1. PEACE in Coastal West Sussex- how was it for us?

2. Introduction The session will cover:
Why we signed up to be part of the project
Where we are, our demographic, the challenges and opportunities
How we set the project up, the planning process
What happened next?
Perspectives of the team on the PEACE experience
The views of patients and carers, care home staff
Reflections on our experiences and lessons learnt
Next steps and future plans…….

3. Introducing the project team Why did we join the PEACE project?

4. Where is Coastal West Sussex?
Coastal WS CCG covers almost 65% of West Sussex
We have 6 Localities
There are 52 GP practises
An annual budget of more than £580million
2 acute hospitals
3 specialist palliative care providers
Over 300 care homes
Total population now exceeds 500,000

5. The CWS Population

6. What did we do first. How did we decide on the model
What did we do first? How did we decide on the model? What happened next?

7. CWS PEACE model principles.
1. Patient identified who would benefit from developing Peace plan in discussion with the care home/ following recent admission
2. 1st discussion takes place led by admission avoidance care homes matron
3. Provide patient/family, staff information
4. Admission avoidance care homes matron can draw on support from GP, Care of Elderly consultant, EOLC specialist on as required basis.
5. ALL plans signed by GP, Care of Elderly consultant, EOLC specialist
5. Share plan via proactive care MDT coordinators/ GP. Identify key worker and plan uploaded to IBIS / one call.
6. Review plan as appropriate to individual circumstance.
Care home
New Grange
( Care home)
Aldersmead
( Nursing home)
Admission avoidance care home matron
Ria Evans
Sonja Rosell/
Fiona Stevens ( from Feb 2015)
Supported by GP champion
Bikram Raychaudhuri
(until Feb 2015)
Beth Meek
Consultant Care of the Elderly support
Tom Saunders
Jackie Pace
End of Life specialist support
Suzanne Ford- Dunne
Brendan Amesbury

9. The admission avoidance care homes matron perspective
Film in here
What were our first thoughts about piloting PEACE?
Introducing the idea to care homes, training and getting ready
Experience of completing the plans

10. The GP’s perspective What benefits were foreseen?
Film in here
What benefits were foreseen?
What were the initial challenges ?

11. The consultant’s perspective
Film in here
What did I fear before we started?
What happened in practice ?

12. The care homes perspective
Film in here
What did we think when PEACE was first talked about?
What happened in our care home?

13. Patient and carer views
Film in here
How was PEACE first introduced ?
Views on the PEACE experience

14. Reflective views……… Film in here Our experiences
Mental Capacity issues

15. Reflective views…….. Film in here What lessons did we learn?
Ideas for the future…..

16. Next steps and future plans…..

17. Any questions for the panel?

18. Thank you