To get you started, at the end of each Standard, there’s an example SMART goal.
Full list of standards and evidence-based tools that can be used (PDF file, 481 KB).
Full breakdown by standard
Standard 1: Professional and competent clinical and non-clinical staff required to provide high quality, safe and compassionate care in Advanced Serious Illness and EOLC
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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1.1 Ensure that each individual staff member (clinical and non-clinical) understand their role and responsibility for Advanced Serious Illness and EOLC |
1.1a Ensure individuals can demonstrate an understanding of which skills relate to their role and consider staff training requirements to support Advanced Serious Illness and EOLC core standards |
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Standard 2: There is early identification and recording that a person, has an Advanced Serious Illness, or EOLC needs.
The General Practice commits to: |
To meet this Standard the practice commits to: |
Self-Assessment |
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2.1 Early identification of patients
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2.1a Understand how to identify people who have an Advanced Serious Illness, or EOLC needs |
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Standard 3: Carer Support – before and after death.
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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3.1 Early identification of carers
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3.1a Achieve consistent identification of carers |
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Standard 4: Seamless, well-planned, coordinated care.
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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4.1 Multi-disciplinary team meetings |
4.1a Understand the role and optimum outcomes of the MDT meeting in Advanced Serious Illness and EOLC |
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You can use the following documents found on the learning resources page to assist you in collecting data.
- Daffodil Standards: Example EoLC audit dataset SMART goals.
- RCGP Marie Curie EOLC example audits MDT template - to prospectively collect and monitor relevant information for people on palliative/ supportive care register.
- Example after death audit report template - use relevant criteria from MDT template to audit deaths, for example last 20 deaths (all causes, on and off palliative/ supportive care register).
- Presentation of audit and share learning outcomes at MDT.
- Share learning outcomes with wider stakeholders, as necessary. For example, other practices in primary care networks/ federations/clusters (Wales), Clinical Commissioning Groups/ HSCP (Scotland), acute providers and community providers.
Standard 5: Care is based on the assessed unique needs of the patient, carer and family.
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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5.1 Implement Personalised Care and Support Planning (PCSP) |
5.1a Understand the role and optimum outcomes of Personalised Care and Support Planning (PCSP)/Anticipatory Care Planning (ACP) |
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Standard 6: Quality care during the last days of life.
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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6.1 Provide care in the Last Days of Life, that aligns with the Five Priorities for Care: |
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A practice policy agreement on caring for patients and those important to them in the last days of life, to recognise the objectives from the Five Priorities of Care above, to include:
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6.3a In practice mortality review for all patients using RCGP Marie Curie EOLC example audits MDT template and Example after death audit report template found on the learning resources page.
At each MDT, discuss, complete and record mortality reviews on all deaths between MDTs, ideally monthly. >br>SEA for deaths covering the last days of life, written up and discussed with the practice team.
Share learning outcomes with team and wider stakeholders, as necessary. e.g. CCG, GP cluster group (Wales), HSCP (Scotland), hospitals, community providers.
Standard 7: Care after death and Bereavement Support.
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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7.1 Have understanding and be able to manage grief and bereavement
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7.1a Understand the process of anticipatory grief and bereavement |
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Standard 8: General Practice being hubs within Compassionate Communities.
The General Practice commits to: |
To meet this standard the practice commits to: |
Self-Assessment |
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8.1 Support the development of compassionate communities |
8.1a Develop the practice itself as a compassionate community |
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