Linking to education standards framework- don’t repeat content 

Access to education that meets the education standards 

Supervision and support for staff- reduce variation (best practice) – management vs clinical supervision- social care won’t have this level

Clarity – CCG don’t currently commission education – 

Educational- supervision - ensuring people in management adequate time for appraisals and identify development needs - resources commissioned 

How do we define what is commissioned and what is expected as part of usual provision? 

Specification – competent to deliver a service is an expectation 

How people go about that is down to them- expectations of education – rolling programme – adopt standards for all providers 

Careful wording 

 

[13:25] MANSELL, Ceri (NHS CHORLEY AND SOUTH RIBBLE CCG)I agree with Miriam. I think that there is an expectation that staff will recieve clinical supervision ans that is something CQC wouls expect too

 

[13:25] Stewart Katherine (LTHTR)

Is there something about commissioning a large enough workforce for people to have time to attend training?

Adequate workforce- Enough staff to allow time for staff release for CPD and to deliver training to others 

Education is first thing to go when pressures are high

 

Workforce planning- demand 

 

Differences across L&SC re how end of life is commissioned – some are via grants and some contracts 

 

Social care- funding isn’t always considerate of end of life training – expected to do it in their own time 

 

The quality of education needs to be considered – not just eLearning and in your own time 

 

Wider implications and of the workforce training not just ad hoc funds – needs sustainable models of delivery and responsive to changing needs 

Domiciliary care - education needs to go across health and social care - anyone who is paid to do the job as well as the unpaid carer 

System response- trained up family carers to give medication 

Board representation - ICB/Trust eol leadership

Nothing specifically commissioned by the CCG

Hospices leading compassionate communities 

If health commissions this, it shouldn’t be done in isolation 

Public health campaigns- funded through adult social care. Aside from population needs assessment.

Importance of it being included in the framework even if it isn’t commissioned by health – next text book about to come out on public health and palliative care 

Place based end of life groups 

Last aid project- needs commissioning and development 

seek best practice examples from nationwide

what about social prescribers - engagement and commissioning - raising awareness 

personal health budgets

volunteers- use voice to raise awareness , recruitment to the topic and helping the compassionate communities approach

key area engagement in discussions-  Wales have an advance and future care planning attended by different organisations that are helping with the conversations. where does the responsibility lie for this to be done.

[14:00] DIXON, Victoria (BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST)

is there something around resource to engage with public campaigns like dying matters/national grief week etc?

[13:53] BAIRD, Miriam (NHS MORECAMBE BAY CCG)

There will be Last Days Matter which the Lancaster compassionate community is creating, 5 videos run a bit like ~Dementia Friends which covers all aspects of death and dying importance of not making it too clinical 

[13:54] BAIRD, Miriam (NHS MORECAMBE BAY CCG)

Public Health need to be included as well as County council commissioning who would be commissioning dom care staff

[13:55] BAIRD, Miriam (NHS MORECAMBE BAY CCG)

 here is the project in North Cumbria which has has just had funding to do a Lets talk bereavement to help enable staff in services to be able to talk with people 

[14:00] DIXON, Victoria (BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST)

is there something around resource to engage with public campaigns like dying matters/national grief week etc?

need to get public health engaged.

Variations across areas- clarity of who we need involved. Variations in county council engagement. 

Palliative care hub- cascading some of this work to be led and coordinated- focal point . Importance not just during dying matters but throughout the year.