a night nursing service for children and adults with a non-malignant disease

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A night nursing service for children and adults with a non-malignant disease Authors: Foley, S., Lynch M., O’Sullivan, G., Shanagher, D. The Irish Hospice Foundation April 2016 Introduction Each year approx. 350 children die in Ireland due to a life-limiting condition. Many, but not all, families have a preference to care for their child at home during their final days. The Irish Cancer Society’s (ICS) national night nursing service supports people with cancer to die at home. In 2006 this service was extended to children and adults with non-malignant diseases. This aspect of the ICC service is funded by the Irish Hospice Foundation and is referred to as ‘nurses for nightcare’ (NNC). The NNC service is outlined here in comparison to information available from Ireland and the United Kingdom (UK). This is identified as a means of determining trends in access to specialist palliative care (SPC) by people with non malignant illness in Ireland. Methods Information from the Irish Hospice Foundation’s NNC service along with Minimum Data Set (MDS) information from Ireland and the National Council for Palliative Care in the UK were evaluated to determine, trends, similarities and inconsistencies in data. Findings The chart to the left indicates the number of people with and without cancer that accessed SPC services from 2011 to 2013 in Ireland and the UK. In both countries the number of people with non malignant illness accessing specialist palliative care services is rising. Across the 3 years non-malignant illnesses accounted for between 16 and 17% of those that accessed SPC services in the UK and between 19 and 26% in Ireland. At a glance- referrals to NNC service Indications Additional datasets should be examined (e.g. Irish Cancer Society, Jack & Jill Children’s Foundation, CSO, Hospice at Home project information ) to illustrate more detailed trends. Comparison of data over a longer period of time is required to identify more trends. Awareness raising about the NNC service amongst healthcare professionals is required. It is estimated that the NCC service will cost in excess of €600,000 for 2016. The NNC service is funded by the IHF, through voluntary fundraising. A sustainable model for the service is being explored by the IHF and the ICS. Year Children 2010 21 2011 18 2012 6 2013 11 2014 27 2015 25 Total 108 This chart above shows the number of referrals to the NNC from Local Health Offices 2010-2015. The data analysis shows inconsistencies across the country in the rate of referrals to the NNC service. A dip in referrals is noted between 2011 and 2013. Find out more about the NNC service visit W: http://hospicefoundation.ie/healthcare-programmes/palliative-care/palliative-care-for-all/night-care T: +353 (0)1 6793188 E: [email protected]

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Page 1: A night nursing service for children and adults with a non-malignant disease

A night nursing service for children and adults

with a non-malignant disease

Authors: Foley, S., Lynch M., O’Sullivan, G., Shanagher, D. The Irish Hospice Foundation

April 2016

Introduction

Each year approx. 350 children die in Ireland due to a life-limiting condition.

Many, but not all, families have a preference to care for their child at home during their final days.

The Irish Cancer Society’s (ICS) national night nursing service supports people with cancer to die at home.

In 2006 this service was extended to children and adults with non-malignant diseases. This aspect of the ICC service is funded by the Irish

Hospice Foundation and is referred to as ‘nurses for nightcare’ (NNC).

The NNC service is outlined here in comparison to information available from Ireland and the United Kingdom (UK). This is identified as a means

of determining trends in access to specialist palliative care (SPC) by people with non malignant illness in Ireland.

Methods

Information from the Irish Hospice Foundation’s NNC service along with Minimum Data Set (MDS) information from Ireland and the National

Council for Palliative Care in the UK were evaluated to determine, trends, similarities and inconsistencies in data.

Findings The chart to the left indicates the number

of people with and without cancer that

accessed SPC services from 2011 to

2013 in Ireland and the UK.

In both countries the number of people

with non malignant illness accessing

specialist palliative care services is rising.

Across the 3 years non-malignant

illnesses accounted for between 16 and

17% of those that accessed SPC services

in the UK and between 19 and 26% in

Ireland.

At a glance- referrals to NNC service

Indications • Additional datasets should be examined (e.g.

Irish Cancer Society, Jack & Jill Children’s

Foundation, CSO, Hospice at Home project

information ) to illustrate more detailed

trends.

• Comparison of data over a longer period of

time is required to identify more trends.

• Awareness raising about the NNC service

amongst healthcare professionals is

required.

• It is estimated that the NCC service will cost

in excess of €600,000 for 2016. The NNC

service is funded by the IHF, through

voluntary fundraising. A sustainable model

for the service is being explored by the IHF

and the ICS.

Year Children

2010 21

2011 18

2012 6

2013 11

2014 27

2015 25

Total 108

This chart above shows the number of referrals to the NNC from Local

Health Offices 2010-2015.

The data analysis shows inconsistencies across the country in the

rate of referrals to the NNC service.

A dip in referrals is noted between 2011 and 2013.

Find out more about the NNC service visit

W: http://hospicefoundation.ie/healthcare-programmes/palliative-care/palliative-care-for-all/night-care

T: +353 (0)1 6793188 E: [email protected]