NWL0147 Community Specialist Palliative and End of Life Care Services - Hillingdon, Brent, Harrow, Hounslow, Westminster, Kensington & Chelsea, Hammersmith & Fulham

CONDITIONS FOR PARTICIPATION<br/><br/>Capable providers with appropriate premises/estates (ie SPC inpatient units) that have the ability to meet the below key service provisions may come forward to express their interest in the opportunity:<br/>-Hospice inpatient beds <br/>-Hospice At Home services<br/>-A SLPC MDT with ability to provide specialist telephone advice on 24/7 basis.<br/>-Community SPC Nursing to support care at home/ usual place of residence. <br/>-Hospice outpatient, day and well-being services <br/>-Advanced symptom management (complex symptom management skills, knowledge of the deterioration and dying process, understanding of rare disorders and their pathways) meet the needs of patient (physical, emotional and psychological).<br/>-Psychosocial support for patients and their families, and professionals (this may be via referral to other community services).<br/>-Bereavement support for people with complex needs (this may be via referral to other community services).<br/>-The specialist MDT will deliver training and education as for wider generalist workforce (eg. GPs, Care home staff, District Nursing) and the person’s carers to ensure they have the relevant skills and know when to seek specialist advice.<br/>-Support for personalised care and support conversations and advance care planning, including emergency care and treatment planning and accessing NHS continuing healthcare funding and care.<br/>-Parallel planning with condition-specific teams, e.g. heart failure specialists, respiratory team, complex neurological diseases team – this is appropriate for people whose recovery is uncertain.<br/>-Support for end of life decision-making, including preferred place of care if important to the person.<br/>-Support access to specialist equipment in the home. <br/>-Input into MDTs, pre- and debriefs relating to a person’s death, and other professional meetings, at hospitals, hospices and in the community.<br/>-The MDT should work closely with other community and acute services to achieve seamless care in line with the agreed personalised care and support plan for patients. <br/><br/>Assurance of delivery against the key objectives of a SLPC MDT: <br/>-Use the personalised care and support plan co-produced with the patient and those important them, and where applicable an advance care plan (or equivalent), and support implementation of a plan where required.<br/>-Advise on equipment and resources required to support the patient; ensure this is available at the right time and in the right place.<br/>-All medicines and prescribing are available when needed, with appropriate specialist support as required.<br/>-All transfers of care are planned for with plans communicated, e.g. discharge or between care settings.<br/><br/>Staffing requirements: <br/>-Consultants in palliative medicine – who may provide clinical leadership across a number of locality teams.<br/>-Nurses specialising in palliative care.<br/>-Within a locality, the SLPC MDT must have arrangements in place with the following professionals experienced in palliative care: physiotherapists, occupational therapists, social workers, practitioners with recognised postgraduate qualifications in psychological care and experience, practitioners with spiritual care experience, dietitians, speech and language therapists, pharmacists, specialists in interventional pain management.<br/>-Established liaison with primary care networks and social care, and mechanisms for them to contribute to MDTs.<br/><br/>Capable provider can submit their interest by 17:00 on 31st March 2023 via nhsnwl.contracting@nhs.net and include a 300-500 word summary of how their organisation meets the set out condition of participation set out in the FTS PIN notice.<br/><br/>The ICB is committed to assess the needs of the service users and consider how it needs to secure the needs of the people, and improve the quality and efficiency in the provision of the services including through the services being provided in an integrated way.