Transforming End of Life Care in Acute Hospitals AM Workshop 1: EPaCCS 2020 ‘Where we are and where we need to be’ presented by Jeri Hawkins, NHS England and Stephen Burrows, Greater Manchester, Lancashire and South Cumbria SCN & Cheshire and Merseyside SCN
Dr. Stacey Schwabenlander - Minnesota State Perspective on Highly Pathogenic ...John Blue
Minnesota State Perspective on Highly Pathogenic Avian Influenza - Dr. Stacey Schwabenlander, Senior Veterinarian, Minnesota Board of Animal Health, from the 2016 NIAA Annual Conference: From Farm to Table - Food System Biosecurity for Animal Agriculture, April 4-7, 2016, Kansas City, MO, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2016_niaa_farm_table_food_system_biosecurity
Dr. Stacey Schwabenlander - Permitted movement, lessons learned and changed m...John Blue
Permitted movement, lessons learned and changed made dealing with highly pathogenic avian influenza (HPAI) - Dr. Stacey Schwabenlander, Senior Veterinarian, Minnesota Board of Animal Health, from the 2017 NIAA Annual Conference, U.S. Animal Agriculture's Future Role In World Food Production - Obstacles & Opportunities, April 4 - 6, Columbus, OH, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2017_niaa_us_animal_ag_future_role_world_food_production
RH COMMODITY SECURITY AND PLANNING SYSTEM (RAPSYS): A SYNERGISTIC MODELBongs Lainjo
Problem Statement:
Maternal and infant morbidity and mortality remain a global challenge and based on latest reports, mitigation efforts have not been encouraging. Unsustainable fertility rates continue to rise unabated in low and middle-income countries (LMICs). Significant gaps in reproductive health and rights continue unabated. According to a recent United Nations Population Fund (UNFPA) report, 225 million women do not have access to contraceptives. This short fall is universal and only acerbates an already dire situation. Inability to address these challenges has many implications including ubiquitous poor quality of health for both mother and child.
Reasons for these dismal performances include limited access to quality services, qualified staff, poor logistics management and lack of commodities.
These poor outcomes prompted the author to develop the model: RH Analysis and Planning System (RAPSYS).
Methodology:
The participatory model is based on pilot-tested results. It is defined by key determinants – utilization, demand, access, supply and procurement; cross cutting components – coordination, supervision, funding, advocacy, capacity building M and E; and all driven by an enabling environment. The systems use expert experience to develop effective strategies including: qualitative assessment, Delphi ranking, action plan, commodity projection and monitoring framework.
Findings:
There is adequate evidence that the conventional approach in program design and implementation continues to show different levels of understanding of the expected outcomes. This model has helped vulnerable countries in streamlining their interventions, making them more result-based, efficient, effective, sustainable and accountable. It has been successfully implemented in ten Asian countries.
Conclusion:
There is convincing evidence that the complications involved in designing development interventions have become more convoluted, unstructured, and poorly coordinated. This outlook has resulted in many cases producing inadequate and dismal outcomes. The relevant tasks are daunting with resources becoming more and more limited. This framework is part of an initiative to help refine current processes and procedures.
RJS provides fulfillment, inventory management, and warehousing services for pharmaceutical companies. They have over 20 years of experience in pick, pack, and shipping and utilize an online inventory ordering system. Key services include kit assembly, returns processing, shrink wrapping, and same-day shipping. RJS aims to exceed expectations by ensuring accurate and timely delivery for clients' home offices, field representatives, and events through their extensive warehousing capabilities and customized reporting.
2015 04 16_WECC Open Mic Webinar Slide DeckBryan Carr
The document provides an agenda and materials for a webinar on NERC CIP compliance topics. The agenda includes presentations on CIP-014 third party assessments, NERC compliance registry updates, and an overview of the NERC CIP standards. The materials include information on CIP-014 implementation, the FERC order on risk-based registration, and explanations of some of the key CIP standards such as CIP-002 on categorization, CIP-003 on security management controls, and CIP-005 on electronic security perimeters. Contact information is also provided for follow up questions.
Mr. Neil Hammerschmidt - USDA Update on Animal Disease TraceabilityJohn Blue
USDA Update on Animal Disease Traceability - Mr. Neil Hammerschmidt, Program Manager, Animal Disease Traceability,Veterinary Services, APHIS, USDA, from the 2016 NIAA Annual Conference: From Farm to Table - Food System Biosecurity for Animal Agriculture, April 4-7, 2016, Kansas City, MO, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2016_niaa_farm_table_food_system_biosecurity
Dr. Stacey Schwabenlander - Minnesota State Perspective on Highly Pathogenic ...John Blue
Minnesota State Perspective on Highly Pathogenic Avian Influenza - Dr. Stacey Schwabenlander, Senior Veterinarian, Minnesota Board of Animal Health, from the 2016 NIAA Annual Conference: From Farm to Table - Food System Biosecurity for Animal Agriculture, April 4-7, 2016, Kansas City, MO, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2016_niaa_farm_table_food_system_biosecurity
Dr. Stacey Schwabenlander - Permitted movement, lessons learned and changed m...John Blue
Permitted movement, lessons learned and changed made dealing with highly pathogenic avian influenza (HPAI) - Dr. Stacey Schwabenlander, Senior Veterinarian, Minnesota Board of Animal Health, from the 2017 NIAA Annual Conference, U.S. Animal Agriculture's Future Role In World Food Production - Obstacles & Opportunities, April 4 - 6, Columbus, OH, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2017_niaa_us_animal_ag_future_role_world_food_production
RH COMMODITY SECURITY AND PLANNING SYSTEM (RAPSYS): A SYNERGISTIC MODELBongs Lainjo
Problem Statement:
Maternal and infant morbidity and mortality remain a global challenge and based on latest reports, mitigation efforts have not been encouraging. Unsustainable fertility rates continue to rise unabated in low and middle-income countries (LMICs). Significant gaps in reproductive health and rights continue unabated. According to a recent United Nations Population Fund (UNFPA) report, 225 million women do not have access to contraceptives. This short fall is universal and only acerbates an already dire situation. Inability to address these challenges has many implications including ubiquitous poor quality of health for both mother and child.
Reasons for these dismal performances include limited access to quality services, qualified staff, poor logistics management and lack of commodities.
These poor outcomes prompted the author to develop the model: RH Analysis and Planning System (RAPSYS).
Methodology:
The participatory model is based on pilot-tested results. It is defined by key determinants – utilization, demand, access, supply and procurement; cross cutting components – coordination, supervision, funding, advocacy, capacity building M and E; and all driven by an enabling environment. The systems use expert experience to develop effective strategies including: qualitative assessment, Delphi ranking, action plan, commodity projection and monitoring framework.
Findings:
There is adequate evidence that the conventional approach in program design and implementation continues to show different levels of understanding of the expected outcomes. This model has helped vulnerable countries in streamlining their interventions, making them more result-based, efficient, effective, sustainable and accountable. It has been successfully implemented in ten Asian countries.
Conclusion:
There is convincing evidence that the complications involved in designing development interventions have become more convoluted, unstructured, and poorly coordinated. This outlook has resulted in many cases producing inadequate and dismal outcomes. The relevant tasks are daunting with resources becoming more and more limited. This framework is part of an initiative to help refine current processes and procedures.
RJS provides fulfillment, inventory management, and warehousing services for pharmaceutical companies. They have over 20 years of experience in pick, pack, and shipping and utilize an online inventory ordering system. Key services include kit assembly, returns processing, shrink wrapping, and same-day shipping. RJS aims to exceed expectations by ensuring accurate and timely delivery for clients' home offices, field representatives, and events through their extensive warehousing capabilities and customized reporting.
2015 04 16_WECC Open Mic Webinar Slide DeckBryan Carr
The document provides an agenda and materials for a webinar on NERC CIP compliance topics. The agenda includes presentations on CIP-014 third party assessments, NERC compliance registry updates, and an overview of the NERC CIP standards. The materials include information on CIP-014 implementation, the FERC order on risk-based registration, and explanations of some of the key CIP standards such as CIP-002 on categorization, CIP-003 on security management controls, and CIP-005 on electronic security perimeters. Contact information is also provided for follow up questions.
Mr. Neil Hammerschmidt - USDA Update on Animal Disease TraceabilityJohn Blue
USDA Update on Animal Disease Traceability - Mr. Neil Hammerschmidt, Program Manager, Animal Disease Traceability,Veterinary Services, APHIS, USDA, from the 2016 NIAA Annual Conference: From Farm to Table - Food System Biosecurity for Animal Agriculture, April 4-7, 2016, Kansas City, MO, USA.
More presentations at http://www.trufflemedia.com/agmedia/conference/2016_niaa_farm_table_food_system_biosecurity
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Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
The document discusses using simulation modeling to assess the impact of proposed changes to healthcare services for patients with long-term conditions and complex care needs. It provides examples of scenarios that were modeled, including transferring some resources from unscheduled to community care. The online simulation tool allows users to input different scenarios, compare results to baseline data, and share scenarios with other users. The tool aims to help healthcare organizations test potential service changes before implementing them.
Attendees will understand what the COUNTER initiative is and how it helps to provide the librarian community with reliable, consistent and compatible online usage statistic reports that can be used to inform collection management decisions. Attendees will be familiar with the different COUNTER reports available for journals, databases and ebooks, and how to access them. They will learn about the COUNTER Code of Practice which advises vendors how to become COUNTER compliant and why this is important.
South East of England Mental Health CEO ForumSarah Amani
Despite their impossible schedule & demands, the CEOs of mental health trusts in the South East of England kindly allowed us to discuss the latest access and quality standard.
Lisa Summers provided a national update on the NHS AAA Screening Programme. Key points included:
- Coverage and uptake rates for 2016/17 were 79.0% and 79.3% respectively.
- The programme is optimizing surveillance intervals and introducing an inequalities initiative to improve uptake by 10%.
- Further research is being done on men with subaneurysmal aortas to understand potential harms of surveillance.
- Issues raised from local programmes included improving GP endorsement of invitation letters and researching men who decline or do not attend screening.
Morag Armer then discussed emerging themes from QA visits, including governance, infrastructure, cohort and uptake data, test accuracy, and
This document discusses the linkages between governmental policy and IPv6 adoption. It begins with background on IPv4 address exhaustion and the need to adopt IPv6. It then examines IPv6 readiness around the world and provides examples from various countries and economies. Recommendations are made to SATRC to encourage a multi-stakeholder approach, establish IPv6 guidelines, conduct industry readiness research, and develop policies and human capacity. APNIC can contribute training, monitoring, and outreach efforts to support the transition.
The document summarizes a workshop for early implementer sites of the Long Term Conditions Year of Care Commissioning programme. It includes an agenda with presentations on NHS England pricing and evaluation approaches, updates from individual early implementer sites, and tasks to be completed. Site updates discuss progress made in 2014/2015 and plans for 2015/2016, including engaging stakeholders, analyzing data, defining cohorts, and establishing new models of care. The document outlines discussions and next steps around priority areas for the payment system, costing of NHS services, and evaluation approaches.
AAA screening national update Lisa SummersPHEScreening
This document provides a summary of the NAAASP National Update meeting held in April 2018. The agenda included a national update from Lisa Summers and Tsitsi Muchayingeyi, a discussion of themes from QA visits, and presentations on the role of CSTs in re-accreditation, image quality standards, and embracing diploma training in diabetic eye screening. Key figures on screening outcomes from 2009-2018 were presented. Updates were also provided on KPIs, standards and guidance, the SMaRT IT system, equipment evaluation, an inequalities toolkit to address barriers to screening, and plans to measure quality of life in screened individuals. Workforce reviews for CSTs and nurses were mentioned, along with
In the last 30 years, technology has changed more than we could have imagined. Catch a glimps of the possibilities of healthcare in the future - from Telehealth Failures & Secrets To Success conference: vsee.com
Creating and reporting on a whole population dataset to develop a capitated b...NHS Improving Quality
Peter Gough of the Kent Year of Care Commissioning EIS discussed creating a whole population dataset to develop a capitated budget. Key steps included gaining buy-in from organizations, defining outcomes like cost analysis, devising a dataset with common fields, building the dataset by linking various data sources using pseudonymized NHS numbers, ensuring data quality, designing reports, and using the reports to analyze costs, health factors, and develop a capitated budget. The webinar was part of a series from Early Implementer Sites sharing lessons on topics like developing robust capitated budgets and using integrated data to support service redesign.
15 December 2011 - National End of Life Care Programme
Highlighting good practice from seven Primary Care Trusts across the country, this report identifies the critical success factors associated with improving end of life care and enabling a person to die in the place of their choice.
The report is intended as a starting point to help those commissioning and planning services to see what has worked well in other areas, however it does not suggest that one size fits all.
The factors that are considered critical are (not ranked):
Strong commissioning and clinical leadership
Use of nationally recognised drivers that attract payment - LES and CQUINs
Flexible budgets and care packages
Use of nationally recognised tools or their local equivalent - ACP, GSF, LCP, PPC, ADAs and CHC Fast Track Pathway
Shared electronic information systems
Clearly defined access to 24 hour cover
Development of care homes
Use of facilitator roles and co-ordination of care across boundaries
Training to support staff delivering end of life care.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Midlands and East GP Forward View update event May 2017NHS England
A presentation from the GP Forward View update event in May 2017 for Midlands and East, giving the latest information on what the Forward View is delivering.
Transforming Access, Using Allied Health Professional Referral to Treatment T...Department of Health
1) The document describes how NHS Warwickshire used Allied Health Professional (AHP) referral to treatment time (RTT) data to improve AHP services and reduce waiting times.
2) It involved jointly developing interactive tools with AHP managers and information analysts to monitor waiting lists, demand, capacity and activity across AHP services.
3) This approach helped reduce waiting lists and waiting times, improve data quality, and enable more informed operational and strategic decision making through greater transparency and use of performance information.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
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Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
General Practice Nursing:‘Make a real difference as a Digital Nurse Champion’RachelHatfield7
General Practice Nursing: Make a real difference as a Digital Nurse Champion
The document discusses the role of digital nurse champions in enabling practice nurses and other clinicians to adopt technology enabled care services for the delivery of care to patients with long-term conditions and adverse lifestyle habits. It highlights unlocking the potential of technology enabled care services and new models of care. The document is chaired by Dr Ruth Chambers, who is the clinical lead for technology enabled care services and digital workstreams in Staffordshire.
RIR Report: RIPE NCC Update from ARIN 32
Full meeting report from ARIN 32 available at: https://www.arin.net/participate/meetings/reports/ARIN_32/index.html
The meeting agenda provided an update on research activities and future plans for the REG Interstitial Lung Disease Working Group. David Price discussed ongoing and upcoming research studies, publications, and events. Future plans included a revised staffing structure, working group and council structure, and upcoming events in 2015 and 2016. The meeting also discussed driving quality standards, perspectives from industry supporters, and new funding opportunities like PCORI. An open discussion period concluded the meeting to gather feedback and ideas.
The document discusses a partnership project between Japan and the Philippines called PaSTI that aims to strengthen transparency and promote engagement of non-state actors in climate action. It provides an overview of PaSTI and its goals of enhancing capacities, institutional structures, and transparency. Insights from key Philippine industries on greenhouse gas reporting through surveys and interviews are also presented, identifying challenges, expectations, and needs. These include the lack of clear methodology, incentives, and resources for data collection and reporting. The document concludes with lessons learned from PaSTI capacity building activities and a proposed way forward of continued dialogue, capacity building, and developing an effective greenhouse gas measurement, reporting and verification system.
The document discusses factors that contribute to successful change agents or "boat rockers". It identifies four key things: 1) having a strong sense of self-efficacy or belief in one's ability to create change; 2) being able to join forces with others to take action; 3) being able to achieve small wins which build momentum; and 4) viewing obstacles as challenges to overcome rather than barriers. Building self-efficacy involves tactics like starting with small, achievable changes and reframing failures as learning opportunities. Social support and learning from exemplars are also discussed.
Stopping over-medication of People with Learning Disabilities
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Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
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- Further research is being done on men with subaneurysmal aortas to understand potential harms of surveillance.
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The document summarizes a workshop for early implementer sites of the Long Term Conditions Year of Care Commissioning programme. It includes an agenda with presentations on NHS England pricing and evaluation approaches, updates from individual early implementer sites, and tasks to be completed. Site updates discuss progress made in 2014/2015 and plans for 2015/2016, including engaging stakeholders, analyzing data, defining cohorts, and establishing new models of care. The document outlines discussions and next steps around priority areas for the payment system, costing of NHS services, and evaluation approaches.
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This document provides a summary of the NAAASP National Update meeting held in April 2018. The agenda included a national update from Lisa Summers and Tsitsi Muchayingeyi, a discussion of themes from QA visits, and presentations on the role of CSTs in re-accreditation, image quality standards, and embracing diploma training in diabetic eye screening. Key figures on screening outcomes from 2009-2018 were presented. Updates were also provided on KPIs, standards and guidance, the SMaRT IT system, equipment evaluation, an inequalities toolkit to address barriers to screening, and plans to measure quality of life in screened individuals. Workforce reviews for CSTs and nurses were mentioned, along with
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At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
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2. www.england.nhs.uk
Agenda
1. Welcome
2. North West EPaCCS - Past, Present & Future
Stephen Burrows, North West EPaCCS Project Lead
3. EPaCCS 2020: Where we need to be
Jeri Hawkins, Sustainable Improvement Team NHS England
4. Focused Discussion
All
7. • Use existing systems
• Avoid / reduce duplication of existing EoLC
recording
• Replace / reduce other non-electronic EoLC
communication
• Quick and easy to use, avoiding over use of
text
• Ensure sustainability and make ‘future-proof’
North West requirements
8. Potential North West issues
• Standardise (as much as possible) the processes
and flow of information to NWAS from 34 CCGs
• Use of other shared resources (e.g. hospices / other
organisations that cross boundaries)
• Patients that cross boundaries (e.g. 15% -20% of
EoLC patients in one acute trust not from that
locality) or move
• Providing patient access
• Reporting and monitoring of outcomes (measuring
‘like for like’)
9. • Identification of 22 EPaCCS ‘localities’ across the North
West, and subsequent setting up of EPaCCS Task Groups
to meet regularly and represent the range of
stakeholders within a locality involved in End of Life Care
(EoLC).
• Creation of a common dataset – the North West EPaCCS
dataset – a minimum implementation of which ensures
ISB 1580 compliance, but which also includes other
frequently used information commonly shared by end of
life care services. Accepted by all localities in 2013, and
continually updated to reflect changes to the standard.
The North West EPaCCS –
achievements so far ‐ 1
14. Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15 Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15 Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15 Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15
0.1 Project Plan R R R R R C C C C C R R R R R A G G G G
1 Scope and Census R R R R R G G G G G R R R R R A A A A A
2 EPaCCS Task Group A A A A G G C C C C C C R R R R R R C C C C C C
3 EPaCCS Recording R R R R R R A G G G G G R R R R R R G G G G G G
4 Information Governance R R R R R R A G G G G G R R R R R R C C C C C C
5 EPaCCS Sharing R R R R R R R G G G G G R R R R R R A A A A A A
6 GSF Meetings R R R R R R A A G G G G R R R R R R G G G G G G
7 EPaCCS Reporting R R R R R A A A A A R R R R R A A A A A
8 Electronic Documentation R R R R R R A A A A A A R R R R R R R R R R R R
Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15 Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15 Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15 Nov-14 Jan-15 Feb-15 Mar-15 Apr-15 Aug-15
0.1 Project Plan C C C C G G G G G R R R R G G
1 Scope and Census A A A A G G G G G R R R R G G
2 EPaCCS Task Group C C C C C R G G G G G R R R R A A G G
3 EPaCCS Recording A A A A A A A A A G G G G G G R R C C
4 Information Governance C C C C C A G G G G G G G G G A A G G
5 EPaCCS Sharing G G G G G R G G G G G A A A A R R G G
6 GSF Meetings A A A A A R G G G G G R R R R R R G G
7 EPaCCS Reporting R R R R A A A A A A A A R A A
8 Electronic Documentation R R R R R R G G G G G A A A A A A G G
Comments
No task group as yet - assumption of red
status.
No update received from Feb 2015. Have
assumed no change.
No task group set up yet - assumption of red
status.
Ref Area
RAG Status / Plan
RAG Status / Plan
Area
RAG Status / Plan RAG Status / Plan
Trafford
(PM - TBA)
Wigan
(Robert Walters)
RAG Status / Plan
RAG Status / Plan
Bolton
(PM - Gill Baker)
Manchester
(Mohamed Abas)
EPaCCS RAG Status
(Aug15)
Stockport
(PM was Jane Owens)
Tameside & Glossop
(Philippa Robinson)
Comments
Ref
EPaCCS RAG Status
(Aug15)
North East Sector
(PM - TBA)
Salford
(PM was Steve Gene)
RAG Status / Plan RAG Status / Plan
Status of EPaCCS Implementations across GM Conurbation
17. Transforming End of
Life Care in the
Community
• About
• Based on the Transforming End of Life in Acute Hospitals Programme
• Commenced in March 2015
• Encompasses ACP, DNACPR, Communication and End of Life Care training for Primary Care as well as
promoting the roll out of EPaCCS to the GP practices
• Why
• To reduce unnecessary hospital admissions / deaths
• To increase the choice for patients to die in their UPR
• Aims
• Promote discussions about end of life care and translate into workable documents
• To support patients to achieve their wishes and preferences at the end of life
• To encourage GP’s to find their ‘1%’
• How
• Delivering sustainable education programmes to Community practitioners
• Initiating and maintaining cross-community communication
• So far
• Surgeries/District Nurses/Health centres
• GSF Meetings
• Future
• Commencement of Transforming End of Life Care in Care Homes
18. Read only Read and write Via a third party (eg call
centre, another team)
GPs Lancs Nth
Pennine Lancs
Salford
Manchester
Tameside & Glossop
South Cheshire, Vale Royal &
Eastern Cheshire
Blackpool, Fylde & Wyre
West Cheshire
Wigan Borough
Liverpool
South Sefton
Stockport
Cumbria
Out of hours GP service Lancs Nth
Pennine Lancs
Salford
Tameside & Glossop
Wigan Borough
Liverpool
Cumbria
Manchester
Stockport
District nursing service Pennine Lancs
Cumbria
Salford
Manchester
South Cheshire, Vale Royal &
Eastern Cheshire
Liverpool
South Sefton
Stockport
Specialist palliative care -
community services
Pennine Lancs
Wigan Borough
Cumbria
Lancs Nth
Salford
Manchester
South Cheshire, Vale Royal &
Eastern Cheshire
Liverpool
South Sefton
Stockport
Care homes with nursing Manchester
Stockport
Salford
NHS IQ
EPaCCS
Baseline
Questionnaire
responses
19. Read only Read and write Via a third party (eg call
centre, another team)
Acute hospital community Lancs Nth
Pennine Lancs
Wigan Borough
Salford
Manchester
Stockport
Acute hospital specialist
palliative care in patient
Lancs Nth
Pennine Lancs
Tameside & Glossop
South Cheshire, Vale Royal &
Eastern Cheshire
Wigan Borough
Liverpool
South Sefton
Cumbria
Salford
Manchester
Stockport
Acute hospital A&E
department / acute
admissions
Lancs Nth
Tameside & Glossop
South Cheshire, Vale Royal &
Eastern Cheshire
Wigan Borough
Liverpool
South Sefton
Cumbria
Salford
Manchester
Stockport
Acute hospital - discharge
teams / processes
Lancs Nth
Wigan Borough
Salford
Manchester
Stockport
Hospice Tameside & Glossop
Wigan Borough
Liverpool
South Sefton
Salford
Manchester
South Cheshire, Vale Royal &
Eastern Cheshire
Stockport
Social care Salford
The Christie Salford
Tameside & Glossop
Patient Cumbria
23. www.england.nhs.uk
• Some Current Understandings (End of Life Care
and EPaCCS)
• National Ambitions
• Current Priorities
• Some Proposed National Support
Agenda
25. www.england.nhs.uk
End of Life Care,
Some Current Understandings
• Important information in What we know
now 2014 (PHE, June 2015)
An increasing proportion of people die at home
or in care homes
Patients with an Electronic Palliative Care Co-
ordination System (EPaCCS) record are more
likely to die in the place of their preference
Two in five people with dementia die in hospital
Factors most important to people at the end of
their life were having pain and other symptoms
managed effectively, being surrounded by
loved ones and being treated with dignity
More GPs are having conversations with
people about their end of life care wishes but
25% still say they have never initiated such a
conversation
26. www.england.nhs.uk
EPaCCS, Some Current Understandings
• Information from various evaluations
and most recently the 2013 Survey
• “68% of CCGs have a working
EPaCCS”
What does the statement mean?
How is information shared?
Who is connected and sharing?
What are they sharing and for how many
patients?
When will everyone be sharing?
What kind of help might they need?
28. www.england.nhs.uk
• 27 organisations; patients, voluntary sector, social
care, colleges & councils, regulators, hospice, health
education, NHS
• Equal partners to provide a collective, collaborative,
cooperative approach to create the change everyone
wants in end of life care
National Ambitions
National Palliative and End of Life Care Partnership
34. www.england.nhs.uk
• National Information Board (NIB)
Membership includes CEOs of all major health & care organisations
including Simon Stevens
Progresses the ambitions of the Care Act 2014, the Government
Digital Strategy (2013), the DH Digital Strategy: Leading the Culture
Change in Health and Care (2012) and the proposals in the DH’s
Power of Information (2012)
• Personalised Health and Care 2020
Builds on the commitment to exploit information revolution
outlined in the Five Year Forward View
https://www.gov.uk/government/publications/personalised-
health-and-care-2020
National Ambitions
National Information Board & NHS England
35. www.england.nhs.uk
• Align EPaCCS development with NIB work
programme, ergo the Five Year Forward View and
digital ambitions, e.g. a paper-free NHS by 2020
• 100% EPaCCS implementation throughout England
by 2020, compliant with the core information standard
SCCI 1580
• 100% compliance with EPaCCS Recommended IT
Systems Requirements by 2020
National Ambitions
National Information Board & NHS England
36. www.england.nhs.uk
National Ambitions
National Information Board & NHS England
• What’s it all for?
Joined up, safer care
Patient / carer
involvement
Better informed and
efficient care
System interoperability
• All of which go way
beyond EPaCCS
39. www.england.nhs.uk
• Changes were made to the national information
standard. These were published 25/09/15
http://www.endoflifecare-intelligence.org.uk/news/
Current Priorities
40. www.england.nhs.uk
• Changes were also made to the supporting EPaCCS
Recommended IT System Requirements and this
document has also been published
http://systems.hscic.gov.uk/qipp/library/epaccsreq.pdf
Are you & your suppliers working with these documents?
Current Priorities
41. www.england.nhs.uk
Current Priorities
• Personalised Health & Care 2020 (NIB) requires each
and every CCG to produce:
A footprint and governance template for 30 October 2015
A complete digital roadmap for 1 April 2016.
http://www.england.nhs.uk/digitaltechnology/info-
revolution/digital-roadmaps/
Is your organisation feeding into this process?
• Establishing a new national understanding through
delivery of a new baseline for EPaCCS
Commissioned by NHS England and the NIB
Deadline November 15
To help identify where CCGs are now so that a longer term work
programme can be defined to support getting where everyone
needs to be
43. www.england.nhs.uk
• Transforming End of Life Care event today (Network!)
• Quantitative & qualitative EPaCCS evaluation (end-February 16)
• National EoLC Intelligence Network economics-based research
project into the costs of EPaCCS (end-March 16)
• A new community of practice
A national forum for EPaCCS users
Connecting with and learning from this community
Showcase event(s) and Case Studies
• Development of a practical longer term support plan
• National EPaCCS conference(s)
• Review and revamp support and guidance documents
• Develop a national compendium of best practice resources
Some Proposed National Support
45. www.england.nhs.uk
Questions for you
• Are your EPaCCS going to meet the ambitions for
2020?
• What do you see as the major barriers to meeting the
ambitions for 2020?
• How can the national team help you to meet the
ambitions for 2020?