International Clinical Summit

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InternationalClinical Summit
InternationalClinical Summit
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
MikeRichards
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
TomHughes-Hallett
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End of life care Presentation to the NHS Next
Stage Review International Clinical Summit

• Thomas Hughes-Hallett
• Chief Executive
• Marie Curie Cancer Care
• November 22, 2007

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(No Transcript)
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The Boston results
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• Home deaths
• Hospital deaths
• Costs

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63
45
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Marie Curie Cancer Care

• Leaders in end of life care
• Marie Curie Nurses
• All diagnoses

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Preference over place of death

• 64 home
• 21 hospice
• 4 hospital
• 66 of patients in hospital want to go home

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The real picture

• 57 of deaths are in hospital
• Just 19.5 at home
• 54 of hospital complaints relate to care
  surrounding a death

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Delivering Choice Programme

• Develop
• Evaluate
• Share

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Project structure

• Phase I
• Understanding the current state of services
  (strengths and barriers)
• Phase II
• Designing service models
• Phase III
• Implementing and monitoring service models

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Discharge and transport

• Dedicated discharge nurses and facilitators
• Meet and Greet
• Palliative care ambulance services

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Responsive flexible community care

• Community teams
• Rapid response nurses
• Bringing health and social care together
• Generic workers

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Identifying patients as palliative

• Electronic palliative care registers
• Recording preferences, history, limitations

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Joined up working / coordination

• Coordination centre
• Communication between hospitals and community
  teams
• Education

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Support for patients carers

• Support groups
• Psychological support
• Identifying hidden carers

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And it works
increase home deaths decrease hospital deaths
avoid inappropriate admissions get people out of
hospital improve the patient and carer
experience save costs

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What next?

• Talk to us
• Learn from our experience

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Thank you
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
Paul Cann
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CLINICAL WORKING GROUP
End of life care
Maternity Newborn Staying Healthy Long Term
Care Acute care Planned care End of life
care Mental health Children
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Breakout group speakers
Italics speakers from previous day
Presentations
Chairs
Discussion contributors

• Gwyneth Lewis

• Video from South Africa with commentary from
  Stephen Lindow

• Prof Arul
• Karen Baker (tbc)

• Ruth Hussey

• Nilda Morales

• Donal ODonoghue
• Sue Roberts

• Vinod Patel
• Jonathon Hope

• Dr Schulte
• Jack Cochran

• George Alberti
• Roger Boyle

• Alastair Buchan

• David Levine
• Frank OKelly

• Video from Sloan Kettering with commentary from
  Sarah ODwyer

• David Colin Thome

• Ian Rutter
• Simeon Schwartz

• Mike Richards

• Tom Hughes -Hallett

• Paul Cann

• Louis Appleby

• Video from Melbourne
• Paddy Power

• Matt Muijen
• Max Birchwood

• Sheila Shribman

• Andy Mitchell

• Steve Ryan
• Ian Lewis