Organisational Structure

Implementing NHS North West MPET priorities across MCCN

Kathy CollinsAssociate Director

Merseyside & Cheshire Cancer Network

Organisational Structure

SHA

North WestEnd of Life CareClinical Pathway

Group

Board of networks/PCT CEO’s

MCCN/TaskforceMCCN End of Life & Palliative Care

Clinical Network Group

North West Operational

Group

What is MPET?• MPET (Multi-Professional Education and Training) levy is the funding for

healthcare education

• MPET is allocated to SHAs through the Department of Health

• SHAs have infrastructures in place to deliver the requirements for MPET activity

• Specific examples of activity include:– Funding pre-registration education through contracts and commissioning with

education providers– Funding salary contribution costs where applicable e.g. for students studying on

secondment to training– Supporting post-registration education and CPD– Supporting specific requirements such as apprenticeships, preceptorship, non-

medical prescribing, etc.• Specific developments, such as funding for End of Life Care, are sometimes

included as development initiatives within the scope of MPET

Why has EOLC been identified as a specific development initiative?

• The National EOLC strategy (2008) signalled additional investment for EOLC in the financial years 2009/10 and 2010/11

• The strategy recognised the deficiencies in knowledge, skills, attitudes and behaviours in staff frequently coming into contact with people at end of life

• Recommended that the focus should be on training and development across both statutory and independent sectors to develop those skills

The Role of the SHA in allocating MPET

• Determines the priorities for EoLC • Takes into consideration national requirements

identified through the workforce and development network and locally through NHS NW Clinical Pathway Group

• Monitors progress on delivery against the priorities

Priorities in 2009/10

• Implement the NHS NW CPG recommendations

• Plan was developed at a regional level

Reflections on progress

North West Level• Pilot of Quality Markers Self Assessment• Raising public awareness campaign around death &

dying• NW definition of advanced care planning• NW guidance on role and function of the role of EoLC

facilitator• Scoping project around education in EoLC• Established projects around education in EoLC for

domiciliary care staff

Reflections on progress

Network level• EoLC programme continued to build on the successful

implementation of the National End of Life Care Tools. Gold Standards Framework, Liverpool Care Pathway and Preferred Priorities of Care (GSF,LCP,PPC

• The Network team contributed to the North West work programme of work

• Monitoring and supporting progress on complying with NICE Improving Outcomes Guidance for Supportive & Palliative Care

So what is in store for 2010/11?

NHS NW priorities – regional plan

• Conclude the scoping exercise for education in EoLC

• Evaluate the domiciliary care education projects• Quality markers next phase

So what is in store for 2010/11?

NHS NW priorities – network plan

• Continue to increase the use of EoLC tools in all settings through the Network EoLC programmes

• Communication skills • Primary care engagement• Raising awareness around EoLC• E-learning• LCP in ICU• Spirituality

The priorities for 2010/11 still link to NHS NW CPG recommendations

So what do we have to do now at Network level?

• Develop and deliver a plan against the priorities identified at network level

How is the plan being developed?

• EoL & Palliative Care Clinical Network Group ( CNG)

• Integrated Clinical Networks (ICNs)

• Commissioning Partnership Group for EoL & Palliative Care

What is the plan looking like?

• In development phase

• Good progress

• Working through the detail

• Timescale 6th August

Continuing to increase the use of EoLC tools in all settings through the Network EoLC programmes

• Supporting PCTs in coordinating plans locally for facilitation and education around the use of EoLC tools and advance care planning; includes hospitals

• Supporting EoLC facilitators

• Developing an education programme for care homes

Communication skills

• Education sub group is finalising a network communication skills training framework

• Plan is to build infrastructure across the Network to be able to deliver sustainable communication skills training

Primary care engagement

• Build on the success of existing well evaluated GP education programmes to include ACP

• Look to develop GP clinical champions across the Network

• Work with neighbouring Network GP clinical leads

Raising awareness around EoLC

• Build on the success of the week in March plan for a week in 2011

• Develop further plans beyond the week events

LCP in ICU: Laura Chapman

Domiciliary Care Education: Caroline Flynn

Spirituality: Cath Baldry

Consistency

• Network level – CNG/ICNs/Commissioning Partnership Group

• North West level-operational group

Beyond 2011?

• Who knows?

• Substantial level of funding awarded this year

• Use it to it’s maximum

• Demonstrate it’s effectiveness

• Use it to influence

Questions?