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Palliative Care in Perth and Kinross CHP

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5 Community Macmillan Nurses. Day Care. Traditional Day Care - Tuesday, Thursday, Friday ... Link Nurses. ROXBURGHE HOUSE. Residential Homes. HOUSING AND ... – PowerPoint PPT presentation

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Title: Palliative Care in Perth and Kinross CHP


1
Palliative Care in Perth and Kinross CHP
  • Mrs Ann Gourlay
  • Palliative Services Manager, Perth and Kinross
    CHP

2
Existing PK Specialist Services
  • Consultant
  • 5 Community Macmillan Nurses
  • Day Care
  • Traditional Day Care - Tuesday, Thursday, Friday
  • Drop-In Day Wednesday
  • Hospital Palliative Team

3
Alison Morrison Consultant in Palliative Medicine
Ann Gourlay Palliative Services Manager
  • MACMILLAN HOUSE DAY CARE AND DROP-IN DAY
  • Nursing
  • Medical
  • Physiotherapist
  • Occupational Therapist
  • Complementary Therapists
  • Social Worker
  • Bereavement Services Coordinator
  • Volunteers and Manager
  • COMMUNITY
  • Macmillan Nurses
  • District Nurses

ROXBURGHE HOUSE
Link Nurses
Nursing Homes
HOUSING AND COMMUNITY CARE
PRIMARY HEALTH CARE TEAM
COMMUNITY HOSPITALS
  • PRI ( NINEWELLS)
  • Hospital Palliative Team
  • Community Liaison Team
  • Clinical Nurse Specialists

Residential Homes
Marie Curie Delivering Choice Programme
4
Existing CHP Service Development
  • Prevention of admission
  • Delayed discharge
  • Community Hospital redesign
  • Long-term conditions

5
Strengths
  • Tested, integrated specialist model with
  • Local links with social work
  • Nursing Homes step up, step down
  • CHP
  • GPs, DNs, Specialists
  • Redesign of Day Care/Drop-In Day
  • 5 Community Hospitals
  • Hospital discharge Community Liaison Team
  • Education
  • Includes Introduction to Palliative Care Course,
    Syringe Driver Training (rolling programme),
    Education Evenings, Pre-Reg Nurse Training,
    Journal Clubs, GP Registrar Training

6
Challenges
  • Rising numbers of elderly population
  • Delivering palliative services equitably between
    Perth City and rural areas
  • Out of Hours
  • Partnerships and communications

7
Opportunities
  • New hospice
  • Public Involvement
  • Patient and health care professional satisfaction
    surveys
  • Advanced Nurse Practitioners
  • Partnerships
  • Macmillan Cancer Support
  • Marie Curie
  • Joint Planning Group
  • Liverpool Care Pathway

8
Threats
  • Fragmentation
  • Lack of resources at time of need to maintain
    patient in place of choice
  • Equipment shortages/delivery at time of need
  • Flexible resources to meet needs

9
G A P S
  • Out of Hours
  • Medical
  • Nursing
  • Flexible resources
  • Rapid access to equipment
  • Transport
  • Speedy access to social support

10
2009 Picture
  • 10-bedded inpatient unit integrating
  • Day Care
  • Drop-In Day
  • Education facility
  • Also on site
  • Community Macmillan Nurses
  • Hospital Palliative Team
  • Medical Team
  • Management
  • Admin

11
Alison Morrison Consultant in Palliative Medicine
Ann Gourlay Palliative Services Manager
  • CORNHILL SITE INPATIENTS, DAY CARE AND DROP-IN
    DAY plus EDUCATION FACILITY
  • Nursing (including Community and Hospital
    Macmillan Nurses and Palliative Day Care Leader)
  • Medical
  • AHP Support
  • Complementary Therapists
  • Social Worker
  • Bereavement Services Co-ordinator
  • Volunteers and Manager

COMMUNITY District Nurses
Link Nurses
HOUSING AND COMMUNITY CARE
COMMUNITY HOSPITALS
PRIMARY HEALTH CARE TEAM
  • PRI/NINEWELLS
  • Community Liaison Team
  • Clinical Nurse Specialists

Marie Curie Delivering Choice Programme
Residential/ Nursing Homes
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