Better end-of-life care in Barnet and Enfield

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    NLH Admin
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    North London Hospice

A new approach that improves the care for people affected by cancer and other life-limiting conditions at the end of life is to be introduced in North London. North London Hospice is working with Macmillan Cancer Support to trial a model called Macmillan Specialist Care at Home in six locations across the UK. Based on a Swedish model of advanced home care, Macmillan Specialist Care at Home is led by a community-based consultant doctor working with a team of highly skilled doctors, nurses, support workers and other professionals to provide flexible and personalised care. People affected by cancer and other life-limiting conditions are referred for specialist care at the earliest opportunity, and offered as much medical treatment and support in the home as possible. The team also collaborates with a range of local health and social care organisations to join up and co-ordinate the right support for the individual and their family. The programme in Barnet and Enfield will start in April 2014 and run until 2016, at which point an external evaluation undertaken by academics at Nottingham University’s Sue Ryder Centre will inform future plans. Ciarán Devane, Chief Executive, Macmillan Cancer Support, says: “We know that three quarters of cancer patients would prefer to spend their final days in their own home with family and friends, but less than a third actually do. To allow people a real choice, we need health and social care services to be coordinated into a seamless package of care.  We hope that by testing the Macmillan Specialist Care at Home approach with the North London Hospice in Barnet and Enfield we will further demonstrate a blueprint for the way end of life care is delivered in the future.” Pam McClinton, Chief Executive, North London Hospice, added: “North London Hospice has delivered specialist palliative care at home for almost 3 decades now. We are delighted to be working with Macmillan Cancer Support to explore ways that we can extend and enhance our specialist home service that benefits both patient’s and families. Our vision is that everyone in our diverse community affected by potentially life threatening illness has equal access to the services and support they need to optimise their quality of life.”   – Ends- For further information, please contact: Ali Birtwell or Keith Ewing, Communications Manager, Macmillan Cancer Support (London, Anglia and South East Region – job share) on 020 7091 2367 or 020 7091 2365 or Filomena Komodromou, Communications Manager, North London Hospice. Notes to Editors 1 – The six innovation centres are: City Healthcare Partnership CIC (Hull); Earl Mountbatten Hospice (Isle of Wight); West Norfolk Clinical Commissioning Group; Birmingham and Solihull Clinical Commissioning Groups; Dudley Foundation Trust with Mary Stevens Hospice and partners (Dudley, West Midlands); and the North London Hospice (Barnet, Enfield and Haringey, London). 2 – The Macmillan Specialist Care at Home approach originated with the Midhurst Macmillan Specialist Palliative Care service in Sussex, where it was shown that people with cancer and others with complex care needs had a high quality experience of care.  More people were able to be cared for and die in their preferred place; emergency admissions and patient stays in hospital were reduced; and the total cost to the health and social care system of caring for people in the last year of life was reduced by 20 per cent. This was found to be the case in an evaluation consisting of two elements: an economic evaluation carried out by Monitor Company Group and a qualitative service evaluation carried out by the Universities of Huddersfield and Sheffield. We are awaiting academic publication of the full evaluation. The Midhurst Macmillan Specialist Palliative Care Service also featured as a best practice case study in the King’s Fund ‘coordinated care for people with complex chronic conditions programme’ in 2013 and is one of eight ‘high impact interventions’ recommended by NHS England to healthcare commissioners. About Macmillan Cancer Support. Cancer is the toughest fight most of us will ever face. But you don’t have to go through it alone. The Macmillan team is with you every step of the way. We are the nurses and therapists helping you through treatment. The experts on the end of the phone. The advisers telling you which benefits you’re entitled to. The volunteers giving you a hand with the everyday things. The campaigners improving cancer care. The fundraisers who make it all possible. We are Macmillan Cancer Support.  About North London Hospice. We are committed to providing the best care for people with a potentially life limiting illness, and aim to add quality and meaning to their life journey. We do this in the following ways: by delivering specialist palliative care, providing additional support and services to meet individual needs, sharing our skills and experience to influence others providing care and maximising and supporting community involvement. We provide this care and support to people in their own homes, care homes at our North London Hospice centres in Finchley and Enfield. Specialist care at home

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