20242029 June 2023 Contents Welcome What is Palliative and End of Life Care Our Priorities for Palliative and End of Life Care in Coventry and Warwickshire Delivery Plan Summary The National Picture ID: 1046975
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1. Engagement DRAFT Coventry and Warwickshire Palliative and End of Life Care Strategy2024-2029June 2023
2. ContentsWelcomeWhat is Palliative and End of Life Care?Our Priorities for Palliative and End of Life Care in Coventry and WarwickshireDelivery Plan SummaryThe National PictureOur Local PictureHealth InequalitiesWhat does good Palliative and End of Life Care look like?How we are developing the strategyTimeline Strategy - Jan 2024 – 2029 Delivery Plan Jan 2024 – Dec 2025
3. Welcome to the Coventry and Warwickshire Palliative and End of life Care Strategy 2024-2029. This Strategy is an overview of how health and social care will work together with our communities across Coventry and Warwickshire to improve the lives of people with palliative and end of life care needs and those who look after them. We have asked people with palliative and end of life care needs, their carers, those who live in Coventry and Warwickshire as well as our partners in health and social care what we should focus on to improve the care and support we provide to people. We have discussed all areas of palliative and end of life care, from activities aimed at improving the understanding of the importance of planning for the end of life, across our communities, through to bereavement care.The detailed Palliative and End of Life Strategy: Delivery Plan, will hold us accountable for the improvements we will make over the next five years and can be found at: to be added.Joint Statement & Vision – ICB, CCC, WCC
4. What is Palliative and End of Life Care?Palliative care is about improving the quality of life of anyone facing a life-limiting condition. It includes physical, emotional, social, spiritual care and practical support. We want our people of Coventry and Warwickshire to live as well as possible for as long as possible.End-of-life care is the treatment, care and support for people who are nearing the end of their lives. It is an important part of palliative care and aims to help people live as comfortably as possible in their last months, weeks or days of life and to die with dignity.Palliative and End of Life Care involves a range of health and social care professionals and organisations working together, to provide physical, emotional and spiritual support for the individual and those who matter to them.
5. Our Priorities: What we want to do.1. Provide information which focuses on identifying people thought to be in the last 12 months of life, early intervention and support. 2. Access to timely palliative and end of life care with support throughout, for all of our diverse communities.3. Supporting people diagnosed with a life limiting condition and those who matter to them, carers and communities. 4. Improving the quality of personalised care and support planning for people with palliative care needs, including planning for the end of life, through education and training for all.5. Deliver a sustainable system
6. Key priorities Areas of focus1. Provide information which focuses on identifying people thought to be in the last 12 months of life, early intervention and support. Ensure up to date information for PEoLC services, referral pathways and support options are available to patients, professionals and the public.Pathway Reviews Continuing HealthCare Fast TrackEarly IdentificationTransition from children and young people's services to adult servicesIdentify work streams across the system which dovetail into PEoLCImprove availability of data regarding palliative and end of life care2. Access to timely palliative and end of life care with support throughout, for all of our diverse communities.Identification of underserved communitiesPathway Reviews 24/7 availability of care Psychological Therapy BereavementPersonal Health BudgetsAccess to medication workstream Support for emotional and spiritual as well as practical living where needed. Continue to engage with compassionate communities development workDelivery Plan: Overview
7. Key priorities Areas of Focus3. Supporting people diagnosed with a life limiting condition and those who matter to them, carers and communities. Personalised Care & Support Planning to include Advanced care Planning ReviewDocumentationSystemwide communication of planningPathway ReviewsUnpaid Carer SupportChildren & Young People Sibling and Friend SupportPoverty Proofing 4. Improving the quality of personalised care and support planning for people with palliative care needs, including planning for the end of life, through education and training for all.Development of Education & Training Framework for Palliative and End of Life CareDying Matters: a systemwide approach to awareness raising5. Deliver a sustainable systemWorkforce mappingContract mappingFunding review Integrated Commissioning Model Delivery Plan: Overview
8. National Framework:Ambitions for Palliative and End of Life CareNational Picture: Palliative and End of Life Care in the UK
9. Local Picture:Coventry and Warwickshire
10. We are keen to provide services in Coventry and Warwickshire which meet the needs of our diverse communities from birth to ageing well.
11. Health Inequalities in Coventry and WarwickshireHealth inequalities are unfair differences in health between our community groups. In Coventry and Warwickshire these differences result in some of our communities having poorer access to information, appropriate services and planning for end-of-life care.Our aim is to provide fair access for all our diverse communities.We have identified greater differences in access to palliative and care at the end of life for: Asylum Seeker and Migrant communitiesEthnic Minority communitiesGypsy, Roma and Traveller communitiesHomeless communitiesLearning Disability communitiesLGBTQIA+ communitiesPrison communities
12. Actions we will take to promote Health Equity in Palliative and End of Life CareWe value the importance of fair access to care for our differing Communities. We are determined to take actions to reduce health inequalities being experienced by our most vulnerable people.We have identified the challenges we want to tackle and the actions we will take in all of our work across all ages to enable this to happen.Health Inequalities in Coventry and Warwickshire
13. What does good Palliative and End of Life Care look like?
14. We are aiming to provide palliative and end of life care in the following ways:
15. How we are developing this strategyWe started by speaking with people in Coventry and Warwickshire who had been diagnosed with a life limiting illness or people who had been bereaved.We reached out to stakeholders across the system to understand the barriers to providing seamless patient care.A stakeholder survey was also carried out and the findings supported the development of this draft strategy.
16. Remaining timeline for the strategy
17. We are keen to hear your feedback on the strategy. To provide feedback on this strategy, please title the email: Palliative and End of Life Care Feedback and send to Email: cwicb.clinicaltransformation@nhs.netInsert ICB webpage link