Delivering choice in end-of-life care

End of life care needn’t take place in a hospital – at Apex HSC we believe that care at home can be more comfortable and better suited to individual needs.

The National Voices Survey of Bereaved People taken by the Office for National Statistics found earlier this year that only 29% of people who died in hospital were said to have had enough choice about where they died, compared to the 88% of those who died at home.

As well as being an expensive option for the NHS, patients with terminal illnesses who remain in hospital may not be given the choice to continue their treatments and care at home. Annual mortality statistics reveal that the majority of people would prefer to die outside of a hospital setting, with around 40% of patients who died in hospital after a terminal illness potentially could have been care for elsewhere.

Apex Health + Social Care are advocates of patient choice. We have a range of care packages to suit every individual, and can tailor each to suit specific care needs and requirements.

We recognise that the best place to be cared for is at home, which is why we offer a range of services that are flexible and adaptable to your ever changing needs. Our services include supported living for those with physical disabilities and on-going medical needs, continuing healthcare for those with complex needs who wish to be supported in their own homes and end of life care for those wishing to spend their final days at home.

To find out more about what you can expect from us please click here.

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New patient charter backed by MPs

New guidelines could change the way end of life care is administered to patients with terminal illnesses.

Thanks to a re-evaluation of the patient charter constitution by the Liberal Democrats, patients placed in same sex wards could be eligible to sue  the NHS. Also in the plans to shake up how patients rights are protected, families of patients are to be consulted before medical staff place them on the Liverpool Care Pathway.

The Liverpool Care Pathway
The LCP is a care plan which was created to enable end of life care to be administered with a greater amount of dignity and comfort for patients. Due to the sensitive nature of any care plan that deals with the structured or manageable death of a patient, the  Liverpool Care Pathway has been met with some dissent by the media after a number of isolated cases where the LCP was administered under non-ideal circumstances.

The LCP was developed during the late 1990s at the Royal Liverpool University Hospital, in conjunction with the Marie Curie Palliative Care Institute.The goal of the LCP is to ensure a death is as dignified and as peaceful as possible.

The LCP was introduced to reduce issues arising such as:

  • patients being subjected to invasive testing and treatment that offered no chance of preventing death
  • causing unnecessary pain and suffering by needlessly prolonging life
New guidelines in proposed Patient’s Charter
The following list notes the proposed new guidelines as presented by health secretary Jeremy Hunt.

Respect for staff – or no treatment

You should treat NHS staff and other patients with respect and recognise that violence, causing a nuisance or disturbance on NHS premises could result in prosecution and that abusive or violent behaviour could result in you being refused access to the NHS.

Prompt apology if things go wrong

To ensure that if you are harmed while receiving healthcare you receive an appropriate explanation and apology, delivered with sensitivity and recognition of the trauma you have experienced, and know that where mistakes have been made, lessons will be learned to help avoid a similar incident occurring again, and to ensure that the organisation learns lessons from complaints and uses these to improve NHS services.

Decisions on end-of-life care

You have the right, to be involved fully in all discussions and decisions about your healthcare, including in your end of life care, and to be given information to enable you to do this. Where appropriate this right includes your family and carers.

Single sex wards

If you are admitted to hospital, you will not have to share sleeping accommodation with patients of the opposite sex, in line with details set out in the Handbook to the NHS Constitution.

For more information about the Liverpool Care Pathway, visit: http://www.nhs.uk/news/2012/11November/Pages/What-is-the-Liverpool-Care-Pathway.aspx

Personalisation In Care

Apex health + Social Care look to provide personalised and appropriate care for every patient.

Personalisation in Care is a popular topic within the social care industry, and at Apex Health + Social care the utmost priority is given not only to a patient’s needs, but to their wishes too. If the best option for patients and their families is a tailored homecare package, our aim is to give direct access to support services that enable patients to continue with independent living.

Choice and control over care led by personal budgets and direct payments can mean that our flexible care services can range from a 15 minute “pop-in” visit any number of times per week, to a fully-inclusive domiciliary care package providing help and support around the clock.

Every step we take in delivering a ‘support and care package’ is governed by strict and tested quality controls. Our own Quality Assurance Policy and external governance by the Care Quality Commission ensures that a professional, courteous and quality service is provided at all times.

For more information on our personalised care packages from elderly and domiciliary to end of life care, or to find out more about becoming an Apex carer, find us on Facebook or Twitter or contact us.