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End of Life Care

End of Life Care

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End of Life Care

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  1. End of Life Care Collaboration: End of Life and Palliative Care and The Cardiac Network Case Studies by Anne Porter and Wendy O’Connor and Elaine Owen 5th July 2012

  2. What is End of Life Care? • Anne Porter – cardiac network • Wendy O’Connor – cardiac network • Early 2011 • Advanced Care Planning (ACP)? • Preferred Priorities of Care (PPC)? • Advanced Communication Skills Training (ACST)? • Gold Standards Framework?

  3. What does it mean?

  4. Progress • Initial meeting with Elaine Owen May 2011to discuss “End of Life Care” for patients who have Heart Failure: • Devised a questionnaire, addressing Skills, Knowledge and Attitudes of Staff • Rolled it out to Heart Failure Specialist Nurses (HFSN’s), Cardiologists and GP’s • Presented the findings and recommendations to the Cardiac Board

  5. Recommendations • Provide Advanced Communication Skills Training (ACST) to the MDT, particularly the Cardiologists • Devise an e learning programme for the MDT • Scoping exercise - how many patients have been given an opportunity to discuss plans for end of life care, as a baseline? • Are preferred priorities for care documented? • Are they shared with the MDT? • Review baseline evidenceafter 6 months • How important are prognostic indicators?

  6. Getting there

  7. Where are we now?/ Achievements • Event for the MDT in March 2012 • Date set for ACST in October 2012 • E o L Care Training Menu almost complete • Questionnaire drawn up to establish a baseline of current practice in relation to ACP’s and PPC and distributed to HFSN’s • Meeting arranged to discuss Prognostic Indicators with Heart Failure Nurse Specialists in July • E o L is now part of the Cardiac Work Programme

  8. Collaborative work • Internal Cardiac Defibrillators (ICD) • Protocols and pathways. • Responsibilities. • Service of care available. • Timely communication.

  9. Got it

  10. Top Tips/What worked for us • Definite benefits for all of us • Mutual respect • Equal commitment • National drivers to support the joint working • Able to identify each another's strengths and weaknesses • Clear Outcomes • Knew the audiences

  11. Teamwork! • What an achievement! • Just look what we can do when we work collaboratively

  12. Any Questions and Contact Details • Elaine.Owen@mccn.nhs.uk • Wendy.O’Connor@mccn.nhs.uk • Anne2.Porter@mccn.nhs.uk • www.mccn.nhs.uk/ • www.cmcsn.nhs.uk/