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Improving Cancer Care

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Improving Cancer Care Ramesh Mehay Gold Standards Framework The GSF is a simple common sensical approach to formalising best standards of care into normal practice. – PowerPoint PPT presentation

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Title: Improving Cancer Care


1
Improving Cancer Care
  • Ramesh Mehay

2
Gold Standards Framework
  • The GSF is a
  • simple common sensical approach to formalising
    best standards of care into normal practice.

3
Benefits of GSF
  • communication within the team
  • co-ordination of care
  • raises the focus of carer support
  • Unified structured approach to care

4
The Stages
5
  • Identify this group of patients ie using the
    register
  • Assess for their main needs, both physical and
    psychosocial, and that of the carers
  • Plan ahead for problems, including out of hours
    (see model for good practice)

6
GSF C1
  • Practices maintain a Supportive Care register to
    record, plan and monitor patient care, and as a
    tool to discuss regularly at their monthly PHCT
    meetings. The aims of the meetings are to
    improve
  • the flow of information
  • advanced planning /pro-active care and
  • measurement and audit, to clarify areas for
    improvement in future
  • at patient, practice, PCT and Network level

7
GSF C2
  • Each PHCT has a nominated co-ordinator for
    palliative care (e.g District nurse/manager/practi
    ce nurse) to ensure good organisation and
    co-ordination of care in the practice by
    overseeing the process, i.e.
  • a) maintaining the register, care plans, symptom
    sheets ,handover forms, audit data, etc.
  • b) organising PHCT meetings for discussion,
    planning, case analysis, education, etc.
  • c) using checklists, tools and protocols to
    cover all areas of care. eg PACA scale, PEPSI
    COLA, end-of-life care etc

8
GSF C3
  • Control of Symptoms

9
GSF C4
  • Continuity of Care (OOH)

10
GSF C5
  • Continued Learning

11
GSF C6
  • Carer Support

12
GSF C7
  • Care of the Dying Phase

13
Group 1
  • Registers
  • All cancer patients
  • Identifying dying patients
  • DS1500 recording

14
Group 2
  • Communication tools patient held records, home
    packs, drug cards
  • PHCT meetings
  • Networking with the wider team
  • Recording preferred place of death
  • Avoiding duplication

15
Group 3
  • Control of Symptoms
  • EMIS template
  • Medical, psycho, social, spiritual, religious
  • Rating scales

16
Group 4
  • OOH
  • Crisis Contacts
  • (Education of ourselves, audit, books
    resources)
  • Carer support

17
Group 5
  • Care of the dying
  • A protocol
  • A PACE like template for each record
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