Quality Account 2014/2015 www.willow-burn.co.uk Chief Executive Statement I would like to thank all of our staff and volunteers for their achievements over the past year. The hospice continues to provide high quality services to an increased number of patients, thanks to generous support from our local community of individual and corporate donors as well as grant giving organisations. The improved environment in the new hospice building has made a tremendous difference to patient and staff well-being. The CHKs Accreditation process helps to bring a much needed focus on quality within the organisation and ensures that staff are aware of how to raise concerns about quality and safety. During this reporting period the hospice has developed a Workforce Forum to enhance workforce engagement across the organisation. We have also continued to host Volunteer Cuppa and Catch up sessions and a Champions Forum. We hope to develop an Ambassadors Forum in the coming year to continue to take forward the work of the hospice and ensure that our community engagement is as strong as it needs to be to keep the local community aware of services and ways to get involved. Following the CQC unannounced inspection in July 2014, it was confirmed that all standards inspected were met and inspectors concluded that the hospice care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. Patients were actively asked their views on the care provided and their comments included: “Everyone was very friendly and had all the time to sit down and talk to us” “Yes, spoke to me the morning after my wife was admitted and reminded me they are there if needed. Thank you for that!” “Visiting Willow Burn opened my eyes to the fact it is not the scary end of life experience I thought. The care and treatment she (his wife) was given and I was given was second to none” This is a tribute to the hard work of every member of staff who works for Willow Burn Hospice and the volunteers who provide dedicated support. The hospice has a culture of continuous quality monitoring, in which any shortfalls are identified and acted upon quickly. The safety, experiences and outcomes for patients and their families are of paramount importance to us all at Willow Burn Hospice. I am responsible for the preparation of this report and its contents. To the best of my knowledge, the information reported in this Quality Account is accurate and a fair representation of the quality of healthcare services provided by our hospice. Helen Mills | Chief Executive 24th May 2015 02 www.willow-burn.co.uk 2014/15 has seen significant steps forward for service delivery at Willow Burn with the opening of the purpose built facility for Day Hospice and office space. This new facility has allowed us to work together in a more conducive environment and has huge potential in enabling us to further develop services in response to our local populations needs. Looking forward: Priorities for improvement 2015/2016 Priority 1 Patient Safety - “Harm Free” Care An appointment of a health practitioner with a specific role around the responsibility for patient safety improvement projects; there will be a focus on ensuring that ALL staff are fully conversant with risk management and implementation of safer care. All patients referred to Willow Burn for care will have a risk assessment undertaken before admission that the care delivered is as safe as possible. Measures:• Monitoring of falls, pressures sores etc., (Dashboard) • Increased feedback from respite patients on optimising the therapeutic benefits • Increased capability and capacity in both organisations Priority 2 Service User Engagement A key challenge for Willow Burn is to ensure that the services we deliver are meeting the needs of our local population. Conversations are to be started to explore what people’s expectations are about hospice care and how we might widen access to services, particularly in supporting people to access ALL the services they need towards the end of their life. We will work with external agencies to ensure that a person-centred and holistic care plan is developed. It is anticipated that hospice services will play a key part in helping people navigate through the complex health and social care terrain. A series of focus groups are to be held at Willow Burn facilitated by the Durham Community Engagement team and we hope that this will be the catalyst for discussions with other care providers to ensure the development of seamless care. Measures:• Increased response rates to friends and family test • Establishment of regular focus group sessions at Willow Burn • Identification of service improvement projects informed and guided by service user feedback www.willow-burn.co.uk 03 Priority 3 - Staff Development Staff working in the hospice will be encouraged to continually enhance and progress their skills and knowledge to ensure we meet the needs of our patients and family. Our Human Resources team alongside senior clinical staff will work with ALL staff across the organisation to establish key areas for development and enhancement that will ensure the continuation of service delivery at Willow Burn. A programme of regular supervision sessions and Multi-Disciplinary Teams meetings will be established to ensure that all clinical staff are supported in their roles and are actively encouraged to seek novel ways of working to improve the patient experience. Day Hospice staff and volunteers 04 www.willow-burn.co.uk Measures:• Regular supervision sessions to facilitate support and learning from practice • Establish of relationships with education providers to ensure staff have access to CPD • Identification of service improvement/ practice development projects • Dissemination of learning from projects at the Hospice UK conference 2016 Progress Update Priority 1 - Clinical Audit Programme Progress Update Willow Burn continues to focus on continuous quality improvement and we continue to develop methods of sustaining improvements through a systematic approach to improving professional practice. Audit results have highlighted that where changes are necessary to improve the patient care experience these changes have been implemented, and as a result of this coupled with greater staff involvement in the audit process, compliance has also increased. Examples of this include the audit of medicines management and documentation audits. These have both demonstrated the value of a method of regular audit that demonstrates good practice and helps underpin continued ways of improving practice. Our Clinical Governance Working Group meets on a bimonthly basis and continues to monitor performance and has noted an increased compliance to documentation standards and improvement in patient safety. This is evidence that systemisation of processes can lead to embedding best practice and increase awareness of how audit can improve patient care. Measure Achieved/Not achieved Continued participation in the audit programme Clinical Audit objectives identified and included in the new Clinical Services Strategy Development of a Clinical Audit Working Group Activities and discussion embedded in Clinical Governance working group terms of reference Re-audit results confirm improvements in practice through organisational systemisation User involvement in the clinical audit working group Service user/carer representative appointed to Clinical Governance working group www.willow-burn.co.uk 05 Priority 2 - Improving Care for Patients with Dementia Progress Update The hospice has sought to ensure that we are able to provide the best possible care for people with dementia. It is unlikely that we will be caring for people with a sole diagnosis of dementia. The added burden of dementia for people with co-morbidity has been the priority for Willow Burn and we have ensured that we are providing excellent end of life care for people with dementia. We have undertaken an environmental audit based on the Stirling Model and have identified that signage and navigation (way marking) is a key improvement. We will aim to create a dementia-friendly community at Willow Burn Hospice and identify patients with dementia and other causes of cognitive impairment alongside their physical conditions and ensure that the hospice delivers high quality care to people with dementia. We are also establishing ways to care and provide support for their carers. Measure Undertake a monthly audit of patients and identify the number of those with dementia referring to GP if appropriate Undertake a monthly audit of carers of people with dementia to assess whether they feel supported Provide dementia awareness training for all clinical staff Action achieved against reasonable adjustments from environmental audit Improving care for patients 06 www.willow-burn.co.uk Achieved/Not achieved Priority 3 - New Hospice Build Development Progress Update With the completion of Phase One the Day Hospice, out-patient and office facilities were opened in July 2014. The services delivered in the new facility have thrived thanks to the conducive environment and we have been able to offer more services from the building. We have also invited colleagues to view the facility and suggest ways of developing new services and also raise awareness of the services Willow Burn can offer the local population. This has included exercise programmes for people with heart failure and people living with and beyond cancer. We continue to make every effort is being made to generate the funds needed to build Phase Two. Phase 1 new build www.willow-burn.co.uk 07 Statements of assurance relating to the quality of healthcare services provided Aim Willow Burn Hospice aims to improve the quality of life for those who are living with a life limiting illness and also provide care and support the families of these patients. We also offer positive support for every challenge that they may encounter during their illness and see death as part of life’s journey. Review of Services During 2014/2015, Willow Burn Hospice provided the following services:1. 2. 3. 4. 5. 6. Inpatient Care Day Hospice Family and Bereavement Support Community Services Specialist Lymphoedema Acupuncture 1 Inpatient Unit This unit has 4 beds and provides end of life care, pain and symptom management and emotional and psychological support. One bed is designated for respite care and has been utilised widely by patients and carers and patients have the option of 12 weekly return for respite care. Full nursing assessment is undertaken on each admission and patients are invited to participate in Day Hospice activities and also access complementary therapies, patients and carers are also contacted prior to admission to ensure we are aware of any changes in condition or treatment regimes. 2 Day Hospice Programme During 2014/2015 Day Hospice services have continued to provide a flexible service to a wide range of patients with both a cancer and a non-cancer diagnosis. The new facilities have enhanced our offerings and the space available allows for a very flexible use and has enabled a wider range of activities to be offered. This has included movement, art and singing. Our 12 week programme offers patients a structured approach and provides an opportunity for people to identify their main problems and concerns and to work towards jointly agreed goals in the management of their illness. The programme is holistic in its approach, maintaining a high quality of physical, psychological and spiritual well-being ensuring patients are enabled and supported during their disease journey. 2014/2015 saw an increase in attendance at Day Hospice demonstrating the value of the accessibility and acceptability of the services. The Day Hospice led by the Therapy Team runs on a sessional basis (morning and afternoon). Patients can choose to attend from an hour up to a full day depending upon their needs and how they feel that the programme might best meet their needs. The LeBed Method (a therapeutic movement programme for people with any type of chronic illness) forms the first hour of every session, with the aim of promoting wellbeing. Patients then have the choice of accessing a varied programme of activities throughout the rest of the day. This includes, reiki, massage, manicures, art therapy, poetry. Our family support worker regularly attends the sessions and patients/carers are able to have conversations around care planning, will writing and grief and loss. 08 www.willow-burn.co.uk 3 Family and Bereavement Support The Family Support Service offers free, confidential, practical and emotional support/ counselling for people of any age, who have been diagnosed or affected by the diagnosis or the death of someone with a life-limiting illness. This service is delivered in the hospice, place of work, home or elsewhere in the community e.g. college. The team have regular contact with local schools, offering support to staff and also encouraging early referral for young people who may be experiencing a death in the family. Our team also work into the in-patient unit and always make contact with every patient admitted to the hospice and their friends and family to assess their requirements for support. The team have introduced a new assessment tool for patients to complete, this Dignity Therapy Inventory enables patients to identify their priorities in relation to problem solving and being able to have meaningful conversations about planning care for the end of their life. Evaluation All Family Support Activity is currently evaluated to measure therapeutic outcomes using a customised version of the national system of CORE evaluation, and overall service satisfaction. For this project we anticipate developing a specific measurement tool, again using CORE that may be accessed at www.coreims.co.uk/About_Core_System_ Outcome_Measure.html. We will measure clients overall well-being against a range of criteria before and after service provision. Using a using a 5-point scale ranging from ‘not at all’ to ‘most or all of the time’. •Subjective well-being •Problems/symptoms •Life functioning •Risk/harm The bereavement service we offer at the end of every month is a key resource we offer and enables a time and space for relatives, friends and staff to remember those people known to the hospice who have died. This is facilitated by the team and is another way to offer continued support to friends and family post-bereavement. The team have office accommodation in our new building and the counsellor now has a dedicated room to offer the sessions and this is a space that enables a highly professional delivery of counselling support. www.willow-burn.co.uk 09 4 Community Services The Therapy Team offer a palliative care service to Derwentside patients in their own home or care home providing specialist Occupational Therapy and Physiotherapy. The roles currently offer functional and mobility assessments, provision of equipment and the delivery of specialist treatments such as neurological rehabilitation and management, CBT and acupuncture. Our aims are to deliver the service in the most appropriate place for the patient, reduce the need for inpatient admission and support work towards a timely and safe discharge. In 2014/2015 patients were offered community visits by the Occupational Therapist and Physiotherapist. In addition there were visits by the Therapy Assistants who supported the OT and PT with equipment fitting and other treatment interventions. Service Use Department No. of patients Comments In-patient unit 85 1175 bed days with 75% occupancy Day Hospice 133 2156 attendance with 74% occupancy Family and Bereavement Support 248 1187 appointments Community Services 131 Specialist Lymphoedema 83 280 appointments Acupuncture 41 380 appointments 5 Specialist Lymphoedema Service The Lymphoedema Clinic operates one day a week and provides specialist assessment, treatment and management of complex and non complex limb, trunk, breast, neck, facial and genital swelling. The service is run by a Specialist Lymphoedema Practitioner, who is also the hospice Physiotherapist and a Therapy Assistant with lymphoedema key worker skills. Non complex swelling is managed using the 4 cornerstones of treatment focusing on skin care, exercise, simple lymphatic drainage and compression garment provision. 10 www.willow-burn.co.uk Complex lymphoedema has been managed with specialist interventions such as kinesiotaping, manual lymphatic drainage and compression bandaging, which are in addition to the 4 cornerstones. Patients who attend the lymphoedema clinic can be signposted to other hospice therapy services including Day Hospice, Active Steps, Family Support Service and complementary therapies. The Le Bed exercise programme which is delivered in Day Hospice and the Active Steps programme is particularly beneficial in the management of lymphoedema. 6 Acupuncture The use of acupuncture in the management of treatment related hot sweats has proved effective for 98% of patients. This was a reported reduction in the number sweats, length and severity, and improvements in sleep patterns and quality of life. Patients felt more relaxed and more able to cope with symptoms. Participation in Clinical audits, National Confidential Enquiries During 2014/2015, there were no national audits or confidential enquiries covering NHS services relating to palliative care as Willow Burn is ineligible from participating. www.willow-burn.co.uk 11 Local Clinical Audit Clinical audits have been undertaken within Willow Burn; these form part of the annual audit cycle programme. The monitoring, reporting and actions following these audits ensure the delivery of safe effective practice, enhancing the patient experience. All audit reports are discussed; action plans shared at clinical staff meetings and clinical governance meetings are then shared with the Executive Team and Board of Trustees. The programme includes the following:•Nursing Notes (monthly) •Therapy team notes (bi-monthly) •Medicines management (twice yearly) •Infection control (twice yearly) •Mattress (weekly and after each discharge) A) Infection Control Audit An infection control audit was undertaken on 8th December 2014. It has been designed to facilitate the monitoring of compliance with infection prevention and control, standards, policies and procedures, thereby reducing the risks of healthcare associated infections and ensuring patients are cared for in a safe, clean environment. Issues were identified in relation to ensuring clean equipment was readily identified and also around ensuring adequate waste disposal facilities were available in the new building and there was no risk of cross-contamination. ALL recommendations were acted upon immediately and we have new systems in place to ensure continued compliance. 12 www.willow-burn.co.uk B) Nursing/Therapy Documentation Audit Nursing records are audited every month and issues highlighted at clinical governance and staff meetings. The CHKS standard 22 – Health Records Hospice Services Audit Tool is used and has proved to enhance compliance particularly in relation to medicines recording charts. The audit examines patient and carer details, clinical information and record entry with the aim of determining compliance with the NMC (Nursing and Midwifery Council) guidance for record keeping. The results are positive overall with compliance in most areas, the area that needs attention is with the GP entries into the notes. We are working with our GP with special interest to develop a template to ensure adequate information is recorded and also that notes are signed accurately. C) Medicines Management Audit To ensure patient safety and clinical effectiveness, Willow Burn utilises the medicines management audit tool developed by Hospices UK which includes:•The management of Controlled Drugs •The management of general medicines •Self administration of medicines •Medical Gases •The Self assessment of the Controlled Drugs Accountable Officer The medical gases audit is compliant and the self-assessment of the Controlled Drugs Accountable Officer was 100% compliant but continuous quality monitoring could be improved and action plans are being developed to ensure that all medicines management practices are routinely monitored. This includes disposal of stock controlled drugs and we have liaised with the CCG pharmacy technician to ensure we are compliant and have necessary procedures in place, if required. Research The number of patients receiving NHS services provided or subcontracted by Willow Burn in 2014/2015 that were recruited during that period to participate in research approved by a research ethics committee was: None. The hospice does however have a research policy in place should the opportunity arise. Clinical Indicators As part of the hospice’s continual development, the IPU carries out a clinical indicator audit on all patients and mirrors the CQUIN framework. Progress against CQUIN Measures 2014/2015 For the 2014/2015 financial year, Willow Burn Hospice agreed to the setting of three goals, contractually known as indicators, as part of the CQUIN measures linked to funding the hospice receives from the North Durham Clinical Commissioning Group. Indicator 1 - Completion of the Friends and Family Test We have fully embedded this national test in ALL patient/carer evaluations. We have also introduced a postcard in both IPU and Day Hospice to encourage contemporaneous feedback from patients, families and carers. The test asks a simple question with likert scale response. The Friends and Family Test (FFT) is an important feedback tool that supports the fundamental principle that people who use NHS services should have the opportunity to provide feedback on their experience. It asks people if they would recommend the services they have used and offers a range of responses. All responses have been highly favourable with narrative comments endorsing a caring, committed and responsive service. The Commissioning for Quality and Innovation (CQUIN) framework enables Commissioners to reward excellence by linking a proportion of healthcare provider’s income to the achievement of local quality improvement goals, whilst also maintaining strong financial management. www.willow-burn.co.uk 13 Patient and Carer Testimonials “Unending love, care and support shown to my father and also to us as a family” “Pain free and very, very caring” “Just keep on doing the wonderful work you do” “I found the help I got from talking about things that I couldn’t talk to anyone else has helped me move on with my life. My counsellor was very understanding and a real good listener. I hope a lot more people benefit from her advice as I’m sure they will do. Keep up the good work – a big THANK YOU from me” “It was lovely just to talk to someone” “Mum was only in 2 days, and only spoke to **, which was very helpful at the time. I found the service good and it is nice to know I can still get in touch, as I may well do” Indicator 2 - Reducing Harm This CQUIN requires is to assess ALL patients in relation to their risk from falls and ensure that this is recorded within 6 hours of admission. Adequate monitoring and evaluation is then required to ensure we reduce the risk of falls from vulnerable patients. We have been 100% compliant with the requirements and have reduced falls significantly within the inpatient unit to only 5 falls in the last year. 14 www.willow-burn.co.uk Indicator 3 - Dementia This has two components with the assessment and flagging of patients with dementia and referral to GP if appropriate – and assessment of the environment and action plan drawn up of reasonable adjustments to be completed. Both have been supported with ALL staff now trained in dementia care and an environmental audit has been undertaken that identified that signage and way finding need to be adjusted for people with dementia. This requirement in under review with a project developed to identify resources to improve the issues indicated. We have also worked with the Admiral Nurse in the area to work with ALL to improve the end of life care for people with dementia. This has been a particular strength of the Hospice with an impressive ability to provide person-centred care when needed. In September 2014, the hospice received the published report relating to the unannounced CQC inspection which took place in July 2014. The report demonstrated full compliance with the following assessed standards:•Consent to care and treatment •Care and welfare of people who use services •Cooperating with other providers •Requirements relating to workers •Complaints Hazelbrook Specialist Care at Home Hazelbrook Specialist Care at Home is a wholly owned trading subsidiary of Derwentside Hospice Care Foundation (Willow Burn). The hospice has built its reputation on delivering the very highest quality palliative care and the development of these services aims to bring the ethos and practical care associated with “hospice” into the home environment. This is a chargeable service, however profits made will go to funding the future of Willow Burn. Now averaging over 1000 care hours each month the services to clients continues to grow. Services range from rapid discharge, domiciliary care through to palliative care and end of life care. “Thank you so much for making an unbearable time more bearable with your kindness and compassion whilst helping (XXXX) through this awful illness. I am truly grateful for all your help” Data Quality Willow Burn did not submit records during 2014/2015 to the Secondary Users Service for inclusion in the Hospital Episode Statistics which are included in the latest published data. Willow Burn is not eligible to participate in this scheme. However, Willow Burn does submit data to the Minimum Data Set (MDS) for Specialist Palliative Care Services collated by the National Council for Palliative Care on a yearly basis, with the aim of providing an accurate picture of hospice and specialist palliative care service activity. Clinical Coding Error Rate Willow Burn was not subject to the Payment by Results clinical coding audit during 2014/2015 by the Audit Commission. Hazelbrook Specialist Care at Home www.willow-burn.co.uk 15 Who has been involved? Chief Executive Executive Team Statement provided from Clinical Commissioning Group The CCG welcomes the opportunity to review and comment on the Quality Account for the Willow Burn Hospice for 2014/15 and would like to offer the following commentary. As commissioners North Durham Clinical Commissioning Group (CCG) are committed to commissioning high quality services from the Willow Burn Hospice and take seriously their responsibility to ensure that patients’ needs are met by the provision of safe, high quality services and that the views and expectations of patients and the public are listened to and acted upon. Overall the CCG felt that the report was well written and presented in a meaningful way for both stakeholders and users and the report provides an accurate representation of the services provided during 2014/15 within the Hospice. We recognise the work that the Hospice has undertaken to drive quality improvements throughout the year particularly around patient experience, and patient safety. The Hospices approach to quality improvement is reflective of their desire to further improve the quality of care and innovation, not only through their internal quality systems but also through making best use of the commissioning for quality and innovation (CQUIN) schemes agreed with ourselves. 16 www.willow-burn.co.uk It is particularly encouraging to see that the number of patient falls has reduced significantly in 2014/15 compared to previous years. Also the positive steps taken towards addressing the specific needs of patients with dementia through staff training in awareness tools and environmental audits is to be commended. We are pleased to see that the actions in respect of infection control procedures following the commissioner visit undertaken by the CCG in December 2014 have been completed. Also the introduction of service user/carer representation on the Clinical Governance working group demonstrates the Hospices willingness to listen to the needs of the patient. In future quality accounts the CCG would welcome commentary from the Hospice in respect of any incidents that had taken place and the actions taken to prevent any reoccurrence. North Durham Clinical Commissioning Group (CCG) welcomes the specific priorities for 2015/16 highlighted in the report and feel that they are appropriate areas to target for continued improvement. The CCG look forward to continuing to work in partnership with the Hospice to assure the quality of services commissioned in 2015/16. Volunteering Willow Burn Hospice recruited 44 new volunteers in 2014/2015 and are actively processing a further 18 applications:Day Hospice - 10 Income Generation - 25 Administration - 6 Stanley Shop - 10 Consett Shop - 10 Events - 25 Warehouse - 12 Each volunteer selected to support the charity’s activity brings something different into the skill mix. We are indebted to them for the generosity of their time and commitment to our cause. Some support more than one activity! This group of people were allocated roles across the various departments. We currently have 77 active volunteers and many more who we keep in touch with as they are still as passionate about our cause but are not able to provide support at this current time. Volunteering at the Willow Burn Summer Fair www.willow-burn.co.uk 17 Income Generation/Fundraising: 2014/2015 The Income Generation Team at Willow Burn Hospice has seen changes to their structure which has included the appointment of an Income Generation and Marketing Manager in March 2015, along with three Community Fundraiser positions who will be responsible for key areas within the local community and beyond. This is aimed at increasing internal and external engagement, with maximising income generation. Although it would be true to comment that the community at large has continued to support its local hospice, we have seen fewer funding pots come on to the table; more giving groups in the community folding; companies as lean as they have ever been. These factors have impacted on the hospice’s income over the past year. Examples include:•Local schools are continuously supporting Willow Burn by organising “Go Green” Days in aid of Willow Burn. One of our supporting schools raised over £1,000 from their none fundraising efforts. •Tait & Walker have volunteered over 50 staff members to donate their time and energy with various tasks around Willow Burn including gardening, painting and re-organising our warehouse. •Consett Lions have organised a Consett Spring Variety Show at the Empire Theatre organised in aid of Willow Burn Hospice. This event was extremely popular. To add to this, although the hospice’s NHS contribution has remained stable at 33%, a large contribution from Macmillan Cancer Support which has supported the development and activities of the hospice’s Therapy and Family Support Teams over the past 3 years ran out at the end 2014/2015 which has led to the restructuring of the clinical team. The ways in which community groups and individuals continue to raise money for Willow Burn inspires and motivates the Income Generation Team. Over 50 Tait Walker staff volunteering at Willow Burn as a ‘gift in kind’ to the hospice 18 www.willow-burn.co.uk Elddis staff and local community supporters donating a cheque to Katherine Cooper, Income Generation and Marketing Lead after their Coast to Coast bike ride Hodgson Sayers – Roofing services provided as a ‘gift in kind’ to the hospice www.willow-burn.co.uk 19 Everlasting Leaves: This beautiful creation has proved ever popular as an ‘In Memory’ and remembrance service for families and friends of loved ones. We’ve filled half of the tree with wonderful messages in memory of loved ones and hope to continue growing the tree until it is full. Everlasting Leaves at Willow Burn Sponsor a Nurse Campaign: 2014/2015 saw the development of a new campaign for Willow Burn. Our Sponsor a Nurse Campaign a new campaign which has been targeted to all ranging from £10. This campaign has proven popular with our supporter Elddis Transport and they have supported by donating £750 per month for the next three years. We are confident that the Sponsor a Nurse Campaign will grow from strength to strength over the coming months with the new Income Generation team in place. 20 www.willow-burn.co.uk Legacies: It is evident that the hospice’s good reputation and the exemplary service delivered to patients is being recognised and financial support written into an increasing amount of wills. We ran our first legacy awareness event in February 2015 where we invited a range of potential supporters to experience Willow Burn and find out more information about Legacy Giving. We have had a number of legacy donations including a legacy in March 2015 to the value of £35,330. Events: Willow Burn’s own Events Diary is compiled by the Income Generation Team and features a mix of quality events that align themselves with the hospice’s core remit. We ran our 2nd Spring Reflection walk in March 2015 which saw a number of supporters and new faces join together for a enjoyable walk within the Lanchester area. The activity attracted a small group of participants, all passionate about the hospice who together raised a substantial amount of money for Willow Burn. This has led to the walk being featured twice on the 2014/2015 calendar. 22 www.willow-burn.co.uk Our Tree of Remembrance ran for the fourth time throughout December 2014 in Matalan Consett. In conjunction with ASDA in Stanley, a second successful tree was launched which proved to be very well supported by donors and volunteers. Willow Burn organised its second Spring Fair which raised £3,500. The fair had a wealth of support and we look forward to repeating the event in 2016. 2014/2015 Make a Will Month proved popular for 2015 seeing increased income again in comparison to 2013/2014. Retail: Willow Burn Hospice generates some of its income through retail trading, a traditional Charity Shop in Stanley and a tea bar at the Consett Magistrates court. A new community shop was opened by Sue Sweeney in Consett. This shop has an area dedicated for customers to receive information about the range of services offered at the hospice and a browse of books. Consett Shop Opening www.willow-burn.co.uk 23 Hazelbrook Specialist Care at Home delivers a package of personal care and support services tailored to the individual. Our friendly, highly trained and experienced carers aim to help people to live in comfort and dignity in the familiar surroundings of their own homes. Our services include:Care at Home: We can provide clients with all the reassurance that they need when they need to be cared for at home. Services include rapid response, discharge from other healthcare settings or services. Personal Care Assistant Service: People who continue to live at home may find the situation challenging. We can help clients to remain independent and provide personal care and support for daily activities within the home and local community. For more information please telephone 01207 523909, email enquiries@hazelbrook.org or visit www.hazelbrook.org Willow Burn Hospice, Derwentside Hospice Care Foundation, Maiden Law Hospital, Lanchester, Co Durham, DH7 0QS Switch Board: 01207 529224 Fax: 01207 529303 Registered Charity Number 519659 Website: www.willow-burn.co.uk Companies House Number 2263960