Improving Palliative and End-of-Life Care in Coventry & Warwickshire
This strategy outlines the vision for enhancing palliative and end-of-life care in Coventry and Warwickshire from 2024 to 2029. It focuses on ensuring quality of life for individuals with life-limiting conditions, providing timely care and support, and addressing health inequalities. The strategy emphasizes collaboration between health and social care sectors, involving the community in planning, and promoting dignity in end-of-life care.
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Engagement DRAFT Coventry and Warwickshire Palliative and End of Life Care Strategy 2024-2029 June 2023 happyhealthylives.uk Palliative and End of Life Strategy
Welcome What is Palliative and End of Life Care? Our Priorities for Palliative and End of Life Care in Coventry and Warwickshire Delivery Plan Summary The National Picture Our Local Picture Health Inequalities What does good Palliative and End of Life Care look like? How we are developing the strategy Timeline Strategy - Jan 2024 2029 Delivery Plan Jan 2024 Dec 2025 Contents happyhealthylives.uk Palliative and End of Life Strategy
Welcome to the Coventry and Warwickshire Welcome to the Coventry and Warwickshire Palliative and End of life Care Strategy 2024 Palliative and End of life Care Strategy 2024- -2029. 2029. This Strategy is an overview of how health and social care will work together with our communities across Coventry and Warwickshire to improve the lives of people with palliative and end of life care needs and those who look after them. We have asked people with palliative and end of life care needs, their carers, those who live in Coventry and Warwickshire as well as our partners in health and social care what we should focus on to improve the care and support we provide to people. We have discussed all areas of palliative and end of life care, from activities aimed at improving the understanding of the importance of planning for the end of life, across our communities, through to bereavement care. The detailed Palliative and End of Life Strategy: Delivery Plan, will hold us accountable for the improvements we will make over the next five years and can be found at: to be added. Joint Statement & Vision ICB, CCC, WCC happyhealthylives.uk Palliative and End of Life Strategy
What is Palliative and End of Life Care? Palliative care is about improving the quality of life of anyone facing a life-limiting condition. It includes physical, emotional, social, spiritual care and practical support. We want our people of Coventry and Warwickshire to live as well as possible for as long as possible. End-of-life care is the treatment, care and support for people who are nearing the end of their lives. It is an important part of palliative care and aims to help people live as comfortably as possible in their last months, weeks or days of life and to die with dignity. Palliative and End of Life Care involves a range of health and social care professionals and organisations working together, to provide physical, emotional and spiritual support for the individual and those who matter to them. happyhealthylives.uk Palliative and End of Life Strategy
Our Priorities: What we want to do. 1. Provide information which focuses on identifying people thought to be in the last 12 months of life, early intervention and support. 2. Access to timely palliative and end of life care with support throughout, for all of our diverse communities. 3. Supporting people diagnosed with a life limiting condition and those who matter to them, carers and communities. 4. Improving the quality of personalised care and support planning for people with palliative care needs, including planning for the end of life, through education and training for all. 5. Deliver a sustainable system happyhealthylives.uk Palliative and End of Life Strategy
Delivery Plan: Overview Key priorities Areas of focus Ensure up to date information for PEoLC services, referral pathways and support options are available to patients, professionals and the public. Pathway Reviews Continuing HealthCare Fast Track Early Identification Transition from children and young people's services to adult services Identify work streams across the system which dovetail into PEoLC Improve availability of data regarding palliative and end of life care 1. Provide information which focuses on identifying people thought to be in the last 12 months of life, early intervention and support. Identification of underserved communities Pathway Reviews 24/7 availability of care Psychological Therapy Bereavement Personal Health Budgets Access to medication workstream Support for emotional and spiritual as well as practical living where needed. Continue to engage with compassionate communities development work 2. Access to timely palliative and end of life care throughout, for all of our diverse communities. with support happyhealthylives.uk Palliative and End of Life Strategy
Delivery Plan: Overview Key priorities Areas of Focus Personalised Care & Support Planning to include Advanced care Planning Review Documentation Systemwide communication of planning Pathway Reviews Unpaid Carer Support Children & Young People Sibling and Friend Support Poverty Proofing Development of Education & Training Framework for Palliative and End of Life Care Dying Matters: a systemwide approach to awareness raising 3. Supporting people diagnosed with a life limiting condition and those who matter to them, carers and communities. 4. Improving the quality of personalised care and support planning for people with palliative care needs, including planning for the through education and training for all. end of life, Workforce mapping Contract mapping Funding review Integrated Commissioning Model 5. Deliver a sustainable system happyhealthylives.uk Palliative and End of Life Strategy
National Picture: Palliative and End of Life Care in the UK National Framework: Ambitions for Palliative and End of Life Care More than half a million people are expected to die each year, and many live with a life expectancy of less than a year at any one time. This is set to increase with a growing older population, so more people are expected to die at an older age. To support people to plan and consider wishes and preferences for their end-of-life care and treatment, we have a national framework to support the delivery of care. happyhealthylives.uk Palliative and End of Life Strategy
Local Picture: Coventry and Warwickshire Just over 1 million people live in Coventry and Warwickshire. At any one time 1% of our population, 10,000 people will be in the last 12 months of life. We have a range of providers supporting people thought to be in the last 12 months of life: 19 Primary Care Networks 2 Community Service Providers 4 Hospices 4 Hospitals 2 Local Authorities Care Homes Community Organisations Support Groups happyhealthylives.uk Palliative and End of Life Strategy
We are keen to provide services in Coventry and Warwickshire which meet the needs of our diverse communities from birth to ageing well. happyhealthylives.uk Palliative and End of Life Strategy
Health Inequalities in Coventry and Warwickshire Health inequalities are unfair differences in health between our community groups. In Coventry and Warwickshire these differences result in some of our communities having poorer access to information, appropriate services and planning for end-of-life care. Our aim is to provide fair access for all our diverse communities. We have identified greater differences in access to palliative and care at the end of life for: Asylum Seeker and Migrant communities Ethnic Minority communities Gypsy, Roma and Traveller communities Homeless communities Learning Disability communities LGBTQIA+ communities Prison communities happyhealthylives.uk Palliative and End of Life Strategy
Health Inequalities in Coventry and Warwickshire Actions we will take to promote Health Equity in Palliative and End of Life Care We value the importance of fair access to care for our differing Communities. We are determined to take actions to reduce health inequalities being experienced by our most vulnerable people. We have identified the challenges we want to tackle and the actions we will take in all of our work across all ages to enable this to happen. Fair access to services for all of our communities Co- production and engagement Equality Impact Assessment Collaborative System Working Poverty & Deprivation Digital Access Identified Challenges Actions Education and Training Under Provision of culturally appropriate services Public Health Management recognition of the last 12 months of life happyhealthylives.uk Palliative and End of Life Strategy
In Coventry and Warwickshire, our vision is the provision of Palliative and End of Life Care for all of our diverse communities, which enables patients and their loved ones to access palliative and end of life care and support in the setting of their choosing in a planned and pro-actively supported way. What does good Palliative and End of Life Care look like? The Ambitions Framework is an enabler in delivering on the NHS Long Term Plan, in which there is a specific commitment to provide more personalised palliative and end of life care. Personalised care in the last year(s) and months of life will result in a better experience, tailored around what really matters to the person, and more sustainable health and care services. A systemwide approach with co-ordinated care across organisations is an essential element of enabling personalised, pro-actively planned care for individuals and their loved ones, in the final months and weeks of life. We want to ensure that we have teams of professionals from across our provider organisations who can provide co-ordinated care to those needing care at the end of life, through shared-decision making conversations which lead to personalised care and support planning. happyhealthylives.uk Palliative and End of Life Strategy
Care seamlessly coordinated across settings with clear communication and referrals. We are aiming to provide palliative and end of life care in the following ways: Pro-active personalised care and support planning for care at the end of life. Collaborative approach across health and social care for those thought to be in the last 12 months of life. Clear communication with the individual and those important to them. happyhealthylives.uk Palliative and End of Life Strategy
How we are developing this strategy We started by speaking with people in Coventry and Warwickshire who had been diagnosed with a life limiting illness or people who had been bereaved. We reached out to stakeholders across the system to understand the barriers to providing seamless patient care. A stakeholder survey was also carried out and the findings supported the development of this draft strategy. We will undertake: Systemwide Engagement is planned with the people and stakeholders of Coventry and Warwickshire. Further co-production with those who have lived experience Focus groups Surveys Stakeholder engagement Further Engagement: June July 2023 happyhealthylives.uk Palliative and End of Life Strategy
Remaining timeline for the strategy Engagement with the people and stakeholders of Coventry and Warwickshire Governance June July 2023 Sep. Dec. 2023 Aug. 2023 Jan. 2024 Review of the engagement feedback Launch of Strategy Redrafting of the Strategy and Delivery Plan as required Development of You Said, We Did Report happyhealthylives.uk Palliative and End of Life Strategy
We are keen to hear your feedback on the strategy. To provide feedback on this strategy, please title the email: Palliative and End of Life Care Feedback and send to Email: cwicb.clinicaltransformation@nhs.net Insert ICB webpage link happyhealthylives.uk Palliative and End of Life Strategy
