1. Facilitated by Jeanette Shepherd End of Life Care facilitator for Care Homes and Domiciliary Agencies

4. Aim To widen the access to end of life care and increase education to all care homes. It will support the development of nominated staff in residential and/or nursing homes to become End of Life Care Home Representatives (champions) implementing organisational change, utilising the Route to Success (2010)- Six Steps to Success.

5. Why? Fits with the End of Life Care Strategy, identifying the need for a cultural shift in attitude and behaviour across the health and social care workforce. Provide stronger partnerships between the NHS and the independent care sector. Addresses the key components of the End of Life Care Education to support care homes on providing end of life care i.e. Advanced Care Planning, Communication Skills and End of Life Care plan. Improving equity of quality end of life care for all residents in a care homes/ domiciliary service. 10% reduction in inappropriate hospital deaths.

6. Overview of the Six Steps to Success Programme Induction workshop Step 1: Discussions as end of life approaches Step 2: Assessment, care planning and review * Step 3: Co-ordination of care Step 4: Delivery of high quality care in the care homes Step 5: Care in the last days of life* Step 6: Care after death Conclusion workshop

7. Driving Forces End of Life Strategy 2008 Care Quality Commission Outcome 4K QIPP Quality markers for end of life care North West Healthier Horizons End of Life Care Model Equity and Excellence Liberating the NHS 2010 Route to Success in end of life care 2010 6 Steps

8. ‘End of Life Care Plan Last Days of Life First Days after Death 1 year Advancing disease Bereavement 6 months 235 The North West End of Life Care Model 4 Death Increasing decline ‘Rapid Discharge Pathway’ (RDP) Advance Care Planning ‘Preferred Priorities for Care’ 1 ‘Gold Standards Framework’ (GSF) / Six Steps to Success Adapted from NHS Salford

9. Key Outcomes Available to all care homes at no financial cost Develops networking - sharing best practice, development of forums and support groups Uptake in end of life tools irrespective of diagnosis Reduction in inappropriate hospital admissions and deaths Enhanced end of life care for residents and family experience Skilled motivated workforce Consistent approach across the North West in support of care homes Collaborative multidisciplinary team approach

10. Sustainability Educational Package for care homes and agencies who have completed. Continuation of the care home forum to stay at the forefront of end of life care External speakers E-learning resources (e-ELCA website)

11. Completion The End of Life Care Representatives will become Care Home/Domiciliary End of Life Care ‘ Champion/ Champions” The Care Home/Domiciliary Representatives will receive a certificate of attendance Care home/Domiciliary Agency will receive a dated certificate on completion of the portfolio

12. Benefits Enable residents to live well and die well in the place and manner of their choosing Family, friends and care staff are left with good memories Staff satisfaction - increased confidence, skills and knowledge Reductions in hospital admissions and length of stay Multi-professional working across all settings Demonstrating QIPP and meeting Quality Markers Care Home/Domiciliary agency fit for practice

13. Contact Details Jeanette Shepherd 01282 440157 Mob: 0752 830 7582 jeanette.shepherd@pendleside.org.uk www.endoflifecumbriaandlancashire.org.uk