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Sharing Current Scottish Practice

Poster abstracts of the month

The SPPC Annual Conference in 2017 featured 46 poster displays, sharing work and research underway across Scotland. Each month, this blog focuses on the content of a few of these posters. This month, we focus on six of these:


Enriching & Improving Experience


Jane Andrew; Elaine Colville; Elizabeth Sanchez-Vivar

A framework to support the learning and development needs of the health and social service workforce in Scotland” (2017) We took an integrated collaborative approach to identify the knowledge and skills required by all health and social service workers in palliative and end of life care. We consulted widely with health and social service workers, palliative care experts, educators and other partners in cyclical co-design approach. The structure and content was informed by evidence gathered from, scoping exercise, rapid review of literature, mapping of existing frameworks, workforce focus groups, online learning needs survey, expert and reference group opinion, workforce consultation events and online workforce consultation. Results: Five domains reflect the core knowledge and skills integral to the delivery of high quality palliative and end of life care. Each domain contains four levels of knowledge and skills. The framework promotes a person-centred, outcomes-focused, human rights-based approach. Conclusions: Integration of health and social care in Scotland means that increasingly teams from different sectors are coming together to provide care and support focussed on people’s needs. The scope and depth of workforce engagement undertaken is a strength of this framework which will support implementation across integrated services.

Football and Absent Friends


Jeanette Byers

Health Promoting Palliative Care Project worked in collaboration with Hibernian Football Club GameChanger Project to host a 'To Absent Friends' event during November 2017, as part of the wider national To Absent Friends Festival. Response from fans was overwhelmingly positive, with over 500 personal tributes collated on posters that were available in the stadium. This demonstrated the value of promoting openness about bereavement in a community setting that is not routinely associated with end of life matters.
The concept is based on community development principles and fits in with Public Health Palliative Care values. The method was simple: provide information about the proposed event on the fans website, then put up posters/pens/BluTack) around the stadium over 2 match days. 130 x A3 sheets are now being preserved in the Club's museum, and a similar event will be run annually by the Club. Scottish Football League Trust is promoting this concept to 42 clubs across Scotland.

Hospital Based Complex Clinical Care


Jeanette Byers; Mairi Johnston

Palliative Care Specialist Nurse and Palliative Link nurses organised an event for ‘To Absent Friends’ (TAF) week. On the 1st November, tables were set up in 5 hospital areas with resources provided by Health Promoting Palliative Care Project (leaflets, memory books, memorial trees, TAF posters, pens etc). Each area was manned for 2 hrs in the afternoon. This allowed communication with staff, patients and visitors so that displays could be introduced sensitively. Staff and visitors were given the opportunity to write in the book or write tags to hang on the tree. One ward area now offers the memorial book all year round for patients and visitors to use.
Following on from the success of this event, the group was keen to further develop its knowledge and skills around health promoting palliative care so workshops were facilitated by Specialist Palliative Care Nurses and the Health Promoting Palliative Care project team. This included workstations where link nurses could become familiar with resources such as Advanced Care Planning cards and Origami. There was also time for discussion and reflection on professional and personal experiences of death, dying and bereavement.
Qualitative data is available from written material and verbal feedback, demonstrating the value of supporting staff as they encourage open discussion about end of life issues within their hospital environment.

Implementing Palliative and End of Life Care Standards in Scottish Prisons


Gail Allan

Background: The Scottish Government’s Strategic Framework for Action on Palliative and End of Life Care shares a vision where palliative and end of life care is available to all including those in Prison. With an ageing prison population, the Scottish Prison Service has to deal with more foreseeable deaths than ever before. This brings new challenges for both prison regimes and prison facilities in providing quality palliative and end of life care for those prisoners.
Aim: Initial aims of project:
ž introductory visits to meet with Prison service and NHS staff to discuss role and introduce them to the standards of care
ž identify prison establishments willing to participate in tests of change
ž work collaboratively with these prisons to identify their palliative population and areas for improvement.
Early Results:
ž delivered sessions on ‘What is palliative and end of life care?’
ž developed Palliative and Supportive Care registers
ž support development of multidisciplinary prison palliative care meetings
ž delivery of Anticipatory Care Planning training to prison and NHS staff
ž process mapping of palliative and end of life service provision in key establishment to bench mark against standards of care and evaluate further areas of change.

Inheritance Books and Health Promoting Palliative Care at the Edinburgh International Book Festival


Danuta Orlowska; Andrew Reeves; Brigid Lyon; Rebecca Patterson; Mark Hazelwood

The Edinburgh International Book Festival attracts audiences from around the world. This year, the Scottish Partnership for Palliative Care, St Columba's Hospice Edinburgh and Marie Curie Hospice Edinburgh were offered space there for a weekend. We used this in several ways:
a) Photographic exhibition: "It Takes a Village" by Glasgow-based photographer Colin Gray in collaboration with the Scottish Partnership for Palliative Care explores the idea that as people’s health deteriorates, care and support come in many guises.
b) Conversations: staff from both hospices spoke to visitors and two "Death Lunches" were facilitated by staff from Marie Curie Hospice.
c) Information sharing: leaflets from Good Life, Good Death, Good Grief and the new ‘origami game’ about Advance Care Planning (SPPC)
d) “Inheritance Books” people were invited to note the title of a book they inherited or would like to pass on and why this book means a lot. Completed postcards were displayed.
e) St Columba's Hospice in Edinburgh Doors Open Day (23 September 2017) – postcards advertising this were given to local visitors.
Our poster shares some “Inheritance Books”, visitor feedback and our reflections on engaging in health promoting palliative care at The Edinburgh International Book Festival.

Inspiring Leadership – Leading self; leading others in a palliative care setting


Jane Miller; Susan Jackson; Fiona Wylie; Claire O'Neill

Background: It is recognised within Palliative Care (PC) that band 6 CNS’s, in particular newly appointed staff have reported feeling vulnerable, stressed and struggling to deliver high quality care due to organisational change and increasing complexity around their role. To address the above an NHSGGC PC Leadership Steering Group was established in partnership with NES Leadership Unit.


ž Provide a pilot leadership training programme open to band 6 PC CNS’s working within NHSGGC acute and hospice care settings

ž Facilitate greater successional planning

ž Develop a robust evaluation programme to explore perceived impact on practice.

Methods: In conjunction with NES Leadership Unit a needs led leadership programme is currently being delivered and evaluated due to complete February 2018

Interim Results: 10 CNS’s participated. Participants have attended a launch day and two masterclasses:

ž Myers Briggs and Working with Differences Support a quality improvement (QI) programme individual QI action plans

ž QI methodology to support the participants to undertake a work based QI project.

Received ‘360’ feedback helping to inform their PDP.

Participated in Action Learning Sets.

Conclusion: Feedback to date has confirmed the importance of this programme in addressing a need, focusing on developing leadership skills for a capable, sustainable workforce (201).

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