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Our Public Health Approach to
End of Life Care: Marie Curie
Eamon O’Kane
Divisional General Manager NI
3rd December 2015
Marie Curie Strategic Plan 2014-2019
Vision
A better life for people and their families living with a terminal illness
Objectives
• Reach more people and their families living with a terminal illness
• Improve the way terminally ill people are cared for across the UK
• Manage our charity as effectively and efficiently as possible.
Nursing Service
Day Hospice
Rapid Response
Helper Service
Marie Curie in Northern Ireland
Marie Curie Helper Service
Matching specially trained volunteers (Helpers) to people with a
terminal illness, their families and carers.
A Marie Curie Helper provides:
• One-to-one support and companionship
• A short respite break for families and carers
• A listening ear and emotional support
• Information on local services
• Some practical support e.g. shopping
• Support for a few months after bereavement
Companions Project
Hospital Companions - trained volunteers supporting patients & families
in final hours of life.
People dying in hospital may have few visitors or, if they do, patient & visitor's
can be overwhelmed
Companions provide
• emotional support - someone to talk to at this difficult time
• reassurance for families -someone is with their loved one when they need
to take a break or make arrangements
• more local people with volunteering opportunities in the hospital to support
members of their own community
Our Challenge
• Allow people with a terminal diagnosis to stay at home/in their
communities permanently or for as long as possible
• Reduce isolation for people with a diagnosis and their families
• Connect patients & families to wider support networks
• Closer to home service access/provision
• Support capacity growth in the voluntary sector
• Build alliances with the expertise that’s out there
• Partnerships that work - Diagnosis to Prognosis to Post Bereavement
What is Mobilisation?
Community
mobilisation on
is a comprehensive
response to an issue,
involving a wide
range of individuals,
agencies and
organisations
that come together to
change the
‘environment’ or
‘context’ within which
the issue occurs
Families
District Nursing
Community Centres
Volunteer Groups
Businesses
Support Groups
Local Government
Therapists
Politicians
GPs
Counselling
Health Services
Care Homes
Transport
Meals on Wheels
Craft Groups
Social ClubsGoogle Images
Could it challenge/enhance current End of Life
culture in the community?
District Nursing
Churches
Transport
Meals on Wheels
Counsellors
Therapists
Communities
FAMILY
Local
Government
Day
Care
PoliticiansGP’s
&
PATIENT
The Stakeholder Jigsaw
• Develops community Ownership and Leadership in
addressing approaches/cultures
• Improves levels of support for families, individuals
and communities to improve End of Life experiences
• Educates/creates understanding with stakeholders in
relation to their role in supporting people with
changing needs
• Adopts/Introduces evidenced based action in
response to locally identified need
• Develops sustainable capacity to continue/progress
mobilisation in the future
• Builds Social Capital for change
Why Mobilisation?

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Eamon o'kane marie curie

  • 1.
  • 2. Our Public Health Approach to End of Life Care: Marie Curie Eamon O’Kane Divisional General Manager NI 3rd December 2015
  • 3. Marie Curie Strategic Plan 2014-2019 Vision A better life for people and their families living with a terminal illness Objectives • Reach more people and their families living with a terminal illness • Improve the way terminally ill people are cared for across the UK • Manage our charity as effectively and efficiently as possible.
  • 4. Nursing Service Day Hospice Rapid Response Helper Service Marie Curie in Northern Ireland
  • 5. Marie Curie Helper Service Matching specially trained volunteers (Helpers) to people with a terminal illness, their families and carers. A Marie Curie Helper provides: • One-to-one support and companionship • A short respite break for families and carers • A listening ear and emotional support • Information on local services • Some practical support e.g. shopping • Support for a few months after bereavement
  • 6. Companions Project Hospital Companions - trained volunteers supporting patients & families in final hours of life. People dying in hospital may have few visitors or, if they do, patient & visitor's can be overwhelmed Companions provide • emotional support - someone to talk to at this difficult time • reassurance for families -someone is with their loved one when they need to take a break or make arrangements • more local people with volunteering opportunities in the hospital to support members of their own community
  • 7. Our Challenge • Allow people with a terminal diagnosis to stay at home/in their communities permanently or for as long as possible • Reduce isolation for people with a diagnosis and their families • Connect patients & families to wider support networks • Closer to home service access/provision • Support capacity growth in the voluntary sector • Build alliances with the expertise that’s out there • Partnerships that work - Diagnosis to Prognosis to Post Bereavement
  • 8. What is Mobilisation? Community mobilisation on is a comprehensive response to an issue, involving a wide range of individuals, agencies and organisations that come together to change the ‘environment’ or ‘context’ within which the issue occurs Families District Nursing Community Centres Volunteer Groups Businesses Support Groups Local Government Therapists Politicians GPs Counselling Health Services Care Homes Transport Meals on Wheels Craft Groups Social ClubsGoogle Images Could it challenge/enhance current End of Life culture in the community?
  • 9. District Nursing Churches Transport Meals on Wheels Counsellors Therapists Communities FAMILY Local Government Day Care PoliticiansGP’s & PATIENT The Stakeholder Jigsaw
  • 10. • Develops community Ownership and Leadership in addressing approaches/cultures • Improves levels of support for families, individuals and communities to improve End of Life experiences • Educates/creates understanding with stakeholders in relation to their role in supporting people with changing needs • Adopts/Introduces evidenced based action in response to locally identified need • Develops sustainable capacity to continue/progress mobilisation in the future • Builds Social Capital for change Why Mobilisation?