“End of life care is care that:
Helps all those with advanced, progressive and incurable illness to live as well as possible until they die. It enables the supportive and palliative care needs of both patient and family to be identified and met throughout the last phase of life and into bereavement. It includes management of pain and other symptoms and provision of psychological, social, spiritual and practical support."
Source: National Council for Palliative Care 2006
For people within Merseyside & Cheshire to be supported to die well in the place of their choice through integrated services.
DH End of Life Care Strategy (2008); Improving Outcomes for Cancer ( 2011); NICE IOG Supportive & Palliative Care ( 2004);End of Life Care in Heart Failure(2010);Improving End of Life Care in Neurological Disease; End of Life Care in Advanced kidney Disease; Supporting People to Live and Die Well; a framework for social care at the end of life ( 2010)
End of life care (EolC) will be understood by both professionals and patients as the last 12 months of life in line with the North West model
The use of the North West EoLC model will be promoted in all care settings and disease groups with the aim of reducing hospital deaths by 10% by 2012. Patients with a long term condition identified as end of life will be placed on a supportive care register.
The social care framework for end of life will be promoted within Local Authorities as will the EoLC quality markers and NICE standards in all settings
Good practice will be shared and spread throughout the Network.
Patients will report an increased satisfaction in end of life care provision
Continue to support the use of advance care planning which includes the use of the nationally approved EoLC tools in all care settings and disease groups
Raise awareness of EoLC with health and social care professionals, voluntary and charitable organizations and the general public so death and dying will be a normal part of conversation and care planning
Mentor, support and educate EoLC clinicians and facilitators both in specialist and generalist roles so staff whether they work within the NHS, the Local Authority, private or voluntary sector will have the confidence and capability to care for patients at end of life
Develop robust information at Network level to support the commissioning of end of life care services
Each disease specific network to have within their work plan 2 priorities linked to end of life care
Local authority plans to include end of life care
Network facilitator education programme
Death, Dying and Loss Community engagement programme
Care home EoLC improvement programme
Network EoLC Multi Professional Education Training plan
End of Life Care quality survey
Reduction in the number of hospital deaths
Increase in the number of home deaths including care homes
Decrease in Length Of Stay (LOS) for end of life care patients in hospital
Increase in the uptake of end of life care tools in all settings
Increase in the number of people at end of life (EoLC)on practice or locality registers now known as electronic palliative care co-ordination system.
Care home EoLC improvement programme uptake
End of Life Care quality survey results
Kathy Collins Associate Director Palliative and End of Life Care Network
kathy.collins@mccn.nhs.uk
Tel 0151 201 4150 ext. 6225
Caroline Flynn
End of Life Care Lead for Community and Social Care Services
caroline.flynn@mccn.nhs.uk
Tel 0151 201 4150 ext. 6229
Elaine Owen
End of Life Care Lead for Acute and Specialist Services
elaine.owen@mccn.nhs.uk
Tel 0151 201 4150 ext. 6202
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