers and families Information for patients and carers
- 8. www.england.nhs.uk The year of 2013 • Francis Report – Mid Staffs (Feb) • Health and Social Care Act (April) • Neuberger Report – Liverpool Care Pathway (July) 18/05/2016
- 18. www.england.nhs.uk ‘Transform Programme’ • Core enablers • Advance care planning • Electronic palliative care coordinating systems • Rapid discharge to home • AMBER care bundle • Care in last days of life • Quality improvement methodology • Central teams to support implementation
- 19. www.england.nhs.uk Programme Oversight Board Transforming EoLC in hospitals
- 20. www.england.nhs.uk Patient and Family Centred Care Select a care experience Establish a guiding council Evaluate current situation – through eyes of patients and families Develop PFCC care experience working group Creating shared vision through written ‘ideal experience’ Identify PFCC improvement projects and form project improvement teams http://www.kingsfund.org.uk/projects/pfcc https://www.pointofcarefoundation.org.uk/our-work/patient-family-centred-care/
- 21. www.england.nhs.uk Prods Proactive support Speed up improvem ents People focused Adapted from: Allcock et al Constructive comfort: accelerating change in the NHS Health Foundation, Feb 2015 CQC Inspection National audit Incentives Improvement strategy & support Sharing ‘best’ practice Buddies and peer systems Education & training CPD Contracts & welfare
- 22. www.england.nhs.uk Reflections and lessons • Terminology – semantics and unintended consequences • Specialist palliative care teams and generalist teams – roles different but interdependent • Risks of over simplistic reliance on tick boxes: provides a ‘cloak’ for whom? • Need to understand what is artefact and what is beneath the surface of any experience or intervention • Measuring what really matters not just what’s measurable