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Report of the first national palliative care support bed review

Hdl Handle:
http://hdl.handle.net/10147/323551
Title:
Report of the first national palliative care support bed review
Authors:
Ryan, K; Guerin, S; O’Brien, N; Nixon, E; Cooney, F; Fitzpatrick, S; Foley, S; Larkin, P; Lee, B; Newnham, P; O’Leary, E; Peelo Kilroe, L; Rayner, S; Reaper Reynolds, S
Affiliation:
UCD Centre for Disability Studies & UCD School of Psychology & TCD School of Psychology
Citation:
National Palliative Care Support Beds Review Subgroup. Report of the first national palliative care support bed review. Dublin: HSE; 2014
Publisher:
Health Service Executive (HSE)
Issue Date:
Jun-2014
URI:
http://hdl.handle.net/10147/323551
Item Type:
Report
Language:
en
Description:
The concept of palliative care support beds (PCSBs) was first signaled in the National Advisory Committee on Palliative Care (NACPC) Report, (Department of Health and Children, 2001). They were proposed as a means of providing an intermediate level of in-patient palliative care for patients in a local environment, typically in designated centres for older people. However, specific guidance on issues such as organisation and governance was not provided. As a result, a pattern has emerged where palliative care support beds have developed largely in response to local need and opportunity. Although in 2011, 179 PCSBs were reported to exist there is much regional variation in organisation and capacity- including such notable issues as differences in physical environment, access and discharge criteria, staff training and the level of involvement of specialist palliative care services (SPC) in the direct provision of care. The National Clinical Programme for Palliative Care Working Group identified the need to conduct a review of the organisation and function of PCSBs in Ireland in order to provide strategic direction on the future of the services provided. The Group established the PCSB subgroup1 in December 2011 with the following aims:  To describe the current organisation and function of the palliative care support beds,  To conduct further analysis of the contribution/ value the beds offer to the system,  Produce recommendations about the development of palliative care support beds. A comprehensive survey of organisations involved in PCSB provision was carried out in order to describe the current organisation and function of the PCSBs. This was supplemented by a second survey gathered that the views of palliative care consultants on PCSB provision. Having completed the surveys, the Group implemented a second component, which was designed to qualitatively examine the operation of PCSBs across the country. The second component included case studies in a number of locations and interviews conducted with senior managers within the health services. The aim of the case studies were to document at a local level the implementation of these resources from a range of perspectives, to explore the strengths and limitations of the system and to identify the barriers and solutions to the provision of palliative care via the PCSBs. The aim of the interviews was to identify higher level issues regarding the operation of PCSBs in health settings in Ireland. The PCSB working group, the National Clinical Programme for Palliative Care and relevant stakeholder groups reviewed the findings. This resulted in the development of a number of recommendations about the further development of PCSBs that are presented in the final part of the report. We wish to acknowledge and thank the Irish Hospice Foundation who kindly provided personnel and funding to support the production of this report.
Keywords:
PALLIATIVE CARE
ISBN:
9781906218812

Full metadata record

DC FieldValue Language
dc.contributor.authorRyan, Ken_GB
dc.contributor.authorGuerin, Sen_GB
dc.contributor.authorO’Brien, Nen_GB
dc.contributor.authorNixon, Een_GB
dc.contributor.authorCooney, Fen_GB
dc.contributor.authorFitzpatrick, Sen_GB
dc.contributor.authorFoley, Sen_GB
dc.contributor.authorLarkin, Pen_GB
dc.contributor.authorLee, Ben_GB
dc.contributor.authorNewnham, Pen_GB
dc.contributor.authorO’Leary, Een_GB
dc.contributor.authorPeelo Kilroe, Len_GB
dc.contributor.authorRayner, Sen_GB
dc.contributor.authorReaper Reynolds, Sen_GB
dc.date.accessioned2014-07-21T16:07:12Z-
dc.date.available2014-07-21T16:07:12Z-
dc.date.issued2014-06-
dc.identifier.citationNational Palliative Care Support Beds Review Subgroup. Report of the first national palliative care support bed review. Dublin: HSE; 2014en_GB
dc.identifier.isbn9781906218812-
dc.identifier.urihttp://hdl.handle.net/10147/323551-
dc.descriptionThe concept of palliative care support beds (PCSBs) was first signaled in the National Advisory Committee on Palliative Care (NACPC) Report, (Department of Health and Children, 2001). They were proposed as a means of providing an intermediate level of in-patient palliative care for patients in a local environment, typically in designated centres for older people. However, specific guidance on issues such as organisation and governance was not provided. As a result, a pattern has emerged where palliative care support beds have developed largely in response to local need and opportunity. Although in 2011, 179 PCSBs were reported to exist there is much regional variation in organisation and capacity- including such notable issues as differences in physical environment, access and discharge criteria, staff training and the level of involvement of specialist palliative care services (SPC) in the direct provision of care. The National Clinical Programme for Palliative Care Working Group identified the need to conduct a review of the organisation and function of PCSBs in Ireland in order to provide strategic direction on the future of the services provided. The Group established the PCSB subgroup1 in December 2011 with the following aims:  To describe the current organisation and function of the palliative care support beds,  To conduct further analysis of the contribution/ value the beds offer to the system,  Produce recommendations about the development of palliative care support beds. A comprehensive survey of organisations involved in PCSB provision was carried out in order to describe the current organisation and function of the PCSBs. This was supplemented by a second survey gathered that the views of palliative care consultants on PCSB provision. Having completed the surveys, the Group implemented a second component, which was designed to qualitatively examine the operation of PCSBs across the country. The second component included case studies in a number of locations and interviews conducted with senior managers within the health services. The aim of the case studies were to document at a local level the implementation of these resources from a range of perspectives, to explore the strengths and limitations of the system and to identify the barriers and solutions to the provision of palliative care via the PCSBs. The aim of the interviews was to identify higher level issues regarding the operation of PCSBs in health settings in Ireland. The PCSB working group, the National Clinical Programme for Palliative Care and relevant stakeholder groups reviewed the findings. This resulted in the development of a number of recommendations about the further development of PCSBs that are presented in the final part of the report. We wish to acknowledge and thank the Irish Hospice Foundation who kindly provided personnel and funding to support the production of this report.en_GB
dc.language.isoenen
dc.publisherHealth Service Executive (HSE)en_GB
dc.subjectPALLIATIVE CAREen_GB
dc.titleReport of the first national palliative care support bed reviewen_GB
dc.typeReporten
dc.contributor.departmentUCD Centre for Disability Studies & UCD School of Psychology & TCD School of Psychologyen_GB
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