Chalfont, Garuth

Dempsey, Debbie

Eastham, Rachael Kay

Froggatt, Katherine Alison

Preston, Nancy Jean

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This project was funded by Wigan Borough CCG and Wigan Council, Wigan  UK.For more information contact Katherine Froggatt: k.froggatt@lancaster.ac.ukThe ‘Hospice in Your Care Home’ Project: A Responsive Evaluation Katherine Froggatt1, Nancy Preston1, Rachael Eastham1, Garuth Chalfont1, Debbie Dempsey21 . International Observatory on End of Life Care, Lancaster University, UK; 2. Wigan & Leigh Hospice, Wigan, UKBackgroundThere is limited evidence of the impact of multi-faceted approaches used to support the delivery of palliative care in care homes.  In 2015 Wigan & Leigh hospice  established a ‘Hospice in Your Care Home’ team using: role modelling, working alongside staff, responses to urgent referrals, advance care planning and training courses.Aim• To evaluate the process and outcomes of the initiative;• To ascertain the costs of delivering the project; • To identify facilitators and barriers to implementation.Methods A responsive evaluation was undertaken in 10 participating care homes (Figure 1).ConclusionsThis model to support palliative care delivery in care homes has shown a significant reductions in hospital admissions  and increased confidence of care home staff in end of life practices. There is potential to use this in other localities. Key Findings• Hospital admissions significantly reduced by 25% (p=0.01), 2015 -2016. • Resident status meetings conducted in each facility: 4479 residents discussed at 217 meetings. • Education delivery cost high in terms of care home staff time: equated to about £30,000 in total.• Staff reported increased confidence in ability to care for residents with palliative care needs• Project implementation comprised 3 stages: initiation, assimilation & ‘everyday’ running.• Barriers and facilitators of the implementation were identified (Figure 2).BarriersFacilitatorsFigure 2: Facilitators and barriers of implementationData collectionSecondary analysis service provision data; salary data; time at courses3 focus groups: managers (n=7); care home staff (n=11), HiYCH staff (n=6)Data     analysisDescriptive and inferential statisticsFramework analysisFigure 1: Evaluation methodsStaff release to attend trainingCare home staffing levelsAccess to venuesLink to ‘Hospice’ statusFlexibilitySupportive approachCare home awardsResponsive team

The ‘Hospice in Your Care Home’ Project: A Responsive Evaluation

https://eprints.lancs.ac.uk/id/eprint/125085/5/WL_Evaluation_EAPC_Final.pdf

The ‘Hospice in Your Care Home’ Project: A Responsive Evaluation

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