Annamarie Challinor, Head of Service Development (Macmillan), The End of Life Partnership

Making it happen

Annamarie ChallinorHead of Service Development (Macmillan)

End of Life Partnership

Is this just the same old news?

Whole system reality……

More reasons for new collaborations……

Changing demographics of ageing & dying

Raised expectations of the public

Growing demands upon the Health & Social Care system

Increasing financial pressures

Outcomes in end of life care are multifaceted

Making it happen:

1. Influence

Consider your potential levels/people of influence

Making it happen:

2. People

YOUR Enablers:• People of influence • Skills and knowledge • Experiences• Trusting relationships• Respect and recognition for each ‘specialism’ • A willingness to listen….to hear….and to want to help• Keeping it simple and relevant- language used

YOUR Barriers to overcome:• Hierarchy and power in decision making • Rigid roles and responsibilities• Employment restrictions• Professional identity and autonomy• Misalignment of clinical, managerial and financial perspectives• Poor staff morale

People

Making it happen:

3. Structures

YOUR Enablers:• Having a clear and common purpose• Engaging with teams/organisations outside of your ‘comfort zone’• ‘Active’ Steering Group• Making explicit links between all the contributing parts• Clear roles, responsibilities and levels of accountability• Active engagement as opposed to distant consultation• Piggyback other initiatives

YOUR Barriers to overcome:• Partner congestion • Geographical and professional boundaries• Perpetual change among the health, social, and voluntary care system• Historical practice or mistrust of other partners• Positioning of end of life care within the organisation

Structures

Making it happen:

4. Processes

YOUR Enablers:• Patient focussed outcomes • Agreed project plan and outcomes (e.g. LOGIC Model)• Clear and straightforward decision making processes• Focussed action: e.g. at meetings• Reviewing and revisiting the plan• Sharing the lowlights as well as the highlights• Communications plan

YOUR Barriers to overcome:• Target/service driven cultures• Change fatigue • Bureaucracy and ‘red tape’• Size of the audience

Processes

Making it happen:

5. Resources

YOUR Enablers:• Having a costed resource plan• Showing outcomes- do they justify the costs ? • National documents: Ambitions for End of Life Care, NICE, Ombudsman report etc• Quick wins can attract more resources• Identify ‘must do’s’ for organisation- audit, CQC, CQUIN’s

YOUR Barriers to overcome:• Short term or last minute funding cycles• Separate budgets • Financial pressures• Time- “time to care” • Tensions around ‘cost shifting’ and funding • Sharing of information- IT, robust and timely data,

Resources

Always come back to your touchstone…..

I want to do the best I can do ……….

I want to make a difference to the people I care for…

Thank you [email protected]