RM Partners Palliative Care Group was established to improve the access, experience and outcomes for patients requiring palliative care, irrespective of diagnosis, across London.
The group has been key in agreeing the Cancer Vanguard priorities for palliative and end of life care and remains the driving force in delivering those priorities particularly:
- Improving the provision of 7 day specialist palliative care
- Improving access to 24/7 end of life care in the community in order to increase the capacity of community service to reduce hospital admissions of patients in the last year of life
- And improving the identification of the approach of the end of life phase and the consequent advance care planning where appropriate.
The group has extended its reach to all providers and commissioners across London, as this important aspect of care benefits from collaborative working across a wider population and across organisational boundaries, with sharing of best practice and consensus around palliative care management.
The membership of the group brings together specialist NHS and voluntary sector expertise from primary, secondary and tertiary care, as well as service users, to enable development of high quality patient centred care.
Pilot to test integrated community palliative MAAR charts in Harrow
The group is also working working with partners in north west London to pilot and test new integrated community palliative medicines authorisation and administration record (MAAR) charts in Harrow.
All patients discharged from Northwick Park Hospital in the last phase of life who require (or are anticipated to shortly require) medication to be administered by nurses in the community, will leave hospital with the drugs and an MAAR chart, which can be used by staff in London Northwest Healthcare University Trust (LNWH), Central London Community Healthcare (CLCH), and by GPs in Harrow.
Provision of seven day specialist palliative care and end of life care in the community across London
The RM Partners Palliative Care group and informatics colleagues produced reports on the provision of seven day specialist palliative care and enhanced end of life care in the community. The group also developed robust business cases for providers to assist them to negotiate with commissioners within STPs, CCGs, their own Trusts, and with other potential funding sources to demonstrate the need for:
- A face-to-face palliative care service at least 9 -5pm seven days a week
- An enhanced end of life care service in the community.
The group has also developed business case templates that can be used by providers to produce a local business case for negotiation with commissioners.
The reports and the business case documents are available here.
For more information on please contact Maureen McGinn, senior project manager, Maureen.McGinn@nhs.net