This five-year strategy has been developed on behalf of the Supportive and Palliative Care Local Strategy Group (LSG), which operates across Salford & Trafford and is chaired by Dr Stephanie Gomm, Consultant in Palliative Care Medicine. The LSG includes all stakeholders from health, social care, voluntary services and user representation. The strategy follows on from the successful implementation of the first Palliative Care Strategy for the period 1998 to 2003, which resulted in significant improvements to Supportive & Palliative Care services across Salford.
The process adopted to develop the strategy was ‘whole systems’ and ‘person centred’ and included two planned in-depth workshops that were attended by 160 delegates from across health, social care and voluntary services, including many frontline staff. The person / family centred focus was maintained and enhanced through the work undertaken by delegates at the planned workshops. The output from the local workshops and other discussions has shaped the development of a new vision and underpinning set of principles for the development and delivery of Supportive and Palliative Care in Salford.
National/Local Policy Context
The strategy incorporates key messages and recommendations from a wide range of national policies, including the direction laid out in the Cancer Plan (2002).
The strategy will ensure compliance with the National Institute of Clinical Excellence (NICE) Guidance for Supportive and Palliative Care (2004). As a result of this guidance a decision was taken to extend the scope of the existing LSG to specifically incorporate Supportive care. In addition, the End of Life Care programme (2004) extended the offer of Supportive and Palliative Care to all people regardless of diagnosis.
Strategy development has also drawn on a wide range of crosscutting national policy initiatives, including Commissioning a Patient Led NHS (2005). National Service Frameworks for all clients, Supporting People with Long Term Conditions (2005) and more recently the White Paper ‘Our health, our care, our say: a new direction for community services (2006), highlighting the key themes and challenges that need to be embraced, as we redesign and develop Supportive and Palliative Care services to deliver the flexibility and choices that local people / families and carers want and need.
Coupled with this analysis of national policy drivers, the strategy also considers a number of local policy initiatives and drivers. Key amongst these are the Greater Manchester and Cheshire Cancer Network Action Plan for Implementation of NICE Guidance (2005), and the mapping exercise undertaken by the LSG Sub groups in respect of the Salford health and social care economy, meeting the milestones and timescales outlined in the GMCCN Action Plan.
In order to take a ‘whole systems’ perspective and ensure that the development of Supportive and Palliative Care services is embedded in other policy initiatives across the city, the strategy identifies and makes the appropriate linkages with relevant cross–cutting initiatives, for example Active Case Management.