Recognising and responding to service users who are high risk - PowerPoint PPT Presentation

Recognising and responding to service users who are high risk sudden death . A local Plymouth Project Gilly Barringer & Sian Ellyatt

The figures Between Jan-Oct 2016 we experienced 43 sudden and avoidable deaths within the field of substance misuse in the city of Plymouth. In 2013 this figure was 27. 25 males and 18 females of which 22 were open to services at time of death, 14 had been open but closed within 6 month’s of death and 7 closed to services within 12 months 13 of these people had been known to services over 10 years 12 between 1-5 years in treatment and 9 between 6-9 years 11 people were in services less than a year

Area of Focus The impact of sudden and unexpected deaths through substance misuse have a huge impact on families and communities that is far reaching and long lasting. I am not sure we understand the true impact. People are left grieving, struggling with bereavement and loss, filled with questions and these people are family members, friends and acquaintances, service users and staff in a range of settings.

St Lukes End Of Life Training • Champion Training • Ambassador Training project for the homeless • Recognise when individual is high risk of sudden / unexpected death • Primary causes of death in homeless population • End of Life discussions with hostel residents • Planning ahead for End of Life • Understanding the impact of loss • Bereavement support

The End of Life Care Pathway Step 3 Step 1 Step 2 Step 4 Step 5 Step 6 Delivery of Discussions Care in the Assessment, high quality Coordination Care after as the end last days care planning of care services in death of life of life and review different approaches settings • Strategic • Recognition • Agreed care • Identification Coordination • Open, honest • High quality that end of life plan and of the dying Communication care provision care does not regular review Phase • Coordination in all settings stop at the of needs and of individual • Identifying point of death. Preferences • Review of patient care triggers for • Acute needs and discussion hospitals, • Timely • Assessing preferences for • Rapid response community, verification and needs of carers place of death services care homes, certification of hospices, death or referral • Support for community to coroner both patient hospitals, and carer extra care • Care and housing support of carer • Recognition of prisons, secure and family, wishes hospitals and including regarding Hostels emotional and resuscitation practical and organ • Ambulance bereavement donation services support Spiritual care services Support for carers and families Information for patients and carers www.dh.gov.uk

Local EoLC Quality Drivers • Need to identify people at EoL (The surprise question) • Need to have care plans in place for people at EoL • Good quality care • Need to reduce deaths in hospital • EoL care strategies – dignity, respect, choice • Manage EOL care for those without capacity. • Integrated care/communications • Involve individual and family

OVER TO YOU