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HFH ACUTE HOSPITAL NETWORK
23 MAY 2017
IHF UPDATES
Marie Lynch
Head of Healthcare Programmes
The Hospice Friendly Hospitals Programme seeks to ensure that end of
life, palliative and bereavement care are central to the everyday
business of hospitals.
The HFH Programme supports individual hospitals, hospital groups
and the HSE.
Supporting hospitals through the HFH Programme
Bereavement
Education &
Research
Healthcare Public
Engagment
IHF Healthcare Programmes
• 25% die at
home
• 70% die with
diseases other
than cancer
• 25% die in
Residential
care
• 43% die in
Hospitals
HFH
programme
Journey of
Change
programme
Primary
palliative
care
programme
Palliative
care for all
programme
Updates - 2017
• 10 year anniversary
• What's new from IHF
• HFH Updates & Plans
for 2017
• Related policy and
reports
• 10 year anniversary
2016 2017
7EOL
C
employed
National
Conferenc
e in
Limerick
HSE
& IHF
Joint
Oversight
group
HFH 10th anniversary
S/SWHG HFH Achievements:
HFH Quality Standards
National bereavement
forum Feb 2017 –
Seeking to form a
national alliance to
develop a terms of
reference for a
scoping/feasibility study
IHF
updates
Assisted Decision Making (Capacity) Act
2015: http://hospicefoundation.ie/programmes/advance-care/
• Consultation on draft HSE guidance in relation to the
ADMA closed April 24th.
• HSE AHD subgroup preparing recommendations for draft
code of practice in relation to AHDs
• DSS position advertised. Director should be in place by
end of July….
• Project Manager to work with director also being
recruited.
22/06/2017 Presentation Title goes here 1247 Hospitals linked to the HFH Programme
Saolta
RCSI
IE
RCSI Hospitals Groups
Rotunda Hospital, Dublin
Beaumont Hospital
Connolly Hospital, Blanchardstown
Cavan General Hospital
Louth County Hospital, Dundalk
Our Lady of Lourdes Hospital, Drogheda
Saolta University Health Care Group
University Hospital Galway and Merlin
Park
Letterkenny General Hospital
Sligo Regional Hospital
Mayo General Hospital
Roscommon County Hospital
Portiuncula Hospital, Ballinasloe
Ireland East Hospitals Group
Mater Misericordiae University Hospital
National Maternity Hospital, Holles St
Midland Regional Hospital Mullingar
St Luke's General Hospital, Kilkenny
Wexford General Hospital
Our Lady's Hospital, Navan
St Vincent’s University Hospital (Public)
St Michael’s Hospital, Dun Laoghaire
South / South West Hospital Group
Cork University Hospital
Cork University Maternity Hospital
Bantry General Hospital
Mallow General Hospital
South Victoria University Hospital
Mercy University Hospital
South Tipperary General Hospital
Kerry General Hospital
University Hospital Waterford
S / SW
Dublin Midlands Hospital Group
St James's Hospital
Tallaght Hospital
The Coombe Women and Infant University Hospital
Naas General Hospital
Midland Regional Hospital, Portlaoise
Tullamore Hospital
DM
University of Limerick Hospitals Group
University Hospital, Limerick
University Maternity Hospital, Limerick
Nenagh Hospital
Ennis Hospital
St John’s Hospital
UL
August 2016
Children’s Hospitals
Our Lady's Children's Hospital, Crumlin
Templet St Children’s University Hospital
Private Hospitals
Mater Private Hospital
The Galway Clinic
Bons Secours Hospital, Dublin
The Beacon Hospital, Dublin
The Hermitage Medical Clinic
End-of-Life Care Coordinators May2017
Hospital Group Location of Coordinator WTE Post created in:
1 Ireland East Mater Hospital (Diarmuid Ó Coimin)
1.0
WTE
2010
2 Dublin Midlands St James’s Hospital (Bettina Korn)
1.0
WTE
2011
3 Dublin Midlands Tallaght Hospital –recruitment in progress
1.0
WTE
4 Saolta
Sligo Regional Hospital
(CNM3 EOLC Ann Hayes)
1.0
WTE
2015
5 RCSI Connolly Hospital (Debby Gregg)
0.25
WTE
2008
6 RCSI Beaumont Hospital (Gill Rufli)
0.75
WTE
2013
7 South/South West Serving all hospitals in the group (Joan Browne)
1.0
WTE
2015
8 University of Limerick Serving all hospitals in the group (Denis Casey)
1.0
WTE
2011
Design & Dignity
Summary projects Style Book
NB Family rooms
recommended size
is 20 Square Meters
Type of Project Hospitals Involved Number of
projects
Family rooms Beaumont (2), Connolly (2),
Mater (3), Mayo, Navan, Nenagh,
Portiuncula, Roscommon, St
John’s,
St James’ (Mercy TBC)
14
Mortuaries Beaumont, Kerry, Limerick, Mercy
Sligo, Roscommon, Coombe,
Mayo
8
Bereavement
suites (viewing
room & family
room)
St James’ (2), Ennis 3
Inpatient
suites/rooms
Galway, Portloaise (Maternity) 2
ICU/HDU waiting
area
Mater 1
Maternity Unit
Bereavement
Suite
Kilkenny, Limerick 2
Palliative Care
Suite
Mater 1
ED bereavement Tallaght 1
HFH Engagement
21%
11%
18%
7%
11%
24%
8%
% HFH contacts across hospital groups N=194
Saolta 21%
University of Limerick 11%
South/Southwest 18%
Dublin Midlands 7%
RCSI 11%
Ireland East 24%
Private 8%
Email hfh@hospicefoundation.ie
to add contacts!
Related policy
and reports
Progress report
requested from
Ombudsman
Implementation group
appointed – Project
officer Riona Cotter
Final report due June
Minister McEntee to launch
consultation process on the
establishment of a new statutory
homecare scheme.
Aconsultationprocesswillallowallthosewhohaveviewson
thistopictohavetheirsay,includingolderpeoplethemselves,
theirfamiliesandhealthcareworkers.
Theplanistocreateasystemwhichwillallowpeopleto
remainintheirhomesforaslongaspossibleandbecaredfor
withdignityastheygrowold.
HFH Plans for 2017
1. Establish joint HSE and HFH
oversight group
2. 3 Acute network meetings
3. 4 End of Life Co-ordinator
Meetings
4. Increase contact list
5. Seek to establish Children's
Hospital network
6. Review and Update Final
Journeys
7. Update the HFH Standards
8. Advocacy and Awareness
1st
Mtg
13
May
HFH 10 year anniversary - plans
• National advocacy with the launch of the
oversight group
• Awareness campaign of impact HFH in
participating hospitals
• Toolkit to support local events
• Small grants programme to fund local HFH
activities – grant recipients announced this
afternoon
One more bit of news…….!
HFH Development Officer
VACANCY
MATERNITY LEAVE COVER –
6 months commencing July
EXPRESSIONS OF INTEREST
TO
Marie.lynch@hospicefoundation.i
e
2 June 2017
Thanks
Alice.anderson@hospicefoundation
.ie
Marie.lynch@hospicefoundation.ie
Opportunities discussed by oversight group
• Patient Experience: - How can HFH programme be
informed by experience of patients and families
• Linkages with Clinical leads: _ how can HFH cross
reference existing outputs with HSE Clinical Programmes
• Education/ Training: identify approach to review FJ
training and determine other ways to improve content and
access to education and training on end of life, palliative
and bereavement care
• How can the oversight programme reduce Variability that
exposes care delivered at end of life –

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Acute meeting 23 may IHF updates

  • 1. HFH ACUTE HOSPITAL NETWORK 23 MAY 2017 IHF UPDATES Marie Lynch Head of Healthcare Programmes
  • 2. The Hospice Friendly Hospitals Programme seeks to ensure that end of life, palliative and bereavement care are central to the everyday business of hospitals. The HFH Programme supports individual hospitals, hospital groups and the HSE. Supporting hospitals through the HFH Programme
  • 4. IHF Healthcare Programmes • 25% die at home • 70% die with diseases other than cancer • 25% die in Residential care • 43% die in Hospitals HFH programme Journey of Change programme Primary palliative care programme Palliative care for all programme
  • 5.
  • 6. Updates - 2017 • 10 year anniversary • What's new from IHF • HFH Updates & Plans for 2017 • Related policy and reports • 10 year anniversary
  • 7. 2016 2017 7EOL C employed National Conferenc e in Limerick HSE & IHF Joint Oversight group HFH 10th anniversary
  • 8.
  • 9. S/SWHG HFH Achievements: HFH Quality Standards
  • 10. National bereavement forum Feb 2017 – Seeking to form a national alliance to develop a terms of reference for a scoping/feasibility study IHF updates
  • 11. Assisted Decision Making (Capacity) Act 2015: http://hospicefoundation.ie/programmes/advance-care/ • Consultation on draft HSE guidance in relation to the ADMA closed April 24th. • HSE AHD subgroup preparing recommendations for draft code of practice in relation to AHDs • DSS position advertised. Director should be in place by end of July…. • Project Manager to work with director also being recruited.
  • 12. 22/06/2017 Presentation Title goes here 1247 Hospitals linked to the HFH Programme Saolta RCSI IE RCSI Hospitals Groups Rotunda Hospital, Dublin Beaumont Hospital Connolly Hospital, Blanchardstown Cavan General Hospital Louth County Hospital, Dundalk Our Lady of Lourdes Hospital, Drogheda Saolta University Health Care Group University Hospital Galway and Merlin Park Letterkenny General Hospital Sligo Regional Hospital Mayo General Hospital Roscommon County Hospital Portiuncula Hospital, Ballinasloe Ireland East Hospitals Group Mater Misericordiae University Hospital National Maternity Hospital, Holles St Midland Regional Hospital Mullingar St Luke's General Hospital, Kilkenny Wexford General Hospital Our Lady's Hospital, Navan St Vincent’s University Hospital (Public) St Michael’s Hospital, Dun Laoghaire South / South West Hospital Group Cork University Hospital Cork University Maternity Hospital Bantry General Hospital Mallow General Hospital South Victoria University Hospital Mercy University Hospital South Tipperary General Hospital Kerry General Hospital University Hospital Waterford S / SW Dublin Midlands Hospital Group St James's Hospital Tallaght Hospital The Coombe Women and Infant University Hospital Naas General Hospital Midland Regional Hospital, Portlaoise Tullamore Hospital DM University of Limerick Hospitals Group University Hospital, Limerick University Maternity Hospital, Limerick Nenagh Hospital Ennis Hospital St John’s Hospital UL August 2016 Children’s Hospitals Our Lady's Children's Hospital, Crumlin Templet St Children’s University Hospital Private Hospitals Mater Private Hospital The Galway Clinic Bons Secours Hospital, Dublin The Beacon Hospital, Dublin The Hermitage Medical Clinic
  • 13. End-of-Life Care Coordinators May2017 Hospital Group Location of Coordinator WTE Post created in: 1 Ireland East Mater Hospital (Diarmuid Ó Coimin) 1.0 WTE 2010 2 Dublin Midlands St James’s Hospital (Bettina Korn) 1.0 WTE 2011 3 Dublin Midlands Tallaght Hospital –recruitment in progress 1.0 WTE 4 Saolta Sligo Regional Hospital (CNM3 EOLC Ann Hayes) 1.0 WTE 2015 5 RCSI Connolly Hospital (Debby Gregg) 0.25 WTE 2008 6 RCSI Beaumont Hospital (Gill Rufli) 0.75 WTE 2013 7 South/South West Serving all hospitals in the group (Joan Browne) 1.0 WTE 2015 8 University of Limerick Serving all hospitals in the group (Denis Casey) 1.0 WTE 2011
  • 14. Design & Dignity Summary projects Style Book NB Family rooms recommended size is 20 Square Meters Type of Project Hospitals Involved Number of projects Family rooms Beaumont (2), Connolly (2), Mater (3), Mayo, Navan, Nenagh, Portiuncula, Roscommon, St John’s, St James’ (Mercy TBC) 14 Mortuaries Beaumont, Kerry, Limerick, Mercy Sligo, Roscommon, Coombe, Mayo 8 Bereavement suites (viewing room & family room) St James’ (2), Ennis 3 Inpatient suites/rooms Galway, Portloaise (Maternity) 2 ICU/HDU waiting area Mater 1 Maternity Unit Bereavement Suite Kilkenny, Limerick 2 Palliative Care Suite Mater 1 ED bereavement Tallaght 1
  • 15. HFH Engagement 21% 11% 18% 7% 11% 24% 8% % HFH contacts across hospital groups N=194 Saolta 21% University of Limerick 11% South/Southwest 18% Dublin Midlands 7% RCSI 11% Ireland East 24% Private 8% Email hfh@hospicefoundation.ie to add contacts!
  • 16. Related policy and reports Progress report requested from Ombudsman Implementation group appointed – Project officer Riona Cotter Final report due June
  • 17.
  • 18. Minister McEntee to launch consultation process on the establishment of a new statutory homecare scheme. Aconsultationprocesswillallowallthosewhohaveviewson thistopictohavetheirsay,includingolderpeoplethemselves, theirfamiliesandhealthcareworkers. Theplanistocreateasystemwhichwillallowpeopleto remainintheirhomesforaslongaspossibleandbecaredfor withdignityastheygrowold.
  • 19. HFH Plans for 2017 1. Establish joint HSE and HFH oversight group 2. 3 Acute network meetings 3. 4 End of Life Co-ordinator Meetings 4. Increase contact list 5. Seek to establish Children's Hospital network 6. Review and Update Final Journeys 7. Update the HFH Standards 8. Advocacy and Awareness 1st Mtg 13 May
  • 20. HFH 10 year anniversary - plans • National advocacy with the launch of the oversight group • Awareness campaign of impact HFH in participating hospitals • Toolkit to support local events • Small grants programme to fund local HFH activities – grant recipients announced this afternoon
  • 21. One more bit of news…….! HFH Development Officer VACANCY MATERNITY LEAVE COVER – 6 months commencing July EXPRESSIONS OF INTEREST TO Marie.lynch@hospicefoundation.i e 2 June 2017
  • 23. Opportunities discussed by oversight group • Patient Experience: - How can HFH programme be informed by experience of patients and families • Linkages with Clinical leads: _ how can HFH cross reference existing outputs with HSE Clinical Programmes • Education/ Training: identify approach to review FJ training and determine other ways to improve content and access to education and training on end of life, palliative and bereavement care • How can the oversight programme reduce Variability that exposes care delivered at end of life –

Editor's Notes

  1. Welcome background to those here for first time
  2. Context of HFH within HC programmes and Where people die What people die from
  3. This is how we describe the HFH programme Supported via HFH dev officer – Alice, and education team, Mary from D and D and CEO / Sen management
  4. Erika, Alice, Sharon
  5. Note for the Network Network members are asked to check that the D&D guidelines are being into any new or refurbishment building projects. The Design & Dignity guidelines are currently being reviewed and will be published later this year. Please note that the recommended size for all new family rooms is 20 square meters. Family rooms need to be large enough to enable family meetings and accommodate a minimum of 8 people seated at any one time. Family rooms should be no smaller than 12 square meters.
  6. Report launch 15 DEC – 5 diagnosis categories Patient involvement Quality improvement Compassion Bereavement Staff support Metrics and measures