Let's see who's still in the running...
Amber's buzzed off to OZ, but don't be deceived; the old Amber's still got ample nectar in the EoLC honey pot.
There's the umpteen incarnates out of the "toxic" LCP stable, such as the Wirral.
At the Vanguard of the Movement is the Leadership Alliance and Comrade Bee Wee who has so many fingers in all manner of EoLC honey pots.
Is it all finger-licking good, clear cut, shipshape and spict and span, then...?
While the home-grown
Dundee Dignity Care Pathway is a natural choice for NHS Scotland and Salmond's New Republic, is the whole 'Pathway' concept just, well - too toxic?
May Dignity be hybridised with that other pedigree from the Scottish stables, the SPICT? Will that be the choice for NHS Scotland?
The Spict... a natural homegrown choice for Scotland in itself. SPICT is mentioned here -
So, what has the Spict been up to?
This is SPICT –
Spict has been going international, branching out into
and far-flung shores. England
It has been mentioned previously in these pages that the Invicta 'My Wishes' project in Kent incorporated use of SPICT...
Also using SPICT are:
Coordinate My Care inNot to be outdone,
London; Coventryand Warwickshire University Hospitals NHS Trust; Doncasterand Bassetlaw NHS Foundation Trust; and NHS Birmingham South and Central Clinical Commissioning Group.
|- CASTLE - Coventry and Warwickshire|
Coordinate My Care is like the INVICTA
The Birmingham South and Central CCG is using SPICT to identify downsized patients.
Doncaster and Bassetlaw are using SPICT in GP Practices and in Care Homes. As a result, patients on the EoLC register have doubled and
Hospital deaths reduced from 64% to 47% and community deaths increased from 36% to 53%On far-flung shores, is SPICT outdoing Amber...?
SPICT is digging inroads into Oz. Located midway between Perth and Fremantle, Western Australia, this is Fiona Stanley Hospital –
The Fiona Stanley is a $2 Billion state-of-the-art high tech hospital, that will rival any anywhere in Oz, opening in four phases over next year. Serco, which will manage the new public facility, is already recruiting.
In July 2011, the State Government awarded Serco Australia the facilities management contract for non-clinical and support services at Fiona Stanley Hospital. Serco is a major organisation with local, national and international experience in facilities management.
Serco, which may be facing fines over its running of community health services in Suffolk, is currently facing a criminal probe by the
Serious Fraud Office. UK
Fiona Stanley Hospital will be one of the most technologically advanced hospitals in Australia. It will use state-of-the-art technology to deliver new levels of patient care and convenience – from streamlining admission, discharge, bookings and record-keeping to providing video links for doctors and patients – right down to bedside entertainment systems.
For doctors and nurses, that means everything they need to know about a patient can be called up bedside on a single screen
That'll be handy for those life and death decisions.
Use of the SPICT for unplanned admissions to identify patients eligible for goals of care discussion and resuscitation planning on admission.
|- Other Resources|
HealthPathways is a web based information portal for GPs.
it is used by more than 17 health regions across both New Zealand and . Australia
The pathways are based on the best international evidence. But where the availability of local services cannot meet this need, the pathways strive to be explicit about that, explaining why a higher referral threshold has been set.
To critics, this might look like the ultimate in cookbook medicine. But it has empowered GPs to do appreciably more in general practice and has helped to ensure that only those patients who need an outpatient appointment get one. Referrals are monitored: those that do not follow the pathway are rejected.
- HealthPathways - The Kings Fund
Health Partners Medical Group,
HealthPartners is a not-for-profit HMO along with Medical Groups and Clinics and our mission is to improve the health of our members and our community.
Our goal in using a Partner SPICT is to educate our community on what hospice and palliative care is and does along with offering a guide for our providers (physicians, NPs) as to who is appropriate for hospice/palliative care. We hope to have fewer patients who die in our program in under 7 days
This is the same 'holism' as practiced in UK EoLC -
We provide expert pain management, symptom control, social and emotional counseling, and spiritual support. The medications and medical equipment are delivered directly to the place that the patient calls home.This is going one step further in reducing both hospice and hospital admissions.
Over on the European mainland, Dr Anne Finucane, Research Facilitator at Marie Curie Hospice Edinburgh, Scotland, and Member of the Primary Palliative Care Research Group at the
We examined if some patients were less likely to be identified for palliative care than others; and investigated the length of time between identification for a palliative approach and death.
GPs said that identifying cancer patients for palliative care was fairly straightforward; however, it was much more difficult for other patients.
At the Vanguard of the Movement is the Leadership
for the Care of Dying People. Alliance
|- EoLP Newsletter|
But does Comrade Bee Wee have rival contenders for the Vanguard...?
Announcing: The End of Life Partnership – April 2014
The End of Life Partnership — working together to transform End of Life experience and care, as of 1st April 2014.
Over recent years, the CHE, EoLCSM and CLWDW teams have worked closely together, with an excellent track record and significant experience in their respective fields. They have well-developed relationships with local communities, workplaces and workforces, businesses and service provider and commissioner colleagues.
Pooling such expertise into one organisation will improve overall impact, responsiveness, effectiveness and capacity, and create a more compete and holistic approach to living well, dying well and loss. A crucial innovation will be the addition of a research and evaluation workstream to further develop the evidence base and outcomes, as well as potential independent research.
The merged organisation will also be more cost-efficient, financially viable and sustainable into the future.
Further reading -
Liverpool Care Pathway - Pathways Vying For Position
Liverpool Care Pathway - The Outsiders And The Also-rans
Liverpool Care Pathway - This Is The DCP
Liverpool Care Pathway - The Mob Are Sending In The Cleaners
Liverpool Care Pathway - On The Road To Dundee
Liverpool Care Pathway - Moving In For The Kill