annamarie challinor, head of service development (macmillan), the end of life partnership
TRANSCRIPT
Making it happen
Annamarie ChallinorHead of Service Development (Macmillan)
End of Life Partnership
Is this just the same old news?
Whole system reality……
More reasons for new collaborations……
Changing demographics of ageing & dying
Raised expectations of the public
Growing demands upon the Health & Social Care system
Increasing financial pressures
Outcomes in end of life care are multifaceted
Making it happen:
1. Influence
Consider your potential levels/people of influence
Making it happen:
2. People
YOUR Enablers:• People of influence • Skills and knowledge • Experiences• Trusting relationships• Respect and recognition for each ‘specialism’ • A willingness to listen….to hear….and to want to help• Keeping it simple and relevant- language used
YOUR Barriers to overcome:• Hierarchy and power in decision making • Rigid roles and responsibilities• Employment restrictions• Professional identity and autonomy• Misalignment of clinical, managerial and financial perspectives• Poor staff morale
People
Making it happen:
3. Structures
YOUR Enablers:• Having a clear and common purpose• Engaging with teams/organisations outside of your ‘comfort zone’• ‘Active’ Steering Group• Making explicit links between all the contributing parts• Clear roles, responsibilities and levels of accountability• Active engagement as opposed to distant consultation• Piggyback other initiatives
YOUR Barriers to overcome:• Partner congestion • Geographical and professional boundaries• Perpetual change among the health, social, and voluntary care system• Historical practice or mistrust of other partners• Positioning of end of life care within the organisation
Structures
Making it happen:
4. Processes
YOUR Enablers:• Patient focussed outcomes • Agreed project plan and outcomes (e.g. LOGIC Model)• Clear and straightforward decision making processes• Focussed action: e.g. at meetings• Reviewing and revisiting the plan• Sharing the lowlights as well as the highlights• Communications plan
YOUR Barriers to overcome:• Target/service driven cultures• Change fatigue • Bureaucracy and ‘red tape’• Size of the audience
Processes
Making it happen:
5. Resources
YOUR Enablers:• Having a costed resource plan• Showing outcomes- do they justify the costs ? • National documents: Ambitions for End of Life Care, NICE, Ombudsman report etc• Quick wins can attract more resources• Identify ‘must do’s’ for organisation- audit, CQC, CQUIN’s
YOUR Barriers to overcome:• Short term or last minute funding cycles• Separate budgets • Financial pressures• Time- “time to care” • Tensions around ‘cost shifting’ and funding • Sharing of information- IT, robust and timely data,
Resources
Always come back to your touchstone…..
I want to do the best I can do ……….
I want to make a difference to the people I care for…
