The approach taken in the development of the local model for Supportive & Palliative Care is aligned with the recommendations in the NICE Guidance and the milestones agreed by the GMCCN in the local action plan. The re-design of Supportive & Palliative Care services will be based on four foundation elements -
Effective engagement of local people and their families/carers – Involving, empowering and engaging individuals and their families/carers in all aspects of their treatment and support, from planning, delivery and evaluation, is a core topic within NICE guidance.
Effective Care Co-ordination – The nature of Supportive and Palliative Care is that it transcends all care pathways and client based processes. Multi-disciplinary teams are required to work collaboratively to deliver support and care in a seamless way with minimal disruption to the individual, family or carer’s lives.
Community/Locality Network - A better network of local community resources supported by specialists will enable more people to exercise choice in where they are cared for and die. It will reduce avoidable admissions and increase the number of people who can and want to be supported at home. It will reduce the number of people having to accept a care home as an option and will also reduce the number of delayed discharges from acute hospital beds.
Robust Commissioning – A key role for strategic commissioning in the future is to ensure that the appropriate infrastructure is in place to support the development of supportive and Palliative Care locally. Commissioning includes ensuring that the appropriate skills and competencies, information systems and capital resources are available to support the agreed service model. In achieving this there is a significant role for both PbC (Practise Based Commissioning) and strategic joint commissioning.
These four foundation elements of the model will ultimately improve the experience of individual people and their families/carers, thus supporting the agreed vision for Supportive & Palliative Care services across the City. The foundation elements, including the vision and principles, are a culmination of the mapping exercise undertaken by the LSG Subgroups, the gaps analysis and the workshops output from frontline staff.
The attached table of 30 recommendations has been tailored and refined to reflect the four foundation elements, the vision and underpinning principles as agreed by frontline staff, health, social and voluntary care professionals involved in the process to date.