Collation of responses to GW. 1. Please state the definitions that you use for different forms of palliative and end of life services
|
|
- Audrey Montgomery
- 5 years ago
- Views:
Transcription
1 Collation of responses to GW 1. Please state the definitions that you use for different forms of palliative and end of life services Palliative care is the active holistic care of patients with advanced progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is paramount. The goal of palliative care is achievement of the best quality of life for patients and their families. Many aspects of palliative care are also applicable earlier in the course of the illness in conjunction with other treatments National Council for Palliative Care (2010) End of life care is care that helps all those with advance, progressive, incurable illness to live as well as possible until they die. It enables the supportive and palliative care needs of both patient and family to be identified and met throughout the last phase of life and into bereavement. It includes management of pain and other symptoms and provision of psychological, social, spiritual and practical support (DoH 2008) 2. Please confirm whether end of life care was included in your most recent joint strategic needs assessment a. If yes, please provide a copy of your joint strategic needs assessment The most recent joint strategic needs assessment was completed in 2009/10. End of Life Care was not specifically included in that assessment. The Joint Strategic Needs Assessment is currently being re-drafted and end of life care will specifically be included. 3. Please confirm or deny whether you hold records of the number of people with motor neurone disease in your PCT We have a dedicated nurse specialist who provides care and support to people in Milton Keynes with MND. As of 8 th November 2011, she has 18 people on her caseload. Over time, these numbers remain fairly constant. There is a robust care pathway in place for people with MND so from diagnosis throughout the trajectory of the disease there is input from the nurse specialist in conjunction with a wide range of services from acute hospital care, rehabilitation services to community and palliative care. The nurse specialist works very closely with the local branch of the Motor Neurone Disease, and this helps to provide a co-ordinated service for local people. Locally, we are in the process of reviewing the operation of a strategic planning group for Neurological conditions, where key organisations will work together with service users and carers to ensure better planning and commissioning of services for people with a range of conditions, including MND. I have attached some information about the services provided in Milton Keynes, which you may find of interest. Please see attachments. a. If yes, please provide details of the number of people with motor neurone disease in your PCT See above current numbers on caseload are 18. 1
2 4. Please confirm or deny whether you hold records of the number of people requiring (i) specialist palliative and (ii) end of life care in your PCT a. If yes, please supply details on the number of people requiring (i) specialist palliative and (ii) end of life care in your PCT (i) Specialist Palliative Care is provided by the Clinical Nurse Specialist (CNS) Team from a Hospice in the community. There were 180 people receiving specialist palliative care from the CNS team in September (ii) There were 314 people on the end of life registers at 4 th November 2011, and identified as being in the last year of life. Of those 314, 294 patients have been given the opportunity to discuss and develop an advance care plan. 186 have actually specified a preferred place to die. In January, February and March of 2011, there have been 155 deaths at home, in October, November and December 2010 there were 136 deaths at home. Of the 289 patients that died over that 6 month period, 154 were on the Liverpool Care Pathway, this is an increase of 76% compared to the previous year. 5. Please confirm or deny whether you hold details on expenditure on (i) specialist palliative and (ii) end of life care services for (a) 2007/08 (b) 2008/09 (c) 2009/10 (d) 2010/11 in your PCT a. If yes, please supply details of this expenditure Costs are for the Hospice and MK CHS only. 2007/08 1,066, /09 1,253, /10 1,244, /11 1,127,000 Additionally, within the NHS Community Provider Service the End of Life Care team has an annual direct cost budget of 80,390 for 2010/ Please confirm or deny whether you hold details of expenditure on motor neurone disease for (a) 2007/08 (b) 2008/09 (c) 2009/10 (d) 2010/11 a. If yes, please supply details There is a dedicated post of clinical nurse specialist for MND, and the annual cost for this post is 60,000 per annum. It is difficult to be definite about the other costs as people with MND use health and social care services that are funded from generic contracts such as those held with the acute hospital or community services. 2
3 7. Please confirm or deny whether you hold contracts with providers of (i) specialist palliative and (ii) end of life care a. If yes, please supply a) the names of organisations with whom a contract is held b) the value of each contract and c) the specification of each contract a) Specialist palliative care is provided under agreement with a local Hospice. End of life care is provided by NHS community provider services and numerous external providers eg nursing homes b) The combined value of the agreement with the NHS community provider service and the hospice is as per the figures in 5 above. c) The specifications with the hospice and the NHS community provider service for the End of Life Care Team are currently under review. 8. Please confirm or deny whether you hold data on GP practices in your PCT that have established an end of life care register a. If yes, please supply details of the proportion of practices that have established an end of life care register ALL GP practices have established an end of life care register. (22 practices) 9. Please confirm or deny whether your organisation has developed any local tariffs for a) specialist palliative or b) end of life care a. If yes, please supply details There are no such local tariffs. 10. Please confirm or deny whether your organisation has agreed CQUIN schemes with providers of palliative or end of life care services a. If yes, please supply details of the CQUIN indicators agreed CQUINs are in place with the NHS community services provider, but there are none that relate to palliative or end of life care services. 11. Please confirm or deny whether your organisation holds information on performance against CQUIN indicators on (i) specialist palliative or (ii) end of life care a. If yes, please supply details of (a) indicator thresholds and (b) if thresholds were met As per 10 above, no such indicators exist. 12. Please confirm or deny whether your organisation has made payment on CQUIN indicators relating to (i) specialist palliative or (ii) end of life care a. If yes, please supply details on payments made As per 10 above, no such indicators exist and so no such payment has been made. 3
4 13. Please confirm or deny whether your organisation publishes data on (i) specialist palliative or (ii) end of life care services in your area a. If yes, please supply details No. The PCT does not publish data on (i) specialist palliative or (ii) end of life care services 14. Please confirm or deny whether your organisation provides written information for patients on (i) specialist palliative or (ii) end of life care services in your area a. If yes, please supply details The End of Life Care Team (EOLCT) provide information about the Liverpool Care Pathway, Advance Care Planning and Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) for patients and their relatives. EOLCT also have a lot of info on the patient page of their website, accessed via the PCT web site. The PCT are currently developing bereavement information leaflets. 15. Please confirm or deny whether your organisation provides guidance to GP practices in your area on (i) specialist palliative or (ii) end of life care services a. If yes, please supply details of this guidance The PCT have provided every GP practice with a resource file with an array of information relating to palliative and EOLC. Every individual GP has been sent a copy of the General Medical Council guidance for end of life care. The EoLC team and post out any new National documents which are relevant such as the Royal College of Nursing s guidance relating to how to respond when an EOL patient ask health care professionals to hasten their death. We have given every GP and practice manager information leaflets around DNACPR. The GPs are also encouraged to visit the EOLC website 16. Please confirm or deny whether your organisation has in place agreed pathways of care for (i) specialist palliative or (ii) end of life care services a. If yes, please supply details Yes: Liverpool Care Pathway Gold Standards Framework Preferred Priorities for Care DNACPR 17. Please confirm or deny whether contracts your organisation has in place for out of hours services contain standards relating to (i) specialist palliative or (ii) end of life care services a. If yes, please supply details See answer to question 7. 4
5 Report of the working party set up to develop a co-ordinated approach to the support of people with Motor Neurone Disease in the Milton Keynes Area Background A meeting was held on 13 th January 1999 at Milton Keynes Hospital at the invitation of the Milton Keynes branch of the Motor Neurone Disease Association. The meeting was chaired by Dr David Hilton Jones and attended by managers & practitioners from Bucks Health Authority, Milton Keynes Council Neighbourhood Services, Milton Keynes General Hospital Trust, Milton Keynes Community Health Trust, Milton Keynes Community Health Council, a General Practitioner & representatives of the MND Association. Brian Wilson reported on the findings of a survey conducted amongst people with MND and their carers living in the area covered by the Milton Keynes Branch. (Milton Keynes, Aylesbury Vale, Leighton Buzzard) The survey responses highlighted insufficient information about sources of help and how to gain access to services insufficient communication between agencies and professionals responsible for providing services A working party was set up to explore the means of achieving a more co-ordinated service for people affected by MND in Milton Keynes. 1 This is the first report of that working party. Its recommendations are as follows: 1. Needs of People Affected by MND and their Carers The progression of MND is often rapid, severe and unpredictable, imposing a series of problems and forced adjustments in lifestyle. Average length of survival is estimated to be between 2 5 years. In a sample of 65 deaths in this region since 1997, average survival time from diagnosis was 14 months. There is no cure for MND and only one drug (Rilutek) offers the possibility of a modest extension to life expectancy. The whole approach to care is palliative, requiring a collaborative partnership between doctors, nurses, therapists, social workers and specialist palliative care. Objectives of care are that people affected by MND are: 1 Appendix 2 5
6 confident that they know who will help & how enabled to make informed choices about living with the disease given appropriate support when they need it able to attain the best achievable quality of life. Service providers should be: informed about the nature of the disease informed about the circumstances of people affected by MND. informed about relevant resources & how to get them clear about roles & responsibilities able to respond in a needs led time scale 2. The Care Pathway Care Pathways are structured, multi-disciplinary care plans which set out essential steps in the care of specific conditions. They have typically been used for management of episodes of care in acute settings. The model proposed here is intended to provide a secure & structured framework for care throughout the course of the disease & to enable professionals to work in partnership across organisational boundaries. In the opinion of the working party, the severity, speed & unpredictability of progression in many cases of MND justifies the use of such an approach. 6
7 The proposed Milton Keynes MND Care Pathway for MND will aim to: Provide access to information about MND & sources of expertise Provide for the assessment of need and negotiation & agreement of continuous care packages Set out a structured framework for responding to problems 3. Proposed Organisational Structure 3.1. The lead agency will be the Physical Disability Resource Team (PDRT). The team is comprised of multi-disciplinary team of qualified professionals, (Physical Disability Co-ordinators) with a wide range of experience and knowledge relating to physical disability and neuro-degenerative conditions including MND A member of the team will be nominated as MND Specialist Adviser. The role of the MND Specialist Adviser will be to develop and lead a service which effectively co-ordinates the provision of timely and sensitive support and services to meet the changing needs of people affected by MND and the needs of their carers in the Milton Keynes area All people with MND will be offered referral to the PDRT at diagnosis or when moving into the area Each person with MND, will be offered a Case Co-ordinator according to their need and choice. The case co-ordinator will be a Physical Disability Co-ordinator, a Social Worker or a District Nurse working singly or in partnership with the MND Specialist Adviser. The role of the case co-ordinator will be to assess the changing needs of the person affected by MND and their carers and to arrange that appropriate services are provided in a structured & timely manner. 4. Proposed Communication Structure 2 Purpose To ensure that the person affected by MND and all involved professionals are kept up to date at intervals appropriate to the progress of the disease. To ensure that each professional is clear about their responsibility & how it interrelates with those of others The Case Co-ordinator will be responsible for co-ordinating the care pathway & acting as a central point of reference for person with MND & carers collating information and producing reports within an agreed time schedule Communication will be based around a cycle whose time interval is determined by the current progress of the disease The first cycle will be initiated by the Case Co-ordinator following diagnosis / referral Two documents will be completed: A Registration document giving personal details of the person with MND and contact details of all professionals & agencies currently or intended to be involved. A Statement of Need lists actions to be taken & professionals responsible. This complete document will be circulated to all those involved, including the GP & consultant. It calls for a response from professionals on completion of action or by the review date, whichever is the earlier. This response details action taken & further needs identified. Review The Case Co-ordinator will compile a Review Report from the responses and produces a new statement of need. 2 Appendix 1 7
8 Benefits The benefits, which would result from the changes proposed in the preceding sections are dealt with under three headings, Patients and Carers, Professionals, Participating Organisations Patients and Carers The approach is aimed at putting people affected by MND in control by giving them an easily accessible person who will discuss developing problems, arrange appropriate, agreed and timely support, and who will fulfil a co-ordinating role throughout the illness. There is no doubt that this will be a considerable gain in the quality of the service Professionals. With a properly co-ordinated approach and regular reports, other professionals (speech therapists, O.Ts, physiotherapists, dieticians etc) will be enabled to plan their input in partnership with each other thus avoiding duplications & gaps in service provision Participating Organisations. With more effective use of time, it should be possible to use resources more efficiently. More effective contact time allows more time for patients who really need help, professional time for more patients, or time for personal & service development. There could also be savings in travelling costs Partnership The working group believes that this approach will strengthen and develop the partnership between statutory and voluntary bodies. The MND Association is committed to supporting this initiative by providing support for educating professionals as well as continuing its established role in providing equipment and funds directly to people affected by MND, 5. Costs There may be increased travelling costs for PDRT members and minor printing costs for new documentation, which would be required for improved communications to back-up the improved co-ordination approach. Against the potential savings in using resources more effectively across all the participating organisations, it is not felt that the above costs are significant. 6. Next steps The proposals are not put forward as the final, definitive model. They are presented as a step towards that end. The working group hopes that managers and their teams will feel that the proposal is worth instigating. It is proposed: To implement the proposed changes within one month To review in six months. To learn from the experience and introduce any necessary further changes. To continue to improve and develop co-ordinated care of people affected with MND and their carers. It is hoped that there will be a continuing evolution of the approach over time and that the model of co-working developed will prove useful in pointing to the improved care of people with complex and rapidly deteriorating conditions - not only in Milton Keynes but nationally. It is proposed to launch this scheme at a study day to be held in the autumn of
9 Stages in MND Care Pathway Appendix 1 Event Responsibility Action Documentation Measure of outcome 1 Diagnosis Consultant Verbal explanation to PaMND Sensitive & truthful statement of diagnosis [MNDA leaflet 1?] PaMND aware of diagnosis 1.1 Offer of follow up appointment Written confirmation to follow Date set for follow up 1.2 Information about support services Milton Keynes MND Services leaflet [see example] MNDA Helpline card 1.3 Referral to PDRT Registration document (Form 1) 1.4 Inform GP Copy of Form 1 2 Referral to PDRT Specialist Adviser Appointment of Case Co-ordinator 3 Appointment of Case Co-ordinator PaMND has access to information & advice Case co-ordinator Initial contact offer appointment for home visit Contact made within 5 working days. Appt. offered at contact 3.1 Initial Assessment including social, emotional, functional needs Form 2 Statement of Need - documents actions needed & referrals made 3.2 Statement of need negotiated with PaMND Patient held record [Forms 1 & 2] PaMND knows what to expect & from whom 3.3 Make referrals to appropriate agencies /professionals Forms 1 & Inform Consultant, GP, Neighbourhood Services + all agencies currently involved 3.5 Set review date 4 Actions Nominated professionals As agreed 4.1 Feedback Feedback to PDRT 5 Periodic Review Case Co-ordinator New assessment 5.1 New Statement of Need Stages are repeated to form Continuing Care Pathway. following referral information & own assessment at completion or interim report by review date Summarise actions, results, anticipated needs Forms 1 & 2 Completed Form 2 Circulate as before New Form 2 Form 3 Review Report All professionals aware of needs & actions initiated All aware of current position Documentation to be developed 9
10 Appendix 2 Motor Neurone Disease Working Party Chair Lynne Hudgell, Physical Disability Co-ordinator Milton Keynes Community Health Trust David Hilton-Jones Consultant Neurologist Milton Keynes General Hospital NHS Trust Brian Wilson Deputy Chairman MND Association, Milton Keynes Branch Anna Fisher Social Worker Neighbourhood Services, Milton Keynes Council Carole Kingston Regional Care Adviser MND Association Denise Middleton Physical Disability Co-ordinator Milton Keynes Community Health Trust Sarah Monday Nurse Willen Hospice Julie Reece Committee Member MND Association, Milton Keynes Branch Christopher Clifford Senior Nurse, District Nursing Milton Keynes Community Health Trust Motor Neurone Disease Clinical Specialist: Anna Kent RGN BSc(HONS), Tel: Milton Keynes Primary Care Trust, Physical Disability Resource Team, Bletchley Therapy Unit, Whalley Drive, Bletchley. MK3 6EN Anna.Kent@mkpct.nhs.uk 10
11 Assessment Review Monitor & Adjust Plan Action 11
12 12
13 13
All-Party Parliamentary Group on Motor Neurone Disease
All-Party Parliamentary Group on Motor Neurone Disease Inquiry into Access to Specialist Palliative Care for People with Motor Neurone Disease in England Call for Evidence 8 December 2009 Introduction
More informationThis specification should be read in conjunction with the Rotherham Hospice overall contract and schedules.
Care Pathway/Service Commissioner Lead Provider Lead Period Applicability of Module E (Acute Services Requirements) Rotherham Palliative Medicine Service Gail Palmer Fiona Hendry 1 April 2011 31 March
More information2010 National Audit of Dementia (Care in General Hospitals)
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Barking, Havering and Redbridge Hospitals NHS Trust The 2010
More informationWORKING DOCUMENT Version 5 DRAFT LOCAL ENHANCED SERVICE SPECIFICATION Palliative Care
Appendix F WORKING DOCUMENT Version 5 DRAFT LOCAL ENHANCED SERVICE SPECIFICATION Palliative Care Introduction 1. The LES has been introduced to embed good clinical practice and effective performance management
More information2010 National Audit of Dementia (Care in General Hospitals) Guy's and St Thomas' NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: Guy's and St Thomas' NHS Foundation Trust The 2010 national
More informationThe National Council for Palliative Care Awards 2017 Judges Profiles
The National Council for Palliative Care Awards 2017 Judges Profiles Alison Penny Coordinator, Childhood Bereavement Network Alison coordinates the Childhood Bereavement Network (CBN) and provides project
More informationImplementing NICE clinical guidelines on Parkinson s disease
ORIGINAL PAPERS Clinical Medicine 2009, Vol 9, No 5: 436 40 Implementing NICE clinical guidelines on Parkinson s disease Beverly A Ryton and B Jane Liddle ABSTRACT Implementing national guidance such as
More information2010 National Audit of Dementia (Care in General Hospitals) Chelsea and Westminster Hospital NHS Foundation Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: NHS Foundation Trust The 2010 national audit of dementia
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT DATE OF MEETING: 20th September 2012 TITLE OF REPORT: KEY MESSAGES: NHS West Cheshire Clinical Commissioning Group has identified heart disease as one of its six strategic clinical
More information2010 National Audit of Dementia (Care in General Hospitals) North West London Hospitals NHS Trust
Royal College of Psychiatrists 2010 National Audit of Dementia (Care in General Hospitals) Organisational checklist results and commentary for: rth West London Hospitals NHS Trust The 2010 national audit
More informationThe Ayrshire Hospice
Strategy 2010-2015 Welcome... The Ayrshire Hospice : Strategy 2010-2015 Index 05 06 08 09 10 12 15 17 19 Foreword Our vision and purpose Our guiding principles Our achievements 1989-2010 Our priorities
More informationDraft Falls Prevention Strategy
Cheshire West & Chester Council Draft Falls Prevention Strategy 2017-2020 Visit: cheshirewestandchester.gov.uk Visit: cheshirewestandchester.gov.uk 02 Cheshire West and Chester Council Draft Falls Prevention
More informationSpecialist Palliative Care Service Referral Criteria and Guidance
Specialist Palliative Care Service Referral Criteria and Guidance Specialist Palliative Care Service Referrals These guidelines cover referrals for patients with progressive terminal illness, whether
More informationThe NHS Cancer Plan: A Progress Report
DEPARTMENT OF HEALTH The NHS Cancer Plan: A Progress Report LONDON: The Stationery Office 9.25 Ordered by the House of Commons to be printed on 7 March 2005 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL
More informationCONSTITUTION SOUTHAMPTON CHILDREN & YOUNG PEOPLE S TRUST PARTNERSHIP
CONSTITUTION SOUTHAMPTON CHILDREN & YOUNG PEOPLE S TRUST PARTNERSHIP 1. AIMS To unify and co-ordinate services for children, young people and families in line with the Children Act 2004 To oversee the
More informationYorkshire and the Humber Strategic Clinical Networks
1. Welcome & Introduction Yorkshire and the Humber Strategic Clinical Networks Yorkshire and the Humber Kidney Care Conservative Care Forum Tuesday 25 th February 2014 1300-1630 Notes Welcome and Introduction
More informationFRAILTY PATIENT FOCUS GROUP
FRAILTY PATIENT FOCUS GROUP Community House, Bromley 28 November 2016-10am to 12noon In attendance: 7 Patient and Healthwatch representatives: 4 CCG representatives: Dr Ruchira Paranjape went through the
More information02/GMS/0030 ADULT EPILEPSY SERVICE CCP for General Medical and Surgical POOLE HOSPITAL NHS FOUNDATION TRUST
Service Specification No. Service Commissioner Leads 02/GMS/0030 ADULT EPILEPSY SERVICE CCP for General Medical and Surgical Provider Lead POOLE HOSPITAL NHS FOUNDATION TRUST Period 1 April 2013 to 31
More informationTower Hamlets Prostitution Partnership Operating Protocol
Tower Hamlets Prostitution Partnership Operating Protocol 1 Contents Introduction 3 Aims 3 Membership of the THPP 3 Members Responsibility 4 Attendance by other professionals 4 Attendance by those referred
More informationWorking well with Deaf people in Social Care
Working well with Deaf people in Social Care As part of our ongoing work to ensure the voices of Deaf people are heard, on 13 th July 2018 we held a workshop to focus on experiences within the social care
More informationINVOLVING YOU. Personal and Public Involvement Strategy
INVOLVING YOU Personal and Public Involvement Strategy How to receive a copy of this plan If you want to receive a copy of Involving You please contact: Elaine Campbell Corporate Planning and Consultation
More informationThe Vision. The Objectives
The Vision Older people participate to their fullest ability in decisions about their health and wellbeing and in family, whānau and community life. They are supported in this by co-ordinated and responsive
More informationNational information for commissioners on commissioning specialist level palliative care. Maureen McGinn, Senior Project Manager, RM Partners
National information for commissioners on commissioning specialist level palliative care Maureen McGinn, Senior Project Manager, RM Partners National information for commissioners on commissioning specialist
More informationCommunity and Mental Health Services. Palliative Care. Criteria and
Community and Mental Health Services Specialist Palliative Care Service Referral Criteria and Guidance November 2018 Specialist Palliative Care Service Referrals These guidelines cover referrals for patients
More informationGuidelines for the appointment of. General Practitioners with Special Interests in the Delivery of Clinical Services. Epilepsy
Guidelines for the appointment of General Practitioners with Special Interests in the Delivery of Clinical Services Epilepsy April 2003 Epilepsy This general practitioner with special interest (GPwSI)
More informationCase scenarios: Patient Group Directions
Putting NICE guidance into practice Case scenarios: Patient Group Directions Implementing the NICE guidance on Patient Group Directions (MPG2) Published: March 2014 [updated March 2017] These case scenarios
More informationAppendix 1. Cognitive Impairment and Dementia Service Elm Lodge 4a Marley Close Greenford Middlesex UB6 9UG
Appendix 1 Mr Dwight McKenzie Scrutiny Review Officer Legal and Democratic Services Ealing Council Perceval House 14 16 Uxbridge Road Ealing London W5 2HL Cognitive Impairment and Dementia Service Elm
More informationRecommendations for commissioning highly specialist speech and language therapy services for children and young people who are deaf
Recommendations for commissioning highly specialist speech and language therapy services for children and young people who are deaf Case study: A detailed description of the commissioning and service model
More informationDudley End of Life and Palliative Care Strategy Implementation Plan 2017
Dudley End of Life and Palliative Care Strategy Implementation Plan 2017 End of Life and Palliative Care Strategy 2017 1 Contents Page What is a strategy plan? 3 Terminology 3 Demographics 3 Definitions
More informationHERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN
HERTS VALLEYS CCG PALLIATIVE AND END OF LIFE CARE STRATEGY FOR ADULTS AND CHILDREN 2016-2021 1 1. Introduction Herts Valleys Palliative and End of Life Care Strategy is guided by the End of Life Care Strategic
More informationPREVIOUS EMPLOYMENT. Associate OT : CJ Occupational Therapy * Assessment and treatment for adults with neurological conditions
CURRICULUM VITAE Katie Hanagarth Green Owl Therapy Office 3, 36 Greenhill Street Stratford-upon-Avon CV37 6LE Tel: 01789 413960 / 07966 573317 Email: katie@greenowltherapy.co.uk - Web: www.greenowltherapy.co.uk
More informationAUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH
AUTISM ACTION PLAN FOR THE ROYAL BOROUGH OF GREENWICH NATIONAL CONTEXT Fulfilling and Rewarding Lives (2010) is the Government s strategy for adults with Autistic Spectrum Disorders. It sets out the Government
More informationEnd of Life Care for Dementia in Central and Eastern Cheshire: a new innovative, facilitative, service development model
End of Life Care for Dementia in Central and Eastern Cheshire: a new innovative, facilitative, service development model Jacqueline Crowther PhD Research Associate/Dementia EoL Practice Development Team
More informationWe need to talk about Palliative Care COSLA
Introduction We need to talk about Palliative Care COSLA 1. Local government recognises the importance of high quality palliative and end of life care if we are to give people greater control over how
More informationNorth Somerset Autism Strategy
North Somerset Autism Strategy Approved by: Ratification date: Review date: September 2017 1 Contents 1 Introduction and background... 3 2 Defining Autism...Error! Bookmark not defined. 3 National and
More informationRegional Strategic Plan
Regional Strategic Plan 2012-15 Vision Working collaboratively with stakeholders and the community, so that people in the Loddon Mallee Region with a progressive life-limiting illness and their families/carers,
More informationPrimary Health Networks Greater Choice for At Home Palliative Care
Primary Health Networks Greater Choice for At Home Palliative Care Brisbane South PHN When submitting the Greater Choice for At Home Palliative Care Activity Work Plan 2017-2018 to 2019-2020 to the Department
More informationSection 1: Contact details Name of practice or organisation (e.g. charity) NHS Milton Keynes Clinical Commissioning Group and partners
Section 1: Contact details Name of practice or organisation (e.g. charity) NHS Milton Keynes Clinical Commissioning Group and partners Title of person writing the case study Neighbourhood Pharmacist &
More informationNational Deaf Children s Society (NDCS) Social care mapping survey
National Deaf Children s Society (NDCS) Social care mapping survey Please note: All questions refer to the position as of 31 st January 2014, unless otherwise stated. If any of your answers would benefit
More informationGOVERNING BODY MEETING in Public 22 February 2017 Agenda Item 3.4
GOVERNING BODY MEETING in Public 22 February 2017 Paper Title Purpose of paper Redesign of Services for Frail Older People in Eastern Cheshire To seek approval from Governing Body for the redesign of services
More informationCo-ordinated multi-agency support for young carers and their families
Practice example Co-ordinated multi-agency support for young carers and their families What is the initiative? A partnership between a young carers service and a council Who runs it? Off The Record s Young
More informationHealthwatch Bristol summary of the Bristol Health and Wellbeing Board meeting on 15 February 2017
Healthwatch Bristol summary of the Bristol Health and Wellbeing Board meeting on 15 February 2017 Healthwatch Bristol has a seat on the Health and Wellbeing Board to represent the views of people living
More informationPATIENT AND PUBLIC INVOLVEMENT FORUM ANNUAL REPORT 2004/ April March 2005
Commission for Patient and Public in Health PATIENT AND PUBLIC INVOLVEMENT FORUM ANNUAL REPORT 2004/2005 1 April 2004-31 March 2005 Name: MILTON KEYNES PRIMARY CARE FORUM Support Organisation: CPPIH Regional
More informationAppendix 2 Good Relations Action Plan, Outcomes, Timescales
Appendix 2 Appendix 2 Good Relations Action Plan, Outcomes, Timescales Theme 1 Increasing Visibility Develop a public statement on the Trust s commitment to challenging sectarianism and racism in all its
More informationNorthamptonshire Hospice Charities Strategy
Northamptonshire Hospice Charities Strategy Please note that sections in italics are comments related to the main statement above it. Introduction This document sets out how the hospice charities in Northamptonshire
More informationDementia Priority Setting Partnership. PROTOCOL March 2012
Dementia Priority Setting Partnership PROTOCOL March 2012 Purpose The purpose of this protocol is to set out the aims, objectives and commitments of the Dementia Priority Setting Partnership (PSP) and
More informationSelective Dorsal Rhizotomy (SDR) Scotland Service Pathway
Selective Dorsal Rhizotomy (SDR) Scotland Service Pathway This pathway should to be read in conjunction with the attached notes. The number in each text box refers to the note that relates to the specific
More informationJob planning checklists and diary. Specialty doctors and associate specialists
Job planning checklists and diary Specialty doctors and associate specialists April 2008 Introduction This guidance is offered as an aid to job planning. It comprises checklists and a diary for use by
More informationMid Essex Specialist Dementia and Frailty Service
Mid Essex Specialist Dementia and Frailty Service Why have you been referred to us? What service can you expect? You have the right to be treated with dignity and respect. You and your loved ones also
More informationOfsted s regulation and inspection of providers on the Early Years Register from September 2012: common questions and answers
Ofsted s regulation and inspection of providers on the Early Years Register from September 2012: common questions and answers Registration Conditions of registration Q. How will I know how many children
More informationWorking Better Together on Safeguarding: Annual Reports of the Bradford Safeguarding Children Board (BSCB) and the Safeguarding Adults Board (SAB)
Report of the Director of Health and Wellbeing and the Director of Children s Services to the meeting of Bradford and Airedale Health and Wellbeing Board to be held on 29 th November 2016. Subject: O Working
More informationThe Motor Neurone Disease Association
The Motor Neurone Disease Association What s new in MND Care? Kerry Palmer Regional Care Development Adviser (Cornwall, Devon and Somerset) 23/03/17 Plan NICE Guideline Digital Communication Professional
More informationPatient Group Directions Policy
Patient Group Directions Policy Category: Summary: Equality Analysis undertaken: Valid From: Date of Next Review: Approval Date/ Via: Distribution: Related Documents: Author(s): Further Information: This
More informationPutting NICE guidance into practice. Resource impact report: Hearing loss in adults: assessment and management (NG98)
Putting NICE guidance into practice Resource impact report: Hearing loss in adults: assessment and management (NG98) Published: June 2018 Summary This report focuses on the recommendation from NICE s guideline
More informationPeople in Norfolk and Waveney with Autistic Spectrum Disorder
People in Norfolk and Waveney with Autistic Spectrum Disorder Linda Hillman Public Health Consultant, March 2011 The national strategy to improve the lives of adults with Autism, Fulfilling and Rewarding
More informationPowys teaching Health Board. Local Healthcare Professionals Forum. Terms of Reference - DRAFT
1. Purpose Powys teaching Health Board Local Healthcare Professionals Forum Terms of Reference - DRAFT As an Advisory Group of Powys teaching Health Board the Forum is accountable to the Health Board and
More informationKirklees Safeguarding Children Board. Annual Report. January 2011 March Executive Summary.
Kirklees Safeguarding Children Board Annual Report January 2011 March 2012 Executive Summary www.kirkleessafeguardingchildren.com Foreword As the Chair of Kirklees Safeguarding Children s Board, I am pleased
More informationMODEL CHURCH POLICIES
MODEL CHURCH POLICIES Model Church Policies Policy for the Methodist Church 2010 Approved by the Methodist Conference 2010 The Methodist Church, Methodist Church House, 25 Marylebone Road, London NW1 5JR
More informationongoing development of governance and leadership to support improvement ongoing national roll out of the electronic palliative care summary (epcs)
Update to the Review of Palliative Care Services in Scotland Since the publication of Living and Dying Well a national action plan for palliative and end of life care in Scotland in October 2008 considerable
More informationCarer Support Elmbridge: Job Vacancy
Carer Support Elmbridge Case House 85 89 High Street Walton on Thames Surrey KT12 1DZ Tel: 01932 235770 Email: carersupport@elmbridgehousing.org.uk Carer Support Elmbridge: Job Vacancy Parent Carer Support
More informationPalliative Care Pacesetter. ABMUHB Lisa Thomas
Palliative Care Pacesetter ABMUHB Lisa Thomas 1 Summary of the Project Aim: Develop & Improve Quality of Care for Palliative Patients by providing support to the GP workforce to improve care for palliative
More informationNHS Sheffield Community Pharmacy Catch Up Seasonal Flu Vaccination Programme for hard to reach at risk groups
NHS Sheffield Community Pharmacy Catch Up Seasonal Flu Vaccination Programme for hard to reach at risk groups 2011-12 Service Evaluation Supported by Sheffield Local Pharmaceutical Committee Supporting
More informationYoung onset dementia service Doncaster
Young onset dementia service Doncaster RDaSH Older People s Mental Health Services Introduction The following procedures and protocols will govern the operational working and function of the Doncaster
More informationConsultation Draft of the NHS Grampian British Sign Language (BSL) Plan
Consultation Draft of the NHS Grampian British Sign Language (BSL) Plan What NHS Grampian wishes to achieve to promote BSL over the next 2 years Consultation period 21 st May 2018 1 st July 2018 May 2018
More informationSouth Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member
Agenda item: 9.4 Subject: Presented by: Submitted to: South Norfolk CCG Dementia Strategy and Action Plan Dr Tony Palframan, SNCCG Governing Body Member Governing Body Date: 28 th July Purpose of paper:
More informationA Framework of Competences for the Level 3 Training Special Interest Module in Paediatric Neurodisability
A Framework of Competences for the Level 3 Training Special Interest Module in Paediatric Neurodisability Feb 2010 Royal College of Paediatrics and Child Health www.rcpch.ac.uk CONTENTS Section 1 Introduction
More informationLocal Healthwatch Quality Statements. February 2016
Local Healthwatch Quality Statements February 2016 Local Healthwatch Quality Statements Contents 1 About the Quality Statements... 3 1.1 Strategic context and relationships... 5 1.2 Community voice and
More informationRole Profile. Early Intervention Support Worker. Second Step
Role Profile Early Intervention Support Worker Second Step 9 Brunswick Square Bristol BS2 8PE September 2014 Recovery Bristol Partnership is a consortium of providers, which is made up of 9 Voluntary and
More informationMacmillan Cancer Improvement Partnership (MCIP) An introduction
Macmillan Cancer Improvement Partnership (MCIP) An introduction What is MCIP? The Macmillan Cancer Improvement Partnership in Manchester brings together the city s cancer care services and their funders
More informationGuidance document. Patient and Public Involvement in the planning and development of cancer services
Patient and Public Involvement in the planning and development of cancer services Guidance document The Northern Ireland Cancer Network (NICaN) brings individuals and organisations involved in health care
More informationCore Standard 24. Cass Sandmann Emergency Planning Officer. Pat Fields Executive Director for Pandemic Flu Planning
Trust Board Meeting Agenda Item 7 Date: 30 September 2009 Title of Report Recommendations (please outline the purpose of the report and the key issues for consideration/decision) Progress with Pandemic
More informationNot Equal: Follow-up workshop
Not Equal: Follow-up workshop As part of our ongoing work to ensure the voices of Deaf people are heard, on 23rd March we held a further workshop to bring commissioners and providers of Health and Social
More informationMCIP Recruitment Pack
MCIP Recruitment Pack Page 1 of 13 Welcome Thank you for the interest you have shown in the MCIP Programme. An exciting partnership has been established to redesign cancer care in Manchester. Funded by
More informationAPPENDIX 2. Appendix 2 MoU
APPENDIX 2 THIS APPENDIX CONTAINS BOTH THE TEXT OF THE CURRENT MEMORANDUM OF UNDERSTANDING BETWEEN JCSTD, THE GDC AND COPDEND ABOUT THEIR JOINT WORKING ARRANGEMENTS AND THE WORKING NOTES DRAFTED BY PROF
More informationPRIMARY CARE CO-COMMISSIONING COMMITTEE 18 March 2016
Part 1 Part 2 PRIMARY CARE CO-COMMISSIONING COMMITTEE 18 March 2016 Title of Report Supporting deaf patients to access primary care services Purpose of the Report The report is to provide the co-commissioning
More informationMeeting of Bristol Clinical Commissioning Group Governing Body
Meeting of Bristol Clinical Commissioning Group Governing Body To be held on Tuesday 24 February 2015 commencing at 13:30 at the Vassall Centre, Gill Avenue, Bristol, BS16 2QQ Title: OFSTED Report Agenda
More informationSouth Eastern Health & Social Care Trust Outcomes Group 05 June 2018
South Eastern Health & Social Care Trust Outcomes Group 05 June 2018 Objective: By the end of this short session you will have an increased awareness of; Collaborative Working between Department for Communities
More informationWorcestershire's Autism Strategy
Worcestershire Health and Well-being Board Worcestershire's Autism Strategy 2014-17 Fulfilling and Rewarding Lives for adults with autism spectrum conditions Find out more online: www.worcestershire.gov.uk/healthandwellbeingboard
More informationResponse to the proposed advice for health and social care practitioners involved in looking after people in the last days of life
Response to the proposed advice for health and social care practitioners involved in looking after people in the last days of life Introduction i. Few conditions are as devastating as motor neurone disease
More informationMulti-agency collaboration and service provision in the early years
Plimely Book-4-3486-Ch-05.qxd 10/9/2006 4:38 PM Page 23 5 Multi-agency collaboration and service provision in the early years This chapter examines ways in which professionals from health, education and
More informationHULL AND EAST RIDING OF YORKSHIRE DEMENTIA, PALLIATIVE AND END OF LIFE CARE WORKING GROUP REPORT NOVEMBER 2011
HULL AND EAST RIDING OF YORKSHIRE DEMENTIA, PALLIATIVE AND END OF LIFE CARE WORKING GROUP REPORT NOVEMBER 2011 Authors:- Laura Wigley, Macmillan Palliative & End of Life Care Programme Manager, Humber
More informationPRIMARY CARE CO-COMMISSIONING COMMITTEE 8 SEPTEMBER 2015
Part 1 Part 2 PRIMARY CARE CO-COMMISSIONING COMMITTEE 8 SEPTEMBER 2015 Title of Report Trafford Palliative care Quality Premium Scheme 2015/16 Purpose of the Report The purpose of the report is to detail
More informationBedford Borough, Central Bedfordshire and Luton Child Death Overview Process Panel Annual Report 1 April March 2017
Central Bedfordshire Safeguarding Children Board Bedford Borough, Central Bedfordshire and Luton Child Death Overview Process Panel Annual Report 1 April 2016 31 March 2017 1 Contents Description Page
More information1. Purpose of the Pessary PSP and background
Pessary Priority Setting Partnership PROTOCOL May 2016 1. Purpose of the Pessary PSP and background The purpose of this protocol is to set out the aims, objectives and commitments of the Pessary Priority
More informationTest and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire
Test and Learn Community Frailty Service for frail housebound patients and those living in care homes in South Gloucestershire Introduction This document introduces South Gloucestershire Clinical Commissioning
More informationCare and Social Services Inspectorate Wales. Care Standards Act Inspection Report. ategi Shared Lives Scheme. Cardiff
Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report ategi Shared Lives Scheme Cardiff Type of Inspection Focused Date of inspection Monday, 11 January 2016 Date of publication
More informationHounslow Safeguarding Children Board. Training Strategy Content.. Page. Introduction 2. Purpose 3
Hounslow Safeguarding Children Board. Training Strategy 2018-2020. Content.. Page Introduction 2 Purpose 3 What does the Training Strategy hope to achieve?. 4 Review.. 4 Local context.. 4 Training sub
More informationThis is supported by more detailed targets and indicators in the Single Outcome Agreement.
7. CANCER PLANNING FRAMEWORK 7.1 Analysis of Local Position 7.1.1 The CHP has a key role to play in the delivery of the cancer planning framework. Local planning for cancer services is co-ordinated through
More informationItem No: 6. Meeting Date: Tuesday 12 th December Glasgow City Integration Joint Board Performance Scrutiny Committee
Item No: 6 Meeting Date: Tuesday 12 th December 2017 Glasgow City Integration Joint Board Performance Scrutiny Committee Report By: Susanne Millar, Chief Officer, Strategy & Operations / Chief Social Work
More informationCEO Report 2017/ This report reviews and summarises Healthwatch Cambridgeshire and Peterborough activities for 2017/18.
CEO Report 2017/18 Purpose 1. This report reviews and summarises Healthwatch Cambridgeshire and Peterborough activities for 2017/18. Key issues 2. 2017/18 was the first year operating as the new Healthwatch.
More informationMaking it Real in Cambridgeshire. Action Plan Review. June July
Making it Real in Cambridgeshire Action Plan Review June July 2015 www.cambridgeshire.gov.uk Contents Introduction 1 What is Making it Real? 2 Themes 3 I statements 3 What Cambridgeshire did 4 Who we consulted
More informationShaping Diabetes Services in Southern Derbyshire. A vision for Diabetes Services For Southern Derbyshire CCG
Shaping Diabetes Services in Southern Derbyshire A vision for Diabetes Services For Southern Derbyshire CCG Vanessa Vale Commissioning Manager September 2013 Contents 1. Introduction 3 2. National Guidance
More informationSouth Lanarkshire Council. Autism Strategy. Action Plan. Update April 2014
South Lanarkshire Council Autism Strategy Action Plan Update April 2014 Ten Indicators for current best practice in the provision of effective Autism Spectrum Disorder (ASD) services 1. A local Autism
More informationAudit support for continuous subcutaneous insulin infusion for the treatment of diabetes mellitus (review of technology appraisal guidance 57)
Audit support for continuous subcutaneous insulin (review of technology appraisal guidance 57) Issue date: 2008 Audit support Continuous subcutaneous insulin infusion for the treatment of diabetes mellitus
More informationAUTISM STRATEGY FOR ADULTS IN BIRMINGHAM
CONSULTATION DOCUMENT AUTISM STRATEGY FOR ADULTS IN BIRMINGHAM 2013 2016 HELPING ADULTS WITH AUTISM TO ACHIEVE FULFILLING AND REWARDING LIVES RAISING AWARENESS TO INFORM, IMPLEMENT AND IMPROVE Strategy
More informationGynae Cancer Multi Disciplinary Team Patient Information
Gynae Cancer Multi Disciplinary Team Patient Information Introduction This booklet is for people who have been diagnosed with gynaecological cancers which include cancer of the cervix, ovary, vulva, vagina
More informationDementia care - working together to support complex needs
Dementia care - working together to support complex needs Rachel Thompson Professional & Practice Development Lead for Admiral Nursing February 2015 Dementia - everyone s business 850,000 people in the
More informationLocal Action Plan WALES
1 Local Action Plan 2017-2019 WALES Background As of 1 st January 2017 there were 230 people known to the Association with MND, 6 MND Association branches and, 14 regularly active Multi- Disciplinary teams
More information