04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

DRAFT
will ensure that we are able to record, communicate and carry out the
patient’s wishes.
2. More people dying in the place of their choice - To maximise the number of
people who die in the place of their choice and to ensure they receive
excellent end of life care where ever that is. While most people express a
wish to die at home it is essential that good end of life care is available in all
settings.
3. Access to care at home - Most people would prefer to die at home as long as
high quality care can be assured and as long as they do not place too great
a burden on their family and friends. The Gold Standards Framework (GSF)
is now being used by 64% of Lambeth GP practices and there has been an
increase in the number of people receiving fully funded palliative continuing
care. However patients, carers and referrers report that access to health
and social care support and practical help is variable, is not always available
24/7 and in an emergency and can lead to carer burnout.
4. End of life care in care homes - Of the 14 care homes in Lambeth, 5 have
been involved in some way with implementing the GSF and 2 of those are
progressing to full accreditation. The PCT will be working with other
stakeholders to explore additional ways of incentivising care homes to
implement both the GSF and Liverpool Care Pathway (LCP). End of life
care for people with dementia has been highlighted as a priority area as part
of both the MCCP and Modernisation Initiative.
5. Acute care - A 3 year project is underway at GSTT to roll out the LCP across
the trust and so far 17 wards have implanted it. Work undertaken as part of
the MCDC programme has highlighted discharge planning as an area that
needs further work.
6. Access to bereavement services - The PCTs baseline review of EOLC
services completed early in 2008 identified a gap in bereavement services.
Work is underway with the national charity Cruse to develop a local Lambeth
bereavement service.
Planned care
Initiative Outcome Indicators
1. Reduction in cancer mortality
Lambeth JSNA – Preliminary Assessment
Version 4
October 2008
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