Within North Ayrshire a broad range of service provision exists and is delivered through the 4 partner agencies (NAC, NHS A&A, third sector and independent sector). It was recognised that the scope, extent and how to access the services was not generally known by prospective service users, nor among the partners themselves. It was recognised that there was a need for Community Connectors to map, promote and share knowledge of services available to older people and their carers and amongst professional teams.
Previously Care of the Elderly clinical pharmacy input would only be available from the hospital setting, not in the community. In this example, patient had problems taking her medicines after being discharged from hospital following a stroke.
Review the council medication policy to ensure robust processes were in place for carers managing and administering medicines.
Due to shifting the balance of care, more patients with complex health needs are being looked after in the community therefore there is a need for specialist pharmaceutical care input, normally only available in the hospital setting.
To deliver an integrated approach to support patients and their carers sustain care in their own home for end of life care.
Figures produced by ISD show that those in the final year of life accounted for around 30% of all bed days. While 50% of patients continue to die in hospital, Marie Curie can evidence that 98% of those cared for at home with Marie Curie input can be sustained at home.
P&K CHP currently deliver 3 Marie Curie shifts per week for each patient assessed to be in the last 12 weeks of life regardless of diagnosis. Evidence from the last 2 years data shows that existing and predicted increasing demand for enhanced services is no longer sustainable.
The need for training that was merged and developed, if you will, to find the right balance between the needs of our clients and the needs of our volunteers. Existing training for befrienders was felt too ‘cold’ and failed to take into account the range of needs and aspirations of older people themselves – and the relationships which develop from such initiatives.
Older people and volunteers were unimpressed with existing training, and had viewed several packages; this was a truly co-productive approach.