What was the issue you were addressing or working on?
Intensive Care for Palliative Care patients without needing to be admitted to an Acute Hospital
What you did?
Moray CHSCP identified that for some palliative care patients a short stay in a NHS funded Care Home bed was hugely beneficial. This allowed health care professionals to support, assess and treat a huge range of issues without requiring the admission to an acute hospital. The stabilisation of pain relieving strategies was one of the main reasons for admission and patients welcomed the opportunity to be in a non-acute environment whilst receiving NHS care.
Beds were jointly commissioned in the care home setting. A weekly payment was negotiated and the District Nursing Teams undertook a programme of training for the care homes. Although the specialist input would come from NHS Staff, OT, Physio, DN or GP, care home staff were integral in the implementation and monitoring of strategies implemented.
What were the outcomes - benefits or otherwise?
High levels of patient satisfaction with this service. Successful as an alternative to hospital admission. Care Homes were happy to support as it increased the portfolio of services they provided to the community. Occasionally patients incurred longer stays due to changes in their condition but the NHS teams took appropriate action. We are planning to strengthen the admission criteria to help NHS staff identify those patients that would benefit from this service.
Contacts - to find out more
Alison Smart, Alison.firstname.lastname@example.org 07557317800