TO DISCOVER, TO DISCUSS, TO DEVELOP

FRIDAY 4TH JULY 2008

WELCOME

TO DISCOVER, TO DISCUSS TO DISCOVER, TO DISCUSS TO DEVELOPTO DEVELOP

FRIDAY 4FRIDAY 4THTH JULY 2008 JULY 2008

Rosaleen BawnRosaleen Bawn

Macmillan Clinical Nurse SpecialistMacmillan Clinical Nurse Specialist

Nursing HomesNursing Homes

IntroductionIntroduction

What has been discovered, discussed and What has been discovered, discussed and developeddeveloped– TeamTeam– EducationEducation– CommunicationCommunication– Gold standards frameworkGold standards framework– Integrated care pathwayIntegrated care pathway– Future Future

Team Team

Working part time!Working part time! Team has expandedTeam has expanded Role division – changes in PCTRole division – changes in PCT SecretarySecretary

Education (1)Education (1)

Three rolling programmes completedThree rolling programmes completed– Numbers attended = 374 Numbers attended = 374

In house education – 15 subjectsIn house education – 15 subjects– Numbers attended = 177Numbers attended = 177

Working with audit department to complete Working with audit department to complete audit of educationaudit of education

Audit of Education ProgrammesAudit of Education Programmes

Outcomes: (questionnaires received = 42)Outcomes: (questionnaires received = 42)

– 95% respondents had attended palliative care 95% respondents had attended palliative care education with the last 12 monthseducation with the last 12 months

– 85% of those had attended the Nursing Home 85% of those had attended the Nursing Home programmesprogrammes

– 37.5% of respondents had attended in own time37.5% of respondents had attended in own time

Audit of Education ProgrammesAudit of Education Programmes

Have any of the education sessions Have any of the education sessions changed your thinking/ practice?changed your thinking/ practice?

  Yes = 36 – 90% Yes = 36 – 90% No = 3 – 7.5% No = 3 – 7.5% Blank =1 – 2.5%Blank =1 – 2.5%

- 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0

% found thinking/ practice has changed

Yes

No

Blank

Changed thinking/ practice?

Blank

No

Yes

Audit of education programmesAudit of education programmes

Themes identifiedThemes identified– ConfidenceConfidence

– Greater understanding of palliative care principlesGreater understanding of palliative care principles

– Gold standards framework – working towardsGold standards framework – working towards

– Breaking bad news, communication, depressionBreaking bad news, communication, depression

– Symptom managementSymptom management» PainPain

» BreathlessnessBreathlessness

» Mouth careMouth care

Audit of education programmesAudit of education programmes

Comments – actions for the futureComments – actions for the future– ““in house training can be used as part of induction”in house training can be used as part of induction”

– ““following education we are now working closer with the following education we are now working closer with the physio”physio”

– ““education has made me more interested in palliative care education has made me more interested in palliative care and I am undertaking Cert in Palliative Care”and I am undertaking Cert in Palliative Care”

– This has been a valuable resource and through discussion This has been a valuable resource and through discussion and attending education our practice is much improved”and attending education our practice is much improved”

Education (2)Education (2)

Follow up from last years conference(s) a role Follow up from last years conference(s) a role exchange programme will commence in Augustexchange programme will commence in August

Collaborative working with Kirkwood Hospice to Collaborative working with Kirkwood Hospice to deliver syringe driver training in housedeliver syringe driver training in house

Link Nurse Group – continueLink Nurse Group – continue

Mangers’ Forum – occasional difficulty sustaining Mangers’ Forum – occasional difficulty sustaining groupsgroups

Local, regional and national presentationsLocal, regional and national presentations

Communication Communication

Newsletter – continue quarterlyNewsletter – continue quarterly Website – recently updatedWebsite – recently updated DirectoriesDirectories PCTs – communication teamPCTs – communication team Local Press – encourage the promotion of Local Press – encourage the promotion of

work carried out in nursing homeswork carried out in nursing homes

Gold Standards FrameworkGold Standards Framework

Seven homes successful in gaining accreditation – Seven homes successful in gaining accreditation – produce portfolio of evidence that demonstrated produce portfolio of evidence that demonstrated GSF is embedded into practiceGSF is embedded into practice

Following discussion at last years conference the Following discussion at last years conference the GSF programme has been commissioned to be GSF programme has been commissioned to be delivered locallydelivered locally

20 homes have commenced the programme – 2 20 homes have commenced the programme – 2 workshops and support meeting completeworkshops and support meeting complete

Gold Standards FrameworkGold Standards Framework

Have become an accredited visitor for the national Have become an accredited visitor for the national teamteam

OMEGA – OMEGA –

the National Association for End of Life Care is a the National Association for End of Life Care is a newly formed charity aiming to promote newly formed charity aiming to promote excellence in care for people nearing the end of excellence in care for people nearing the end of the their lives. It developed from and is closely the their lives. It developed from and is closely aligned with the work of the National GSF teamaligned with the work of the National GSF team

Integrated Care PathwayIntegrated Care Pathway

Moving forward with ICP – Julie to present Moving forward with ICP – Julie to present this afternoonthis afternoon

Long awaited and many care homes eager Long awaited and many care homes eager to use this documentto use this document

Future (1)Future (1)

Develop further education programmesDevelop further education programmes» In houseIn house» Role exchange programmeRole exchange programme

GSFGSF» Further accreditationsFurther accreditations» Further programmes – already interestFurther programmes – already interest» Agreed funding for the next GSF programmeAgreed funding for the next GSF programme» Working with National Team / PCT / SHA / Working with National Team / PCT / SHA /

UniversityUniversity

ICPICP

Future (2)Future (2)

Working with long term conditions groupsWorking with long term conditions groups Working with PCTs re: DNAR and Working with PCTs re: DNAR and

Verification of deathVerification of death Continue to discover, to discuss and to Continue to discover, to discuss and to

developdevelop HOLIDAY! HOLIDAY!

THANK YOU