The NW London CSPC Model of Care Working Group was set up by the NW London ICS to develop a framework and action plan to ensure that high quality community based specialist palliative care is delivered equitably and sustainably across NW London, and that all residents are able to access the service if it is needed.
Click here to view the minutes of the NW London CSPC Model Of Care Working Group
Membership of the group which meets on a weekly basis consists of local residents, clinicians and other palliative and end of life care stakeholders. Patient/carer members contribute and provide feedback on the group’s work, which reflects the voice of patients, carers and their families. They also work on projects which, have been identified as an area of focus by the membership group. Minutes of the meeting and presentations are available online.
The work draw on the national service specification for adult palliative and end of life care, the previous NW London palliative care review programme work and qualitative and quantitative feedback from residents and healthcare professionals obtained through our engagement. We will also utilise activity trend data obtained through the programme’s data working group and undertake further work looking at the structure of our services workforce.
Objectives
- Agree a set of key ‘ingredient’ standards/ common core offer / single service specification for NW London
- Develop new model of care for community-based specialist palliative care
- Develop options for delivery of model of care
- Develop action plan for implementation
The expected output is a set of core service standards, requirements and service functions that will need to be delivered across NW London. There will also be a number of additional localised requirements that the local Borough Based Partnerships will have responsibility for implementing these in view of their local context and population needs.
We will work with the Integrated Care Partnerships, local residents and stakeholders to decide whether the new service standards can be delivered by existing service structures or whether a service change is needed. If substantial service change is needed, we will then need to consider if a public consultation is needed.
Who are the members of the NW London CSPC Model of Care Working Group?
Members of the group included representatives from:
- NW London NHS community SPC providers
- NW London Hospice SPC providers
- Patients
- Primary Care
- Acute SPC
- Discharge teams
- Care homes
- Local Authority and social care
- Voluntary sector
- Meds management
- 111/OOH GP
- LAS
- Community nursing
- Continuing health care (CHC)
- Cancer programme
Model of Care – what do we mean?
There are many, many definitions of what constitutes a ‘Model of Care’. We have set out below what we think the scope of this stage of work is:
|
Defining what the core elements of delivery are |
Yes |
This is the kind of detail within the national service specification and the starting point |
|
Defining how much of these key elements we need |
Yes |
This isn’t covered in the national spec but is critical to be able to ensure common approach across NW London how much” could include hours, staffing, capacity etc. |
|
Defining how services should be delivered |
Partially |
For example, we may want to define elements such as access (including geographical availability) but not how services are integrated at place. |
|
Who delivers elements |
No |
But substantial change not anticipated |
|
How much costs |
No |
Not at this stage |
The work will draw on the national specification for adult palliative and end of life care, the previous NW London palliative care review programme work, qualitative and quantitative feedback from residents and healthcare professionals obtained through our engagement and further data obtained through the programme’s data working group.