End of Life Care in Hillingdon

Description

This service sets out the Specialist Palliative Care Services that is commissioned and provided for the adult (aged 18 and over) GP-registered population in the borough of Hillingdon, who by virtue of the operation of guidance in respect of identification of the responsible commissioner are the responsibility of NHS Hillingdon CCG. This includes residents from adjoining boroughs registered with Hillingdon GPs (within a two mile radius). The Provider will provide Specialist Palliative Care to patients with progressive, incurable disease for whom death is foreseeable. The majority of patients will have cancer, but appropriate care will be offered to patients with al end-stage conditions, such as those with Motor Neurone Disease, Heart Failure and COPD. Where possible, care will be provided for people in their own homes. The Provider will operate collaboratively as part of the health and care system in Hillingdon, cultivating and maintaining strong and positive relationships with relevant stakeholders and complementing the direction of travel towards an integrated care partnership. The provider will ensure that the services specified operate in a seamless and constructive way avoiding unnecessary duplication of activities, resources or capacity. The Provider will provide the following services, which are detailed within the service specification: • Hospice-based Inpatient Unit -provides a minimum bedded unit of 10 beds for specialist respite care, symptom control, and terminal care for those patients who cannot be supported in the community; this would include an in-reach model into acute Trusts with a particular focus on The Hillingdon Hospitals FT. • 24 hour consultant-led phone line - a consultant staffed phone line for the use of health care staff providing support to front line clinicians to enable symptom control and • Day care -with the Michael Sobell Hospice Charity provides day hospice services that deliver personalised outcome-based care plans for patients based on their individual needs. Providing medical and clinical consultation and care, access to a multidisciplinary team, a range of complementary therapies, arts activities, exercise in a range of settings, including hospital, in the home and hospices/palliative care centres. The professionals who provide this care include palliative medicine consultants, palliative care nurse specialists, allied health professionals and those able to give spiritual and psychological support. The services they provide include: assessment, symptom control and involvement in treatment decisions, advice and care in all settings, coordinated home support with general providers to enable patients to stay at home, day care services, family support, bereavement support, and education and training. Lot 1: Along with 7 other CCGs in the area, NHS Hillingdon Clinical Commissioning Group is to be incorporated into a new CCG from 1st April 2021 - North West London Clinical Commissioning Group (CCG). A period of review is required from April 2021 to agree the future model of care and to identify the commissioning strategies for services across NW London for the coming year and beyond. The existing contract is therefore being modified to extend its duration for an interim period of 7 months in order to enable this review to take place The CCG has assessed that the service needs to continue whilst a review is completed, and new commissioning plans are developed by the newly formed North West London CCG from April 2021. This contract modification is assessed to be proportionate and lawful under Regulation 72(1)(b) The existing contract is being modified through contract variation to extend its term by 7 months which will increase the overall value of the contract by £525,000 during this additional term. Additional information: This 7-month interim contract will allow the newly established NHS North West London CCG to continue the discussions for consistent commissioning and contracting on the following areas (this is dependent on the findings of the NWL ICS Review of all EoL/SPC services in NW London): • Contractual framework for commissioning at NWL ICS level • Finance and staffing resources aligned and consistent with greater demand for Health Inequalities - determine and agree how resources will be allocated • Models of Care - agree consistent and standardised NWL ICS-wide delivery model to ensure effectiveness, efficiencies and excellent pt. experience across all levels of service delivery whilst meeting local Hillingdon Borough population health & care needs • Reporting - agree consistent reporting principles and processes taking into account NWL ICS and Hillingdon ICP levels of good governance and robust assurance processes. • Key Performance Indicators (KPIs) and Outcome Measures (OM) - review current KPIs and outcome measures to see if they are still fit for purpose and are capturing the right information needed for performance monitoring and reflective of the outcomes being measured impacting patient care.