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Guest blog:Karen Chumley

 

Blog headlines

  • Celebrating innovation in eye research
    24 September 2020

    This week Julian Jackson from VisionBridge has shared a report on eye research.

  • Link of the week: Comprehensive Spending Review and Covid-19
    24 September 2020

    This week we are sharing a blog that outlines the funding pressures and uncertainties faced by the health and care system

  • Risk stratifying elective care patients
    10 September 2020

    This blog has been shared by MBI healthcare technologies. As services are starting to treat routine patients those on waiting lists are making enquiries as to where they are on the list, and if they are still on the list.

  • Link of the week
    4 September 2020

    This week the link we would like to share are reflections from physiotherapy students on placement at Alzheimer Scotland https://letstalkaboutdementia.wordpress.com/

  • Link of the week
    28 August 2020

    This week we would like to share a blog published on the Mind website about being a BAME health worker in the pandemic.

  • Remote clinical triage model
    20 August 2020

    This week we are sharing how a remote clinical triage model was implemented at Tollgate Medical Centre. This has been shared with us by Sarah Portway, a Nurse, and Clinical Services Manager at Tollgate Medical Centre.

  • Can the Community Pharmacy become the gateway to integrated care in the NHS?
    13 August 2020

    The NHS is a continually evolving innovative demand led public service the role of the Community Pharmacist is becoming the public face on a journey to the more responsible public engagement in the personal care of individuals and their family. There are currently over 11000 Pharmacies many are single or small chain service providers, while multiples occupy the urban shopping centres and more densely populated conurbations, the value of the rural High Street can’t be understated.

  • Crunch time for patient involvement
    7 August 2020

    There are new challenges for primary care, which could really do with patient input. Mike Etkind, chair of a PPG and founding member of his PCN’s patient group, recognises the size of the task clinical directors have managed over the last few months but identifies two particular issues where patients have a necessary and valuable contribution, that need to be addressed now – the 2020 vaccination programme and primary care from a distance- total triage, remote consultations, and the use of telemedicine.

  • Link of the week - Visionbridge
    31 July 2020

    The link we are sharing this week was submitted by Julian Jackson, Visionbridge.

  • Links of the week
    23 July 2020

    This week we are sharing two articles with you.

  • Link of the week
    21 July 2020

    The blog is from the perspective of the Company Chemist Association's Chief Executive Malcolm Harrison.

  • Link of the week
    9 July 2020

    This week we are sharing a blog from the NHS Confederation’s “NHS Reset” looking at the work of Healthwatch, the role of volunteers in supporting patients being discharged from hospital and the importance of the community.

  • Virtual education sessions on spinal cord injury from Spinal Injuries Association
    2 July 2020

    This week Karen Mikalsen from the Spinal Injuries Association shares some information on their work and events for healthcare professionals.

  • Guest blog:Karen Chumley
    25 June 2020

    Thank you to Karen Chumley for a second blog –this time on the local use of an Electronic Palliative Care Coordination system during the Covid-19 pandemic. Karen is the Clinical Director and Deputy CEO at St Helena.

  • Link of the week
    19 June 2020

    This week's link of the week is article by Yasmin Khanagha published in Nursing Times – Why we need to open the conversation about racism.

  • Guest blog: Dr Karen Chumbley
    12 June 2020

    This week we have a guest blog submitted by Dr Karen Chumbley, clinical director and deputy chief executive at St Helena (https://www.sthelena.org.uk/)

  • Social care to become lifestyle brand
    16 April 2020

    Social care is to get a new brand identity as the government seeks to reverse the perception that it is the poor relation of the NHS.

  • Blithering Covid-19 bulletin plays vital role
    2 April 2020

    To fill a gap in the market for timely and relevant Covid-19 information, Martin Plackard, director of global crisis communications at NHS Blithering introduces his latest initiative to reach out to stakeholders during the outbreak.

  • Social distancing the Longstay way
    27 March 2020

    We asked Sir Trevor Longstay, chief executive of the NHS Blithering University Hospitals Foundation Trust and commander-in-chief of the Blithering Covid-19 Taskforce to give us some practical tips on social distancing. Here he shares some of the lessons learned over four decades of leadership – not all of them relevant or epidemiologically sound

  • Nothing left to shift: fears grow over NHS paradigm supply
    12 March 2020

    The government has issued a stark warning that stocks of paradigms and other basic supplies could soon run out if NHS managers continue panic-buying.

 
 
Thursday, 25 June 2020

Guest blog:Karen Chumley

Thank you to Karen Chumley for a second blog –this time on the local use of an Electronic Palliative Care Coordination system during the Covid-19 pandemic. Karen is the Clinical Director and Deputy CEO at St Helena.

Electronic Palliative Care Co-ordination Systems (EPaCCs) can be a useful tool in the Covid-19 pandemic

In 2008 the UK End of Life Care Strategy recommended that everyone approaching the end of life should have an opportunity to discuss their preferences for care. Personalised care planning and record sharing are foundations for the six ambitions for palliative and end of life care.

In North East Essex there has been an EPaCCS in place since 2013, locally called the My Care Choices Register (MCCR). In 2016 this was expanded to allow the care preferences for people not thought to be in the last year of life such as those with early dementia, frailty or chronic disease at risk of exacerbation, to allow more people to record their preferences for future care.

As the pandemic approached, we used the MCCR as a key tool for coordinating patient care. Text space was added to the register to allow capture of discussions about preferences for care in case of future Covid-19 infection. Access to the register was facilitated for senior care home staff to allow a wider visibility of advance care plans.

Integrated teams based around the Primary Care Networks (PCNs) were built over a fortnight at the beginning of April. Weekly virtual meetings between PCN team, community and hospice nursing were set up to coordinate the care of patients coded as being in the last weeks of life and the MCCR was used to inform the care co-ordination for people with Covid-19. Lists of patients on the MCCR were sent securely to GP practices each week to facilitate these meetings.

MCCR is accessible to ambulance staff and the 24hour palliative and end-of-life care single point of access to support decision making in the community. Hospital ward staff are sent a daily update of patients on their wards on the MCCR to ensure these preferences inform hospital care.

Over April and May 2020 595 people added their preferences for future care to MCCR. Over 1% of the local population have now created a register entry. In April and May 2020 326 people had their death recorded on the register. Of those, 277 died with a recorded preferred place of care, 75% of whom died in their preferred place. Only 37 (11%) of the people who died with a MCCR entry in April and May 2020 died in hospital.

Electronic palliative care registers can be a useful tool in a Covid crisis to co-ordinate integrated community care and may facilitate care in a person’s place of preference.