Standard 8: General Practice being hubs within Compassionate Communities - Example GP Practice Team EOLC group exercise

Record: Those attended, apologies, and date of meeting.

The aim

  • For each staff member to tap into their own feelings of what would be expected within the practice to actively support the practice team (clinical and non-clinical) in personal death, crisis, loss.
  • To develop a robust practice system to collect patient and staff feedback.
  • To develop and keep updated a system accessible by professionals and patients with a list of services and support groups in the local community.

Principle

  • Create and embed a culture of compassion within the practice, felt by all staff, patients and those important to them.
  • General Practice hubs linking compassionate health support with non-medical supportive networks within your local community.

Task 

  1. Consider how the practice regularly collects, analyses and shows learning from staff experience.
  • Does the practice routinely offer staff the opportunity and safe space to debrief and give feedback? i.e. the impact of handling crisis, dying, death and bereavement on staff members and to understand their experience of care provided.
  • If yes, by what method, for example, informal, formal? How is this structured?
  • How does practice leadership involve staff to help develop a supportive, caring environment for staff?
  • How will lessons learned improve future practice? Is there an action plan?
  1. Consider how the practice regularly collects, analyses and shows learning from patient and family/ carer experience to continue to improve the quality of care (See examples - Experience of care questionnaire - Briefing notes on patient experience of care questionnaire - commitment form - PEoC phase one report)
  • Does the practice routinely offer patients and carers/those important to them the opportunity to give feedback? i.e. to understand the care they received, services used, gaps in care and services, outcomes linked to their care plan etc.
  • Does this include the last days and hours of life and care after death?
  • If yes, by what method, for example, informal, formal? How is this structured? For example, routine survey (see example above)?
  • How often does the practice sample to try and avoid bias and enable comparison year on year, for example, sent to a reviewed sample of XX carers and family members each year over September-November?
  • What are the strengths and weaknesses of different methods?
  • How will lessons learned improve future practice? Is there an action plan?
  1. Is there a system available and accessible (online or information sheet) to professionals and patients with a list of services and support groups?
  • What non-health support networks and groups and available locally?
  • How does the practice promote these local supportive networks within the community?
  • What works well? What are the gaps?
  • How does the practice collaborate/ support development of peer-led and voluntary groups?
  • How does the practice involve your Patient Participation Group and/or patient or carer champions for the practice?
  • What opportunities are available to collaborate with your GP networks, CCG and wider health and non-health systems , for example, schools, places of worship, voluntary sector organisations etc?

Informing part of the evidence on Standard 8

  • System to learn from patient and staff feedback
  • List of services and support groups in the local community – accessible to professionals and patients
  • Patient and Public involvement and leadership
  • Action plan for improvement based on qualitative patient and staff feedback

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QI 8: Continuous Improvement

Regular SEA and debrief meetings in order that lessons can be learned from EOLC and deaths. The lessons are shared with the relevant people. Annual evaluation of compassionate organisational culture.

Use Peer GP Networks to consider and compare your practice’s ambition and to share learning – successes and improvement plans.

General continuous improvement:

If an indicator has not been achieved consider utilising a Plan Do Study Act cycle 

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