Allied professionals have a role in shared decision-making

Researchers in Canada examined how professionals other than doctors can be involved in shared decision-making about life-prolonging care. Thirty-seven professionals were interviewed, comprising nurses, dieticians, occupational therapists, orderlies, pastoral workers, doctors, physiotherapists, respiratory therapists and social workers. All of these professionals were involved to some extent in communicating with patients about their goals of care. Two paper forms to support documenting patient care goals were developed. The researchers concluded that interprofessional collaboration can help facilitate patient participation in decisions about care.

Reference: Sohi J, et al. Improving health care professionals’ collaboration to facilitate patient participation in decisions regarding life-prolonging care: An action research project. Journal of Interprofessional Care. 2015

End of life care

The National Palliative and End of Life Care Partnership which includes Care Quality Commission, Public Health England and the Association for Palliative Medicine has jointly published Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020. This guidance details the work that several organisations have agreed to do to improve local services, enabling people who use these services to have fair access to care, and that any care is based on individual needs.

ambition

Improving length of stay: what can hospitals do?

Nuffield Trust

This report on length of stay by the Nuffield Trust is part of a larger project undertaken by Monitor which aims to find the best ways to improve quality of care across the health system in light of recent pressures on urgent and emergency care. It explores what approaches to reducing length of stay have been (and could be) effective, providing a set of measures for improving length of stay that are within the control of the hospital itself.

Jointly commissioning palliative care for children and young people aged 0-25

Together For Short Lives:

This guide aims to help CCGs, local authorities and health and wellbeing boards in England to work together to improve commissioning for palliative care for children and young people. It also helps them to plan and fund services which provide good quality care when and where they need it. The guide sets out what local areas must and should do to implement the special educational needs and disability reforms, the Care Act 2014 and the new approach to funding palliative care.
Please note this guidance requires free registration for full-text access.

Increased mortality associated with weekend hospital admission: a case for expanded seven day services?

BMJ

This article discusses the findings of an updated analysis of weekend admissions and the implications for service design for acute care in the NHS. It finds that patients admitted at the weekend are more likely to be in the highest category of risk of death and estimates that around 11,000 more patients die each year within 30 days from admission occurring between Friday and Monday compared with admission on the remaining days of the week.