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Recommendation 15 : Develop an effective model linking the specialist and general supportive and palliative care practitioners to reach into the individual’s home and care homes across the city-wide care settings of hospital Trusts, acute and mental health, hospice, and other specialist services to improve continuity of care and support.

Action

Lead

Timescale

Review of service model by Palliative care lead managers hospital, community, hospice and social care mental health leads and Care Standards Commission for Salford.

LSG

April 2008

Recommendation 16 : Staff should be sensitive to the spiritual needs of patients and their carers and have access to information and services linked to religious and spiritual needs. The multi-disciplinary palliative care team should have access to suitably qualified spiritual care-givers who act as a resource for patients, carers and staff.

Action

Lead

Timescale

Chaplains need to be part of the specialist palliative care multi-disciplinary team, with access to the full range of information about the individual and family/carer.

Develop a common policy of documenting in the individual case records.

The training needs of spiritual carers needs to be addressed across all care settings with use of common assessment protocols.

Acute Trust /Hospice

Hospital & Community Sub Groups

2006 completed

April 2007

September 2008

Recommendation 17 : Ensure that the most appropriate culturally sensitive religious links occur within the local community to support the seamless delivery of spiritual care support across all care settings including the individual’s own home.

Action

Lead

Timescale

Establish Spiritual Care working party incorporating wide faith representation.

LIO Palliative Care

September 2007

Recommendation 18 : Enhance co-ordination of bereavement services in Salford between the hospital bereavement centre, hospice services, LA and the local voluntary independent sector bereavement organisations as described in the Network Guidelines for Advanced Care Planning for End of Life Care and Bereavement.

Action

Lead

Timescale

Implement the Network Bereavement Guidelines

Appoint a bereavement co-ordinator for Salford

LSG

LSG

November 2007

April 2008

Recommendation 19 : Develop and to agree a Single Point of Entry within each locality for early assessment, treatment and support for individuals and families who need supportive and palliative care.

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