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End of Life Care pages

National End of Life Care Programme

The National End of Life Care Programme selected 12 pilot sites across England to explore the communication skills in the health and social care workforce. The final project report- Talking about end of life care: right conversations, right people, right time has been published. The report highlights the achievements of the pilot sites, identifies good practice and the collective learning from the project. The report is particularly relevant for all those that are engaged in commissioning education and training or services for end of life care and for those that deliver education and training or care. It will also be of interest to other groups involved in end of life care or workforce development. Please find below a link to the final project report:

http://www.endoflifecareforadults.nhs.uk/publications/talking-about-eolc

Regional Event: November 23rd 2010 
"Meeting the Quality and Productivity Challenge in End of Life Care"

  • Presentations are avaiable to download at the bottom of this page from 29th November 2010.

  • You will also find important internet links and emails throughout the page. If you want to share an idea or peice of work please [click here] to email Mark, Project Lead at NHS East Midlands [markhipkiss@nhs.net] We will then set up a further page.

On November 23rd 2010 NHS East Midlands, in conjunction with the National Programme for End of Life Care hosted our "Meeting the Quality and Productivity Challenge in End of Life Care" event. The day proved to be very productive and successful with over 200 delegates attending and contributing towards our regional Towards Excellence End of Life Care priorities. A wide range of staff contributed during the day from a number of health, social care and 3rd sector organisations.

Much work is happening to develop End of life Care at a National, Regional and local level, and a key aim of the day was to raise awareness and enhance engagement with regards to this work whilst also asking the question “how do we pick up pace over the next 3-4 months?”

A number of table-top workshops took place, each one focussing on a regional priority for End Of Life Care and encouraging delegates to share thoughts, ideas and solutions to the quality and productivity challenges across care.

The day also provided the valuable opportunity to ask delegates to consider and respond to the question  “What can you do on a personal and professional level to support our priorities and make sustained change happen?”

  • Topics covered in workshops were

  • Unified Do Not Attempt Cardio-Pulmonary Resuscitation

  • Awareness Raising: Helping to tackle the stigma and fear of death, dying and bereavement

  • The voluntary and private sectors: Getting them involved so they can help “sell” the message for our region and ensure we work together

  • Important Choices; where to die when the time comes. High Impact Actions for Nursing

  • Breaking through organisational boundaries and working together to further develop End of Life Care

  • Developing and measuring quality outcomes in End Of Life Care

  • Increasing the number of people identified on GP palliative care registers

  • The voluntary and private sectors: Getting them involved so they can help “sell” the message for our region and ensure we work together

  • Workforce Initiatives in End of Life Care, Getting the right skills in the right place

 

During the day a number of focus groups happened as part of the initial scoping for our regional awareness campaign to raise awareness of and see active engagement in discussion around death, dying and bereavement amongst health and social care staff and their personal networks to encourage and facilitate open conversations and documented wishes around death, dying and bereavement by March 2011.

We are also beginning to develop a staff awareness campaign around the perceived fear and stigma associated with talking about dying, death  and bereavement. In relation to this, the day provided a valuable starting point to deliver focus groups with a key number of staff to develop our future campaign. We also utilised the day as an opportunity to video staff talking about their views on the subject and we intend to utilise and share the resulting clips that come from this work across the East Midlands.

The day contained a number of of other presentations and workshops including:

  •  Film: "The View From the Street "(Modernisation Initiaitve) [Click here to view the film]

  • The National QIPP Context and the New Social Care Framework

  • What's In Our Regional QIPP plan for the East Midlands?

  • Dying Matters, Talking About Dying

  • The AMBER Care Bundle Pilots In the Region

  • Film: "Party For Kath" [Click here to view the film]


Are you interested in supporting work happening across the region in relation to unified Do Not Attempt Cardio-Pulmonary Rescusctation?

We also utilised the day to consult on our progress to develop unified regional principles for DNACPR. If you would like to learn more about this then please [click here]  to visit the UDNACPR page and give us feedback on proposed documents or read our Terms Of Reference and minutes of meetings.


Are you interested in supporting work happening across the region to help people become more open about death and dying and for people to find it easier to talk about?

It is a regional aim of the NHS for the public to become more open about death and dying and for people to find it easier to talk about. NHS East Midlands has commissioned an innovative social marketing project which is focussing on health and social care staff in their personal capacity to:

      • Talk to their personal networks about planning for a good death

      • Plan and discuss their own EOLC plans

      • Encourage their friends & family to make and discuss their EOL plans.

 

The project is currently in its research and scoping phase, working on finding out how to engage with health and social care staff personally, but reaching them while at work.


 

Do you want to know more or talk to someone about End of Life Care and education?

www.mylearningspace.me.uk

    • Here you will find free elearning, resources, information and support. This site can be viewed from any computer with internet access (including home PCs). It is completly free to use the site.

 

www.skillsforcare.org.uk

    • Skills for Care is the employer led authority on the training standards and development needs of nearly one million social care staff in England providing over £25 million in funding to support improved training and qualifications for managers and staff.

    • We work with social care employers and training providers both regionally and nationally to establish the necessary standards and qualifications that equip social care workers with the skills needed to deliver an improved standard of care.

    • Christine Collymore at Skills For Care offerred support to anyone on the day who wanted to talk through education. [Click here] to email Christine



www.educationforhealth.org

    • Education for Health is the UK’s leading education charity for health professionals working with patients with long term conditions and our education has been shown to measurably improve services and health outcomes. We believe that education should be at the heart of service improvement and not as an add on.
      We find ourselves being asked to set the standard for effective education and asked to partner with health organisations across the globe to pioneer best practice learning experiences to materially and substantially benefit patient care. We would welcome any opportunity to share this unique information, knowledge and expertise.
    • Historically our distance learning programmes have been paper based but in 2010 we have harnessed the enormous potential of the internet and digital technologies by developing dynamic, interactive e-learning programmes.
      Our educational programmes are run throughout the UK and internationally and are accredited by the Open University
    • Please feel free to contact Kate Bould, Customer Account Lead T: 01926 838978 [Click here] to email Kate

 

NHS East Midlands Eduction Commissioning

    • Maggie Hunter, NHS East Midlands Eduction Commissioning Manager offerred support to anyone on the day who wanted to talk through End of Life Care and eduction. [Click here] to email Maggie

 

Core Competences for End of Life Care

Core competencies for End of Life Care were developed jointly by Skills for Health and Skills for Care, in consultation with practitioners across the UK.  National Occupational Standards, or competences, apply across the NHS, local authorities, and the private and voluntary sector across health and social care, and are developed in partnership with employers, professional bodies, education providers, patient groups, service users and other stakeholders.  They can be used to:

    • Specify learning outcomes when commissioning education and training

    • Develop consistent practice both within teams and across agencies

    • As a tool for performance management

 

[Click here]  for more information

 

e-learning Modules for End of Life Care

A number of high quality e-learning modules for End of Life Care have recently been made available to support the implementation of the Department of Health’s national End of Life Care Strategy. This elearning programme (e-ELCA) aims to enhance the training and education of all those involved in delivering End of Life Care, so that well-informed high quality care can be delivered by confident and competent staff, across health and social care, wherever the patient happens to be.

The successful implementation of an education strategy for End of Life Care is reliant on a blended approach to practice based learning which includes access to the e-learning commissioned by the Department of Health. This is being made accessible to NHS staff via the ESR National Learning Management System (NLMS).  NLMS allows Trusts to monitor and record elearning activity against an employees personal HR record.

A phased roll-out of this elearning across the East Midlands is being supported by the regional NLMS Account Manager, Jamie Harwood, by November 2010 over 50% of the Trusts in the East Midlands had engaged in the NLMS project.   If you wish to discuss access to e-ELCA content please contact your L&D Manager or Jamie Harwood who will direct you to the NLMS lead within your organisation.”

 [Click here]  to email Jamie Harwood or call him on mobile: 07971 472568


 

Regional Collaborative Event:
Trent Vineyard March 25th 2010

On March 25th 2010 NHS East Midlands hosted a regional collaborative event around end of life care initiatives across the East Midlands region.  225 delegate across the region attended the full day event. The event gave an opportunity to network and share practice examples as well as to hear in more detail about working being undertaken across the region. The day contained a number of elements including:

  • "My story as a carer” This enabled a carer to speak to the delegates about her experiences of end of life care for both of her parents.

  • Presentations on the national and regional overview for end of life care

  • E-learning for healthcare launch of the national e-learning system for end of life care

  • Skills for Health/Whole Systems Partnership presentation on workforce modelling

  •  24 market stalls from a range of organisations

  • 12 concurrent workshops focussing on educational and clinical work

  • Nigel Risner, motivational speaker who focussed on communication (www.nigelrisner.com)

 

The event had a number of aims:

  • For delegates to hear how local organisations are implementing regional priorities for patients and carers in their area

  • For delegates to listen to the experiences, learning and practice examples of those delivering change  and learn about how staff have applied practical solutions to challenges

  • For delegates to network with others across the region and share ideas to enhance patient experience

  • To launch the e-Learning for Healthcare end of life care package across the region.

 

Please access presentations at the end of this page:


 

From Evidence to Excellence:
Our Regional Vision

The development of our regional vision brought together a huge number of staff, espeicially clincians, and patients to describe in detail our ambitions for the sorts of services we should deliver.  Uniquely, we undertook the exercise in each of our counties as well as across the region to ensure as many people as possible could participate to influence local services.

 [click here] to read our clinical vision document

 [click here] to visit our "Towards Excellence" website

 click here] to read our end of life care factsheet which outline our vision and priorities for change

 [click here] to read our detailed assessment of the evidence and case for change in relation to end of life care services


Internet Link:  

The National End of Life Care Programme aims to support the implementation of the Department of Health's End of Life Care Strategy for England by sharing good practice in collaboration with local and national stakeholders.

 

The web site is aimed at health and social care staff and provides information on a variety of aspects relating to end of life care. This includes more than 150 case studies that highlight good practice and new cases are constantly being added. They are taken from different care settings e.g. care homes, hospitals, primary care and hospices and stages of the care pathway. They also cover engaging with users and carers, commissioning, strategic direction and knowledge and skills. In addition there is a section containing latest news useful websites, links and resources.

 

The website has a number of resources including a series of helpful End Of Life Care factsheets. [click here] to read them. 


Download presentations and useful documents:

Related Documents

  • pdf
  • Dying Matters [pdf / 779KB] Dying Matters: Presentation given by Hillary Fisher Meeting the Quality and Productivity Challenge in End of Life Care event November 23rd 2010