Our local Palliative & End of Life Care (PEOLC) test partners came together on 8th November 2018 to exchange knowledge and understand the success factors for care co-ordination. The morning session provided an opportunity for the five health and social care partnership test sites to share the improvements in care co-ordination that they have been taking forward locally. Each site has approached this challenge in a different way, working with different population groups, in different settings and with a variety of different interventions. However, the objective to improve the co-ordination of palliative and end of life care remains consistent across each area, with promising early outcomes now emerging from this work.
Test Sites
We have five main test sites involved in identifying those who would benefit from a palliative care approach:
- Dundee
- Fife
- East Ayrshire
- Renfrewshire
- Glasgow
Experts from Marie Curie, Ayrshire Hospice, Care Inspectorate, University of Edinburgh and The Scottish Social Services Council (SSSC) were on hand to provide short stories and share current thinking to help with our understanding of Care co-ordination.
The afternoon was a World Café format – a world café is a simple, effective and flexible format for hosting large group dialogue. It provides an opportunity to exchange and share knowledge. Test site leads led the table discussion and answer any questions in relation to their site and Care Co-ordination.
Evaluation Comments
“This was a great day, what an opportunity to have a day with space to network, think and create for the future”
“Everyone’s opinion counted”
“Open environment to discuss palliative care with professionals in different areas”
“Rich conversations”
“Great opportunities to learn what is happening and being developed across Scotland and a chance to network and share ideas”
“Really valuable sharing and networking; very much stimulated ideas for us to test”
“Group discussions, listening to different ideas and realising that we are all wishing and working for the same outcome”
Key to good care co-ordination in PEOLC
Attendees tested out Mentimeter, a fun and interactive tool for presentations, to create a word cloud describing the key to good care co-ordination:
Closing comments from Paul and Sandra
Paul Baughan and Sandra Campbell (National Clinical Leads) provided some words from the day:
“There are many different components to good co-ordination of care at the end of life. This gathering allowed those testing new ways of working to meet and share their progress with like-minded individuals and experts in the field of palliative care. This knowledge exchange is mutually beneficial and has provided a renewed impetus for our five test sites to make progress with their change ideas.”
“It was an excellent day, with really engaging conversations and sharing of best practice… and great to hear about such good work across the country.”
Next Steps
Paul and Sandra are currently working on an evidence bundle for Care Co-ordination alongside the Evidence and Evaluation for Improvement Team (EEvIT), the first draft will be ready at the end of January. The evidence bundle will inform which interventions help people to die in their preferred place of death, which interventions help to decrease the percentage of hospital deaths, and the interventions that increase the percentage of deaths at home and in hospices.
For further information, please contact a member of our team at hcis.livingwell@nhs.net
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