Meet the team
Teaching Lead, Improvement Academy
- Careen Mullen-Mackay ANP
- Elaine Colville Palliative Care Lead
- Alison Clement, GP and Clinical Director
What is the challenge your project is going to address and how does it connect to your chosen theme?
The challenges are two-fold:
1. How to reliably deliver community based palliative care around Anticipatory Care Planning. Currently characterised by unnecessary referral to acute care, poor communication and access to information, concerns around clinical competency, confidence and support to integrated teams causing distress to people, carers and staff.
2. This work involves several organisations: health agencies, social care agencies, private providers, voluntary providers and sometimes others. We feel some of the challenges with multi-agency working (different language, different performance frameworks, different ethos, different drivers etc) could be addressed with a programme of QI education centred on the reliable provision of ACPs, with the person at the heart, and could give these services a more reliable set of processes to work with and a means of working together well.
What does your project aim to achieve?
· Improve care pathways, and quality of care, ensuring people and carers are central to the process of Anticipatory Care Planning.
· Develop a shared understanding of ACP with integrated teams, supporting an infrastructure that promotes quality of care.
· Support the development of QI skills and capabilities across the service fostering a collaborative approach to improvement.
. Stronger working relationships across agencies
QI Methodology will help us identify and develop our key measures, driver diagram and improvement plan and will include reduction of unnecessary referral to acute care, improved resident, patient, carer and staff experiences, ACP in place and shared appropriately, was preferred place of care/death achieved, reduction in Out of Hours call outs and visits to care homes, and people in their own homes, and development of knowledge and education of teams.
How will the project be delivered?
The project will be led by a local Advanced Nurse Practitioner and Senior Nurse for Palliative Care with expertise in ACP use in the community setting. The ANP is also a recent graduate of the Scottish Improvement Leader programme, and both are well known across the partnership.
The plan is for the ANP and Senior Nurse for Palliative Care to support and build on local improvement work, to develop a tailored programme of QI education, and to convene a learning programme over the year for people working in agencies not perhaps as far along in their QI learning. The focus of the learning will be ACP for people in the community.
This project will allow us to develop expertise and strengthen the leadership and capabilities of our current staff which will inspire and influence others to improve care. This will support innovative redesign within the partnership, supporting local and national priorities and the development of the Angus Care Model.
What and how is your project going to share learning throughout?
Progress will be tracked and shared online as well as locally at events and in newsletters. If successful in obtaining funding through Q, then case studies will be submitted on the Q website and a willingness to host learning within Q events through the year.
How you can contribute
- Local Improvement work has taken place across Angus and it would be helpful to build on this further with the continued support from our Improvement Academy and Clinical Governance Teams. Working closely with a variety of professional groups and opportunities for networking will also help us learn from other areas that may have previously developed similar project work.
|29 Jul 2019||Consultation and Engagement with patients, carers collated|
|29 Jul 2019||Driver Diagram,Improvement Plan, Test of changes implemented|
|2 Mar 2020||Recruitment to Band 6 post|
|12 Apr 2020||Staff Engagement and Feedback collated and analysed|
|6 Dec 2020||Evaluation, next steps for improvement work|
|7 Mar 2021||Project complete with recommendations for sustainability|