Improving Access – at end of life and before

The initial task was to undertake an external overview to identify who is Hard to Reach at End of Life in our boroughs. This exercise took the form of internet research as well as reading publications, and telephone conversations with local authority/CCG employees.

From the information gained, we then undertook a series of internal surveys to gain qualitative and quantitative data to create an initial picture of who we are reaching and possibly who we are not reaching.

In addition links were made with external agencies such as the Westminster Drugs Project and the Substance Misuse Service in Barnet and Harrow, as well as linking with our three Healthwatch Leads.

Despite it being difficult to get accurate information about local priorities as well as which groups are currently accessing our services and to what degree, it has been possible to identify groups to focus on.

The groups identified are:

  • People with learning disabilities,
  • Homeless people (with substance misuse in particular)
  • The most prevalent cultural groups in our boroughs.

We recognise that to be truly reaching out we need more staff to help us. Our Board approved a business case in June 2018 so four new posts will be in place by November 2018.

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