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palliative care services to support people with long-term chronic conditions, and in particular, chronic organ failure, COPD, and Coronary heart disease.

The data reaffirms that appropriateness of the End of Life care programme targeting older people in Care Homes to ensure that their supportive and palliative care needs are met.  The data highlights that people in Care Home are 4 times more likely to report a long-term chronic condition. This needs to be addressed as part of the development of the Community Network element of the emerging model.

A greater emphasis on the needs and health of carers with significant caring responsibilities needs to be an integral part of the strategy and local approach, given the increased reliance placed on carers as people exercise their wish t be cared for at home or in the community.

The supportive and palliative care needs of people with additional health and social care needs, for example, people with learning difficulties and with mental health needs need o be recognised and accurately recorded and addressed as part of their care planning through both the Person Centred Planning / Health Plan as well as through the Care Programme Approach process. The importance of a single assessment process, which brings these together cannot be understated.

There are an increasing number of children with complex needs living longer and as a consequence there is a need to develop seamless processes at key transition points in the system to ensure continuity of support and care.

The outcomes from the population needs analysis for both cancer and non cancer specialist palliative care indicates the need for an additional resource equivalent of 3.07  hospice beds across Salford.  Theses resources need to be invested in line with the balance between the need for more supportive and palliative care at home and in the community as well as in-patient based palliative care.

The analysis on workforce requirements should be reviewed against practical staffing issues, and the particular circumstances of Salford services. Further detailed workforce review is required to ascertain the actual figures required by the Salford services through detailed discussion with those providing the services noting the impact of designated associate Cancer Centre for Hope hospital, improving choice for care for care at home and the impact of Non-Cancer workload and long-term conditions across all care settings

Work needs to continue on the implementation of the End of Life Care tools to enable more people to exercise choice in where they wish to be cared for and die.


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