Annual Review 2012-2013 being there for all the family
Key Messages North Devon Hospice is a local charity providing specialist care and support to patients and families affected by cancer or other life-limiting illnesses.We believe in being there for all the family and all our care is provided completely free of charge. We look after over 2,000 patients and family members every year It costs over ÂŁ4 million a year to provide all of the care we give and only 28% of our costs come from the NHS. This means we need to raise nearly ÂŁ3 millon from scratch every year through the support of the local community Most patients are cared for by our team of 14 Community Clinical Nurse Specialists who visit people in the comfort of their own home. They offer help with pain and symptom control as well as providing emotional, spiritual and practical support for the whole family Our Supportive Care team offers a range of services; one-to-one support, complementary therapies, support groups, day hospice, informal drop-ins, help for children and teenagers, pamper days and creative workshops We provide Specialist Palliative Care through our 7 bedded in-patient unit at Deer Park in Barnstaple, where up to 60% of our patients will return home after their stay with us North Devon Hospice covers one of the largest geographical areas of any hospice in the UK; over 800 square miles from Holsworthy in the west to Lynton in the north We would not be able to provide the care we do without the incredible dedication and generosity from our army of more than 500 volunteers North Devon Hospice cares for people affected by a life-limiting illness; most commonly cancer, but also including Motor Neurone Disease, Multiple Sclerosis, heart failure, COPD, liver failure, and renal failure We specialise in the kind of care that medicine alone cannot provide. In order to provide this care we are utterly reliant on the North Devon community to support us.
Dear Supporter, It is my privilege to welcome you to North Devon Hospice’s 2012-2013 Annual Review. It provides the opportunity to see in a snapshot the huge array of activities undertaken to ensure that patients and families affected by cancer and other life-limiting illnesses we look after receive the highest quality of care possible. North Devon Hospice is a local, independent charity, here for the community of North Devon and only because of the community of North Devon. On review I would hope that the community can be proud of what we have achieved together and how positive an impact we have had on over 2000 people in the last year. 2012-2013 saw some fantastic achievements, in particular the first anniversary of our Hospice to Home service where we self-funded the introduction of a team of Multi-skilled Healthcare Assistants to act as a rapid response service into people’s homes during a period of crisis day or night. In its first year, over 100 families were cared for and in the vast majority of cases this avoided an unnecessary admission into hospital. This is tangible evidence of our continued strategy to bring more care closer to people’s homes, no matter where that may be across the 800sq. miles of Devon that we cover. Whether it be our community nurses travelling over 50,000 miles to provide care in people’s homes, the highly specialist care provided by our in-patient unit here in Barnstaple, the supportive care we provide through counselling, group support or complementary therapy, we believe in “being there” for all the family. Of course, we would not be able to “be there” if it was not for the amazing support of North Devonians. We are grateful for every ounce of support we receive.This allows us to make a very real difference to the lives of local people at a time in their lives when they need it the most. Whatever part you have played in this last year, thank you for supporting your local charity.
Stephen Roberts Chief Executive North Devon Hospice
Being there for the journey
Image: Hundreds of people take to the coastal paths of North Devon to run the AONB marathon and half marathon, raising funds for the hospice. www.northdevonmarathon.co.uk
2,582 people benefitted from Supportive Care Services
Our supportive care services A diagnosis of a life-limiting illness creates a storm in the lives of all involved. Although we may have good friends and family close to hand, we can find ourselves protecting them from our own worries and concerns. At the hospice a wide range of services are provided by the Supportive Care team, who offer time and space to look at what is happening and how to respond to it. Over the past 12 months 2,582 people, including children, have received support.
Everything has become a lot clearer now. I know what I need to do and Iâ€™m not frightened anymore A patient
Being there in the community
Image: Sarah, a Multi-skilled Healthcare Assistant for the Hospice to Home service supporting patients in their homes
5,000 visits to people in their own homes
Our specialist nursing and care teams At home In 1984 North Devon Hospice began providing care to local people in their own homes, where it was needed most. Nearly 30 years later, this is still where the majority of our care takes place. As we look to the future we aim to offer even more services as close to people’s homes as possible.
During the day Our team of Community Nurse Specialists offer symptom control, emotional and practical support to patients and their families in the comfort of their own home. Covering a geographical area larger than Greater London, they travelled a vast 50,559 miles in the last year to make more than 5,000 visits. They work closely with local GPs, District Nurses and other healthcare professionals to ensure patients are receiving the best care possible.
Throughout the night Our Hospice to Home service has meant we have been able to provide support to patients throughout the day and night when symptoms are proving too difficult for those who care for them. This has been a real lifeline to over 100 people throughout the year, with care often being arranged the same day that a request is made.
We cover one of the largest geographical areas of any hospice in the UK, covering over 800 square miles from Holsworthy to Lynton Keely Dempsey, Community Nurse Team Leader
Being there around the clock Image: The annual Big Breakfast brings people together across the community
hours a day, all year round
Our specialist unit The Bedded Unit When symptoms become too complex to be treated at home, patients can be admitted to our Bedded Unit at Deer Park. Here our expert team of doctors, nurses and healthcare professionals can provide round the clock care in a warm, homely and comfortable environment. The majority of patients who stay on the Bedded Unit have their symptoms brought under control and are able to return home, with continued support from the hospice. For those who spend their final days with us, the care and support they receive makes the experience as comfortable as possible for our patients and their loved ones. Last year, 159 patients were admitted to stay on the Bedded Unit. The majority of these admissions were for symptom management.
The Hospital Our Specialist Palliative Care team based at North Devon District Hospital provide care to patients with cancer and other life-limiting illnesses. They also share expertise to ensure that hospital staff are well equipped to give this specialist type of care, as well as offering support to patients’ families.
Throughout many years of treatment, it was our hospice that provided a sanctuary and safety net for us all to live each day to the full A patient’s daughter
Being there alongside our healthcare partners
Image: A team from Actavis took to the skies to raise money for us
healthcare professionals received end-of-life education
Sharing our specialist knowledge We share knowledge, skills and expertise with our healthcare partners. Last year we delivered 25 educational sessions to local healthcare professionals, which ranged from general study days on palliative and end-of-life care to the ‘Specialist Approaches to Palliative Care and Care of the Dying’ module which contributes to the Health Studies degree from Plymouth University. To be responsive to the needs of our healthcare professionals and in turn, the needs of our patients, we welcomed GPs, District Nurses, and care home representatives to an ‘Education Shaping Event.’ In response to this we have changed the focus of end-of-life care education to outreach sessions across the North Devon community. 17 student nurses and 7 Registered Nurses joined us for their training placements last year. Some worked alongside our team on the Bedded Unit whilst the majority worked with our Community Nurse Specialists, delivering care and support to patients at home across North Devon. We also welcomed 3 trainee GPs on their professional placements and 2 GP Registrars.
What I really got from the experience is a gold-standard example of how medicine should be practised and how clinical teams should work together A medical student
Being part of the community
16 years worth
Image: Along with his wife, daughters and grandchildren, Barry volunteered at the Devon Country Fayre and English National Sheepdog Trials
of volunteering this year!
Volunteering with us The strong sense of community in every aspect of hospice life is heartwarming. Our team of volunteers play a huge part in this community spirit because in all that we do, we are supported by people from throughout our community. Last year alone, our volunteers generously gave us 144,923 hours of their time and if we were to equate that to years, it totals just over 16 years, which is staggering. It’s impossible to list all the people who have helped and all the ways they have given their support. We would like to say a very heartfelt thank you to each and every one.
It takes people from all walks of life to make the hospice tick. We wouldn’t be who we are without our volunteers Kim Jones,Volunteer Development Manager
Being there for you
20% of our income comes from
Image: A family comes together after the North Devon AONB Marathon
gifts in wills
Because of you Last year, 20% of our income came from those who left us a gift in their will. Gifts left to North Devon Hospice are so important to us because they mean we can continue caring for people as well as helping us plan for the future with more confidence. As a local charity, to include North Devon Hospice in your will means so much to us and all the patients and families we support. Put simply, without gifts like these we could not continue to provide all of our care to so many families in North Devon. If you would like to know more about leaving a gift to North Devon Hospice, we would be delighted to hear from you. Thank you.
What the hospice meant to my mum will never leave me. I know whatever I leave will make a difference to people like me A patient’s daughter
Continuing to be there Providing high quality care is at the heart of everything we do and we have directed funds into developing our frontline services for the community. We have taken even more steps to save money and reduce our running costs with very tangible outcomes. a
Developed frontline care and support services
Our Hospice to Home Service marked its first anniversary. To date, it has ensured every patient has had their wishes met, supporting them to spend their final days in the comfort of their own home
100% compliance with the Care Quality Commission
â€˜Interact Intranetâ€™ kindly donated their specialist intranet software. This means year upon year we will continue to reduce our running costs and waste and improve access to information for our outreach clinical teams.
Fundraising NHS Devon Legacies Lottery Shops Investments & other
30 28 20 8 8
Care Fund generation Education Governance
82 15 2 1
This short financial summary is based on the statutory accounts for the year ending 31st March 2013, audited by Sayer Vincent. To be consistent with previous years, lottery and retail are shown as net income. If you would like to see a copy of the full Trustees’ Report and Financial Statements, they are available on our website (www.northdevonhospice.org.uk) or printed copies can be requested by emailing (firstname.lastname@example.org) or writing to us.
With thanks to our Patron, Lady Arran and our Vice Presidents: David Morgan
Mark Parkhouse DL
Nick Harvey MP
Geoffrey Cox MP
Gavyn Davies OBE
The Hon. John Rous DL
Lady Stucley The hospice would like to take this opportunity to extend its thanks to our Board of Trustees: Chair: Angela Webb
Vice Chair: Barbara Bollom (stepped down September 2013)
Doreen Woodrow (appointed May 2012)
New Vice Chair: Kevin Underwood (as from October 2013, appointed May 2012)
Treasurer: Stephen Scoffield
Dr Martin Mather (appointed February 2013)
Thank you Our patients are at the heart of everything we do. On behalf of everyone at the hospice, we would like to thank every person who has supported our work over the last year. It is only through your support, time and money that we are able to continue caring for people who are affected by life-limiting illnesses. Your support is appreciated so much more than we could ever articulate. We welcome your interest in the hospice, so if you would like to know more about our services, have a tour of Deer Park or find out more about what we are doing, please get in touch. T: 01271 344248 E: email@example.com
Support us It costs over ÂŁ4 million a year to provide all of the care we give and only 28% comes from the NHS. This means we need to raise nearly ÂŁ3 million from scratch every year through the support of the local community. If you would like to make a donation, you can do so through the following ways:
Please send cheques made payable to North Devon Hospice to: North Devon Hospice, Deer Park, Newport, Barnstaple, North Devon, EX32 0HU
Donate over the phone by calling Ali Hunt on 01271 347206
Donate online at www.northdevonhospice.org.uk
Working in the homes of our patients across the community Working with GP practices & District Nurses Working with Nursing Homes & Residential Homes Working with Hospitals & Community Hospitals North Devon Hospice Deer Park Hospice Shops
N O R T H D E V O N
Barnstaple Instow Northam Abbotsham
Landkey Swimbridge South Molton
Hartland Great Torrington
T O R R I D G E Chulmleigh
Shebbear Black Torrington Beaworthy
North Devon Hospice, Deer Park, Barnstaple, Devon EX32 0HU www.northdevonhospice.org.uk / 01271 344248 Registered charity no. 286554
Published on Dec 5, 2013
A summery of the care provided by North Devon Hospice during the financial year 2012-2013, and the many ways in which the local community su...