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Catherine

Catherine Swetenham

Year of Award: 2017 Award State: South Australia Health And Medicine > Palliative Care
To successfully implement an End of Life care strategy for South Australia - UK, Ireland, Canada
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Findings: 
The barriers to EOLC strategies being successful include; 

  • Failure to identify those living in the last year of life.
  • Delayed conversations with patients and their families about goals of care.
  • Advance Care Directives (ACD)/ Advance Care Planning (ACP) being seen as the first step to addressing EOL.

The enablers include;

  • Working in partnership across the acute and community settings.
  • The GP model in the NHS – supports home visits and management of EOL without the need for a fee for service consultation as GPs are salaried NHS employees.
  • Free access to medicines – ‘Just in case prescribing’.
  • Appointment of EOL clinical leads to improve experience of dying across the health system.

Recommendations:

  1. Engage Palliative Care SA ( a not for profit organisation) to promote and support the Compassionate Communities movement
  2. Engage the Gold Standards Framework Team from the UK to train local facilitators in South Australia to promote EOLC identification across all health related sectors.
  3. SA Health to develop an EOLC consortium made up of representatives from all government and non-government sectors
  4. SA Health to formalise EOLC as a priority by appointing an EOLC lead or commissioner for SA.
  5. Address the legislation regarding ‘Just in case’ medication packs for people dying at home.
  6. SA Health to reinstate the Statewide Palliative Care Research Network previously operating under the Palliative Care Clinical Network.
  7. Explore incentives to enable GPs to home visit and better manage EOLC.


Keywords:
End of Life, palliative care, Compassionate Communities, General Practitioners, End of Life care strategies, Specialist Palliative Care, Gold Standards Framework, undeserved populations

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