Author: Aggie Caesar-Homden

GSF Acute Hospitals Accreditation Flyer Round 2 - September 2015

Quality Improvement Quality Assurance Quality Recognition

Congratulations to the GSF Accredited Hospital Wards!

Congratulations to Ward 9 & Coniston suite (oncology & elderly) from Morecambe Bay NHS Foundation Trust and Creedy Ward (renal) at the Royal Devon and Exeter NHS Foundation Trust who have achieved GSF Accreditation and theQuality Hallmark Awards, endorsed by the British Geriatric Society and presented by Dr Martin Vernon,
End of Life Care Lead, British Geriatrics Society.
These wards demonstrate the high standards of end of life care that can be achieved by hospitals.

CQC’s Chief Inspector of Hospitals Professor Sir Mike Richards presenting the Quality Hallmark Award to Ward 23, Royal Lancaster Infirmary

British Geriatric Society endorses GSF AH Training and Accreditation
“The BGS are delighted to work with the GSF Team to help drive up standards of care across the country, by supporting the GSF accreditation process and Quality Hallmark Award for End of Life care in Acute Hospitals. In working together, we think this will help raise the profile of end of life care in hospitals, and support geriatricians and others to provide more proactive quality care for the 30% of hospital patients considered to be in the final year of life.”
Martin Vernon, British Geriatric Society EOLC Lead

Key Achievements
Early identification of patients—average 30%.
Patients coded at daily MDT Board rounds.
All offered initial Advance Care Planning discussion.
Improved Communication to GPs
Improved Rapid discharge planning.
Personalised care plans in final days.
Support for families/carers enhanced.

“GSF helped us improve cross boundary communication - when the patient comes into hospital we know what their preferences are and we can explore if that is still the case, work with patients and families to ensure care is delivered to the gold standard of care they want and keep the patient in the driving seat“
Alison Scott, Lead nurse ELOC, Royal Lancaster Infirmary

GSF Community Hospitals Accreditation Flyer Round 3 - September 2015

Quality Improvement Quality Assurance Quality Recognition

Congratulations to the GSF Accredited Community Hospitals!

Congratulations to the Community Hospitals from Peninsula Community Health CIC Cornwall, and Dorset Healthcare University NHS Foundation Trust who have achieved GSF Hospital Accreditation and will be presented with their Quality Hallmark Awards by Suzanne Jones, Treasurer From the Community Hospitals Association.

Tarrant ward, Blandford Community Hospital, Dorset
Willow ward, Liskeard Hospital Cornwall
Falmouth Hospital, Cornwall
Lanyon Ward, Camborne Redruth Hospital, Cornwall

Note average of 31% - 66% of patients identified to be in last year of life in Round 3 Community Hospitals

“It [GSF] helped us be even more patient focussed in our care….we were able to discuss things more openly - there was a much more open and calm atmosphere and we knew we were listening to them and their families better.” Round 1, Community Hospital Programme, Staff Nurse

Note average of 37% of patients identified to be in last year of life in Round 1 Cornish Community Hospitals

Key Achievements
42 Community Hospitals in 3 areas have undertaken the
GSF Community Hospitals programme
Accredited Hospitals have:
Increased the number of patients identified in their last year of life above 30% average
Needs based coding and use of Core Care Plan
Offering of Advance Care Planning discussions for all relevant patients
Improved communication to GPs and community
Development of hospital protocol to enable sustained long term quality improvement in all areas

Accredited wards from Round 1 and Round 2 with their Awards, September Conference 2014

Examples of Best Practice for GSF reaccredited care homes
Proportion of deaths in the home averaged 83% with 10 care homes having 100% home death rates, 16% in hospital, 1% died elsewhere, i.e., no hospital deaths in 10 reaccredited care homes.
74% of those residents were identified as being in the last weeks or days of life when they died.
All offered initial Advance Care Planning discussion and 98% recorded in their care plans.

Care England, NCF,NCA RNHA and CQC support GSF Training and Accreditation in care homes.
“Over the past 10 years, the work of the National Gold Standards Framework Centre has helped to raise standards of care for many thousands of people in the final stages of their life, which we know is so important. Schemes like the Gold Standards Framework show that the delivery of high-quality and compassionate care is achievable."
Andrea Sutcliffe, Chief Inspector of Adult Social Care, CQC

“GSF has made all of our staff, including the domestics, feel more confident about having difficult conversations with our residents and their families about the care they want and where they want to be cared for. This means we are now always prepared and can avoid crises and unnecessary hospital admissions, making the last months of their lives as valuable as possible. We are very proud to have received the GSF award and it’s down to the hard work and dedication of the whole team.”
Deborah Judd, Training Manager, Chelston Gardens Care home - GSF Reaccredited

GSF Award winning programme

Hospital quotes
“ Implementation of the GSF enables staff to have the right conversations with patients and relatives and introduce the idea of advance care planning on what choices around their personal wishes and preferences, and aspects of care they do or do not want at this time in their lives.” Tricia Atkinson RLI
“ Improved cross boundary communication, when the patient comes into hospital we know what the patients preferences are and we can explore if that is still the case, work with patients and families to ensure care is delivered to the gold standard of care they want keep patient in the driving seat so that they understand expectations and potential outcomes of treatment available “
Alison Scott RLI

Two Year GSF Support Programme Phase 5
Deadline for applications July 30th
First Workshop Sept 11th Birmingham

Screening utilising the Gold Standards Framework Prognostic Indicator Guidance in the acute setting could be the first step towards implementing a more systematic way of addressing patient need - both current unrecognised and future anticipated - thereby improving outcomes for this population
O'Callaghan A et al Palliat Med. 2014 May 22. pii: 0269216314536089.

“Screening using the Gold Standards Framework Prognostic Indicator Guidance in the acute setting could be the first step towards implementing a more systematic way of addressing patient need - both current unrecognised and future anticipated - thereby improving outcomes for this population“ O'Callaghan A et al Can we predict which hospitalised patients are in the last year of life? Palliat Med. 2014 May : 0269216314536089.

Congratulations to the 30 nursing & residential homes, first accredited in 2011 and successfully reaccredited in 2014, receiving their awards today and to the 14 nursing and residential homes who have been successful in their first accreditation award, all presented by Amanda Cheesley, RCN.
They demonstrate the high standards of end of life care that can be achieved by care homes.

What's special about the GSF Programme in hospital?
It is a step by step programme with 2 year support, and everything required to support local implementation
GSF includes all stages across the full patient journey from admission to discharge or death, so will meet all CQC inspection assessments, NICE and CQUIN targets in line with the GMC definition of EOLC
The GSF framework comprehensive approach includes many tools that complement the NHS Transform programme, including early identification, clinical assessment eg use of Amber Care Bundle , personal assessment, Rapid Discharge , improved discharges, better after-death care and in bereavement .
GSF supports better integrated care with the community
It encourages compassionate care, enabling a deeper level of culture change - Head, Hands and Heart

Improving Cross Boundary care using GSF as a ‘common vocabulary‘
GSF helps to develop a cultural change that enhances Cross Boundary Integrated Care management by using a common language with all providers of care
GSF in hospitals links closely with its use across primary care homes, community hospitals domiciliary care and other areas ensuring integrated care focussed on the patient wherever they are
“ GSF has given is a common vocabulary in all settings– and that’s been a great benefit in our area “ Dr Karen Groves Palliative care Consultant Southport and Ormskirk Hospital

Reduced length of stay by average 3 days, some 13 days - 2014 Phase 3