Dr Diane Laverty Macmillan Nurse Consultant Palliative amp EoLC London Ambulance Service NHS Trust LAS Strategy for Palliative amp End of Life Care Almost 2 million calls to 999 Attended 11 million incidents ID: 765757
Download Presentation The PPT/PDF document "Dr Diane Laverty Macmillan Nurse Consult..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Dr Diane LavertyMacmillan Nurse Consultant Palliative & EoLCLondon Ambulance Service NHS Trust LAS Strategy for Palliative & End of Life Care
Almost 2 million calls to 999Attended 1.1 million incidents PC coded calls – 3111 31 % average of PC calls conveyed to ED What Do We Do? (1.4.17- 31.3.18) Sector Name Total EOLC Average On Scene Time (min) Conveyed to EDED %North Central Sector5097417834.97%North East Sector5916921235.87%North West Sector9217724826.93%South East Sector6087618129.77%South West Sector4867113828.40%
Ambulance Clinicians TrainingThe 3 P’s: Preserve lifePromote recoveryPrevent deterioration
Resuscitation decisions Bereavement National strategy Holistic careReversible emergenciesAdvance care planning Symptom ControlDecision MakingPaediatricsCommunication
Non expert cliniciansTime pressured situationsNo pre-existing knowledge of patient/familyLimited documentation/information Variable OOH provision for specialist supportThe EoLC Challenge for LAS
What information can help us look after your patients? How can we stop unnecessary conveyances to ED & keep patient at home – if that is their wish?
CMC plan, detailing:Personal & professional contact detailsPPC/PPD/DNACPR decisions Patient/family awareness Treatment escalation plans Symptom control hints & tips, including non pharmacological interventions Coordinate my Care (CMC)
Anticipatory medications when it is clear your patient is nearing end of lifeParamedics CAN administer anticipatory medications Clear, unambiguous drug prescription / authorisation chart & stock balance chart Anticipatory Medications
Creation of Appropriate Care Pathways (ACP’s)Collaboration between hospices and LASIdentifying SPA / 24/7 advice & support service If you know/think you have one, please contact us! Advice, Collaboration & Support
What Can You Do? Can you be sure that your patients who are nearing EOL have a CMC care plan and anticipatory medications available?Do you have a system/process OOH for access to advice & support? Can we create an appropriate care pathway together? Would you be able to offer paramedic placement opportunities for shared learning ?
THANK YOU!