2. Slide 2 Central Lancashire + Southport & Formby 600,000 pop. 6,000 deaths p.a.

3. Slide 3 Central Lancashire + Southport & Formby 600,000 pop. 6,000 deaths p.a. 25% cancer 30% organ failure 1500 1800 35% frailty / dementia 2100 15% unexpected 900

4. Slide 4 60-70% people would prefer to be cared for and to die at home 20% people are cared for and die at home End of Life Care Strategy 2008

5. Slide 5 U.K. 2010 ACTUAL PLACE OF DEATHPREFERRED PLACE OF CARE U.K. 2010

6. Slide 6 CENTRAL LANCS ALL DEATHS IN HOSPITAL & USUAL PLACE OF RESIDENCE (HOME + CARE HOME)

7. Slide 7 WL,S&F ALL DEATHS IN HOSPITAL & USUAL PLACE OF RESIDENCE (HOME + CARE HOME)

8. Slide 8 CENTRAL LANCS DEATHS IN HOSPITAL & USUAL PLACE OF RESIDENCE (HOME + CARE HOME)

9. Slide 9 CENTRAL LANCS DEATHS IN HOSPITAL & USUAL PLACE OF RESIDENCE (HOME + CARE HOME)

10. Slide 10 54% hospital complaints relate to end of life care and communication Healthcare Commission 2007 33% of all hospital admissions in last year of life occur in last 30 days before death National End of Life Care Intelligence Network 2012 12% of those who die in hospital have been admitted from a care home 89% of those who die in hospital do so following an emergency admission 32% after 0-3 days 18% after 4-7 days 50% after 8+ days National End of Life Care Intelligence Network 2012

11. Slide 11 Where preferred place of care (PPC)is discussed & recorded 76% die in PPC 8% die in hospital EPaCCS Data Report North Somerset 2011 Where preferred place of care (PPC) is home, with hospice at home support, 80% died at home in PPC (7%CH) 4% died in hospital Jack, B. Queenscourt at Home Evaluation 2010 Where extra home nursing provided 77% died at home 8% died in hospital Marie Curie Nuffield Report 2012

12. Slide 12 Weston Hospicecare Place of death n=960 Cancer n=19 Non Cancer n=46 WL, S&F All Deaths Audit 2009 Impact of recording PPC in Residential and Nursing Homes

13. So what’s happening to make a difference….. Commissioning priority of all Lancashire Clinical Commissioning Groups and Lancashire County Council Central Lancashire strategy and action plan Forms part of the contract monitoring framework Work with dementia adviser service to implement “living well and planning for the end of life” Six steps training programme – social workers – Residential and nursing homes – Domiciliary care workers

14. What else is happening Provider audit to influence future training within the sector UCLAN/ Age UK/ knowledge sharing partnership project developing a volunteering model to support people at the end of life Work with help direct and the customer service access service to ensure local and national supports including bereavement services are listed Link to the work being undertaken by the community connectors Included on the hospital passport Marking dying matters week

15. It’s dying matters week from the 13 th – 19 th May This is what I am doing how about you? Work with help direct to ensure they promote the events that are happening around the County Talking to you to raise awareness and encourage action Making sure that my colleagues know all about it – Through our intranet notice board – Through agenda items at team meetings – Through our change matters newsletter – In supervision Making sure my family know that I have completed “living well” so they understand my wishes and encouraging them to do the same