End of Life Care. UObjective
End of Life Care. 11.1 The Service Provider will offer an Advance Care Plan to all Service Users within three months of admission, using a recognised care planning tool. Advance Care Plans should be reviewed upon any significant change in the Service User’s conditions.
11.2 The Service Provider will offer an early discussion about preferences for end of life.
11.3 The Service Provider will have formal processes for appropriate onward referral to Primary Care or Community Health Teams when appropriate.
11.4 Following the identification of significant changes or deterioration in the Service User’s health condition it may be appropriate to review with the Adult Care Practitioner the
11.5 The Service Provider must have processes in place to identify and address the training needs of all staff (including registered nurses) with regard to end of life care, including communication skills, assessment care planning, and advanced care planning and symptom management.
11.6 The Service Provider will ensure referral to specialist palliative care services where required to ensure Service Users receive effective palliative care symptom management at end of life.
11.7 The Service Provider shall ensure that any 'Do not attempt Cardio-Pulmonary Resuscitation'; orders appear clearly in the Service User's care and support plan and other relevant records. It will be the responsibility of the GP providing care to the Service User to ensure that any such orders are clearly documented and are appropriately agreed with the Service User and/or family or legal representatives.
11.8 This specification requires care xxxx xxxxx to have awareness of and be competent with the care needs of Service Users at end of life, and to work effectively with specialist palliative care services to achieve dignity at end of life with and for the person. This includes reducing the risk of avoidable admissions to hospital or further moves of accommodation, so reducing the risk of Service Users' experience of death in a place not of their choosing and without familiar people and surroundings.
11.9 The Service Provider will work with the national standards for end of life care, details of which can be found at the following link:
End of Life Care. 6.1 All residents who are identified as End of Life by an appropriately qualified medical practitioner shall have an advanced care plan in place
6.2 The Provider shall ensure that any "Do Not Attempt Resuscitation" Orders appear clearly in the Resident's Care Plan and other relevant records. It will be for a doctor providing care to the Resident to ensure that any such orders are clearly documented and are appropriately agreed with the Resident and/or family or legal representative.
End of Life Care. In Wandsworth, the percentage of deaths at home (including nursing/care homes) has increased from 33.4% in 2008/9 to 37.2% in 2010/11. However, it is recognised that, at a national level, over 60% of those who expressed a preference, chose home as their preferred place of death. Co-ordinate my Care (CMC) was launched in Wandsworth in late November 2012. In other areas where CMC has already been piloted, its benefits have been recognised, specifically with 70% of patients with a CMC record having achieved a home death. This LES encourages both the use of CMC with the aim of increasing the number of deaths at home and a GP-led MDT review of patient care to support learning and improvements in End of Life Care (EOLC).
End of Life Care. A concept of care, for the duration of the member’s life, that focuses on Advance Care Planning, the relief of stress, pain, or life limiting effects of illness to improve quality of life for a member at any age who is currently or is expected to experience declining health, or is diagnosed with a chronic, complex, or terminal illness. Refer to AMPM Policy 310-HH. Experimental Services: AHCCCS does not cover experimental services (AAC R9-22-203). However, as specified in AMPM Policy 320-B, the Contractor has responsibilities related to Experimental services and Qualifying Clinical Trials. A determination with respect to coverage under Section 1905(a)(30) of the Social Security Act for a member to participate in a qualifying clinical trial must be expedited and completed within 72 hours regardless of GSA or if the provider is in network. Coverage of routine member costs based on where the clinical trial is conducted, including out-of-State, or based on whether the provider treating the member is outside of the network may not be denied.
End of Life Care. The provider should provide end of life care in line with NICE guidance and in particular the markers of high quality care set out in the NICE quality standard for end of life care for adults.
