St Giles Hospice Quality Account 2017 St_Giles_Hospice_Quality_Account_2017 | Page 8

 ur aim was to
O
undertake a review
and redesign of our
community services
What we did:
We surveyed 65 GP practices
and had a 35% response rate.
We asked about how well we
communicated, how responsive
we were and what activities GPs
thought we should be responsible
for. They told us that although we
were usually responsive there was
room for improved communication
and responsiveness. There
was a strong view that the
hospice community team should
initiate discussions and make
decisions about Do Not Attempt
Cardiopulmonary Resuscitation
orders, Advance Care Planning,
prescribe anticipatory medication
to manage new symptoms and put
in place individualised care plans.
What was the outcome?
2015-16 A review
Our aim was to
implement the
internationally
recognised Outcome
Assessment and
Collaborative measures
(OACC). OACC is a
proven approach to care
assessment and review
which enables palliative
care services to
measure, demonstrate
and improve care for
patients and families.
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What we did:
We created a steering group
and its members have attended
education and training to
support implementation. We are
working with our provider of our
electronic record system on their
system development to support
OACC. An action plan has been
developed and we have agreed
financial support from our Board
to support this work. Our Day
Hospice is piloting elements of
OACC to enable us to develop
the best way to implement this
across our community and
inpatient services. We are also
involved in a national research
study concerning an element of
the OACC assessment tool with
our community team and inpatient
team at Whittington.
What was the outcome?
The hospice is committed to
implementing OACC and this will
be ongoing during 2017/18 as it
is a significant large scale project
which will transform the way in
which we assess and deliver care
in some of our key services.
• W
 e have reviewed our
Community Caseload
management and instigated a
step up/step down approach.
This ensures that patients see
the right professional at the
right time according to their
needs and also allows for
flexibility within the service.
• N
 amed nurses are now
allocated to a named GP
practice, and referrals are
directly allocated to an
individual nurse. This improves
communication between teams
and ensures timely allocation of
patients so they can be reviewed
within the correct time frame.
• O
 ur nurses are now able to
undertake DNACPR discussions
and completion of forms
• W
 e introduced electronic
messaging so all community
nurses receive their messages
via email while they are out in
the community, ensuring timely
access to information and
requests.
Our aim was to progress
a strategic academic
partnership with Keele
University
What we did:
We now have a formal partnership
established with Keele University
and have met with the University’s
senior leadership team on several
occasions to identify shared
opportunities.
What was the outcome?
Over the course of 2016/17 we
undertook a variety of shared
Education and Training. Our
Clinical Educator was appointed
as an honorary lecturer at
Keele and also joined the Keele
University Ethics Committee.
The hospice is a member of the
University of Keele Palliative
Care Research Group. We have
undertaken our first joint research
study concerning the perceptions
of people with Multiple Sclerosis
accessing hospice care.
We currently have 2 members of
staff conducting Doctoral study at
Keele, one focussed on Dementia
and the other on Bereavement.
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