Transcript Network End of Life Care Home Link Nurse

N.B
The powerpoint presentations included in this programme are for guidance
only and facilitators/educators have permission to use their own ensuring
the content and outcomes of the programme are met.
Disclaimer: It is the responsibility of the provider organisation
and those delivering the programme to ensure
educators/facilitators have the appropriate skills, knowledge
and competencies to deliver the programme and support the
organisations undertaking the programme.
Induction Workshop
Plan of session
• National, regional and local end of life care driving
forces
• Introduction to the Six Steps to Success Programme
• Developing and changing practice and the role of
audit
• What do you want to achieve through the
programme?
• Developing individual End of Life Care policies
• Moving forward
What’s driving us?
What is Palliative Care?
• An approach that improves the quality of
life of individuals and their families who
are facing the problems associated with a
life threatening illness, through the
prevention and relief of suffering by means
of early identification, impeccable
assessment and treatment of pain and
other problems; physical, psychosocial
and spiritual
(W.H.O. 2002)
End of life care is care that:
Helps all those with advance, progressive,
incurable illness to live as well as possible until
they die. It enables the supportive and palliative
care needs of both patient and family to be
identified and met throughout the last phase of
life and into bereavement. It includes
management of pain and other symptoms and
provision of psychological, social, spiritual and
practical support
NCPC 2010
6
End of Life Care Strategy 2008
4.39
“Good PCT’s working with local authorities will wish to commission
services from care homes where:
• Residents approaching the end of life are on an end of life care
register
• Each resident is offered a care plan, which clearly identifies their
needs and preferences for care
• Staff receive the training and support they need to provide end of
life care
• There is appropriate access to GP, District nursing and specialist
palliative care advice”
DOH, 2008, End of Life Care Strategy p95
North West Model
Quality Markers
Route to Success
Care Quality Commission
CQC – End of Life Essential Standards
Overview of the Six Steps to
Success Programme
• Induction workshop
• Six Steps to Success workshops
• Flexible supporting/continuing education
depending on needs of organisation, eg,
communication skills, Advance Care
Planning and End of Life Care
• Conclusion workshop
• Completion of a portfolio
• Continuation of support forum
Six Steps
• Step 1 Discussions as the end of life
approaches
• Step 2 Assessment, care planning and
review
• Step 3 Co-ordination of care
• Step 4 Delivery of high quality care
• Step 5 Care in the last days of life
• Step 6 Care after death
• *All underpinned by strong multiprofessional working*
Developing and changing practice
Change Management
...a systematic approach to dealing with change, both from the
perspective of an organization and on the individual
level...proactively addressing adapting to change, controlling change,
and effecting change.
(Case Western Reserve University)
The role of audit
What is audit?
An evaluation of a process
Why audit?
Audit is about improvement
The audit cycle
Three audits take place during the
programme
Quality Markers and Measures
Post Death Audit Information
Knowledge, Skills and Confidence