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GPs and Bereavement

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www.in-support.com ... Donal Gallagher Bereavement Development Programme Manager Sridevi Singh End of Life Care Project Officer – PowerPoint PPT presentation

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Title: GPs and Bereavement


1
GPs and Bereavement survey and findings
  • Donal Gallagher Bereavement Development
    Programme Manager
  • Sridevi Singh End of Life Care Project Officer
  • 01/06/2015

2
  • Purpose
  • The survey was created to help Macmillans End
    of Life Care Team gain a deeper insight in to
    what is currently happening well or otherwise in
    primary care in relation to bereavement support
  • The aim of this presentation is to share with you
    a high level summary of the results and what the
    future plans are as a result of the survey.
  • N.B
  • Please note that there is further information in
    the notes section beneath some of the slides

3
Why did we ask Macmillan GPs to complete a survey?
  • The End of Life Care team believe that GPs  have
    a potentially pivotal role in identifying,
    acknowledging, supporting, assessing and
    referring on those who are bereaved.
  • To gain a deeper insight in to what is currently
    happening well or otherwise in primary care, we
    created a short survey. Our Macmillan GP Advisors
    provided some feedback on the content and layout
    and we then sent it to all Macmillan GPs and
    GPAs.

4
Executive Summary
  • We collated the 70 responses (34 response rate)
    summarised in the following slides and bullet
    points.
  • 62.3 have a system in place at their practice to
    identify the bereaved
  • Most were not aware of any good practice
    regarding identifying the bereaved in their local
    area
  • 60.7 have a system in place at their practice to
    acknowledge someone is bereaved
  • The vast majority (85.1) of respondents said
    they did not have a way of assessing the level of
    need of bereaved they are in contact with.
  • 73 of those who answered the question had not
    received any specific bereavement training.

5
The next few slides shows some of the GP
responses
Does your practice have a system in place for
identifying that someone is recently bereaved?
Are you aware of any good practice in your local
area in identifying that some one is bereaved?
6
Do you have a system in place for assessing the
level of need of someone who is bereaved?
Are there any protocols or systems in place to
acknowledge someone is bereaved in your
practice?
1 person said they don't know
52 said No
8 said Yes
7
What information or service is available at your
practice for the bereaved?
Do you have any local services you can refer
someone to for bereavement support?
  • In terms of referring to local bereavement
    support 54 of 61 (88.5) mentioned that they have
    similar services in their local area as within
    the practice .
  • However it was continuously noted that these
    services often have very long waiting times.

42 of 61 (68.9) mentioned that they did have
information or services available at their
practice for the bereaved
8
When asked if they received any specific training
to provide support to the bereaved their response
was...
15 said that they had
41 said that they had not
Some of the training included....
Communication training in loss and grief
Being part of a Bereavement Alliance
One hour training at a hospice
Years of being a GP
Dying Matters course - "having the difficult
consultation"
Macmillan weekend (20 years ago)
Child bereavement training session
9
If you feel you can provide a level of
bereavement support yourself, please rate the
following as to how confident you feel in
supporting the following groups
Children and teenagers Adults Older people All
1 - Not confident 27 1 1 2
2 - Fairly confident 23 22 18 19
3 - Confident 5 25 30 15
4 - Very confident 1 8 7 2
10
The information below shows how the GPs felt
Macmillan could help to promote or prioritise
bereavement care in their practice or area (these
may include best practice (commissioning)
guidance, particular Macmillan bereavement
resources or relevant national services)
Did they think that bereavement care and support
is prioritised within their local CCG/ Health
Board/ Trust?
36/61No
Your practice Your area Total Respondents
Yes 81 42 88 46 52
No 71 5 57 4 7
Don't know 73 8 82 9 11
8/61 Yes
11
Next steps (1)
  • Share survey summary with Macmillan GP community
  • Produce a summary of existing Macmillan resources
    (online etc) and share with GP community
  • Find ways to help share good practice beyond
    Macmillan GP community
  • Explore with Macmillan GPA end of life care group
    what tools might be useful to support those
    working in primary care assess bereavement risk
    and need.
  • Consider what learning and development might be
    helpful for those working in primary care, in
    relation to bereavement

12
Next steps (2)
  • Work closely to align this work with Macmillans
    carers work and initiatives
  • Consider suggestion about commissioning guidance
    within overall bereavement plan
  • Share examples of bereavement protocols with GP
    community
  • Keep Macmillan GP community involved with and
    informed of development of bereavement plans and
    strategy
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