IMPLANTABLE CARDIAC DEFIBRILLATORS

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IMPLANTABLE CARDIAC DEFIBRILLATORS

• From critical incident to network standard
• Angela Farrell Service Improvement Manager
• Isabel Quinn End of Life Programme Manager
• Northern Network of Cardiac Care

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Working in partnership since 2002

• Joint Teaching and networking events
• Information and resource sharing
• Representation on Joint Steering groups

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Critical Incident

• Brought to End of Life Care Steering Group by Pam
  Ransom Mac/EoLC Fac
• ..

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Baseline of existing service provision

• Disparity in service provision within each Trust
  in the network
• Use of Liverpool are pathway varies
• Rapid discharge Initiatives being developed in
  some areas
• Limited competencies and knowledge

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Action Plan

• Engage Key Stakeholders cardiologist,
  Physiologist, Palliative CareConsultant, End of
  life Care facillitator,Primary care
  representation,
• Draft standard for consultation
• Ratification by Network Clinical Advisory Group,
  Northern Cancer Network and SHA

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Challenges

• Ethical Considerations
• Out of hours service provision
• Education and Training
• Implementation of End of Life Tools for all Heart
  Failure Patients
• New ways of working ? Extended roles /extended
  hours
• Resources

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The Next Steps

• Formalising the network Standard
• Audit and evaluation
• Dissemination Strategy
• Education and Training (Dr McComb)
• Developing a lead post
• Ongoing Joint Working

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