Delivering Choice Programme

What was the issue you were addressing or working on?

To identify palliative and end of life care needs in Argyll and Bute –

  1. To understand the gaps in the delivery of palliative and end of life care
  2. To develop and support cross partnership working in the area of palliative and end of life care.
  3. To develop new services and initiatives to improve palliative and end of life care

What you did?

Using a whole systems programme management approach, the DCP programme to date has been successful in identifying local palliative and end of life care needs.  The mapping of existing services for palliative and end of life care was undertaken between September 2012 and May 2013, culminating in a Phase 1 review report.  The review report identified perceived gaps in the provision of palliative and end of life care, and a number of themes were identified for further solutions.

The following areas were highlighted as key themes to develop services and initiatives:

  1. Improving the culture of death, dying and bereavement through health promoting palliative care
  2. Improving support for carers of people with palliative and end of life care needs
  3. Improving access to transportation for palliative and end of life care patients and their carers
  4. Improving access to out of hours support and services for palliative and end of life care
  5. Reassessing the role of care homes in palliative and end of life care.

Four stakeholder workshops were held to discuss these themes. The attendee list below shows the range of stakeholders present.
Delivering Choice TableFollowing the workshops, the following service options and initiatives are being developed into full business cases including; a new model for 24/7 integrated home support for palliative and end of life care patient; training and education; developing best practice guidance for remote rural patients travelling outwith Argyll and Bute for health appointments; raising awareness campaign around death, dying and bereavement.

Implementation for new services and initiatives began in Autumn 2013.


What were the outcomes - benefits or otherwise?

The full benefits of the programme will be realised following the implementation phase. The programme has been successful in fostering ownership and partnership working between all sectors involved in palliative and end of life care.

The outcomes we envisage from the DCP are as follows:

  • Increase home support for palliative and end of life care
  • Increase awareness of death, dying and bereavement
  • Increase the numbers of palliative and end of life care patients dying in the preferred place of death
  • Reduction in avoidable admissions in last 6 months of life from all community settings
  • Building support and confidence in carers of palliative and end of life care patients

Contacts - to find out more

Jen Layden, Jennifer.layden@mariecurie.org.uk  0141 557 7538