WWW.DISSERTATION.XLIBX.INFO
FREE ELECTRONIC LIBRARY - Dissertations, online materials
 
<< HOME
CONTACTS



Pages:   || 2 | 3 | 4 | 5 |   ...   | 10 |

«Palliative Care Services - Five Year/Medium Term Development Framework PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK TABLE OF ...»

-- [ Page 1 ] --

Palliative Care Services - Five Year/Medium Term

Development Framework

PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK

TABLE OF CONTENTS

PAGE

Foreword 3

Executive Summary 5

1 Introduction 12

1.1 Palliative Care Definition 12

1.2 Objective, Scope & Approach 12

1.3 National Context 15 2 Overview of the Provision of Palliative Care Services in Ireland 20

2.1 Introduction 20

2.2 National Overview of Palliative Care Service Provision 21

2.3 Overview of Palliative Care Service Provision by Administrative Area 23 3 Setting National Priorities 32

3.1 Assumptions Underpinning National Priority Setting 32

3.2 Criteria for Selection of National Priorities 32 4 National Development Framework 33

4.1 Immediate Priorities to Address Areas of Greatest Need 34

4.2 National Priorities 36

4.3 Rationale and Analysis 41

4.4 Impact of Successful Implementation 44 5 Resourcing National Priorities 47

5.1 Total Resourcing Requirement of National Development Framework 2009 – 2013 47

5.2 Capital Cost of National Development Framework 2009 – 2013 48

5.3 Revenue Cost of National Development Framework 2009 – 2013 49 6 Key Challenges and Next Steps 53

6.1 Key Challenges and Enablers 53

6.2 Next Steps 55 7 Appendices 57

7.1 External Stakeholder Consultation 57

7.2 Area Development Committee – Terms of Reference 58

7.3 Area Consultative Committee – Terms of Reference 59

7.4 Project Steering Committe

–  –  –

PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK

FOREWORD I am pleased to present this Framework document The decision to undertake this plan was based on discussions between the Minister for Health & Children, the HSE and bodies such as the Irish Hospice Foundation, the Irish Cancer Society and the Irish Association of Palliative Care. The work was undertaken in partnership with all relevant stakeholders, including both the statutory and voluntary sectors It details the required actions and initiatives necessary to address the gaps in palliative care service provision, against the recommendations set out in the 2001 report of the National Advisory Council for Palliative Care.

This takes a patient centred approach and ensures that patients’ particular and unique needs are addressed in a holistic manner. The national priorities selected are aligned to national healthcare policy and the HSE’s Transformation Programme and Corporate Plan. This framework sets national priorities which have been agreed by all stakeholders based on solid needs analysis to ensure that services do not develop in an ad-hoc fashion and that any developments proposed in future reflect areas of greatest need. Such an approach ensures an equitable approach to service provision as well as consistency in inputs such as pay and non-pay costs as well as levels of staff. The national priorities reflect the gaps that currently exist in particular areas and services and the prioritisation reflects the largest gaps.

When this work was initiated its purpose was to provide a sound planning framework for resource utilisation. It was anticipated that funding for the agreed priorities might be achieved through a combination of reorientation and reconfiguration of existing resources and the identification of additional resource requirements when further funding might come on-stream. However, the current economic environment is not conducive to the possibility of further development funding for palliative care services certainly in the short to medium-term.

At a meeting following the completion of the report at which the Department of Health and Children, the Irish Hospice Foundation, the Irish Cancer Society and the Irish Association of Palliative Care as well as the Health Service Executive were represented, it was agreed that that the priorities identified in the Framework would not be altered despite the need to be aware of the current economic climate and that the focus for development in palliative care services should be in the context of

• reconfiguration and re-allocation of existing resources/services;

• increasing and developing capacity within existing resources,

• developing skills in community care and care of the elderly settings specifically in relation to palliative care services and

• taking the opportunity afforded by integration to identify ways of enabling the delivery of these agreed national priorities.

PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK

The position now as agreed with the Department of Health and Children in relation to the prioritised developments is that the Health Service Executive, in association with the Department of Health and Children and other key stakeholders will lead in the formation of a tripartite group to discuss how best to achieve the recommendations detailed in the Framework.

This group will be set up on foot of the publication of the Framework.

I am taking this opportunity to thank my colleagues in the HSE for their work and support to date in relation to this Framework, to our partners in the voluntary sector without whose tremendous co-operation and support this work could not have been done and to the Department of Health and Children for their support for the process which has culminated in this report.





Hugh Kane Assistant National Director Health Services Executive

PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK

EXECUTIVE SUMMARY

OBJECTIVE AND BACKGROUND

OBJECTIVE AND SCOPE OF THE NATIONAL DEVELOPMENT FRAMEWORK (2009 – 2013) The objective of this document is to detail the Palliative Care Services - Five Year/Medium Term Development Framework (2009 – 2013). It has been developed using a holistic, system-wide, approach to addressing the level of need identified by both the Baseline Study on the Provision of Hospice / Specialist Palliative Care Services in Ireland (2006) as well as the HSE Audit of Palliative Care Service Provision (2007). The “HSE Audit” (as it is referred to in this document) was conducted by each of the four HSE Administrative Areas, in conjunction with Area Development Committees, against the recommendations of the Report of the National Advisory Committee on Palliative Care 2001 (the NACPC Report). Therefore, this document is grounded in the recommendations of the NACPC Report, (e.g. palliative care definition, palliative care service areas, staffing and bed number ratios), and informed by the findings of the HSE Audit.

The purpose of this document is not to replace the recommendations of the NACPC Report from a policy context, nor does it represent a new national strategy for palliative care. This document details the required actions and initiatives necessary to address the gaps in palliative care service provision, against the recommendations set out in the NACPC Report.

BACKGROUND TO THE DEVELOPMENT OF THE NATIONAL DEVELOPMENT FRAMEWORK (2009 – 2013) A number of initiatives relating to palliative care services were undertaken prior to the development of this Framework, including significant work completed by Area Development Committees (ADCs), which were established by the HSE based on the recommendations of the NACPC Report. The outputs of their extensive work formed the input into the development of this Framework.

In recent years, a significant number of reports, strategies, policy documents and plans have been published which have

implications for the development of palliative care in Ireland, including:

• The National Cancer Strategy (1996);

• The Report of the National Advisory Committee on Palliative Care (2001);

• The Primary Care Strategy (2001);

• The Palliative Care Needs Assessment for Children (2005);

• The Baseline Study on the Provision of Hospice / Specialist Palliative Care Services in Ireland (2006);

• The Cancer Control Strategy (2006);

• The Transformation Programme (2007).

The national priorities identified for the development of palliative care service presented in this National Development Framework are aligned to national healthcare policy, as set out above, and the HSE’s Transformation Programme 2007 – 2010.

The Department of Health & Children is developing a children’s palliative care policy which aims to provide a framework for future service development. Therefore, this report does not address paediatric palliative care.

APPROACH TO THE DEVELOPMENT OF THE NATIONAL DEVELOPMENT FRAMEWORK (2009 – 2013) To support the development of the National Development Framework (2009 – 2013), a Project Steering Committee was established with representatives from within the HSE, comprising the National Lead for Palliative Care, the Lead Local Health Managers for Palliative Care from each Administrative Area, together with representatives from Estates, Manpower Planning, and support from the Health Atlas Ireland Team. Prospectus Strategy Consultants provided project management support throughout the process.

PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK

The Project Steering Committee was tasked with integrating and building on the work already completed by individual Administrative Areas and their ADCs to develop a National Development Framework that is holistic and presents a national picture.

The Project Steering Committee (which was convened for the first time on March 31st, 2008) conducted a number of working sessions (5 workshops) to consider the significant work completed at Area level and agree national palliative care priorities for the period 2009 – 2013.

The analysis of the work completed at Area level was conducted in close consultation with HSE staff at national, regional and local level (via individual meetings and teleconferences) to understand the priority need in each Area and the implementation enablers required to support those needs on a national basis. Throughout the completion of this work, the Project Steering Committee had to ensure that any need identified was grounded in the recommendations of the NACPC Report. A key challenge involved ensuring consistency of approach and assumptions used, given that national priorities were considered in the context of the priorities identified at ADC level.

The Project Steering Committee engaged with a number of key external stakeholders, such as the Irish Hospice Foundation, the Irish Cancer Society, the Irish Association for Palliative Care (IAPC) and the Hospice CEOs Group to inform the development of national priorities for palliative care. This engagement acknowledged the commitment of the voluntary sector in the provision of palliative care services, and the voluntary sector’s involvement in Area Development Committees.

This report, the Palliative Care Services - Five Year/Medium Term Development Framework (2009 – 2013), represents the output from the Project Steering Committee’s work.

NATIONAL OVERVIEW OF PALLIATIVE CARE PROVISION

Based on the output of the HSE Audit (2007) by each Administrative Area, there were significant variations in the levels

of specialist palliative care service provision across each service category, outlined below:

SPECIALIST PALLIATIVE CARE IN-PATIENT UNITS

• There are eight dedicated specialist palliative care in-patient units across the 4 HSE Areas.

• There is a wide regional and intra-regional variation in the availability of specialist palliative care in a specialist in-patient unit.

• Three geographic areas have no specialist in-patient units and no access to specialist in-patient beds for those patients most in need.

• Some specialist in-patient units have varying levels of the multi-disciplinary team providing the specialist palliative care service.

• Waiting lists currently exist for admission to some specialist palliative care in-patient units.

SPECIALIST PALLIATIVE DAY CARE CENTRES

• There are six specialist palliative day care services nationally across the 4 HSE Areas.

• The total number of patients accessing these services in 2006 was approximately 2,600.

• Currently, the majority of specialist palliative day care centres operate Monday to Friday, 9am – 5pm.

• There is a wide intra-regional variation in the availability of specialist palliative day care services.

• Three geographic areas have no specialist palliative day care centres. These are the same areas with no Specialist Palliative Care In-Patient Units.

SPECIALIST PALLIATIVE CARE IN THE COMMUNITY

• Almost all LHO Areas had access to Specialist Palliative Care / Home Care Teams in the community.

• Many of these services are a consultant-led multidisciplinary service. However, in some areas there continues to be a number of nurse-led services.

PALLIATIVE CARE SERVICES FIVE YEAR/ MEDIUM TERM DEVELOPMENT FRAMEWORK

• Access to services is provided through the Specialist Palliative Care / Home Care Teams, with significant variation in service availability (e.g. hours of service delivery).

• Current home help and public health nursing capacity is often insufficient to meet the needs of patients, with additional support provided by the Irish Cancer Society and the Irish Hospice Foundation.

• Non-cancer patients, e.g. those with renal failure and heart disease, do not have the same access to night nursing services as those with advanced cancer.

SPECIALIST PALLIATIVE CARE SERVICES IN ACUTE GENERAL HOSPITALS

• There are 50 acute general hospitals with approximately 38 of these having varying degrees of access to dedicated specialist palliative care teams.



Pages:   || 2 | 3 | 4 | 5 |   ...   | 10 |


Similar works:

«PERSIAN LITERATURE A BIO-BIBLIOGRAPHICAL SURVEY VOLUME V POETRY OF THE PRE-MONGOL PERIOD PERSIAN LITERATURE A BIO-BIBLIOGRAPHICAL SURVEY VOLUME V POETRY OF THE PRE-MONGOL PERIOD by FRANCOIS DE BLOIS SECOND, REVISED EDITION THE ROYAL ASIATIC SOCIETY OF GREAT BRITAIN AND IRELAND |3 Routledge n^^ Taylor & Francis Group LONDON AND NEW YORK First Published in 2004 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon, 0X14 4RN in association with The Royal Asiatic Society of Great Britain and...»

«Estafas comunes relacionadas con inversiones Los adultos mayores son las víctimas principales de las estafas y fraudes relacionados con inversiones porque frecuentemente tienen “ahorros,” son dueños de su casa, tienen excelente crédito y son vistos como amigables y confiados. Verifique con el Departamento de Corporaciones de California que los vendedores y compañías son legítimas antes de invertir (ver página 39). Si cree haber sido engañado, llame inmediatamente a la autoridad y...»

«HELEN BILTON PGCE PRIMARY PROGRAMME DIRECTOR UNIVERSITY OF READING BULMERSHE COURT WOODLANDS AVENUE EARLEY RG6 1HY 0118 3785830 h.o.bilton@reading.ac.uk Title: The type and frequency of interactions that occur between staff and children outside in Early Years Foundation Stage settings during a fixed playtime period when there are tricycles available. Keywords: outdoor play, interactions, talk, tricycles, outdoor environment, playtime 1 Abstract ABSTRACT: This study reports on an investigation...»

«at Really Wh Matters A GUIDE TO DEFINING AND REALIZING YOUR COMPANY’S ASPIRATIONS *The cover image for this eBook represents the ‘Big Hairy Audacious Goal’, or BHAG. You can learn more about the term here: http://en.wikipedia.org/wiki/Big_Hairy_Audacious_Goal TABLE OF CONTENTS FOREWORD INTRODUCTION to Company Aspirations COMPANY Aspirations Defined ASPIRATIONS as a Company-Level Strategy A THREE-PHASE Approach to Company Aspirations.12 ROLES and Metrics for Company Aspirations COMPANY...»

«Emerald Insight User Guide www.emeraldinsight.com Introduction This is a guide to support the e-learning and the Insight demonstration sessions. The guide is designed to help you navigate the platform and contains helpful hints and tips to ensure you get the best out of the guide as a user as well as helping those that demonstrate Insight to potential and current customers. It was produced to ensure everyone within Emerald knows what they are working towards and have an idea how to use the...»

«Aus den Schülerlisten 1929 bis 1932 Schüler der Schillerschule mit jüdischem Glauben und ihr Schicksal Die Zusammenstellung ist das Ergebnis der Suche in den Unterlagen der Schillerschule. Leider sind nur noch Schülerlisten bis 1932, und das auch nur unvollständig, vorhanden. Einige Schüler besuchten die am 16. April 1934 eröffnete Jüdische Bezirksschule in Offenbach, da 1934 auch Kindern jüdischen Glaubens der Schulbesuch in öffentlichen Schulen verwehrt wurde. Mit dem Gesetz zur...»

«77th Dartmoor Pony Society Championship Show The Lady Willingdon Field, Whiddon Down, Okehampton, Devon. EX20 2QN. at 9.00 a.m. MONDAY th 8 AUGUST 2016 Horse of the Year Show Qualifier for NPS/Baileys Horse Feeds M&M Ridden Pony. Affiliated to National Pony Society. NPS Ridden Qualifiers. NPS Silver Medal Rosettes. JUDGES Mr. M. Ball, France Mr. J. Harforth, Cleveland Mrs. S. Squires, Glos. Classes 1 – 4, 11 – 16, 29 – 30 Classes 5 – 10 & 17 Classes 18 – 20, 32 36 and Championships...»

«ACCOUNTING & TAXATION ♦ Volume 1♦ Number 1♦ 2009 DETERMINING FACTORS OF INTERNET FINANCIAL REPORTING IN INDONESIA Luciana Spica Almilia, STIE PERBANAS Surabaya Indonesia ABSTRACT Internet Financial Reporting (IFR) is voluntary in nature. With no specific regulations for IFR, there is a disparity of IFR practices among companies. Some companies disclose only partial financial statements using a low level of technology, while others disclose full sets of financial reports using...»

«FEELING'BELIEF'IN'GOD' 1' Running Head: FEELING BELIEF IN GOD Feeling is Believing: Inspiration Encourages Belief in God Clayton R. Critcher1 and Chan Jean Lee2 1 University of California, Berkeley, 2KAIST Word Count (Introductions and Discussions): 2,000 Submitted on: June 3, 2015 FEELING'BELIEF'IN'GOD' 2' Abstract Even without direct evidence for God’s existence, about half the world’s population believes in God. Although previous research has found that people arrive at such beliefs...»

«Chapter Four COMPARING THE MEDIA ARTS The previous two chapters have described the changing structure of the arts world in America and the diversity of approaches that have characterized the media arts throughout their development. This chapter compares the media arts with the other arts and examines differences among the media arts in greater detail. These comparisons are structured according to the analytical framework from our performing arts analysis: audiences, artists, organizations, and...»

«Mono-ADP-ribosylation by ARTD10 a new modification in NF-κB signaling Von der Fakultät für Mathematik, Informatik und Naturwissenschaften der RWTH Aachen University zur Erlangung des akademischen Grades einer Doktorin der Naturwissenschaften genehmigte Dissertation vorgelegt von Diplom-Biologin Patricia Verheugd aus Purmerend, Niederlande Berichter: Universitätsprofessor Dr. Bernhard Lüscher Universitätsprofessor Dr. Werner Baumgartner Tag der mündlichen Prüfung: 30. Januar 2013 Diese...»

«Edible Forest Garden Permaculture For the Great Lakes Bioregion Background, Development and Future Plans for The Michigan State University Student Organic Farm Edible Forest Garden Prepared by Jay Tomczak As part of the requirements for the Masters of Science degree in Horticulture Michigan State University East Lansing, MI 48824 Copyright Protected – Not to be reproduced without the permission of the Author “We are not working with nature, we are nature working.” This project was...»





 
<<  HOME   |    CONTACTS
2016 www.dissertation.xlibx.info - Dissertations, online materials

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.