Queensland Health Palliative Care Services Review

2y ago
25 Views
2 Downloads
1.57 MB
8 Pages
Last View : 16d ago
Last Download : 2m ago
Upload by : Axel Lin
Transcription

Queensland HealthPalliative CareServices ReviewConsultation paper

Heading 1 (Meta24)Palliative Care Services ReviewConsultation paperPublished by the State of Queensland(Queensland Health), June 2018Disclaimer:The content presented in this publication is distributed by theQueensland Government as an information source only. TheState of Queensland makes no statements, representationsor warranties about the accuracy, completeness or reliabilityof any information contained in this publication. The Stateof Queensland disclaims all responsibility and all liability(including without limitation for liability in negligence) for allexpenses, losses, damages and costs you might incur as a resultof the information being inaccurate or incomplete in any way,and for any reason reliance was placed on such information.This document is licensed under a Creative Commons Attribution3.0 Australia licence. To view a copy of this licence, visitcreativecommons.org/licenses/by/3.0/au State of Queensland (Queensland Health) 2018You are free to copy, communicate and adapt the work, as longas you attribute the State of Queensland (Queensland Health).For more information contact:Strategic Policy and Legislation Branch, Strategy,Policy and Planning Division, Queensland Health,GPO Box 48, Brisbane QLD 7 3708 5570SC18000003 07/18Palliative care services review—Consultation paper State of Queensland (Queensland Health) 20182

IntroductionPurpose of the palliativecare services reviewSignificant challenges facing the health system are theincreasing rates of chronic conditions such as cancerand the increasing mortality rates from life limitingillnesses which have driven increased demand forpalliative care services.It is critical that the health system works better forconsumers, their families and communities by tacklingfunding, policy and service delivery barriers. This includesseeking a balance of options across the delivery ofpalliative care services directed by consumer choice inrelation to hospital, in home and hospice care settings.The Queensland Department of Health (theDepartment) provides funding to Queensland Health(QH) Hospital and Health Services (HHSs) andnon-government organisations (NGOs) to providepalliative care services in a range of settings. Settingsinclude hospital, hospice, community, residential agedcare and home settings to ensure people receive thecompassionate care they need if they experience a lifethreatening illness or are at the end of life.The Department is undertaking a review of palliativecare services to develop an informed and strategicapproach for future palliative care service arrangementswith HHSs and NGOs.The review will include consideration of existing servicesand demand, projected demand, and development ofoptions and models for optimum services.Palliative care services review—Consultation paper State of Queensland (Queensland Health) 2018We want to hear your viewsThe views of palliative care service providers, patientsand their carers, and the Queensland community willbe integral to the development of future palliativecare service arrangements that are evidence-based,practical and relevant to stakeholder requirements andpreferences.This consultation paper outlines some of the keyfindings and directions arising from recent reports andstrategic policy documents.The Department would like to hear your responses to thequestions set out below, as well as any other commentsand suggestions you wish to make. This will help us tounderstand your views regarding: the suitability and accessibility of existing palliativecare services and service models; the expected changes in demand for palliative careservices in the future; and preferred palliative care service models andarrangements for the future.3

BackgroundWhat is palliative care?The World Health Organization1 defines palliativecare as an approach that improves the quality of lifeof patients and their families facing the problemsassociated with life-threatening illness, throughthe prevention and relief of suffering by means ofearly identification and impeccable assessmentand treatment of pain and other problems, physical,psychosocial and spiritual. Palliative care: provides relief from pain and other distressingsymptoms; affirms life and regards dying as a normal process; intends neither to hasten nor postpone death; integrates the psychological and spiritual aspects ofpatient care; offers a support system to help patients live asactively as possible until death; offers a support system to help the family copeduring the patient’s illness and in their ownbereavement; uses a team approach to address the needs ofpatients and their families, including bereavementcounselling, if indicated; will enhance quality of life, and may also positivelyinfluence the course of illness; is applicable early in the course of illness, inconjunction with other therapies that are intendedto prolong life, such as chemotherapy or radiationtherapy, and includes those investigations neededto better understand and manage distressingclinical complications.1World Health Organization, 2018. WHO Definition of Palliative Care. / Accessed 1 March 2018.Palliative care services review—Consultation paper State of Queensland (Queensland Health) 2018Australian ProductivityCommission reportThe Australian Productivity Commission’s report entitledIntroducing Competition and Informed User Choiceinto Human Services: Reforms to Human Services2,which was publicly released on 26 March 2018,includes consideration of end-of-life care services. Keyrecommendations in the report include: State and Territory Governments should increasethe availability of community-based palliative careso that people with a preference to die at home canaccess support to do so. End-of-life care should be core business for agedcare facilities, and the quality of end-of-life care inresidential aged care should align with the quality ofthat available to other Australians.In the report, the Australian Productivity Commissionexpresses its view that funding an increase incommunity-based palliative care is likely to be costeffective for government, as home-based care can costless than its hospital-based alternative.Palliative Care Australia’sNational Palliative Care ServiceDelivery Guidelines and NationalPalliative Care StandardsIn February 2018, Palliative Care Australia (PCA)published updated Palliative Care Service DevelopmentGuidelines and National Palliative Care Standards tocommunicate PCA’s expectations regarding the range ofpalliative care services that should be available, and theworkforce and system capabilities required to deliver aneffective network of palliative care services.2 Productivity Commission 2017, Introducing Competition and InformedUser Choice into Human Services: Reforms to Human Services, Report No. 85,Canberra.4

Recent initiatives in Queensland–– Palliative care is defined as the practice ofpreventing and/or relieving suffering for peopleat the end of life. It provides an essential elementthat is integrated into the continuum of end oflife care and depending on level of need, maybe delivered by specialist and non-specialistpalliative care providers and supportive careproviders such as volunteers, the patient’s familyand other carers.There have been a number of initiatives in Queenslandin recent years to improve palliative care including: In 2012, the Queensland Parliament’s Health andCommunity Services Committee (the Committee)undertook an inquiry into Queensland’s chronic, frailand palliative care services at the request of theLegislative Assembly. In its report, Palliative andcommunity care in Queensland: towards personcentred care1 , the Committee recommended thedevelopment of a statewide palliative care strategyto improve the health system’s capacity to providehigh quality palliative care. The Statewide strategy for end-of-life care 2015was subsequently developed by the QueenslandDepartment of Health in partnership with thePalliative Care Sub-Network of the StatewideGeneral Medicine Clinical Network, and endorsedby the Minister for Health in May 2015. The Strategyincludes the following definitions:–– Care at the end of life (or end of life care)is defined as healthcare services aimed atmeeting the holistic needs of people (includinginfants and children) whose life expectancy isanticipated to be shortened as a result of knownprogressive life-limiting conditions, and wherethe primary intent of care may have shifted fromlife prolongation to a focus on quality of life. The Care at the end of life: Implementation Plan2015–2025 was developed to implement the Strategy,including actions to: increase public awarenessof, and access to, Advance Care Planning; identifyand share best practice; and develop standardisedassessment and management tools. Actions ofparticular relevance to the review of palliative careservices include actions to: undertake needs analysisto inform service planning; and consider viableservice funding mechanisms, including for homebased care at the end of life. Publication of charters for the care of patients at theend of life, to provide a platform for patients and theirfamilies and carers to openly discuss their wishes forcare at the end of life with healthcare workers:A charter for care of adult patients at the end-of-life2;and A charter for children and young people affectedby a life-limiting condition3 .2 Developed by the Queensland Clinical Senate and Health ConsumersQueensland in collaboration with: RACGP Queensland, Australian Collegeof Rural and Remote Medicine, Australian Medical Association Queensland,Health Ombudsman, Private Hospitals’ Association of Queensland.1Parliamentary Committee, Palliative and community care in Queensland:toward person-centred care Report No. 22. 2013, Health and CommunityServices Committee: BrisbanePalliative care services review—Consultation paper State of Queensland (Queensland Health) 20183 Developed by the Palliative Care Working Group of the Statewide Childand Youth Network in collaboration with Xavier Children’s Support Network,Hummingbird House and St Vincent’s Private Hospital, Brisbane. Endorsed bythe Queensland Clinical Senate and Health Consumers Queensland.5

Review of palliative care servicesThe Department is now undertaking a review ofpalliative care services to develop an informed andstrategic approach for future palliative care servicearrangements with HHSs and NGOs.The review will be informed by the outcomes of thereports and initiatives referred to above, as well as theproposed National Palliative Care Strategy 2018, whichis expected to be released in mid-2018. The proposedstrategy will update the current national strategy whichwas launched in 2010. It is expected the proposedstrategy will emphasise the importance of personcentred and integrated care.Officers from the Department met with a numberof NGO palliative care service providers in January2018 to begin a conversation about their views onpreferred palliative care service models and servicearrangements for the future.The Department is now seeking input from stakeholdersthrough this consultation paper, as part of its widerconsultation strategy.Please answer the questions in the “Consultationquestion” boxes below, and provide any othercomments and suggestions you wish to make.QuestionsExisting palliative care servicesThe Department provides funding to HHSs and NGOsfor the provision of palliative care services in a rangeof settings, including in hospital, hospice, community,residential aged care and home settings.We are looking for your feedback and perspective onhow well palliative care services are meeting demandand service setting preferences in your local area.Meeting future demandfor servicesQueensland’s population is growing and ageing.Demand is increasing for high quality care at the end oflife that supports the choices of care recipients and theirfamilies and carers, including an increasingly commonexpectation that people who wish to die at home or in ahome-like setting should be able to do so. These factorsunderline the importance of planning palliative careservice arrangements that are capable of meeting theneeds and preferences of the population into the future.We would like to hear your views about the palliativecare services required to meet the needs of your localarea into the future.Palliative care services review—Consultation paper State of Queensland (Queensland Health) 20186

Consultation questionQuestion 1:How well are palliative care services meeting the demand and service setting preferences for patients and theircarers and families in your local area?If you are a palliative care service provider, please indicate what types of palliative care services you currentlyprovide and in which settings – for example, hospital, hospice, community, residential aged care, homesettings; the volume of services you provide and to whom.Consultation questionQuestion 2:What changes could be considered to palliative care service delivery in your area that would improve theexperience of patients and their carers and families?If you are a palliative care service provider, please describe any plans you have for your service, orsuggestions you might have to enable your service to better meet current service needs and service settingpreferences.Palliative care services review—Consultation paper State of Queensland (Queensland Health) 20187

Consultation questionQuestion 3:What types of palliative care services do you think will be required in your local area or across the state to meetfuture demand? Will different services be needed in the future to those provided today?If you are a palliative care service provider, please provide an estimation of the expected service needs andservice setting preferences in your local area over the next 5-10 years.Next stepsThank you for your time in considering this consultationpaper. Please provide your responses to the questionsabove, and any other comments and suggestions youwish to make, by Friday 24 August 2018, either by: email to: StrategicPolicy@health.qld.gov.au; or post to: Strategic Policy and Legislation BranchStrategy, Policy and Planning DivisionDepartment of HealthGPO Box 48Brisbane QLD 4001Should you have any questions, please email themto the Strategic Policy and Legislation Branch at:StrategicPolicy@health.qld.gov.auThe responses to this consultation paper, along withother feedback obtained from the Department’s widerconsultation strategy, will inform the development ofpalliative care funding and service models and optionsfor the Queensland Government’s consideration.Palliative care services review—Consultation paper State of Queensland (Queensland Health) 20188

Existing palliative care services The Department provides funding to HHSs and NGOs for the provision of palliative care services in a range of settings, including in hospital, hospice, community, residential aged care and home settings. We are looking for your feedback and perspective on how well palliative

Related Documents:

DEPARTMENT DIVISION NAME Family Medicine Palliative Medicine Algu,Kavita Palliative Medicine Arvanitis,Jennifer Palliative Medicine Berman,Hershl (Hal) Palliative Medicine Buchman,Stephen (Sandy) Palliative Medicine Cellarius,Victor Palliative Medicine Goldman,Russell Palliative Medicine Hashemi,Narges Palliative Medicine Howe,Marnie

palliative care plan 2012-2016 Inpatient palliative care There are 300 specialist palliative care beds located in NSW public hospitals, affiliated hospitals and other facilities in the NSW health system. Care is also routinely provided in non-designated palliative care beds. In 2008-09, there were 19,800 palliative care

The Queensland Health Palliative Care Services Review (the Review), conducted by the Queensland Department of Health (the Department), sought to identify current and future palliative care service needs. The learnin

polices, pain policies, integrated palliative care services or hospices. Palliative care, public health and human rights . Three disciplines (palliative care, public health, and human rights) are now interacting with a growing resonance. The maturing of palliative care as a clinical specialty a

1 Palliative Care Quality End of Life Care Resource Book Palliative Care Needs Round Checklist (Based on the ACU and Calvary Palliative Care Needs Rounds Checklist) Palliative Care Needs Round Checklist Triggers to discuss resident at needs rounds One or more of: 1. You would not be surprised if the resident died in the next six months 2.

Palliative Care Services Operational Policy 15 NATIONAL ADVISOR FOR PALLIATIVE MEDICINE SERVICES It is a great honour and delight to produce this operational policy for palliative care services in the Ministry of Health. Over the past 10 years, the understanding of palliative

L N E C Pediatric Palliative Care Issues of Justice in Palliative Care Provision of quality palliative care Inequity in care delivery 56% of child deaths in hospital (US) Obstacles to access Lack of knowledge regarding pediatric palliative care Responsibility to provid

STM32 and ultra‑low‑power. 4 9 product series – more than 40 product lines . proliferation of hardware IPs and higher‑level programming languages greatly facilitates the work of developers. High‑ performance Cortex‑M STM32 F7 Ultra‑ low‑power Mainstream Cortex‑M3 STM32 F2 STM32 L1 STM32 F1 Cortex‑M STM32 F4 STM32 L4 STM32 F3 Cortex‑M M STM32 L0 STM32 F0 STM32 H7 ST .