Although a Palliative Care approach existed which included an overarching Palliative Care Framework, there , there were no specific clinical palliative care framework and assessment tools available for clinical team to utilise to support clinical decision making.

·         To improve clinical confidence in identifying the dying process

·         Support discussion with families and multidisciplinary team

·         Improve care planning and availability of end-of-life medications

·         Support clinical team ability to facilitate advanced care directives with residents and their representative, from the point of admission and ongoing.

·         Enable a supportive dying process or ‘dignified’ death as per the resident’s wishes.

 

·         Phased implementation approach (by region, by Care Community)

·         PACOP Improvement Facilitator supporting National Clinical Governance and Risk Manager in relation to policy review 

·         Training

·         PACOP Support Officer (0.4) FTE

·         Community of Practice monthly

·         Pall Centre for data collection 

·         PACOP Shop - resources

·         Team satisfaction with having a validated palliative care clinical assessment tools

·         Increasing awareness of frailty and its impact on health outcomes (clinical indicators)

·         Resident focused clinical assessment tools – supporting assessments to be conducted ‘with’ the resident not ‘on’ the resident 

·         Improved recognition of end of life with residents commencing an end of life care pathway more than 24 hours before their death, using ELDAC data for 2019 as a baseline for improvement

·         Improved coordination and preparedness of end-of-life care provision

·         Support Care Communities with a system for 100% profile collection each three months as well as ensuring system for profile collection for new admissions between each quarter.

·         Education plan for each care community prior to first round of profile collection

·         Fairly ‘quick’ implementation for first round and difficult time of year: Education early December 2022 with 100% profile to commence in January 2023.

·         Schedule Profile collection months to NOT be the first month of the quarter 

 

·         Graphs

·         Photos

·         Logo/brand

·         PDFs of documents