Anticipatory Care Planning: Making It Happen

2. Anticipatory Care Planning (ACP) Time to Make it Happen 9.30-9.45 Welcome and Introduction -Diane Murray 9.45-10.00 Making it happen –recap 10.00-10.15 Setting the (Music) Scene 10.15- 11.00 Realistic Ageing (Martin Wilson) 11.00-11.15 Coffee to go 11.15-12.45 ACP Workshops (2 of 3) Early Interventions, better outcomes Children and Young Adults Ayrshire Innovations 12.45- 13.30 Lunch 13.30-14.10 Tests of Change Advocacy Power of Attorney ACP Nursing Team ACP Technology 14.10-15.30 Seven Songs for a Long Life- Film and Workshop (Amy Hardie) 15.30-15.35 Close

3. Quick recap...how we got here ACP Task and Finish Group Improvement Collaboratives Living Well in Communities National ACP Programme Board National Action Plan for ACP

4. National Action Plan for ACP Ensure delivery of ACP for all who would benefit : 1. Raise awareness and profile of ACP and mainstream ACP principles within health and care 2. Share Information Supporting people to develop their plan Design ACP material for individuals Focus on early intervention Supporting professionals to work together Increase access to the Key Information Summary (KIS) 3. Work to ensure carer support aligned with ACP

5. What do we mean by ...ACP ? Working with individuals and their carers Right info Right Action Right Time Right person Person centred and pro-active Improving understanding situation and condition Having the right conversations Co-ordination of care Identifying those who will benefit Make informed choices

6. Trajectory Onset Crises Phase Acute Phase Stable Phase Unstable Phase Downward Phase & Frailty Dying Phase Making it Happen- Recognising opportunities (Adapted from McCorkle& Pasacreta 2001) ACP Opportunity ACP Opportunity ACP Opportunity ACP Opportunity ACP Opportunity ACP Opportunity ACP Opportunity ACP Opportunity

7. Think Ahead Think ACP- ACP Triggers- Condition Situation and Assessment • Elderly and living alone, housebound • Complex physical, mental health or social support needs • Infants, children and young people with complex and palliative care needs • Unscheduled care access • Carer stress • Condition(s) specific (disease registers) • Risk predictive tools (SPARRA, frailty, complexity, lifecurve) • Collaborative assessment

8. Raising the Profile • National Workshops • ACP Programme Board • SGHD • International Foundation of Integrated Care • Networking across Scotland

9. Primary Care Mental Health CHAS &Childrens Services Local Authorities The Alliance Advocacy Palliative Care Carers Unscheduled Care Scottish Government Scottish Care LWIC Housing SCVO Older Peoples Services Health Inequalities Technology Collaboration Rehab Teams Public Health ACP Is everyone’s business

10. Person-centred care with personal ownership Developing Support Material Documents and Apps

11. Tests of Change Advocacy Developing and Testing Documentation and App Power of Attorney Identifying vulnerable individuals Early intervention Ways of Working Care Homes and Care Inspectorate Professional Education Media KIS and ECTP

12. 8.4% 4.1% 4.9% 5.9% 4.4% 4.1% 3.5% 7.3% 6.6% 4.5% 5.5% 4.6% 6.5%4.4% Current % of ACPs per population The value of a KIS....? ACP/KIS Group set up NSS Commissions -ACP Data Gathering -and KIS Links with whole system and ReSPECT Potential 30-50% reduction in admission

Notas do Editor

Time of change....and opportunity

Anticipatory Care Planning: Making It Happen

Recomendados

Recomendados

Mais conteúdo relacionado

Mais procurados

Mais procurados (20)

Destaque

Destaque (20)

Semelhante a Anticipatory Care Planning: Making It Happen

Semelhante a Anticipatory Care Planning: Making It Happen (20)

Último

Último (20)

Anticipatory Care Planning: Making It Happen

Notas do Editor