Palliative Care An Angus Perspective Ann Petrie Clinical Co-ordinator February 2007
Current Service provision • Primary Health care team • Macmillan Day Care • Community Macmillan nurses • 4 Community Hospitals • Marie Curie Nurses • Crossroads • Angus Carers
Strengths and Opportunities • Planning structure: Angus Cancer and palliative care planning group. Joint Management and Commissioning Group • Performance management: Clinical development plan-care group Strategy-Service plan- personal objectives.
Strengths and Opportunities • Good Partnerships -Lippen Care -Macmillan cancer support -Marie Curie All practices practice GSF.
Challenges and Gaps • Rising number of elderly population. • Geography • Out of Hours • Fragmentation • Access to POA and ESD • Finance • Palliative care for all with life–limiting conditions.
Challenges and Gaps • Transport • Local access to oncology follow up/ treatment • Partnerships • Consultant input • AHP input • Education and Skills
Martin Leiper Consultant in Palliative Medicine Ann Petrie, Specialist Palliative Services Co-ordinator & Clinical Lead • COMMUNITY • Macmillan Nurses • District Nurses • MACMILLAN DAY CARE • Nursing • Medical • Complementary Therapists • Volunteer Services Manager • Volunteers ROXBURGHE HOUSE Link Nurses Nursing Homes PRIMARY HEALTH CARE TEAM HOUSING AND COMMUNITY CARE COMMUNITY HOSPITALS -Strathmore Hospice Residential Homes • Ninewells • Hospital Palliative Team • Specialty Clinical Nurse Specialists Marie Curie Home Care
Proposed developments • “Development of a 3 site model, supporting posts and infrastructure to support essential capacity development and improved local access to enable more people to be cared for as close to home as is safe and practicable”
Proposed Development • Development and co-location of 4 hospice beds and day care facilities within 3 community hospitals in Angus. • Increase in community Macmillan nurses • AHP input into day care and community • Increased funding for Crossroads and Marie curie • Palliative care Educator