Step 3 workshop Step 3 workshop Coordination of

Step 3 workshop

Step 3 workshop Co-ordination of care Communications: • Communicating with others/accessing information • Co-ordination of Care (including the role of the Key Worker) • Communication in practice including the use of ‘PREPARED’ and an interactive demonstration

Co-ordination within the organisation Why is good communication important to good end of life care?

Co-ordination of Care Co-ordination – who is involved? ? ? Need to be aware of available services Co-ordination is a major activity Whose responsibility? - Can take away from direct delivery of care • Lack of co-ordination = Increased chance of dying in a place not of individual’s choice • •

Communication in the organisation • What communication systems do you have within your organisation?

The Key Worker • Does the individual have a key worker external to your organisation? – Who? – How do you know/record that information? – How or why would you need to contact them? • Does your organisation have a key worker role?

The role of the key worker • A person who with the patients consent and agreement takes a key role in co-ordinating the patient’s care and promoting continuity, ensuring the patient knows who to access for information and advice Nice Improving Supportive & Palliative Care for Adults with Cancer (2004)

Do you have a ‘key worker’ type role?

Roles & responsibilities • Assessment and eliciting needs • Agreeing care plans • Communicating between others involved in individuals care • Support and advice • Managing transitions of care • Managing change of key worker

Sharing Information • Changes in condition: • • Staff Family members GP District nurses Other health professionals Single Point of Access/OOH Continuing healthcare (funding) Do you have a ‘key contacts’ list (office/staff)?

Communication Exercise