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. 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 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

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

Support for carers and families Information for patients and carers Spiritual care services Step 2 Assessment, care planning and review

• Agreed care

plan and regular review

• f needs and

Preferences

• Assessing

needs of carers

Step 3 Coordination

• f care
• Strategic

Coordination

• Coordination
• f individual

patient care

• Rapid response

services

Step 4 Delivery of high quality services in different settings

• High quality

care provision in all settings

• Acute

hospitals, community, care homes, hospices, community hospitals, extra care housing prisons, secure hospitals and Hostels

• Ambulance

services

Step 5 Care in the last days

• f life
• Identification
• f the dying

Phase

• Review of

needs and preferences for place of death

• Support for

both patient and carer

• Recognition of

wishes regarding resuscitation and organ donation

Step 6 Care after death

• Recognition

that end of life care does not stop at the point of death.

• Timely

verification and certification of death or referral to coroner

• Care and

support of carer and family, including emotional and practical bereavement support

Discussions as the end

• f life

approaches

• Open, honest

Communication

• Identifying

triggers for discussion

Step 1 www.dh.gov.uk

• 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

Local EoLC Quality Drivers

OVER TO YOU