National End of Life Care Strategy - Merseyside & Cheshire Cancer ...

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Accountability Framework“Each level does what only it can do”L1 – Individuals &Individual Organisations•Efficiency•Clinical Quality Imp•Sale of Assets•Level of reserve•Int pathwaymanagement•LA / NHS Efficiency•Primary careL4– Region wide / SHA Level•Economies of Scale•Standardisation of pathways•Regional Commissioning•Residual workstreams•I Manage IT / Education spend•Set direction / rules (intervention)•Manage UpL3 – Footprint Group•Acute Configuration•Distribution of specialist business•Collective Commissioning•Piloting innovation•Standardisation of Pathways•R & DL2 –Health EconomyPCT & Preferred Supplier•Care Pathway•Community services•Level of reserve•Civic Leadership•Demand MngtL5 –National Work•Pay•Tariff•Financial Planning•Central budgets•Policy change
Demand and Threshold Management• What’s s been happening to demand across the NorthWest?• Approach• The QIPP Steering Group Work Programme• Care Pathway Group Reports• North West Case Studies• Long Term Conditions• Shared Decision Making• End of Life Care• Procedures of Limited Clinical Value• Dental Care• Utilisation Management Data Deep Dives Reviews
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Welcome toThe Annual Joint Conferen
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Using the end of life care pathway
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Improved outcomes• Improved patie
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Celebrate whatyou want to seemore o
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Subscriber Survey: What you toldus
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DON’TCHANGE JUSTBECAUSETHERE’S
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Our New NCPC Websitewww.ncpc.org.uk
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Our Vision for our 20 th Anniversar
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THE DYING MATTERS COALITION• Set
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IMPLICATIONS FORACTIONSCommunicatio
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DYING MATTERS GP PILOTPROJECT• Ai
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Media Highlightsfrom Dying MattersA
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Practical resource withinformation
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COMMUNITYWWW.DYINGMATTERS.ORG/COMMU
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HOW DYING MATTERS USERSCURRENTLY EN
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Welcome toThe Annual Joint Conferen
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Actual and Projected deaths England
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Place of death by age and sex, perc
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National End of Life Care StrategyP
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Measurement & Outcomes• Place of
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National Drivers1. Operational Fram
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National End of Life Care StrategyP
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Mr Js Story.• Mr Js wife admitted
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Mr D’s D s StoryDischarge home de
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Using the end of life care pathway
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Improved outcomes• Improved patie
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Implementing the Renal End ofLife C
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Why do people with advanced kidneyd
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Aims of Project• End of life care
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Renal Palliative Care• Greater in
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Success Factors• Being there - pa
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Take Home Message• Renal patients
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Questions?
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Workshop QuestionsQuestion 2• Wha
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Workshop QuestionsQuestion 4• How
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The Leadership Impact Programme•
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1.Strengthening the Network
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3. SafetyFirst
Page 84 and 85: 5. GettingUncomfortable
Page 87 and 88: Key Features of the Programme• St
Page 89 and 90: Building links with partners inlong
Page 91 and 92: • Input to GM heart failure nurse
Page 93 and 94: Annual Collaborative End of Life Ev
Page 95 and 96: Thank youAny Questions?
Page 97 and 98: Chronic Kidney Disease (CKD)• Est
Page 99 and 100: End of Life Care in Advanced Kidney
Page 101 and 102: The Project:• Introductions• St
Page 103 and 104: What We Learned• Engage staff to
Page 105 and 106: Audit OutcomesThe project has demon
Page 107 and 108: Conclusions• Renal failure is com
Page 109 and 110: Workshop QuestionsQuestion 1• Wha
Page 111 and 112: Workshop QuestionsQuestion 3• Why
Page 113 and 114: Implementing the Renal End ofLife C
Page 115 and 116: Why do people with advanced kidneyd
Page 117 and 118: Aims of Project• End of life care
Page 119 and 120: Renal Palliative Care• Greater in
Page 121 and 122: Success Factors• Being there - pa
Page 123 and 124: Take Home Message• Renal patients
Page 125 and 126: Questions?
Page 127 and 128: Workshop QuestionsQuestion 2• Wha
Page 129 and 130: Workshop QuestionsQuestion 4• How
Page 131 and 132: • Brief re-cap of the QIPP (Quali
Page 133: National and regional response..Nat
Page 137 and 138: What has been happening to demand i
Page 139 and 140: End of Life Care• Estimated that
Page 141 and 142: How?• Locality registers• Six s
Page 143 and 144: INFLUENCING THE REFORMAGENDA: KEEPI
Page 145 and 146: REFORM: getting from here...www.dyi
Page 147 and 148: EDDY & MYRLE• EDDY• 86 years ol
Page 149 and 150: Policy priorities 11/12• Making e
Page 151 and 152: 24/7• Manifesto call• In white
Page 153 and 154: Palliative CareFunding Review•
Page 155 and 156: GOVT RESPONSE• “We want to see
Page 157 and 158: DILNOT PROPOSALS• Cap on care cos
Page 159 and 160: PEOPLE’S S NEEDS ARETHE SAME• T
Page 161 and 162: LOOKING TO THE FUTURE• Build capa
Page 163 and 164: Caroline Flynn, Elaine Horgan and C
Page 165 and 166: National Facts And FiguresThere is
Page 167 and 168: Reduction ininappropriatehospitalad
Page 169 and 170: Do care homes have thesupport they
Page 171 and 172: Why support care homes• Fits with
Page 173 and 174: End of Life Care Training Matrix
Page 175: The story so far….NetworkNumber o
Page 181 and 182: Local Recruitment• Local awarenes
Page 183 and 184: Overview of the Six Steps toSuccess
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Evaluation/SustainabilityEvaluation
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ContactsElaine Horgan - End of Life
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National End of Life Care Strategy - Merseyside & Cheshire Cancer ...

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