Corporate objectives

~Improving patient safety and the patient experience

~ supporting key national targets

~ Improving partnership working

Supporting external reviews

~ Peer review quality measures - Supportive and

Palliative Care IOG

Links to Darzi end of life review

~ Local Pathway Development Groups

Supporting the organisation ..delivering quality of care at End of Life

Improving End of Life care for patients

‘’To improve the quality of care at the end of life for all patients and enable more patients to live and die in the

place of their choice’’

Aim …….

Excellent partnership working with community palliative care service ~ initiating palliative care at home services

Improving End of Life care for patients

SaTH Palliative Care Nurses …..part of a wider team

None medical prescribers ~improved access to pain control and symptom management

Discuss highly sensitive information on prognosis ~ provide understanding - giving control and dignity to

patient and family Identify preferred place of care for EOL

~ facilitates advanced planning for EOL care ~ rapid access to equipment /avoid delay in discharge

~ accessing ‘just in case box’

New developments……….

~ Implementation of Liverpool Care Pathway to all ward across the Trust by December 08

~ improving EOL for all patients on all wards

~ enhancing knowledge and skills of nursing and medical staff

Improving End of Life care for patients

Planning for the future…..

Avoiding unplanned admissions for patients at end stage of life ~ SaTH EOL admission audit

Appointment of EOL facilitators (4.5 EOL posts) Aim

~ increase quality of the experience of EOL life care ~ increase number of avoided admissions

~ facilitate 75% of deaths in community not acute settingHow

~ improve partnership working acute/ community services ~ integrating with existing teams not in isolation

~ inform commissioners on a model of EOL care for patients in Shropshire

Improving End of Life care for patients