Palliative Care in Perth and Kinross CHP

1
Palliative Care in Perth and Kinross CHP

• Mrs Ann Gourlay
• Palliative Services Manager, Perth and Kinross
  CHP

2
Existing PK Specialist Services

• Consultant
• 5 Community Macmillan Nurses
• Day Care
• Traditional Day Care - Tuesday, Thursday, Friday
• Drop-In Day Wednesday
• Hospital Palliative Team

3
Alison Morrison Consultant in Palliative Medicine
Ann Gourlay Palliative Services Manager

• MACMILLAN HOUSE DAY CARE AND DROP-IN DAY
• Nursing
• Medical
• Physiotherapist
• Occupational Therapist
• Complementary Therapists
• Social Worker
• Bereavement Services Coordinator
• Volunteers and Manager

• COMMUNITY
• Macmillan Nurses
• District Nurses

ROXBURGHE HOUSE
Link Nurses
Nursing Homes
HOUSING AND COMMUNITY CARE
PRIMARY HEALTH CARE TEAM
COMMUNITY HOSPITALS

• PRI ( NINEWELLS)
• Hospital Palliative Team
• Community Liaison Team
• Clinical Nurse Specialists

Residential Homes
Marie Curie Delivering Choice Programme
4
Existing CHP Service Development

• Prevention of admission
• Delayed discharge
• Community Hospital redesign
• Long-term conditions

5
Strengths

• Tested, integrated specialist model with
• Local links with social work
• Nursing Homes step up, step down
• CHP
• GPs, DNs, Specialists
• Redesign of Day Care/Drop-In Day
• 5 Community Hospitals
• Hospital discharge Community Liaison Team
• Education
• Includes Introduction to Palliative Care Course,
  Syringe Driver Training (rolling programme),
  Education Evenings, Pre-Reg Nurse Training,
  Journal Clubs, GP Registrar Training

6
Challenges

• Rising numbers of elderly population
• Delivering palliative services equitably between
  Perth City and rural areas
• Out of Hours
• Partnerships and communications

7
Opportunities

• New hospice
• Public Involvement
• Patient and health care professional satisfaction
  surveys
• Advanced Nurse Practitioners
• Partnerships
• Macmillan Cancer Support
• Marie Curie
• Joint Planning Group
• Liverpool Care Pathway

8
Threats

• Fragmentation
• Lack of resources at time of need to maintain
  patient in place of choice
• Equipment shortages/delivery at time of need
• Flexible resources to meet needs

9
G A P S

• Out of Hours
• Medical
• Nursing
• Flexible resources
• Rapid access to equipment
• Transport
• Speedy access to social support

10
2009 Picture

• 10-bedded inpatient unit integrating
• Day Care
• Drop-In Day
• Education facility
• Also on site
• Community Macmillan Nurses
• Hospital Palliative Team
• Medical Team
• Management
• Admin

11
Alison Morrison Consultant in Palliative Medicine
Ann Gourlay Palliative Services Manager

• CORNHILL SITE INPATIENTS, DAY CARE AND DROP-IN
  DAY plus EDUCATION FACILITY
• Nursing (including Community and Hospital
  Macmillan Nurses and Palliative Day Care Leader)
• Medical
• AHP Support
• Complementary Therapists
• Social Worker
• Bereavement Services Co-ordinator
• Volunteers and Manager

COMMUNITY District Nurses
Link Nurses
HOUSING AND COMMUNITY CARE
COMMUNITY HOSPITALS
PRIMARY HEALTH CARE TEAM

• PRI/NINEWELLS
• Community Liaison Team
• Clinical Nurse Specialists

Marie Curie Delivering Choice Programme
Residential/ Nursing Homes