St Giles Hospice Quality Account 2017/2018 St Giles Hospice 2017-18 Quality Account | Page 18

Data Quality Advice and Referral Centre
The national Minimum Data Set
(MDS) was discontinued in 2017. Our advice line was launched in
May 2016. In the year 2017/2018
we handled thousands of calls.
We currently hold 59,133 electronic
records.
In 2017/18 we offered support
to a total of 7,500 people
1,681 patients were supported at
home
782 people were admitted to
our inpatient units based at
Whittington and Walsall
There were 3,415 attendances to
the hospice Bereavement Help
Points
There were 2,760 attendances at
our Lymphoedema Clinic
An average of 46 people a
month benefited by attending
our Day Hospice and an average
of 74 people a month attended
our Wellbeing Day, which is held
once a week throughout the year
3,229 visits were made by
our Hospice at Home team to
people at home
6,926 visits were made by our
Community Nurse Specialists to
people in their own home
233 appointments were made to
see patients in their own home
or at an OPA by our Consultants
Inpatient Unit – Whittington
470 patients were admitted
37% were discharged home or to a
care home
The average length of stay was 14
days
The average occupancy level was 80%
Inpatient Unit – Walsall
 12 patients were admitted
3
44% were discharged home or to a
care home
The average length of stay was
11 days
The average occupancy level
was 76%
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52.8% calls were from healthcare
professionals
46.5% were from members of
the public
0.4% were from social care
professionals
61.8% of calls were on behalf of
the patient
The outcome of the call was:
• 11.7% wanted advice regarding
practical issues
• 68.9% wanted information
• 0.4% were seeking emotional
support
• 10.8% were referred onto
another service
• 4.1% required hospice support
• 4.1% wanted information about
symptom control
Referrals
 e received a total of 2621
W
referrals across our clinical
departments at St Giles in the year
2017/18
These referrals were to:
• Community - 1,273
• Hospice At Home - 407
• Day Hospice – 307
• Lymphoedema Clinic – 634
Of these, 2,310 went on to receive
care (88%)
544 referrals were made to our
Bereavement Service. Of these,
505 went on to receive support
451 referrals were made to our
Therapy Services
562 new referrals were made
to District Nursing teams – this
meant nearly 38% of patients
being referred to specialist
palliative care were not already
known to a District Nurse.
This was an increase of 10%
compared to 2016/17
CQUIN goals agreed with
our commissioners
Birmingham Cross City CCG
gave us a CQUIN for 2017/18.
This was a collaborative CQUIN
between three Birmingham
hospices. The hospices, working
with key stakeholders, captured
and reviewed patient stories
concerning people who received
end-of-life care (EoLC) within the
community. These patient stories
were analysed to identify where,
why and what type of changes
could be made to improve EoLC in
the community and reduce the risks
of avoidable hospital admission.
We also worked together to draft
a directory of national and local
resources for EoLC which the CCG
can use to promote education and
learning. We then submitted a
final report based on the findings
of the analyses and included
recommendations for system
change to the CCG.
Our participation in
clinical audits
The hospice has an active internal
audit programme which we select
according to national, local or
internal priorities.
As an independent hospice, St Giles
has not participated in the national
NHS clinical audit programme
as there are currently no national
clinical audits or national confidential
enquiries covering NHS services
relating to palliative care. We review
the NHS programme annually to
identify any such audits that may be
relevant.
The forward audit programme is
developed by liaison between the
Deputy Chief Executive, Nursing
Director, Heads of Department and
Quality and Audit Manager. The