1. TO DISCOVER, TO DISCUSS, TO DEVELOP FRIDAY 4 TH JULY 2008 WELCOME

2. TO DISCOVER, TO DISCUSS TO DEVELOP FRIDAY 4 TH JULY 2008 Rosaleen Bawn Macmillan Clinical Nurse Specialist Nursing Homes

3. Introduction What has been discovered, discussed and developed What has been discovered, discussed and developed –Team –Education –Communication –Gold standards framework –Integrated care pathway –Future

4. Team Working part time! Working part time! Team has expanded Team has expanded Role division – changes in PCT Role division – changes in PCT Secretary Secretary

5. Education (1) Three rolling programmes completed Three rolling programmes completed –Numbers attended = 374 In house education – 15 subjects In house education – 15 subjects –Numbers attended = 177 Working with audit department to complete audit of education Working with audit department to complete audit of education

6. Audit of Education Programmes Outcomes: (questionnaires received = 42) Outcomes: (questionnaires received = 42) –95% respondents had attended palliative care education with the last 12 months –85% of those had attended the Nursing Home programmes –37.5% of respondents had attended in own time

7. Audit of Education Programmes Have any of the education sessions changed your thinking/ practice? Have any of the education sessions changed your thinking/ practice? Yes = 36 – 90% No = 3 – 7.5% Blank =1 – 2.5% Yes = 36 – 90% No = 3 – 7.5% Blank =1 – 2.5%

8. Audit of education programmes Themes identified Themes identified –Confidence –Greater understanding of palliative care principles –Gold standards framework – working towards –Breaking bad news, communication, depression –Symptom management »Pain »Breathlessness »Mouth care

9. Audit of education programmes Comments – actions for the future Comments – actions for the future –“in house training can be used as part of induction” –“following education we are now working closer with the physio” –“education has made me more interested in palliative care and I am undertaking Cert in Palliative Care” –This has been a valuable resource and through discussion and attending education our practice is much improved”

10. Education (2) Follow up from last years conference(s) a role exchange programme will commence in August Follow up from last years conference(s) a role exchange programme will commence in August Collaborative working with Kirkwood Hospice to deliver syringe driver training in house Collaborative working with Kirkwood Hospice to deliver syringe driver training in house Link Nurse Group – continue Link Nurse Group – continue Mangers’ Forum – occasional difficulty sustaining groups Mangers’ Forum – occasional difficulty sustaining groups Local, regional and national presentations Local, regional and national presentations

11. Communication Newsletter – continue quarterly Newsletter – continue quarterly Website – recently updated Website – recently updated Directories Directories PCTs – communication team PCTs – communication team Local Press – encourage the promotion of work carried out in nursing homes Local Press – encourage the promotion of work carried out in nursing homes

12. Gold Standards Framework Seven homes successful in gaining accreditation – produce portfolio of evidence that demonstrated GSF is embedded into practice Seven homes successful in gaining accreditation – produce portfolio of evidence that demonstrated GSF is embedded into practice Following discussion at last years conference the GSF programme has been commissioned to be delivered locally Following discussion at last years conference the GSF programme has been commissioned to be delivered locally 20 homes have commenced the programme – 2 workshops and support meeting complete 20 homes have commenced the programme – 2 workshops and support meeting complete

13. Gold Standards Framework Have become an accredited visitor for the national team Have become an accredited visitor for the national team OMEGA – OMEGA – the National Association for End of Life Care is a newly formed charity aiming to promote excellence in care for people nearing the end of the their lives. It developed from and is closely aligned with the work of the National GSF team the National Association for End of Life Care is a newly formed charity aiming to promote excellence in care for people nearing the end of the their lives. It developed from and is closely aligned with the work of the National GSF team

14. Integrated Care Pathway Moving forward with ICP – Julie to present this afternoon Moving forward with ICP – Julie to present this afternoon Long awaited and many care homes eager to use this document Long awaited and many care homes eager to use this document

15. Future (1) Develop further education programmes Develop further education programmes »In house »Role exchange programme GSF GSF »Further accreditations »Further programmes – already interest »Agreed funding for the next GSF programme »Working with National Team / PCT / SHA / University ICP ICP

16. Future (2) Working with long term conditions groups Working with long term conditions groups Working with PCTs re: DNAR and Verification of death Working with PCTs re: DNAR and Verification of death Continue to discover, to discuss and to develop Continue to discover, to discuss and to develop HOLIDAY! HOLIDAY!

17. THANK YOU