1 Regional Reporting – Q2 - PowerPoint Presentation

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Regional Reporting – Q2

NorthMidlands and EastLondonSouthMOU Signed[G][G][G][G]Q1/Q2 Funding Released[G][A][G][G]Q3 Funding Released[A][A][A][A]Deliverable 1[G][G][G][G]Deliverable 2[G][G][G][G]Deliverable 3[G][A][G][A]

OverviewSlide2

Deliverable 1

2

Clinical and managerial participation in the quarterly national clinical network face to face meetings chaired by the NCD for End of Life Care. RegionMeeting(s)North13 Sep - Representation at PEoLC Network meetingMidlands and East13 Sep - Representation at PEoLC Network meetingLondon13 Sep – Representation at PEoLC Network meeting, feedback was due to be provided to Clinical Leadership Group members on 03 Oct.South13 Sep - Representation at PEoLC Network meetingSlide3

Deliverable 2

3

Support local clinical engagement through mechanisms (and frequency) to be identified by the regional team. RegionDateMeetingsNorth 25 Jul04 Sep07 Sep19 Sep21 Sep10 Jul25 Jul26 Sep

17 Jul

05 Sep

Greater Manchester Eastern Cheshire

North West DNACPR Oversight Group

GMEC with GM Cancer Palliative and End of Life Care Advisory Group

North West Operational Group Meeting

GMEC Educators Network

GMEC Workshop to the palliative and end of life care board

Yorkshire and Humber

Y&H Clinical leads meeting

Clinical leads/HEE teleconference

Regional joint event with HEE to scope

EoLC

training priorities

North East

Northern England Clinical Networks

meeting -

half day event (45 delegates), to share the findings of the scoping project of the two regional initiatives: Deciding right and the Caring for the Dying Patient document

Lancashire & South Cumbria

Palliative & End of Life Care Network

Clinical Advisory Forum

Midlands and

East

West Midlands

(Engagement via the following groups,

dates not available at the time this report was produced).

West Midlands Palliative Care Physicians Group

Midlands Regional Action Group (Transition taskforce)

West Midlands Paediatric Palliative Care NetworkSlide4

Deliverable 2 continued

4

RegionDateMeetingsLondon03 Jul12 SepTBCQuarterly Clinical Leadership Group meeting - Clinical network updates were presented to the CLG and there was a presentation from Steven Pruner (Personalised Care Group) and discussion on personal health budget for EOLC.Regular regional commissioners network meetings - agenda included: CMC, Urgent Care Planning: Driving spread and adoption in care homes, My CMC Update.STP and CCG engagement and support. STP clinical lead recruitment for north London complete , meetings to commence Oct 18.South18 Sep 19 Jun18 SepSouth WestEoL Expert Reference Group representative of commissioners and cliniciansSouth EastThemed quarterly meetings - EPaCCS

(not reported in Q1 report)

Themed quarterly meetings - PersonalisationSlide5

Deliverable 3

5

A choice of one (or more) of the measures of success.Region/ Sub-regionDeliverableProgress (Highlights)North - Lancashire and South CumbriaNorth - Cheshire & MerseysideNorth - Greater Manchester Eastern Cheshire

North – North East

Increase in the number of people identified, offered personalised care and support planning, included in the GP’s supportive/palliative care register and offer for inclusion in local

EPaCCS

.

Metric

selected:

metrics being scoped.

Reduction in the number of people who have 3 or more emergency admissions in the last 90 days of life from care homes.

Metric

selected:

metrics being scoped.

Increase

in the number of people identified, offered personalised care and support planning, included in the GP’s supportive/palliative care register and offer for inclusion in local

EPaCCS

Metric selected:

GP Palliative Care Register (TBC)

Refer also to

EoL

test site project

Increased access/ usage of shared digital records (

EPaCCS

)

Metric selected:

Work in progre

ss

;

data reporting streams are in place, the practice support has yet to go around and upload the

EPaCCS

resource.

Trying to secure a project lead and link into the STP digital plan – see issues

Pre-project

workshop held to implement

the framework Enhanced Health in Care Homes (EHCH)

Data required – see risks

Need to establish project team – see risks

Using STP SRO to link deliverable with the cancer centre pilot (

delivering enhanced supportive and palliative care across C&M)

Position paper with the GM Digital Collaborative for consideration (further to deep dives in all localities re the

EPaCCS

situation).

Submitted a LHCRE bid for

EoLC

to be considered as a use case, awaiting a decision though early indicators are that it will not be prioritised in this phase.

Dash board in development with business analyst team

Advance Care Planning and communication skills training -

78 trainers trained and 251 attended one day programme

A first test run of the process and information sharing was successful.

A second, high level, dataset has been developed with the capability to collect KPI information on a month by month basis. Slide6

Deliverable 3 continued

6

Region/ Sub-regionDeliverableProgress (Highlights)North - Yorkshire & HumberEmbed PEoLC priorities within STPsWY&H Progressing the NHSE EoLC test site projectCo-ordinating specialist palliative care support for Yorkshire Ambulance Service (YAS) Established Supportive Care scoping project with WY&H Cancer AllianceHCVAgreement that STP area will use same four key drugs in order to reduce issues of crossing boundaries / ensure safe prescribing and administration.Ongoing implementation of ReSPECT process (potentially looking to roll this out across the STP)

In discussion regarding use of eSCR with

addl info

as an

EPaCCS

(and trying to promote this)

SY&B

Seminar

being planned, the aim being to

gain insight and sharing of locality priorities in relation to national/

regional

EoLC

deliverables as well as to understand common barriers

Project ECHO developed (provide training opportunities

for

YAS to

advance

personal development of staff and for managers to identify the training needs of their workforce with easily accessible solutions) Slide7

Deliverable 3 continued

7

Region/ Sub-regionDeliverableProgress (Highlights)Midlands & East:East MidlandsEast of EnglandWest MidlandsEmbed PEoLC priorities within STPs.Metrics selected:Update not available at the time this report was produced.An exercise has been completed in East of England to establish the position with regard to the embedding of PEoLC within CCGs/STPs. Priorities for clinical lead are being identified.A series of 10 minute films to support improvement in community based pain management producedAll six STPs have PEoLC in their plans (and

an MoU exists between NHSE and each STP for PEoLC support to deliver for 18/19)

London

Increase in the number of people identified, offered personalised care and support planning, included in the GP’s supportive/palliative care register and offer for inclusion in local

EPaCCS

Metrics selected:

GP Palliative Care Register/ number of CMC records .

Planned future collection date(s): CMC data published monthly, GP Palliative care register annually.

Other metrics to be collated:

% of care home deaths in London (annual)

% of hospital deaths (annual)

Since

the

project launch

Outer NEL STP has now agreed to use CMC as

EPaCCS

.

Other highlights include:

EOLC survey outlining the availability of essential and desirable elements of care for EOLC by CCG and by STP has been published (Sep

18)

A project which

focusses

on the EOLC of care home residents is

underway, the project team has been formed and work will commence in Q3.

A single signposting document for bereavement support was signed off in Sep 18.

3 pilot sites have been secured to test the document.

Supporting NHS England with ‘access to medicines in the community’ project.Slide8

Deliverable 3 continued

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Region/ Sub-regionDeliverableProgress (Highlights)South - South EastSouth - South WestSouth - Thames ValleySouth - WessexReduction in the number of people who have 3 or more emergency admissions in the last 90 days of life.

Personalisation: Number of personal health budgets at the end of life.

Reduction in the number of people who have 3 or more emergency admissions in the last 90 days of life.

Improved outcomes and experience (ONS-VOICES) in end of life care for people

Metric selected : Voices Survey data and data from various parties such as McMillian, Marie Curie, Diabetes Research, Mental Health charities, Kings Fund reports, Care Quality Commission reports.

First 2 training events held -

Delivery of training courses to care homes on ACP

Launch of Sussex

ResPECT

Collaborative (14 Sep)

NEW Devon

EoL

PHB (fast Track) site

Works streams have been prioritised to what can be realistically achieved – see risks..

24/7 provision of specialist

palliative care -

one month of data collection has shown potential gaps in services and the use of Special Patient Notes which will support the

EPaCCS

report findings.

UEC

for

EoL

-

recommendations have been developed

Update not available at the time this report was produced.Slide9

Risks Identified

(rated Amber or above)

RiskRAG RatingMitigation (please also highlight if NHS E can support)

North - Greater Manchester and Eastern Cheshire

Allocation of funding to support the GMEC work stream for EPACCS not in place.

AR

Position paper for EPACCS developed and will go to the GM Clinical Reference Group 4

TH

October.

North – North East

EPaCCS

slippage time (acknowledged at the start of the project) continues to push back the time scales with significant delays to date which have largely been due to the large organisations

that

are part of the project and the many changes that are ongoing at strategic level.

AG

Working with the IT provider Black Pear their resource has been adapted to pull information directly from the primary care records into a plan where further details can be added as necessary. This plan can then be seen by other organisations and written into where appropriate.

We have helped shaped their product by highlighting functions we wanted which have now been included in their product.

North -

Cheshire & Merseyside

Need data which shows where patient is admitted from, reason for admission and link to whether ACP in place (

Reduction in the number of people who have 3 or more emergency admissions in the last 90 days of life from care homes).

AR

North -

Cheshire & Merseyside

Need to establish project team/ further refine project definition (

A recommended working model for Specialist Palliative Care and acute hospital admissions)

Need to establish project group (

A plan for C&M which supports roll out of electronic transfer of information to support of end of life care)

A

Q2

activity has been around the STP work, this has resulted in some additional resource being secured (to work solely on EoL for the next few months).

RisksSlide10

Issues

Description

Date raisedDate resolved

Actions

South -

Thames Valley

UEC

for

EoL

– work to u

pdate

pathway with recommendations/actions and scoping tool has been delayed (due to be completed Jul 18)

Q2 Report

(05

Oct)

Recommendations have been developed, proposed to the Chair and Lead for presentation to the Board.

North -

Lancashire & South Cumbria

No project plan for

L&SC which supports roll out of electronic transfer of information to support of end of life care

Q2 Report

(15

Oct)

Trying to secure a project lead and link into the STP digital plan

Risks

c

ontinued and Issues

Risks Identified

(rated Amber or above)

Risk

RAG Rating

Mitigation (please also highlight if NHS E can support)

South

– South East

Due to lack of contracted hours (managerial support on 7.5 hrs per month and clinical lead providing voluntary support):

No CCG meetings have been attended (

CCG

EoL

Steering group meetings across the region to support

EoL

and STP)

Unable to attend locality

ReSPECT

meetings

Compassionate Communities Network has not been reinstated due to reduced capacity of man power resources

AR

Midlands

and East

Work is progressing to establish formal engagement of clinical leads in East of England and East Midlands with Region

AG

Additional Leads being appointed, regional support identified.Slide11

To calculate your risk RAG rating you should identify the likelihood and impact score from the tables on the left, the RAG is as per the table above (where the scores meet).

NHS England RAG Guide - Risks