8 Universities (Pre-Registration 32/19) 5 Universities (Post Reg 22/12) 11 Acute NHS Trusts 8 Hospices 2 Independent care home companies/I care home 11 PCTs 5 Councils NW Ambulance Service 3 Other 43 Trainers (39) 268 Staff (215)
Geographical Spread LancashireMerseysideCumbriaGreater Manchester Cheshire Acute Trust 2261 PCT614 Hospice41111 Council212 Care Homes THREE REGIONALLY Other12 University Pre Post
Nursing (16) Medicine (5) Social Work (1)
(40%)
5 out of 31 respondents said their courses had shared learning across disciplines on the course Of those this included: ◦ Nurses ◦ Medical students ◦ AHPs ◦ Social Workers ◦ Assistant Health Care Practitioners
TeachingAssessment Commonly face to face teaching, simulation and use of case scenarios Service users/carers involved in 1/3 of cases Personal values and reflection covered (1/3)
Recognised educator to work alongside pre- registration teams Incorporate generalist palliative care from year 1 medicine Access to skilled mentors Theme through three years Module dedicated to EOLC at end of course More patient and carer input Use new nursing standards
5 Universities 22 Course/Module Leaders (12)
11 Acute NHS Trusts 8 Hospices 2 Independent care home companies/I care home 11 PCTs 5 Councils NW Ambulance Service 3 Other 43 Trainers (39)
Team trainers37% General Nursing staff29% Specialist nursing staff 85% Medical staff 8% Specialist medical staff51% GPs20% AHP17% Ext company/trainer14% Other26%
LectureDiscussionRole Play Case Studies Vignettes /Pt stories Seminars/ Small group work Video
Number of missing responses Limited sample although reasonable spread Focus tends to be on nursing staff/IPL not well embedded Staff report mixed competence in skills albeit these are growing PPC not used in teaching on university courses Significant amount of training taught in house Varied knowledge of EOLC tools and strategies Teaching approaches seem in line with skills required Opportunities for learning seem to be there – APPLICATION There appears to be a gap in what is taught, learnt and applied when one compares views Is practical assessment lacking? Largely taught post qualification and through in-house training