RM Partners Palliative Care Group was established to improve the access, experience and outcomes for patients requiring palliative care, irrespective of diagnosis, across London. It ran from the inception of RM Partners until November 2018.
The group was key in agreeing the Cancer Vanguard priorities for palliative and end of life care and was the driving force in delivering those priorities, particularly:
- Improving the provision of 7 day specialist palliative care
- Improving access to 24/7 end of life care in the community in order to increase the capacity of community service to reduce hospital admissions of patients in the last year of life
- And improving the identification of the approach of the end of life phase and the consequent advance care planning where appropriate.
The group extended its reach to all providers and commissioners across London, as this important aspect of care needed the benefits of collaborative working across a wider population and across organisational boundaries, with sharing of best practice and consensus around palliative care management.
The membership of the group brought together specialist NHS and voluntary sector expertise from primary, secondary and tertiary care, as well as service users, to enable development of high quality patient centred care.
In autumn 2018, the group met its ambition of producing and delivering two business cases to be used by providers and commissioners to improve access and quality of specialist palliative care in all settings and end of life care across west London. In November 2018 it handed over responsibility for specialist and end of life care improvement work to the relevant north west and south west London Sustainability and Transformation Partnership leads.
Pilot to test integrated community palliative MAAR charts in Harrow
The group also worked with partners in north west London specifically to pilot and test new integrated community palliative medicines authorisation and administration record (MAAR) charts in Harrow, with a view to this leading to north west London or even pan-London documentation.
This work initially proposed that all patients discharged from Northwick Park Hospital in the last phase of life who required (or were anticipated to shortly require) medication to be administered by nurses in the community, would leave hospital with the drugs and an MAAR chart, which could be used by staff in London Northwest Healthcare University Trust (LNWH), Central London Community Healthcare (CLCH), and by GPs in Harrow.
For more information on please contact Maureen McGinn, senior project manager, Maureen.McGinn@nhs.net