Palliative Care

 

Regional palliative care projects related to the New Zealand Specialist Palliative Care Service Specifications (draft) include:

 

End of life care programme

 

The Liverpool Care Pathway (LCP) is an integrated care pathway that empowers generalists to provide quality, evidence-based best practice and is used in the last hours or days of life. 

 

The Midland Cancer Network brings stakeholders together to regionally facilitate and support the Midland districts to implement the end of life LCP.

 

2009-10 LCP work programme includes:

o         development of a district wide implementation framework

o         development of a district wide progress reporting tool

o         development of the principles and plan for implementation of the reflective data cycle (ongoing measurement and quality improvement component of LCP).  

o         facilitating an annual Midland LCP facilitators meeting.

 

 

Service development fund initiatives

 

The Midland Cancer Network will support the service development fund initiatives relating to palliative care.  These include:

o         Rotorua Community Hospice – “Rotorua district Liverpool Care Pathway of the dying pathway project “. 

o         Hospice Eastern Bay of Plenty - “Improving Palliative Care outcomes for rural Maori palliative care patients”.

 

 

Specialist palliative care education for generalist staff

 

In 2008 the Midland Cancer Network area agreed to work collaboratively to develop a specialist palliative care education framework for generalist nurses and carers. 

 

This project was completed in 2009 and resulted in:

o         a Midland model for providing palliative care nursing education at 3 levels – foundation, intermediate and specialist

o         a Midland framework of core education

o         the publishing of an annual Midland education calendar detailing programmes offered 

o         agreement to further develop access to education for generalist nurses and carers across the Midland region.

 

The 2009-10 work programme includes:

o         further development of registered nurse palliative care education

o         supply and demand analysis for the midland region

o         research into new learning opportunities e.g. on-line learning

 

Associated documents: 

o         Midland Specialist Palliative Care Framework for Generalist Nursing and Carer Education –September 2009.

 

 

Midland DHBs palliative care strategy plans

 

The Midland Cancer Network will facilitate the review and refresh of the Midland district’s Palliative Care strategy plans. 

 

Documents:

o        Waikato Palliative Care Strategy Plan 2005-2010 (2005)

o         Project plan and scope – under development

24/7 telephone advice and support for generalists (medical and nursing)
The Midland Cancer Network area has 24/7 specialist palliative care medical and nursing telephone advice and support.  This includes:

Waikato

Daytime Monday to Friday: For specialist medical and nursing support phone Health Waikato Palliative Care Service 07 839 8691.

After hours medical advice: phone Waikato Hospital 07 839 8899 and ask for the palliative care specialist on call.
After hours specialist nursing advice: phone Hospice Waikato 07 859 1260.

Lakes

Daytime:   Taupo Hospice 07 377 4252
                 Rotorua Hospice 07 347 0324

24/7: Health Waikato Palliative Care Service - 07 839 8691 and ask for the palliative care specialist on duty or on call.

Bay of Plenty

Hospice Eastern Bay of Plenty 07 307 2244
Waipuna Hospice 07 552 4380

The Health Waikato specialist palliative care medical team provides 24/7 specialist medical telephone advice service for Waikato and Lakes districts.