Freedom of Information request & West Norfolk CCG response
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- Abigayle George
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1 Freedom of Information request & West Norfolk CCG response WN279 - Community Palliative Services Please note, tables are documented below 1. Do you commission a 24/7 dedicated and clinically staffed palliative service specifically designed for patients dying at home, and their carers? We do not currently commission such a service. At present, we commission a 24/7 generalist out of hours (OOH) support service. At this time, we do not commission a specialist palliative care visiting service 7 days a week; however we do commission a dedicated palliative care advice line for healthcare professionals. Our YourNorwich integrated work programme is looking at palliative care provision at weekends as priority with a view to supporting patients dying at home. 2. Please complete the table (see the second attachment to this ) detailing which specific palliative services you commission, the hours of operation and geographic areas that they cover for NB. For the purposes of our research, we would only consider you to commission these palliative services listed in the table if they are specifically designed for patients dying, and their carers, as opposed to a more general service that might only incidentally cover end of life care. Please find the completed table attached. 3. What is your annual budget for all dedicated end of life care services commissioned for the current financial year, ? If it is impossible for you to give a precise figure for whatever reason, please give a best estimate. There is no one specific palliative end of life service, and as such no ring fenced budget, particularly as the local community Provider is commissioned on a block basis (a block of funding rather than individual funding streams for particular services). Palliative end of life care is delivered via a number of specialist and integrated services across Norfolk, the Community Provider has given an indication of the resources (funding) they allocate to delivering palliative EoL care. For details, please see the attached word document. If you wish to have data on the services delivered by our acute provider, please contact Norfolk and Norwich University Hospital NHS Foundation Trust.
2 4. What is this as a % of your total budget? Again, if you cannot give a precise figure here, please give a best estimate. The information you have requested is not held please refer to our response to question Do you have a lead provider that works in partnership to deliver the services? If yes, state who the lead provider is. No.
3 Table - Services for Please make sure that you answer the hours of operation, as this is particularly important to this freedom of information request SERVICES DO YOU COMMISSION THIS SERVICE? Tick if yes NB. Only tick services specifically catering for patients dying at home, and their carers; as opposed to general services that might only incidentally cover end of life care. WHAT TIME DOES THIS PARTICULAR SERVICE OPERATE? e.g.1 9am-5pm, 7 days a week e.g.2 24/7 WHAT GEOGRAPHICAL AREA DOES THIS SERVICE COVER? SERVICES FOR PATIENTS: Palliative district nursing 24/7 North Norfolk South Norfolk and Norwich Palliative clinical nurse specialist 9 5 face to face Monday Friday 9 5 telephone advice Sat and Sun Clinical face-to-face advice 9-5 Monday - Friday specialist Palliative Care Nurses 24/7 generalist Community matron days a week
4 9-5 7 days a week Palliative care support worker 24/7 Health Care Assistant Support Worker Care and Support Worker 24/7 Rapid intervention service All community nurses will respond to emergency calls/admission avoidance within 4 hours North Norfolk South Norfolk and Norwich Hospice at home / X please see next column. Our care at home teams provide care similar to Hospice at home 24/7 Care and Support Team works in partnership with Norfolk Hospice 24/7 West Day hospice days a week Telemedicine Palliative social care workers 9 5 Based in Specialist Palliative Care Unit
5 Dedicated online palliative information and advice Please see the Norfolk Community Health & Care NHS Trust website. Dedicated palliative, nurse staffed expert telephone helpline 24/7 Palliative care co-ordination centre including signposting to other services Peer Support 24/7 Befriending Other - please specify Specialist Palliative Care Service also includes Inpatients Psychological services children family and adults 24/7 Monday Friday 9-5 Chaplaincy/Spiritual support
6 Bereavement inc volunteers Complementary Therapy SERVICES DO YOU COMMISSION THIS SERVICE? Tick if yes NB. Only tick services specifically catering for patients dying at home, and their carers; as opposed to general services that might only incidentally cover end of life care. WHAT TIME DOES THIS PARTICULAR SERVICE OPERATE? e.g.1 9am-5pm, 7 days a week e.g.2 24/7 WHAT GEOGRAPHICAL AREA DOES THIS SERVICE COVER? SERVICES FOR CARERS: Carers for people at the end of life support Dedicated online palliative information and advice Dedicated palliative, nurse staffed expert telephone helpline which includes signposting. End of life peer support carers groups
7 End of life befriending As required by bereaved Respite Other, please specify
8 Table - Services for Please make sure that you answer the hours of operation, as this is particularly important to this freedom of information request SERVICES DO YOU COMMISSION THIS SERVICE? Tick if yes NB. Only tick services specifically catering for patients dying at home, and their carers; as opposed to general services that might only incidentally cover end of life care. WHAT TIME DOES THIS PARTICULAR SERVICE OPERATE? e.g.1 9am-5pm, 7 days a week WHAT GEOGRAPHICAL AREA DOES THIS SERVICE COVER? FINANCIAL VALUE e.g.2 24/7 SERVICES FOR PATIENTS: Palliative district nursing Part of CN&T total value 28,817,800 (inc. Hospice at Home) Gen. pal. Care and EOL make up 0.9% and 0.5% respectively. This would be a value of 403,449 Palliative clinical nurse specialist Overarching amount of spec. pal. Care totals 4,309,600 (inc. Inpatient Beds, Advice line and community nursing) Clinical face-toface advice
9 Community matron Palliative care support worker Rapid intervention service Hospice at home Day hospice Telemedicine Palliative social care workers Dedicated online palliative information and advice Dedicated palliative, nurse staffed expert telephone helpline As explained above part of overarching spec. pal. Care estimated value of 63, hour advice line. Palliative care coordination centre including signposting to other services Peer Support Befriending Other - please specify
10 SERVICES DO YOU COMMISSION THIS SERVICE? Tick if yes NB. Only tick services specifically catering for patients dying at home, and their carers; as opposed to general services that might only incidentally cover end of life care. WHAT TIME DOES THIS PARTICULAR SERVICE OPERATE? e.g.1 9am-5pm, 7 days a week e.g.2 24/7 WHAT GEOGRAPHICAL AREA DOES THIS SERVICE COVER? SERVICES FOR CARERS: Carers for people at the end of life support Dedicated online palliative information and advice Dedicated palliative, nurse staffed expert telephone helpline which includes signposting. End of life peer support carers groups End of life befriending Respite Other, please specify
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