Acute Hospitals and Palliative Care / End of Life / Bereavement Care. Ciarán Browne. National Lead, HSE Acute Hospital Division
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1 Acute Hospitals and Palliative Care / End of Life / Bereavement Care Ciarán Browne. National Lead, HSE Acute Hospital Division ciaran.browne@hse.ie
2 Context for Acute Hospitals 1 All levels of Palliative Care occur within hospitals Wide spectrum of specialities in one place All ends of the age spectrum in hospital Provision of palliative and end of life care necessitates high levels of integration between hospital and community services Total number of deaths and associated admissions for palliative care / end of life care
3 Relevant research showing benefits Context for Acute Hospitals 2 Palliative Care Programme End of Life Care Bereavement Care All Ireland Institutes Lets talk feedback Large number of networks across country (HFH, consultants, senior nurses, outreach nurses) Palliative Care Framework Office of the Ombudsman A Good Death Portlaoise Report - Florence Nightingale Trust
4 Context for Acute Hospitals 3 Hospital Group CEOs appointed and HG mgmt teams being put in place Currently, a set of national & local plans which identifies the scope, objectives, resource requirements, workstreams, tasks, deliverables, timelines and interdependencies for HG development Re-organisation and networking benefits (short and longer term) Standards driven performance with appropriate measures which target more than just access
5 Hospital Plan Palliative Care End of Life Care Bereavement Care Development of Hospital Plans Supported process to develop integrated plans Integrated Addressing the relevant areas How adds to overall quality of care Mid June timeline for submission of plans
6 (Proposed) Areas Covered Strategic leadership Palliative care team Strategic guidance Palliative and End-of-Life Care Coordinators Quality Improvement initiatives Palliative Care Development Needs Assessment Guidance Referral to specialist palliative care (SPC) Rapid Discharge Guidance Clinical Guidelines 360 Look at palliative care, end of life care and bereavement care Standards for Safer Better Healthcare The Hospice Friendly Hospitals Programme Pal Care / End-of-Life Care Governance Structure Quality Standards for End of Life Care in Hospitals The Physical Environment. The Design & Dignity Guidelines Hospital Bereavement Services Patient Empowerment Patient apps Patient Experience Staff training and development Competence Framework Staff Development Programmes Final Journeys, Dealing with Bad News etc.
7 Theme Palliative Care Development Needs Assessment Guidance* Referral to specialist palliative care (SPC) Rapid Discharge Guidance Clinical Guidelines For consideration in development of plan further information Has your hospital a systematic approach to identifying the palliative care needs of patients? Has your hospital nominated two individuals to act as Palliative Care Needs Assessment Champions Has your hospital a structured and standardised approach to referring patients to SPC services? Has your hospital implemented the protocol for the rapid discharging of patients who wish to die at home? Clinical Guidelines Please note that two guidelines will be released by the National Clinical Effectiveness Committee and the Palliative Care Programme during 2015 on the Pharmacological Management of Cancer Pain and the Management of Constipation in the Palliative Care Setting. out/who/clinical/natc linprog/palliativecare programme/resource s/needs%20assessmen t%20guidance.html Weblink Weblink weblink
8 Acute Hospital Approach Collaborative Approach Palliative Care Clinical Programme Primary Care partners Irish Hospice Foundation Hospital Group CEOs Client group involvement No prescribed template but semi-structured approach Sharing learning and identifying innovations Engagement with Hospital Groups CEOs following first phase of plans
9 Bereavement Care HIQA Galway Report Maternity Specific Bereavement Care Standards Ombudsman A Good Death Other Bereavement Supports (National and Local)
10 Proposed interlinkages with other HSE policies Open disclosure Incident Management (patient interaction component) Palliative Care Competency Framework (developed by Palliative Care Clinical Programme) IHF / Hospice Friendly Hospital Programmes Communicating news of a possible disability diagnosis to parents (partnership with National Federation of Disability) Breaking other bad news Patient involvement programmes (e.g. CUH)
11 Summary Identified this an important area of focus Engage hospitals in a supportive planning process Engage Hospital Group CEOs to identify current gaps and discuss strategic leadership for medium term Establish collaborative approach to developing plans with our key partners Bring together the different relevant strands during implementation
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