Patient Experience

1
Patient Experience

• Palliative Care

PATIENT CHOICE ADVICE
PATIENT
PATIENT CARE GP DN
SPC TEAM CNS CONSULTANT
CONSULTANT TEAM
SUPPORT SERVICES
2
What are we trying to achieve?

• 100 of patients dying in their place of choice
• 60 of patients dying at home
• Good symptom control
• Maximise quality of life
• Consistent in and out of hours
• Co-ordinated multi-professional care

3
How can we achieve this?

• Gold Standards Framework
• Palliative Care Pathway
• Hospice _at_ Home
• 24hr District Nursing
• OOHs medical support
• Specialist Advice
• Specialist beds
• Intermediate beds
• Community MDT
• Domiciliary care
• Funding (CHC)

4
How are we doing?

• GSF used widely
• PCP used more consistently
• Hospice _at_ Home in development
• DN review underway
• OOHs training provided
• Pilot for OOHs specialist advice
• Hospice beds
• Hospital beds under development
• Community hospital beds
• Care Homes pilot
• Social services pilot in GAT hub
• Sue Ryder developing more domiciliary care
• CHC purchasing officer

5
Will we get there?

• Organisational change?
• Payment by Results (PbR)
• Healthcare Reference Groups (HRGs)
• Practice Based Commissioning (PBC)

6
What do we need from the Board?

• Support for our plans and progress to date
• Endorsement for our direction of travel

7
Palliative Care in Context of PCT Programmes
OOHS
URGENT CARE
MDT
PALLIATIVE CARE
GSF
LTC
CHOOSE BOOK
CHOICE

• CHC
• FUNDS