Working together: adult social care provider, North East Essex ICS, primary care networks, community teams
St Helena Hospice agreed with the Suffolk and North East Essex ICS to take on a leadership and coordination role for all end of life care delivered outside of hospital in North East Essex during the pandemic.
Mark Jarman-Howe, chief executive of St Helena said, “The COVID pandemic has brought huge challenges to community palliative and end of life care. In North East Essex, St Helena Hospice coordinated the community end of life response on behalf of the North East Essex Health and Wellbeing Alliance, creating a hub and spoke model. Non-urgent hospice visiting ceased and community specialist nurses, rehab and family support teams joined the single point of access team to create an enhanced community rapid response hub. Continuing health care funding resources were allocated through the hub, and local voluntary services coordinated relief services for those on the palliative care register. We created a 24-hour non-medical prescriber rapid response service in partnership with Anglian Community Enterprise to enhance overnight nursing capability and offered bereavement services across the community.
“We created integrated spoke teams with weekly virtual meetings between primary care, community nursing and the hospice, and developed a single caseload between the providers to enhance care coordination.
“We developed our electronic palliative care coordination system to capture advance care planning discussions about COVID and gained access to it for care home staff. We rewrote anticipatory prescribing guidance, verification of death procedures, created patient group directives, wrote policies to allow hospice medications to be taken into the community for urgent visits and supported carers to learn to administer subcutaneous medication. We expanded the hospice inpatient unit and also a virtual ward in collaboration with a local care provider and merged community hospital and hospice beds into an integrated community bed base. We taught colleagues across the community about symptom control and advance care planning. We ate a lot of cake and spent a lot of time on Microsoft Teams.
“Three months later, what do we know? We learned, like many others, that a crisis created more inter-organisational co-operation in two weeks than years of previous meetings. We learned how many more people can be cared for in the community at the end of life when organisational barriers are dismantled. A crisis made us do it differently and showed us what can be achieved when organisational barriers are broken down and service is driven by the needs of the patient.”
Posted: 7th July 2020
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24 hour advice: SinglePoint 01206 890 360
SinglePoint is a 24/7 advice and support helpline which helps to coordinate an individual’s care with the hospice. SinglePoint also works alongside other healthcare services such as GPs, Community Nurses or Specialists.
To contact a patient at The Hospice please find the address and telephone number below. Phone calls can be made to patients at any time of the day or week. You can contact Inpatient Services 24 hours a day, 7 days a week.
The Hospice, Myland Hall, Barncroft Close, Highwoods, Colchester, C04 9JU
Telephone: 01206 845 566
You can contact The Hospice in the Home Team Monday to Friday, between 9.00am and 5.00pm on:
Telephone: 01206 845 566
Tendring community team
Telephone: 01255 221 222
You can contact the Joan Tomkins Centre (Colchester) Monday to Friday between 9.00am and 5.00pm on:
Telephone: 01206 848 163
Fax: 01206 752 245
You can contact the St Helena Tendring Centre (Clacton) Monday to Friday, between 9.00am and 5.00pm on 01255 221 222
Tendring Centre Postcode for Sat Navs: CO15 1EU
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If you, or a member of your family has a life-limiting illness and would like to discuss whether St Helena care services can help, you can contact the SinglePoint telephone service 24 hours a day, 7 days a week on 01206 890 360
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If you would like to write to or visit the Lottery team, the address is: Your Hospice Lottery Office Unit 6 The Atrium, Phoenix Square, Wyncolls Road, Colchester CO4 9AS.
Feedback, comments and complaints about St Helena care and support services may be made verbally or in writing to: Director of Care, St Helena, Myland Hall, Barncroft Close, Highwoods, Colchester, CO4 9JU. To speak to a member of our team, call 01206 845 566