A joint project by the Scottish Partnership for Palliative Care and Macmillan, Building on the Best is a new programme which aims to bring health professionals, patients, carers and families together to improve how hospitals support people who may be approaching the end of their life.
Around half of people who die in Scotland die in hospital. This means that it is important that hospitals are places where people receive good care at the end of their life. Hospitals also have an important role in caring for people who may eventually die elsewhere, since an admission to hospital sometimes prompts patients, carers and families to discuss and plan for their future care.
There are many challenges to delivering good palliative care and end-of-life care in busy hospital wards. One central challenge is that, whilst declining health is easy to spot, it is difficult for doctors be certain when a person is going to die. “Will the patient get well enough to leave hospital this time?” can be a hard question to answer.
This means that doctors, nurses patients and families are all dealing with great uncertainty. In these circumstances it can be helpful to think about different future scenarios. What if my health continues to decline? What if I go home but I get unwell again in a few months? What are my priorities in life now that my good health is so uncertain? In a high-pressure hospital environment it can be difficult for doctors and nurses to find the right opportunity to talk sensitively with people about these sorts of issues.
Patients and families may be unprepared or unwilling to discuss these matters at such a distressing time, and find it difficult to cope with the uncertainty that declining health can bring. A particular focus of this project will therefore be to enable good communication between patients, families and staff so that shared decision-making can take place.
Initial work is being undertaken in one site and the project aim is to work in three locations eventually. Staff, patients, carers and families will be asked about their experiences of end-of-life care and communication in hospital, what is good and where improvements can be made. These insights will inform the development and testing of practical improvements. The hope is that the lessons learned from this work can improve patient experiences in hospitals across the country.
Over 220 people attended the SPPC Annual Conference on 22 September, and film footage of plenary speakers is now available to view online.
The Scottish Partnership for Palliative Care Annual Conference took place on Thursday 22 September, at the Royal College of Surgeons, Edinburgh.
The full programme for the day can be viewed here.
A summary of some highlights from the day is available in this article on ehospice by Caroline May.
Footage of plenary speakers can be viewed here.
We are currently seeking feedback on people's experiences of Death Awareness Week Scotland, which took place 8-15 May 2016.
If you can spare 3 minutes to fill in an online survey, we'd be interested to hear your thoughts. We are keen to hear from people who participated in awareness week, and also from those who did not.
A summary report relating to awareness week activity is available here: Death Awareness Week Scotland - Summary Report.
The Scottish Government is establishing a National Implementation Advisory Group to advise it on the implementation of the commitments set out within the Strategic Framework for Action. The members of the new group are:
The first meeting of the group will take place on Friday 3rd June. The key contact at the Scottish Goverment relating to the Strategic Framework for Action is Tim Warren, Policy Lead for Palliative and End of Life Care.
We have published a report reflecting on the success of last year's To Absent Friends festival. The report outlines the aims and rationale behind the festival, and gives an overview of festival activity. The report explores ways of evaluating the effectiveness of the festival, and reflects on learning gained.
The full report can be accessed here: To Absent Friends: Activity Report and Evaluation 2015