Outreach education booklet 2017

Outreach End of Life Care Education 2017 For all Healthcare Professionals

being there for all the family

North Devon Hospice Mission Statement Our mission is to promote the relief of symptoms amongst people with life-limiting illnesses.

We do this through offering: > Specialist palliative care for patients with an advanced, progressive illness and

support for the adults and children who are close to the patient > Personal care to patients at the end-of-life and support to their families

at home and in other settings > Supportive care to patients who have been diagnosed with a life-limiting

illness and to the adults and children who are close to the patient > Advice, support and education provision to patients, families, communities,

organisations, and healthcare professionals who are responding to

life-limiting illness, death and loss

“Advance care planning is so important.

There is not the opportunity to bring someone back and say - We’re sorry can we have another go?�

Care Home Manager

www.northdevonhospice.org.uk . Being there for all the family

Introduction Contents > > > > > >

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Course topics Map and venues Programme and dates Book online Contact us Discussions as the End of Life Approaches Communication in End of Life Situations

1 2 2 3 3

> >

> >

Care in the Last Days of Life Bereavement, Loss and the Impact of Life-Limiting Illness Six Steps information NCFE information

8-9 10-11 12-13 14

4-5 6-7

Course topics

For all healthcare professionals The programme covers the following topics: 1. Discussions as the end of life approaches 2. Communication in end of life situations 3. Care in the last days of life 4. Bereavement, loss and the impact of life-limiting illness on patients, carers and professionals Our Outreach education programme is designed specifically for those providing care in health, social care and community settings. The aim of this free programme is to build on your understanding of the principles and practices of end of life care, helping you to feel more confident in supporting patients and families at this very sensitive time. There are no entry requirements for these sessions.

The programmes link to the current NHS Knowledge and Skills Framework Competencies and End of Life Care Core Competencies, as well as The Ambitions for Palliative and End of Life Care national framework (2015).

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D ILFRACOMBE

Map and venues Braunton BARNSTAPLE

A BIDEFORD Hartland

B

E

N O R T H D E V O N South Molton

High Bickington

Great Torrington Chulmleigh

T O R R I D G E

Bude

Keep an eye on our website for additional programme dates at North Devon Hospice

C Holsworthy

Programme and dates PROGRAMME

DATES

VENUES

1 Discussions as the end of life approaches

Tuesday 2nd May Wednesday 3rd May Monday 15th May Wednesday 17th May Wednesday 31st May

E North Devon Hospice, Barnstaple A A B Burton Art Gallery, Bideford C C The Long House, Holsworthy D Tyrell Hospital, Ilfracombe B Torrington Hospital

2 Communication in end of life situations

Wednesday 7th June Wednesday 21st June Wednesday 28th June Monday 3rd July Tuesday 11th July

A Tyrell Hospital, Ilfracombe D A B Burton Art Gallery, Bideford B Torrington Hospital The Long House, Holsworthy C E North Devon Hospice, Barnstaple

3 Care in the last days of life

Wednesday 20th September Monday 25th September Tuesday 26th September Wednesday 4th October Wednesday 11th October

B Torrington Hospital A C The Long House, Holsworthy E North Devon Hospice, Barnstaple B A Burton Art Gallery, Bideford D Tyrell Hospital, Ilfracombe C

4 Bereavement, loss and the impact of life-limiting illness on patients, carers and professionals

Wednesday 18th October Monday 23rd October Tuesday 24th October Wednesday 1st November Wednesday 8th November

A Burton Art Gallery, Bideford A C B The Long House, Holsworthy C E North Devon Hospice, Barnstaple D Tyrell Hospital, Ilfracombe D B Torrington Hospital

2 www.northdevonhospice.org.uk . Being there for all the family

Book online Places can be booked at www.northdevonhospice.org.uk Information on all of our courses and how to book on can be found in the Health Professionals section on the website.

Tea and Coffee provided.

There will be a refundable booking fee of £25.00 per course. Once you have booked online please send a cheque for £25.00, made payable to ‘North Devon Hospice’, to the Education Department at the address below. Your cheque will be returned to you on the day. Cheques will only be cashed should the Education Department not be notified 48 hours prior to dates booked for places that will not be fulfilled.

Contact us Chris Allbrook, Outreach Care Homes Facilitator 01271 347237 chrisallbrook@northdevonhospice.org.uk

Sam Ritzen, Head of Education 01271 347205 samritzen@northdevonhospice.org.uk

Amanda Joy, Education and Training Co-ordinator 01271 347238 amandajoy@northdevonhospice.org.uk North Devon Hospice Deer Park Newport Barnstaple North Devon EX32 0HU 01271 344248 (Office hours Monday to Friday 9am-5pm) education@northdevonhospice.org.uk / www.northdevonhospice.org.uk 2

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1.

Discussions as end of life approaches The first step in end of life care planning is to identify people who are thought to be in their last year of life, so that discussions concerning advance care planning can be introduced.

Time: Half day 1– 5pm

Aim: To identify people who maybe entering the last year of life so discussions on end of life care can take place at the appropriate time.

Objectives: Be able to: > Recognise individuals who may be in their last year of life using the GSF colour coding and prognostic indicator Be aware of: >

> >

The principles of Advance Care Planning and its connection with current Mental Capcity legislation The documents associated with Advance Care Planning The challenges of Advanced Care Planning

Book online: www.northdevonhospice.org.uk

Funded by

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www.northdevonhospice.org.uk . Being there for all the family

Session learning activity links to Knowledge and Skills Framework Core 1 Communication Level 3 Develop and maintain communication with people

about difficult matters and/or in difficult situations Core 2 Personal and People Development Level 1 Contribute to own personal development

End of Life Care Core Competencies 4

Advance Care Planning: a, b, c

a Demonstrate awareness and understanding of Advance

Care Planning and the times at which it would be appropriate b

Demonstrate awareness and understanding of the legal status and implications of the Advance Care Planning process in accordance with the provisions of the Mental Capacity Act

c

Show understanding of informed consent and demonstrate the ability to give sufficient information in an appropriate manner

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2.

Communication in end of life situations Communication with the individual and their family in the last year of the person’s life can be very rewarding. It can also be challenging and emotional. This workshop aims to equip staff with core communication skills to support best end of life care principles. This will enhance empathic supportive conversations that can promote quality of life for people.

Time: Half a day 1 – 5pm Aim: To have knowledge and understanding of the core components for good communication.

Objectives: Be able to: > > > >

Identify barriers to communication Identify and use core facilitative skills Identify challenging issues Explore skills and techniques to support safe practice in a variety of healthcare situations

Book online: www.northdevonhospice.org.uk

Funded by

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www.northdevonhospice.org.uk . Being there for all the family

Session learning activity links to Knowledge and Skills Framework Core 1 Communication Level 3 Develop and maintain communication with people

about difficult matters and/or in difficult situations Core 2 Personal and People Development Level 1 Contribute to own personal development

End of Life Care Core Competencies 1 Communication Skills: a, b a

In relation to end of life care, communicate with a range of people on a range of matters in a form that is appropriate to them and the situation

b

Develop and maintain communication with people about difficult and complex matters or situations related to end of life care

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3.

Care in the last days of life The point comes when the individual enters the dying phase. It is vital that staff recognise the person may be dying and take the appropriate action.

How someone dies remains a lasting memory for relatives, friends and care staff involved.

Time: Half a day 1 – 5pm Aim: To recognise the person may be entering the last days of life, and ensure that the best holistic care is provided.

Objectives: Be able to: > Recognise the point when a person enters the dying phase Be aware of: >

>

> >

The difference between appropriate and avoidable hospital admissions at end of life The 5 priorities of cafe in order to deliver holistic care in the final days The priciples of symptom management Best practice when caring for relatives, significant others, staff and other residents with dignity when a person is dying

Book online: www.northdevonhospice.org.uk

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www.northdevonhospice.org.uk . Being there for all the family

Funded by

Session learning activity links to Knowledge and Skills Framework Core 1 Communication Level 3 Develop and maintain communication with people

about difficult matters and/or in difficult situations Core 2 Personal and People Development Level 1 Contribute to own personal development HWB 2 Assessment and Care Planning to meet Health

and Wellbeing Needs Level 1 Assist in the assessment of people’s health and wellbeing needs

End of Life Care Core Competencies 1 Communication Skills Dimension: a a

In relation to end of life care, communicate with a range of people on a range of matters in a form that is appropriate to them and the situation

3 Symptom Management and Maintaining Comfort and Wellbeing: a, b a

Be aware that symptoms have many causes, including the disease itself, its treatment, a concurrent disorder, including depression or anxiety, or other psychological or practical issues

b

Understand the significance of the individual’s own perception of their symptoms to an intervention

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4.

Bereavement, loss and the impact of life-limiting illness on patients, carers and professionals Time: Half a day 1 – 5pm Aim: To have knowledge and understanding of the emotional impact of being diagnosed with a life-limiting illness.

Objectives: Be able to: > Define, loss and bereavement > Apply models of grief in context > Identify signs and symptoms of loss Be aware of models of support and best practice: > When caring for individuals and their families > When caring for colleagues and ourselves

Book online: www.northdevonhospice.org.uk

Funded by

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www.northdevonhospice.org.uk . Being there for all the family

Session learning activity links to Knowledge and Skills Framework Core 2 Personal and People Development Level 1 Contribute to own personal development HWB4 Enablement to address Health and Wellbeing Needs Level 2 Enable people to meet ongoing health and wellbeing needs HWB5 Provision of Care to meet Health and Wellbeing Needs Level 1 Undertake care activities to meet individuals’ health and

wellbeing needs

End of Life Care Core Competencies 1 Communication Skills: a, b a In relation to End of Life Care, communicate with a range of people on a range of matters in a form that is appropriate to them and the situation b Develop and maintain communication with people about difficult and complex matters or situations related to End of Life Care 3 Symptom Management, Maintaining Comfort and Wellbeing: b b Understand the significance of the individual’s own perception of their symptoms to any intervention

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Accredited Six Steps End of Life Care Training Programme for Care Homes.

We are now entering our third year of delivering the Six Steps End of Life Care training programme to residential and nursing homes across the region here at North Devon Hospice.

We are committed to the provision of end of life care training for health care professionals in all settings to promote quality care for patients/residents.The Six Steps is a comprehensive training programme that offers care homes the opportunity to be competent and confident in provision of sensitive, compassionate end of life care for their residents.

The Department of Health’s End of Life Care Strategy, published in 2008, emphasised the need to raise the quality of care provided to dying people and their loved ones in a variety of settings - including care homes.The strategy identified the need for care home staff to receive the training and support to ensure the provision of good end of life care.

It recommended more coordinated services, which could see NHS and statutory social care authorities providing more support to care home staff and managers and their residents. Such support would reduce the number of unplanned hospital admissions ensuring more people can die in their care home if that is their expressed preference (DOH 2008). One of the outcomes was the publication of a training programme for care homes. “The route to the success in end of life care - achieving quality in care homes.�

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www.northdevonhospice.org.uk . Being there for all the family

The National Six Steps Programme was developed in partnership between Merseyside and Cheshire Cancer Network, Greater Manchester and Cheshire Network, and Cumbria and Lancashire End of Life Care Programme.The programme aims to enhance end of life care through facilitating organisational change and supporting staff to develop their roles around end of life care.

The programme has been adapted by St Luke’s Hospice Plymouth to provide an accredited training programme for care homes in Plymouth.

North Devon Hospice now utilises an adapted Six Steps Programme that encompasses the local policies and guidelines for North Devon.

What care homes will gain This programme will enable care homes to meet Department Health End of life Care, CQC and Dementia Quality Markers and support your staff develop Core Competencies for End of Life Care. On successful completion of the programme, Champions will receive an individual certificate. An organisational Certificate of Accreditation will be awarded to the Care Home.

The Programme Content •

9 day long taught sessions for the 2 End of Life Champions/home, one with managerial responsibility. It will run over a period of 8 months, followed by a 3 month period to demonstrate achievement of appraisal criteria and CQC standards

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Each session will cover a specific aspect of end of life care and provide time for individual portfolio development and tutor support

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The tutors will provide one to one support and guidance to the care home staff and also visit the staff in their care home to support the development of required portfolios

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Accreditation, once achieved, is valid for 12 months. In order to re-accredit the organisation must arrange a visit with their personal tutor to demonstrate they are maintaining and improving on the standard achieved when the accreditation was originally awarded

Contact Katrina Fry (6 Steps Coordinator) for further information, 01271 347209, katrinafry@northdevonhospice.org.uk 13

Principles of End of Life Care

Working in partnership

LEVEL 3 NCFE CERTIFICATE F O R N O N R E G I S T E R E D H E A LT H C A R E P RO F E S S I O N A L S

This qualification aims to: • Provide learners with a definition of end of life care • Explore common questions and themes in end of life care • Inform learners of the range of possible approaches to end of life care • Provide learners with an understanding of how to support a person’s familial, spiritual, social and emotional needs • Prepare the learner to confront issues of death and bereavement

Entr y guidance: This qualification is aimed at those working in the healthcare sector whose job description includes caring for those who have a life-limiting illness.

There aren’t any specific recommended prior learning requirements for this qualification. However, learners might find it helpful if they’ve already achieved a Level 2 qualification in a health or a health and social care related area.

Qualification content: This 6 day taught course will cover: • Unit 1: Understanding end of life care • Unit 2: Communication during end of life care • Unit 3: Assessment and care planning in end of life care • Unit 4: Person centred approaches to end of life care • Unit 5: Care during the final hours of life and bereavement care

Bookings are now also open for the autumn sessions which will commence in October 2017 – please see website or contact us for further details

Course cost, venue, dates & times: Cost: £400. Venue: North Devon Hospice Monday 27th February 9am - 5pm Monday 13th March 9am - 5pm Monday 24th April 9am - 5pm

Monday 22nd May Monday 26th June Monday 24th July

9am - 5pm 9am - 5pm 9am - 5pm

For further details about this course please contact:

Education Department, North Devon Hospice, 01271 347238 education@northdevonhospice.org.uk To reserve a place please contact: Amanda Joy, Training Co-ordinator, North Devon Hospice (Barnstaple) by either phone or email: 01271 344248 or amandajoy@northdevonhospice.org.uk

Registered charity no. 286554 www.northdevonhospice.org.uk / 01271 344248 North Devon Hospice, Deer Park, Barnstaple, Devon EX32 0HU