End of Life Care Pathway
In response to a request by Mid Notts CCG to redesign the End of Life Care Pathway, the Alliance Partners, including TEAM, have developed a joint approach to a fully coordinated, high quality End of Life service. This is due to go live in April 2018.
Transformation through integration is central to the success of the new model. Gaps in the current service were identified and the rights of patients to receive their preferred place of care and preferred place of death prioritised.
The Alliance want to coordinate the care of End of Life patients through a single point of access, ensuring patients are able to access the right service at the right time to meet their individual needs. The Primary Health Care Team will be supported by education, training, specialist advice and guidance, respite care through Hospice at Home, Day Therapy services and Bereavement services.
As part of this process, TEAM invited current third sectors providers of End of Life care, to participate in the development of the model, and they continue to be an active and valuable member of the operational group. Thanks go to Nottinghamshire Hospice, Beaumond House Hospice and Cruse Bereavement Care.
Alliance members involved in the End of Life Care Pathway are:
- Mansfield & Ashfield CCG
- Newark & Sherwood CCG
- Nottinghamshire Healthcare (Local Partnerships)
- Sherwood Forest Hospitals
- Nottingham University Hospitals
TEAM Small Grant Fund Update
Progress on all of the six TEAM funded projects is going well, with one project completed, four more than half way through and one preparing to start.
- APTCOO are delivering a course to young people with special educational needs and/or disability who are transitioning into adulthood. So far, they have covered activities to help with social interaction, understanding healthy eating and developing healthy cooking skills.
- Reach have set up a Diabetes Prevention group for adults with learning disabilities. The weekly sessions include a fitness element (HIT pyramid workout), activity and group discussion. So far, topics covered have included; healthy eating, affects of alcohol and smoking, fitness and health goals. Mid way evaluation shows reduction in amount of chocolate eaten, slight reduction in cigarettes smoked, increase in exercise and an increase in confidence, enabling clients to be signposted to other support groups around their specific issues (eg. alcohol use).
- Headway are delivering therapeutic drama and art workshops to adults with brain injuries. The sessions focus on listening and communication skills to enable better social relationships with individuals and groups, improving coping strategies and increasing self confidence and independence.
- Hettys have so far delivered 36 workshops to a total of 232 unique individuals. The aim of the sessions are to engage and maintain substance users in treatment and recovery services, as well as provide support and raise awareness and knowledge of addiction amongst families. Evaluation forms completed by attendees show the following progress since starting the project;
- 36% reported substance users have entered and maintained treatment programmes
- 45% reported substance user has reduced their drug/alcohol use
- 76% reported an improvement in relationships across the rest of the family
- 95% reported having better coping strategies and more able to cope in a crisis
- 30% now volunteer in the community
Healthy Living Engagement Event at West Notts College
TEAM and Mansfield CVS were asked by Mid Notts CCG to facilitate an engagement event at West Notts College, held to promote healthy living amongst young people. 80 Social Care students aged between 17 and 20 attended the event to discuss their eating habits, exercise regimes and general lifestyle choices.
The consultation proved very useful, with insights gained into student habits, choices made and the reasons for them, and how healthier choices could affect their health and finances. Ian Marshall from TEAM said, “The majority of the students formed the fast food group, this was because it was convenient, cheap and the best excuse ‘ there is no pots and pans the clean’. This group of students also lacked any organised physical exercise”.
Following on from the event, TEAM are hoping to work with the College and the CCG to better promote healthy living, and arrange informative talks from the Diabetic team to explain and demonstrate the negative effects of poor eating/lack of exercise, even in young people. A similar campaign was set up by TEAM to a local Air Cadets squadron, which then went on to introduce a healthy canteen and exercise sessions both locally and nationally across 180 groups.