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Cancer in Scotland: Action for Change - National Implementation/Investment Plan 2002-03

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Cancer in Scotland: Action for Change
National Implementation/Investment Plan 2002-03

CANCER IN SCOTLAND: ACTION FOR CHANGE

"Palliative care is an integral part of all clinical practice which takes as its starting point the quality rather than the quantity of life remaining…… Over recent years significant progress has been made in the establishment and development of palliative care services for cancer. But more needs to be done."

Chapter 6 - Palliative Care

CANCER IN SCOTLAND:ACTION FOR CHANGE
IMPLEMENTATION/INVESTMENT PLAN 2002-03
BUILDING CAPACITY: PALLIATIVE CARE

Plan

Tumour
Type

Capital
'000

Revenue
'000

Measurable Benefit/
Expected outcome

Target
dates

Responsible
Lead

North of Scotland

Grampian

Specialist Pharmacist, Specialist Nursing Support, additional Admin Support, Medical Staff holiday cover

Palliative Care

42

Improve equity of access to multi-professional specialist palliative care support; Improve informational needs of patients, carers and professionals.

From Oct 02

Dr M Leng

Grampian

Transport and supplies costs for Ellon Day Unit

Palliative Care

3

To enhance the local accessibility and provision of palliative care services to patients

From Oct 02

Mrs E Towsey, and Mrs Claire Hutcheson

Grampian

Specialist Palliative Care Nurses for Primary Care

Palliative Care

41

Equity of access through the redesign of Specialist Palliative Care Nursing provision.

From Aug 02

Mrs F Francey

Highland

Palliative Care Specialist Pharmacist 0.50 wte

All

15

Increased input to the palliative care team; equity of access to services; medicines to be available in the community 24 hours a day, 365 days per year; access to expert pharmaceutical advice about palliative medicines

Immediate

Ken Proctor and Mrs Joan Munro

Highland

Macmillan Nursing Service Development, 2.00 wte

All

51

Equitable access to specialist palliative care

Oct 02

Ken Proctor and Mrs Joan Munro

Highland

0.50 wte Palliative Care Consultant (0.5 wte funded by Hospice)

All

34

Development of courses and training for healthcare professionals; development of consultant service in Skye, Lochalsh and Lochaber; implementation and audit of CSBS standards;.

Immediate

Ken Proctor and Mrs Joan Munro

Highland

Training of integrated palliative care key workers

All

5

Four nurses trained each year

Training ongoing during 2002 and 2003

Ken Proctor and Mrs Joan Munro

Highland

Development and improving standards of palliative care

All

50

Improve the quality of service to patients; enhance palliative care skills of health care professionals; improve clinical practice

On-going during 02/03

Dr Ken Proctor

Highland

Day Hospice Service

All

27

Support additional 15 places per week; support for carers; increase complementary therapies; improve efficiency service

Oct 02

Mrs Joan Munro

Highland

Family Support Service - Bereavement Support

All

15

Bereavement training for volunteers, professionals and assistants

Oct-02

Mrs Joan Munro

Highland

Needs assessment for palliative care

All

5

Consultation with staff, patients and carers re palliative care needs

Immediate

Dr John Wrench. Highland NHS Board

Shetland

Updating of professional knowledge and skills in Oncology and Palliative Care

All

25

Meet CSBS standards for communication. Increased knowledge base among health, social care, education, carers and voluntary sector staff.

During 2002/03 and ongoing uptake of training.

Dr Bruce Cleminson

Tayside

Palliative Care in Perth and Kinross Nursing Homes

71

Improve quality of care by provision of local services. Improve training and development of NH Standards.

Assessment of impact March 2002

Ann Gourlay

Tayside

Primary Care - LHCC Cancer Liaison Leads

Various

15

Primary Care engagement in cancer and palliative care - MCNs, Site Specific Groups, assisting in improving the patient journey

By Oct 02

Dr Sonia Devereux

W Isles

Formation of a peripatetic palliative care team with hospital clinic

All

50

Improve access for patients in line with National Plan

By October 02

Dr G Gray

W Isles

Palliative Care symptom control drug boxes for all GP practices

All

2

Meet CSBS Standards -timely access to drugs and equipment

By October 02

Dr G Gray

W Isles

Training in Palliative care for new team and other staff

All

6

CSBS Standards

By December 02

Ms J Adams and Dr I Clark

South East Scotland

Borders

Scoping project for pain service for palliative care

10

Identify and scope need; equity of access; meet standards

May 2003

Ian Yellowlees

Fife

Community palliative care nurse

1

38

Equity of access at all stages. Improve symptom management and psychosocial issues. All patients seen within 5 working days or next working day if urgent. Supports care of patient at home if preferred.

Recruit by Summer 2002

Dawn Foxley

West of Scotland

Glasgow

Clinical Nurse Specialist + 0.5 consultant

Pall Care

50

Improve equity of access to palliative care; meet CSBS standards

Summer 2002

B Cowan

Lanarkshire

2 Nurses Community and MCN support, Marie Curie Training

All

17

183

Meet CSBS Standard; equity of access; support more patients at home.

Summer 2002

Sue Williams

WoSCAN

Palliative Care Consultant + Support

All

100

Improved specialist palliative care for patients attending centre.

Increased numbers of patients supported.

Enhanced contribution to Regional Network. CSBS Standards.

Summer 2002

Isobel Neil

Sub-Totals

28

828

PALLIATIVE CARE TOTAL

856

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Page updated: Friday, June 24, 2005