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       #Post#: 239--------------------------------------------------
       What is the impact on quality of care by End of life service in 
       community?
       By: admini5 Date: May 13, 2015, 8:31 am
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       It is anticipated that the quality of care provided will
       increase as community hospital staff increase confidence and
       skills.
       Confidence questionnaires were completed by secondees before
       their placements and at the follow-up session after completion.
       Questionnaires were completed for 11 out of 21 secondees; 10 out
       of 11 of the questionnaires demonstrated an increase in
       confidence in delivering end of life care following their
       placement. The evaluation forms stated some of the learning and
       how this would be put into practice to improve clinical care.
       Community hospital doctors, who were not initially involved in
       the project, requested and received training on death and end of
       life care from the palliative medicine consultant. In addition,
       some of the allied health professionals working in the community
       hospital have also established links with their counterparts in
       the hospice.
       Already several patients have been successfully cared for in one
       of the units who previously might have been admitted to the
       acute unit or hospice for symptom management and end of life
       care. Moreover, staff has felt more competent in recognising
       deterioration and pro-actively identifying the care required
       Communication is now very good between community hospital staff
       and those at the hospice; resulting in ongoing support when
       needed and the building of resource files on the ward.
       As a result of the project, staff identified the urgent need to
       rationalise the admission criteria to the community wards. This
       will require multidisciplinary working between the acute
       hospital, the hospice, community and care homes.
       For further information, please visit:
  HTML https://arms.evidence.nhs.uk/resources/qipp/29513/attachment
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