TV SCN EoLC Commissioner ForumMay 7 2015

Meeting with Dr Bee Wee, National Clinical Director for End of Life Care

Attendees

Dr Bee Wee (NCD for EoLC)Dr Barbara Barrie (chair TV Clinical End of Life Lead (Generalist)Dr Stuart Logan Aylesbury Vale CCGDr Ishak Nadeem South Reading CCGDr Anant Sachdev Bracknell and Ascot CCGDr Siva Sitharapathy Slough CCGSara Wilds Oxfordshire CCGJo Wilson TV Clinical End of Life Lead (specialist).Rhonda Riachi TV HEERosemary Martin TV HEEJulia Coles SCNKevin Sutch SCN

Apologies

Dr Jonathan Williams, Dr William Tong, Dr Raj Bajwa.

1. Dr Bee Wee- the meeting was an opportunity for commissioners to meet with the NCD, have an update on the national programme and discuss local issues and challenges commissioner perspective.

Presentation enclosed-

Key messages-

Bee emphasised the impact of EoLC had on both LTC and urgent care. With better communication being a consistent theme, and the affect poor communication has on emergency admissions to A and E.

She outlined work in progress/to be undertaken- -currently there are no definitive costs or actual individual costs. -there is a need for new metrics to identify what good EoLC should look like, especially since

the publication of One Chance to Get it Right.

Bee queried how many CCG business plans did not include a reference to End of Life Care. She also referred to Actions for End of Life 2014/2016 and using the House of Care framework.

She felt that there were mixed messages in the management of patients with conditions such as cancer and heart failure, and the need to identify when curing activities are reduced and palliative care increases. This requires difficult discussions to take place at the right time. It should be recognised that this is a very important skill, and she emphasised the need for more HCP training at the foundation stage but also continuing throughout. She also referred to the problems in identifying meaningful feedback about the level of service provided.

2. Barbara Barrie and Jo Wilson presented the TV network perspective- summary of work to date and proposals for 2015/16. Presentation enclosed-

Jo presented what the End of Life Network had achieved over the last year. Following this was discussion about what could be done during 2015/16 including alternative ways of delivering presentations with the possibility of using Webex.

Barbara fed back on the presentation she had given to the CCG accountable officers and clinical chairs that morning, on behalf of the network (see below). It was well received and contained many of the themes raised by Bee. Barbara had emphasised to the AO/CC meeting the importance of EoLC being everybody’s business, and urged them to encourage and support their CCG leads to engage with the network.

General discussion

Slough said that they were actively working with HETV. They were also involved in working with their Health and Wellbeing Board. They would like to see a précis of national documents especially those that come from NHS IQ.

Aylesbury Vale shared the work they were doing in Primary Care with care and support planning and including an unplanned admissions DES to incentivise providers.

The discussion focussed on the challenge of improving end of life care and how to ensure it was recognised as everybody’s business.

3. Brief discussion on work programme for 15/16 Continue to share good practice from National Meetings Look at different ways in getting the End of Life Care message across Thames Valley Share what CCGs are achieving across TV

Provide précis of important documents and reports.

Plan- proposed programme of activities to be shared with leads.