1. N.B The powerpoint presentations included in this programme are for guidance only and facilitators/educators have permission to use their own ensuring the content and outcomes of the programme are met. Disclaimer: It is the responsibility of the provider organisation and those delivering the programme to ensure educators/facilitators have the appropriate skills, knowledge and competencies to deliver the programme and support the organisations undertaking the programme.

2. Induction Workshop

3. Plan of session National, regional and local end of life care driving forces Introduction to the Six Steps to Success Programme Developing and changing practice and the role of audit What do you want to achieve through the programme? Developing individual End of Life Care policies Moving forward

4. What’s driving us?

5. What is Palliative Care? An approach that improves the quality of life of individuals and their families who are facing the problems associated with a life threatening illness, through the prevention and relief of suffering by means of early identification, impeccable assessment and treatment of pain and other problems; physical, psychosocial and spiritual (W.H.O. 2002)

6. End of life care is care that: Helps all those with advance, progressive, incurable illness to live as well as possible until they die. It enables the supportive and palliative care needs of both patient and family to be identified and met throughout the last phase of life and into bereavement. It includes management of pain and other symptoms and provision of psychological, social, spiritual and practical support NCPC 2010 6

7. End of Life Care Strategy 2008 4.39 “Good PCT’s working with local authorities will wish to commission services from care homes where: Residents approaching the end of life are on an end of life care register Each resident is offered a care plan, which clearly identifies their needs and preferences for care Staff receive the training and support they need to provide end of life care There is appropriate access to GP, District nursing and specialist palliative care advice” DOH, 2008, End of Life Care Strategy p95

8. North West Model

9. Quality Markers

10. Route to Success

11. Care Quality Commission

12. CQC – End of Life Essential Standards

13. Overview of the Six Steps to Success Programme Induction workshop Six Steps to Success workshops Flexible supporting/continuing education depending on needs of organisation, eg, communication skills, Advance Care Planning and End of Life Care Conclusion workshop Completion of a portfolio Continuation of support forum

14. Six Steps Step 1 Discussions as the end of life approaches Step 2 Assessment, care planning and review Step 3 Co-ordination of care Step 4 Delivery of high quality care Step 5 Care in the last days of life Step 6 Care after death *All underpinned by strong multi- professional working*

15. Developing and changing practice Change Management...a systematic approach to dealing with change, both from the perspective of an organization and on the individual level...proactively addressing adapting to change, controlling change, and effecting change. (Case Western Reserve University )

17. The role of audit What is audit? An evaluation of a process Why audit? Audit is about improvement The audit cycle

18. Three audits take place during the programme Quality Markers and Measures Post Death Audit Information Knowledge, Skills and Confidence