However, although there are solid foundations on which to build, this section also provides a focus on the further work, which is required to develop the supportive and palliative care services to meet the expectations and needs of local people and also ensuring that the local service configuration is fully compliant with the national recommendations in the NICE Guidance.
The local workshops with front line staff identified following areas, as key to enhancing the delivery of supportive and palliative care locally. These are:
Enhancing the current work on engaging with individuals and their families / carers.
Effectively co-ordinating care and support at key points in the system
Ensuring effective communication processes are in place both with individuals and their families as well as across the professional / organisations involved
Ensuring there is high quality information available tailored to meet the needs of the local community
Effective training and education is in place to develop both the generalist and specialist professionals working in supportive and palliative care
Ensuring that quality of the service is continually monitored and audited, the results of which will inform further service improvement
Financial resources should be aligned with the service model
The delegates also identified a range of actions within the above areas, which have been incorporated in to the following foundation elements of the local model for supportive and palliative care
A new vision was formulated and considered at the planned workshops, with all stakeholders.
“All people, including their families / carers, will be offered supportive and palliative care to meet their individual (and family) needs and aspirations, from the point a diagnosis is made (irrespective of what this is). This care and support will be provided in a flexible way by suitably qualified and trained staff, in a location of the individual’s / families and carers choice”
The underpinning principles of this strategy for the future redesign and development of Supportive and Palliative Care services are:
Engagement of individuals and their families / carers
Community /primary care based
Single access point
Flexible and proactive
Open, honest, transparent and sensitive communication
Services for everyone
Evaluation and performance management
Appropriately trained and qualified staff