Children and families / carers experience problems with continuity of care, in particular at the age related services transition process. Specific problems are reported in relation to meeting their psychological needs and acquiring and providing the appropriate equipment in a timely way as they progress into adult services.
Key outcomes from the population based needs assessment
Greater Manchester and Cheshire Cancer Network (GMCCN) commissioned work to gain a better understanding of the need for supportive and palliative care services in the populations of the network. Using the model developed by Peter Tebbit of the National Council for Hospice and Specialist Palliative Care.
Extrapolating the information for the Salford health and social care economy, highlights the need for a total equivalent resource of 24.1 beds (16.4 Cancer related beds and 7.7 non cancer related beds). The current equivalent bed use by Salford PCT is 21.03. This indicates the need for an additional resource equivalent of 3.07 beds for the local health and social care economy in Salford.
Analysis of place of care and death
More people wish to be cared for in their own home or in a location within the community. The implementation of the End of Life Care tools (Preferred Place of Care, Gold Standards Framework and the Care Pathway for the Dying) all assist in offering individuals and their families greater choice and flexibility in the location of their care and support. Work is progressing across Salford in the implementation of these tools, with the implementation of the Care Pathway completed in the Hospice, Hope Hospital and at home. A project to implement it across the Care Home Sector has commenced. The Gold Standard Framework has been implemented in 85% of the GP practices across the city.
In the three years 2002-04, 387 deaths from cancer occurred at home in Salford, an average of 129 deaths per year. This represents 19.1% of all cancer deaths occurring at home, but this is significantly lower than the national average of 22.4%. A further analysis of the data highlights that oesophageal and colorectal cancer patients were significantly less likely to die at home than is the case nationally.
An audit of place of death was undertaken in 2005 looking at data over 1 year (Apr 2004 - March 2005). This showed a small but significant increase in percentage of cancer patients dying at home in Salford compared to 2000.
An increase in percentage of people dying at home and in Care Homes
Little change in the percentage of people dying in hospital
A reduction in the percentage of people dying in the hospic