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Guest blog:Karen Chumley

 

Blog headlines

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

  • 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.

 
 
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.