Improving Day Hospice Services
A preferred option for Day Hospice Services
across Sandwell and West Birmingham
Tammy Davies
Nurse Manager / Service Lead Palliative and End of Life Care Sandwell and West Birmingham Hospital NHS Trust
Phil Lydon
Engagement Manager
NHS Sandwell and West Birmingham Clinical Commissioning Group
About Sandwell and West
Birmingham CCG
Ø Set up in April 2013, we are a clinically led membership group of 99 GP practices across the Sandwell and West Birmingham areas, caring for more than 567,000 patients.
Ø Led by experienced GPs, we are responsible for improving, designing
and commissioning (buying) local health services.
Ø One of the services we commission from Sandwell and West Birmingham NHS Hospital Trust is End of Life Care.
Ø Dr Ayaz Ahmed is the CCG clinical lead for End of Life Care and Sally Sandel is the commissioning lead.
About Sandwell and West
Birmingham Hospital NHS Trust (SWBH)
Ø SWBH serves approximately 530,000 people across Sandwell and West Birmingham with acute and community services.
Ø We were awarded the contract for End of Life care services for those in the last 12 months of their life in April 2016.
Ø This has enabled us to expand on our current Specialist Palliative Care Service, consisting of Palliative Medicine Consultants and Specialist Nurses working in the hospital and community.
Ø We now offer a palliative Care Coordination Hub, Urgent Response Team and work in partnership with local hospices and voluntary sector organisations to offer holistic care for local people at the end of life.
Ø We now need to develop our Day Hospice Service to meet the needs of the community
Improving local Day Hospice
Services
Following a number of internal reviews, CQC reports and stakeholder events we have identified that the current Day Hospice service is not fit for purpose. The day hospice services need to be improved to meet the needs of the people we serve.
Currently in Sandwell, services
are provided at
Bradbury House in Oldbury.
This location restricts and inhibits the quality and range of services we can deliver and we want to seek your opinions on a improved service in a new location.
What are Day Hospice services?
Ø Day Hospice services provide care for people who have a diagnosis of advanced life limiting illness
Ø Symptoms may be physical, psychological, spiritual, social, or a family and
carer orientated issue
Ø Attendance may also be for respite care to support family members and carers
Ø Hospice services aim to feel more homely than hospitals do
Ø Teams include doctors, nurses, social workers, therapists, counsellors, and trained volunteers
Current Day Hospice Services
Ø In Sandwell, we have Bradbury House which offers short programmes of care over four days a week. The programme offers social support with some palliative care advice
Ø In Birmingham, we have John Taylor Hospice in Erdington and St Mary’s Hospice in Selly Park which offer good levels of staffing, equipment and services
Why do we need to change?
Ø Bradbury House is limited in size and a stand alone site
Ø It has limited access to healthcare staff
Ø Excludes those with mobility difficulties
Ø Lack of security for staff and patients
Ø Bradbury House is not owned by the Trust or the CCG
Our Engagement so far …
Ø April 2014 - Agewell UK carried out an independent study on End of Life therapies
Ø February 2016 – Sandwell and West Birmingham NHS Trust engaged with
current and previous patients, staff and volunteers
You have told us what is important to you:
Ø Accessibility
Ø Availability of related services
Ø Positive environment
Future Day Hospice Services
Ø Helping with symptoms
Ø A range of therapies
Ø Carer support
Ø Social support
Ø Practical advice (finance, legal, housing, equipment)
Ø Spiritual support
Ø Bereavement
Our Day Hospice Base Location
Our preferred option which would enable us to deliver safely and effectively our
new Day Hospice model is Rowley Regis Hospital for the following reasons:
Ø A range of on-site staff, facilities and catering
Ø Size and capacity including gardens
Ø Accessibility of the building
Ø Improved parking and public transport
Ø More of a homely feel than a general hospital
Ø NHS transport will continue
Other options which have been
considered
Ø Leasowes Intermediate Care, Smethwick
Ø Sandwell General Hospital
Ø City Hospital
None of these sites offered the benefits of Rowley Regis Hospital
Listening to your views on
Day Hospice Services
Ø What aspects of day hospice services are important to
you?
Ø Is our vision for high quality day hospice care right?
Ø Do you agree with our preferred option?
Get involved
• Public consultation meetings:
13 October 2016 6pmThe Wesley Centre, Wednesbury / 3 November 2016 2pm
Brasshouse, Smethwick.
18 October 2016 6pm
Portway Leisure Centre,
Oldbury. / 10 November 2016 2pm
Lozell’s Methodist Centre,
Lozells.
Get involved
Online survey:
www.sandwellandwestbhamccg.nhs.uk
Paper survey:
Please collect one of our booklets and send back the survey to our freepost
address
0121 612 1447
What happens next?
Ø We are speaking to patients, clinicians and the public
Ø The consultation ends on the 24 November 2016
Ø The CCG governing body will be presented with feedback from the consultation and decide whether they will support the Trust’s preferred option
Questions?
Thank You