Archived decisions
Hampshire County Council
Health Overview and Scrutiny Committee Item 7
24 July 2007
Health Review Programme: Update on the Care at End of Life Review
Report of the Chief Executive
Contact: Denise Holden [email protected] 01962 847338
Background
1. This report provides the HOSC with an update on progress with the recommendations arising from the Care at the End of Life Review.
2. Progress made by the PCT with the recommendation for which they took lead responsibility is reported at Appendix One.
3. Hampshire County Council has previously reported on the progress with the recommendation which related to Local Authority responsibilities.
Care at End of Life Research Project
4. The Summer edition of Hampshire Now included an insert alerting readers to the VOICES research, and inviting people to make contact if they feel able to share their experience. Three people have already responded to this offer.
5. The Advisory Group met 12 June at which the primary item for discussion was the VOICES questionnaire and the issues that might need to be managed, such as possible emotional distress of bereaved carers/families. Professor Addington-Hall noted, however, that only once in the times it has been used, has a prospective respondent complained. Since the meeting, members of the Advisory Group have taken away actions to progress, including work towards compiling the questions set for Hampshire and improving the format of the questionnaire
6. Work on the ethics application is virtually complete and a quick turn around is expected when the application goes in at the end of July
7. Owing to the additional requirements for ethics approval, the original timescale is about one month behind. It is however anticipated that this time should be made up over July and August to follow the original time/task line i.e. the questionnaire being distributed in early September.
Recommendations
8. That Members receive a more detailed response from Hampshire PCT and Hampshire County Council in September providing a more detailed response on the progress with regard to:
· Identification of current spending levels on end of life care (PCT)
· Patient pathway mapping (PCT)
· Identification with regard to co-ordination of services (PCT)
· Action to address inconsistency in service provision (PCT& HCC)
· Mapping availability of round the clock community cover (PCT)
· Access to specialist equipment, medication and specialist palliative care advice/support (PCT)
· Arrangements for the roll-out of training programmes (PCT)
9. That Members receive a more detailed response from Hampshire PCT and Hampshire County Council in November providing a more detailed response on the progress with regard to:
· Protocols for transferring patients (PCT)
· Agreement on a single, synchronised assessment process (PCT)
· A County -wide strategy for Carers (HCC)
· Access to support for carers (PCT and HCC)
· Audit of information for patients and carers (PCT)
Appendix One
HAMPSHIRE PRIMARY CARE TRUST
CARE AT END OF LIFE IMPLEMENTATION PLAN
Updated 13 June 2007
CO-ORDINATION OF CARE | ||||
Cross Reference HCC HSOC Report - 4.2.5 | ||||
HCC HOSC Recommendations |
Action |
Deadline |
Lead Responsibility | |
1 |
Hampshire PCT and Hampshire County Council shall agree a lead co-ordinator for CaEoL services across the County of appropriate seniority to effectively influence service delivery across Hampshire and begin to develop a single unified model of care. This person shall work collaboratively and in partnership with the private and third sectors to progress the recommendations made in this report and shall be identified as soon as possible. |
· An initial response shall be provided to the HOSC. · Include a draft timetable for implementation of the recommendations included in this report. |
March 2007 March 2007 |
Yvonne Le Brun, Area Director of Care Services/Richard Ellis, Assistant Director Commissioning Partnerships and Provisions |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |
a b c d e f g h |
Establishment of `formal' Project Initial response provided below on each recommendation Completed PCT Lead Director identified. Completed Sign-off of proposed Implementation Plan required. Completed Monitoring mechanism for Implementation Plan needs to be agreed. Completed Identify PCT Project Manager for this project. Completed Establish Project Steering Group (including commissioning representation) In Progress Establish Area Leads in each of the PCT's geographical areas. Completed Establish Care at End of Life Service Delivery Group. This will draw representation from clinical champions (including local GPs, medics, senior nursing and therapy staff), service carers and advocates, the voluntary sector and social care. Not yet started Development of Unified Model of Care Once established the Project Steering Group will work through a number of actions: · By geographical area identify [audit] the current models of care and current levels of service delivery, · Draft and agree principles for this patient group, · Ensure the current patient pathway [mapped across acute, community, social and the third sector] are understood, · Clarify the service delivery models by locality · Establish the gaps in this provision based upon service providers input · Establish the gaps in this provision based on users [carers] feedback · Develop a unified care model, building on the work of the HOSC review · Reassess the gaps in service provision based on new model · Development of a users' pathway to help direct users, carers and providers through the services Not yet started |
· Implementation Plan provided below. · Yvonne le Brun supported by Richard Ellis · Approved by PEC & Care Services Board · Via regular reports to PEC, to the Board (through the Board Performance & Assurance Report) and HOSC · Elizabeth Emms, HPCT Supported by Clare Hooke, HCC · Joint project steering group with Hampshire County Council initial meeting to be held 26 June 2007 · Heads of Adult Services appointed. Given the differences in service delivery at a local level, these leads will develop services locally as well as acting as part of the Delivery Group. · This will be delivered via short term focused sub group of the Project Steering Group · Establish Project Plan · Progress Report to HOSC/PEC/Care Services Board (note it is not anticipated that the totality of this work will be completed until the autumn of 2007 and that this work will be ongoing) |
March 2007 March 2007 April 2007 April 2007 April 2007 April 2007 April 2007 July 2007 and ongoing June 2007 November 2007 |
Lead Directors PCT CEO Lead Director Lead Director Lead Director Project Manager Lead Director Lead Director Project Manager Project Manager |
Cross Reference to HCC HSCO Report - 4.2.6 | |||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | ||
2 |
Organisational arrangements shall be put in place to ensure that the agreed lead co-ordinator has the authority to commit resources to identify need and agree commissioning arrangements to secure maximum benefit for patients and their families through the co-ordination of care. This shall include an assessment of the current spend on end of life care in Hampshire across all areas of care provision, including those services provided through the voluntary/independent sector. |
· An initial response for taking this work forward shall be provided to the HOSC. |
July 2007 |
PCT CEO/HCC CEO | |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | ||
The PCT has estimated the current spend on this patient group, but there are difficulties with the robustness of this information, for example; differential accounting practice across seven predecessor PCTs; some palliative care is contained within the acute `block contracts'. In addition the incompleteness of activity recording in a community setting mean it is difficult in some cases to disaggregate community nursing spend. Additional work is required within the PCT to further disaggregate spending [if possible] and within the acute sector, to more accurately estimate the current spending level. In the midterm the commissioning arrangements need to reflect the identified needs [and service gaps] of the users/carers which will be obtained from the planned audit and survey [recommendations 4.2.19, 4.2.20]. Adopting this approach should ensure the resources available are directed at the priorities of the users [and carers] of the service. In the short-term if the PCT's gaps analysis of the current service highlights areas of concern these will be considered by the Project Team as possible areas for investment, clearly this is dependent on available funding. Work in progress |
· Identification of PCT current spending Levels · Interim best practice guidelines · Commissioning Plan for this patient group |
July 2007 September 2007 Timescale dependent national guidelines from Department of Health expected later this year |
PCT Lead Commissioner for this patient group PCT Lead Commissioners PCT Lead Commissioner for this patient group | ||
Cross Reference to HCC HSCO Report - 4.2.7 | |||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | ||
3 |
Proposals for agreeing the most effective way forward with regard to the potential for joint management arrangements, pooling budgets, sharing training, developing the workforce and constructively managing the tensions caused by conflicting organisational pressures shall be agreed and included in the remit of the lead co-ordinator. |
· An initial response for taking this work forward shall be provided to the HOSC. |
July 2007 |
PCT CEO/HCC CEO | |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | ||
One of the PCT's key principles [vision] for End of Life Care is that users of these services are provided with `seamless care' appropriate to the needs of the patient, family and carers. An early win; such as providing a `road map' highlighting services available and key contacts would demonstrate a joint approach. Similarly establishing joint posts of `co-ordinators of care' would also facilitate a common approach. The process of developing the Model of Care and Service Delivery should highlight areas where further joint working is possible. Once the Model of Care and Service Delivery has been agreed, Workforce and Training plans will be developed to support the Model. Not yet started |
· Project Steering Group to map and agree current patient care pathway · Project Steering Group will identify areas where the further development of joint working is possible within current resources · Project Steering Group will propose a unified model of care building on the work of the HOSC review |
July 2007 September 2007 November 2007 |
Lead Director Lead Director Lead Director | ||
Cross Reference to HCC HSCO Report - 4.2.8 | |||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | ||
4 |
The Lead co-ordinator for CaEoL for Hampshire shall consider the work by Macmillan Cancer Support (the `Care Miles' Initiative) and the emerging lessons from the Marie Curie `Lincolnshire' Project when assessing the most effective way to ensure that CaEoL can be co-ordinated across the County. |
· An initial response for taking this work forward shall be provided to the HOSC. |
July 2007 |
Lead Director | |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | ||
`Good practice' and innovative schemes will be incorporated into the work undertaken by the Project Steering Group. Not yet started |
· Project Steering Group will identify future developments based on innovative schemes and good practice within and outside Hampshire |
July 2007 and ongoing |
Lead Director | ||
Cross Reference to HCC HSCO Report - 4.2.9 | ||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |
5 |
The Lead Co-ordinator for CaEoL will take early action with the local NHS and Adult Services to address the variation in service delivery across Hampshire and support front line staff by agreeing the range of services to patients and carers to be provided through the statutory sector. |
· An initial response shall be provided to the HOSC. |
July 2007 |
Lead Director |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |
The PCT recognises that, in part, the care delivered to this patient group is not consistent across the PCT's 'new' geographical area. Also the means of delivery of care varies, as an example; the access to support services from organisations such as Marie Curie depends on previous arrangements, and thus the care provided by the NHS sector varies. In the short/mid term, whilst there is still a variation in non-statutory provider support, there will be a variation in the NHS services. The PCT's focus is on ensuring appropriate care is provided for this patient group, that may mean that, what is provided directly by the NHS provider arm will vary, but the level of service accessible to this patient group needs to be the same. The PCT plans to progress this work by developing a single consistent Model of Care, thus clarifying what services exist [and are appropriate] for this group, developing a service level standard, and by geographical area conduct a gap analysis verses this service level standard. This work will then inform commissioning plans for this patient group. Not yet started |
· Adult Services response to the Teamwork audit will address some areas of inconsistency · The Project Steering Group will develop further comments & plans following the audit and mapping of current service delivery |
July 2007 September 2007 |
PCT Lead Director Lead Director | |
ASSESSMENT AND INDIVIDUAL CARE PLANNING | ||||||
Cross Reference to HCC HSCO Report - 4.2.10 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
6 |
Hampshire PCT and Hampshire Adult Services, working with the private and third sectors as appropriate, shall agree how a single synchronised assessment process, as set out in the NSF Framework for Older People, can be progressed. This shall build on existing good practice already in place in hospice and specialist palliative care services and include · Agreement on a consistent county wide approach to continuing care assessment that is responsive to the needs of dying patient and their carers. · Explicit arrangements through which patients that are assessed as being in the last weeks of life can access both health and social care according to need. These shall be clearly communicated to all front line staff. · Arrangements for communicating the needs and wishes of dying patients across the teams providing care. · Arrangements for ensuring that other needs for advice and support to patients and their families are identified and responded to. |
· Progress with this recommendation shall be jointly reported to the HOSC. · Single Assessment Process dependant on national ICT investment however implementing the Mental Capacity Act requirements will address this for some patients |
September 2007 |
PCT CEO/HCC CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT supports this recommendation. Further discussion is required to agree how this recommendation is taken forward. Work in progress |
· Project Steering Group will develop plans to progress consistency across the patient care pathway |
July 2007 |
Director of Commissioning | |||
DAY TO DAY CARE AND COMMUNICATION | ||||||
Cross Reference to HCC HSCO Report - 4.2.11 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
7 |
Hampshire PCT shall review the pattern of community/district nursing/allied health professional cover available across the County to ensure that it is consistent and accessible to people requiring care in their own homes or other community settings 24 hours a day, 7 days a week. This shall include identification of lead individuals for co-ordinating care in local settings and confirmation of the support to be provided to nursing homes of community/district nursing/allied health professional cover available across the County to ensure that it is consistent and accessible to people requiring care in their own homes or other community settings 24 hours a day, 7 days a week. This shall include identification of lead individuals for co-ordinating care in local settings and confirmation of the support to be provided to nursing homes |
· The arrangements and time frame for conducting this review shall be reported to the HOSC. |
March 2007 |
PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT recognises that at times there is not consistent 24/7 cover, in some areas this has been due to the inability to obtain staff to cover, whilst others reported that communication issues with OOH services has led to lack of support. The PCT sees this recommendation as a high priority, once leads have been established, an audit by geographical area will be conducted highlighting when and why 24/7 cover was not available to this patient group. This audit will be used to inform the Project Steering Group Action Plan and be reported through the PEC (and HOSC). The Area based audit will also review access to services out of hours. Work in progress |
· Adult Services response to the Teamwork audit will address some areas of inconsistency · The Project Steering Group will develop further comments & plan following the audit and mapping of current service delivery |
July 2007 September 2007 |
Lead Director Lead Director | |||
Cross Reference to HCC HSCO Report - 4.2.12 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
8 |
Hampshire PCT, working with all other care providers, shall ensure that information about the services and support available to people who are in the last year or months of life is readily accessible in appropriate formats to formal carers, informal carers and patients. |
· The PCT shall report how it intends to take this work forward to the HOSC. |
March 2007 |
PCT CEO/HCC CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
As the PCT has only recently formed from seven predecessor organisations, the information currently available is varied in both form and format. In the mid-term, the work on the Model of Care and Patient Pathway will go on to pick up the information requirements across the pathway. Some of the `good practice' models, particularly those linked to hospice care, have good examples of information. Via the Service Delivery Group, as part of mapping out our current services, the PCT will develop an [interim] `service directory' for this patient group. The appointment of the PCT Communications and Publications Manager will support this process. Not yet started |
· Incorporate into Project Steering Group Action Plan · Audit of current information available · Carers pack developed · Combined information pack for users and carers] |
July 2007 July 2007 September 2007 November 2007 |
Project Manager Communications and Publications Manager HCC and HPCT Communications and Publications Manager HCC and HPCT Communications and Publications Manager | |||
ACCESS TO CARE AND SYMPTOM MANAGEMENT | ||||||
Cross Reference to HCC HSCO Report - 4.2.13 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
9 |
Current access to specialist equipment is not acceptable and this issue needs to be addressed as a matter of urgency. Hampshire County Council and Hampshire PCT shall agree a way forward to ensure that there is appropriate funding and availability of equipment from the County Council and NHS in order to meet patient's needs in a timely, appropriate and cost effective manner. |
· HCC CEO shall report progress with this work to the HOSC. |
March 2007 |
HCC CEO/PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT considers this to be a high priority. Arrangements are close to final resolution to progress the development of improved arrangements for the funding and provision of equipment for the residents of Hampshire. Work in progress |
||||||
Cross Reference to HCC HSCO Report - 4.2.14 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
10 |
Timely communication and sharing of information across all care providers, both formal and informal shall be addressed as a key part of the roll-out of a Hampshire wide approach to out of hours care. Learning from work already underway with the Ambulance Service in south west Hampshire shall inform this to ensure that patients' needs and preferences for care are met. |
· The PCT shall report how it intends to take this work forward to the HOSC. |
March 2007 |
PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT is currently scoping the work undertaken in the South West, to establish the strengths of the system and how this is best rolled out county wide. The Project Steering Group will reflect on this scoping work and ensure that it is embedded in the new service arrangements. Work in progress |
· The PCT shall report to the PEC and HOSC on progress. |
July 2007 |
Project Manager | |||
Cross Reference to HCC HSCO Report - 4.2.15 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
11 |
Arrangements for accessing appropriate pharmacy support (including controlled drugs) both in and out of hours shall be reviewed to identify and implement good practice to ensure that the needs of patients in their homes or other community settings are responded to in a timely and appropriate manner. |
· The PCT shall report how it intends to take this work forward to the HOSC. |
March 2007 |
PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
Although, the PCT supports this recommendation and wholly agrees that access to appropriate pharmacy support particularly in controlling pain for this patient group is essential. The perception of our service staff was that this issue was not a common challenge experienced across Hampshire. Given the number of recommendations within this report, the PCT suggests that as part of the audit of current services this area be included, with the support of the Heads of Medicines Management for the PCT, thus allowing the PCT to evaluate where there are gaps in this service. Work in progress |
· Project Steering Group to obtain work completed by Central South Coast Cancer Care Network Palliative Care Group which has identified gaps in service provision. Recommendations will then be made to ensure a comprehensive provision |
July 2007 |
Project Manager/Heads of Medicines Management | |||
Cross Reference to HCC HSCO Report - 4.2.16 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
12 |
Access to specialist palliative care advice and support shall be identified across all areas and effectively communicated to formal and informal carers, including those providing OOH services. |
· The PCT shall report how it intends to take this work forward to the HOSC. |
March 2007 |
PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
This recommendation will be picked up as part of the Patient Pathway mapping by the Project Steering Group. This group should be able to highlight potential gaps in access, but it would be better informed by the results of the users/carers audit/survey. Not yet started |
· The Project Steering Group will map current service provision, identify gaps, and consider best practice in other areas. A key contribution will be by the results of users/carers audit/survey · Recommendations to ensure an appropriate level of service made · Combined information pack for users and carers · Awareness raising plan for launch of users and carers packs and living will |
July 2007 September 2007 September 2007 November 2007 |
Project Manager Project Manager HCC and HPCT Communications and Publications Manager HCC and HPCT Communications and Publications Manager | |||
SPECIALIST PALLIATIVE CARE AND CHOICE IN PLACE OF DYING | ||||||
Cross Reference to HCC HSCO Report - 4.2.17 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
13 |
Hampshire PCT shall review the needs for specialist palliative care across all care settings to ensure that an appropriate level of service is commissioned and resourced to support people living in their own homes or the community and reduce avoidable admission to hospital. Best practice in hospice services and other partnership working across Hampshire shall inform this work. |
· The PCT shall report how it intends to progress this review to the HOSC. |
May 2007 |
PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT will continue to audit avoidable admissions for this patient group, it has been working with other Trusts to reduce such occurrences. Preventing avoidable hospital admissions is a key target for Adult Services during 2007/2008 and the service will be closely monitored to ensure the target is achieved. The new Community Matron posts across the PCT will build upon the good practice developed as a result of the Integrated Cancer Care Programme and together with the wider community nursing teams be key in delivering this. In addition community nursing teams will increase specialist support to Nursing Homes to ensure that inappropriate hospital admissions at the end of life are avoided for this most vulnerable group of older people. The PCT considers this element of this recommendation to be a high priority. Targets agreed and work in progress |
· Targets for admission avoidance agreed · Monthly monitoring of targets · Develop a culture of joint risk sharing with patients, carers and agencies |
May 2007 June 2007 and ongoing Ongoing |
Lead Director Heads of Adult Services/Business and Performance Managers Lead Director | |||
Cross Reference to HCC HSCO Report - 4.2.18 | ||||||
HCC HSOC Recommendations |
Action |
Deadline |
Lead Responsibility | |||
14 |
Hampshire PCT, working with South Central Ambulance, Adult Services, hospice services, Nursing and Residential Homes, and OOH services as appropriate shall ensure clear protocols are in place to respond to patients requiring transfer who may be in the final stage of their illness. This shall include specific protocols to ensure that there is clarity about the resuscitation status of the patients and to avoid inappropriate interventions or admission to hospital. Mechanisms to communicate these protocols to GPs and other front line staff shall be identified. |
· The PCT shall report how it intends to take this work forward. |
March 2007 |
PCT CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
This recommendation will be picked up by the Project Steering Group. Not yet started |
· Identify current protocols. · Develop a multi agency policy to ensure communication of resuscitation status and avoidance of inappropriate interventions |
June 2007 Tbc |
Project Manager Lead Director | |||
Cross Reference to HCC HSCO Report - 4.2.19 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
15 |
The comparative audit of patients admitted from nursing homes to hospital at the end of their life planned by the SHA shall take account of the appropriateness of admission and the wishes of the patient. Additionally consideration shall be given to extending this audit to include patients admitted through the OOH and emergency services. |
· Action for SHA, the SHA shall report back how it intends to take this work forward to the HOSC. |
March 2007 |
SHA Lead | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT fully supports this audit and would look to using the outcomes to aid the PCT's gap analysis and support its commissioning plans for this care group. The PCT considers this recommendation to be a high priority as it would support a `needs based' allocation of resources. SHA action |
· SHA developing plans. · Portsmouth Hospitals auditing inappropriate admissions |
Tbc |
SHA Lead | |||
Cross Reference to HCC HSCO Report - 4.2.20 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
16 |
Hampshire HOSC, working with Southampton University, shall identify the costs associated with obtaining feedback from patients and carers about CaEoL services. |
· Progress with this work will be reported to the HOSC. |
March 2007 |
HCC CEO/HOSC Chairman | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT fully supports this approach and it would look to using the outcomes to aid the PCT's gap analysis and support it commissioning plans for this care group. The PCT considers this recommendation to be a high priority as it would support the allocation of restricted resources. As such it has provided funding to HOSC to support this programme. HCC action |
· Being taken forward via Voices initiative. |
|||||
SUPPORT TO CARERS | ||||||
Cross Reference to HCC HSCO Report - 4.2.21 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
17 |
The Director of Adult Services shall provide information on the way in which informal carers' assessments are requested, who conducts these and any timescales that support this process as well as the means by which the client's satisfaction is evaluated (linked with Recommendation at 4.2.10). |
· This information shall be provided to the HOSC. · Department of Health guidelines awaited |
March 2007 |
Director of Adult Services | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT will support this work in any way it can. In progress |
· HCC action |
March 2007 |
HCC Lead | |||
Cross Reference to HCC HSCO Report - 4.2.22 | ||||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |||
18 |
In order to promote consistency in service provision, and support front line staff, Hampshire County Council shall publish a County wide policy setting out the support to be provided to informal carers. This shall include arrangements for supporting patients and carers with social care needs where NHS continuing care is being provided (linked with Recommendation 6 at 4.2.10). |
· The arrangements and timeframes for developing this policy shall be provided to the HOSC. |
May 2007 |
HCC CEO | ||
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |||
The PCT supports this recommendation. HCC action in progress |
· Carers pack developed · Combined information pack for users and carers |
September 2007 November 2007 |
HCC and HPCT Communications and Publications Manager HCC and HPCT Communications and Publications Manager | |||
Cross Reference to HCC HSCO Report - 4.2.23 | ||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |
19 |
Hampshire PCT, in liaison with Hampshire County Council, shall provide the HOSC with additional information about the support available to informal carers including: · Access to psychological and spiritual support · The range of respite provision through the NHS and County Council and how this is accessed · The lead professional for responding to informal carers' needs |
· The PCT shall report how it intends to take this work forward to the HOSC. |
July 2007 |
PCT CEO/HCC CEO |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |
This recommendation will be picked up by the Project Steering Group as part of the audit and mapping of current services. Not yet started |
· Develop clarity regarding Carers assessments · To be included in Carers information packs |
July 2007 September 2007 |
Lead Director HCC and HPCT Communications and Publications Manager | |
WORKFORCE AND TRAINING | ||||
Cross Reference to HCC HSCO Report - 4.2.24 | ||||
HCC HSCO Recommendations |
Action |
Deadline |
Lead Responsibility | |
20 |
Hampshire PCT, working with Hampshire County Council and other providers of CaEoL, shall confirm funding and arrangements for the continued roll-out of the GSF, LCP and other training programmes that support the delivery of general and specialist end of life care. |
· The PCT shall report how it intends to take this work forward to the HOSC. |
March 2007 |
PCT CEO/HCC CEO |
Comments/Status |
Implementation Plan |
Deadline |
Lead Responsibility | |
The PCT, in collaboration with partner organisations, will undertake a scoping exercise to establish the scope and quality of current CaEoL related training currently provided. Through the Project Steering Group, it will then seek to develop a training plan (with identified sources of funding). |
· Scoping exercise completed June 2007 · Training Plan developed - Autumn 2007. |
July 2007 |
Director of Human Resources | |