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Saint Catherine’s Hospice
Quality Account
2014/15
Your Community, Your Hospice, Our Care
Your Community, Your Hospice, Our Care
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Part 1- Statement from the Chief Executive
On behalf of our Board of Trustees and the Executive Team, I am very pleased to be able to
present the Quality Account for Saint Catharine’s Hospice for 2014/15.
Our patients, their families, and carers are at the very centre of our care and delivering
quality services to them is our priority. Quality is at the heart of our mission to place the
patient and not the illness at the centre of everything we do to improve quality of life and
personal experience.
The commitment of the Board to ensure the Hospice delivers excellence in care across all of
its service is evident through its strong governance framework. I am able to give the Board
the assurance they need that the appropriate processes and procedures are in place to
underpin all our activities and services through the internal governance groups and the
Board committees of Clinical Governance, Resources, Fundraising and Development, and
our Chairs committee.
I am also grateful to the Scarborough and Ryedale Clinical Commissioning Group, for their
continued support for our services and the financial support through a grant and service level
agreement. I am also grateful to Hambleton and Richmondshire CCG and Vale of York CCG
who also support us through the same grant and service level agreement. I am proud of our
relationship with SRCCG and their support for the Hospice and commitment to developing
services that deliver end of life care of the highest quality to a wide range of patients in
Scarborough and Ryedale. I am also grateful to East Riding of Yorkshire CCG who also
support the Hospice through a grant and service level agreement.
Consistently achieving our high standards of care is only possible through the continued
hard work of our dedicated members of staff and volunteers. Our team here continues to
strive for excellence in all they achieve and the Board and Executive Team would like to
thank each and every one for their commitment to providing the highest quality care to our
patients and their families and carers.
Audit is a regular feature of the work that we do to ensure that policies and procedures are
being carried out as they should and that they are still appropriate. The safety, experiences,
and outcomes for patients, their families and carers are of utmost importance to all of us at
Saint Catherine’s Hospice. Hearing the voice of patients, families and carers is important to
us and we seek feedback, comments, suggestions and advice wherever we can to help
inform our service developments and governance framework through our “compliments,
comments and complaints” leaflet, patient and carer questionnaires and by listening to
patient and carer views through a range of supportive groups. We receive many positive
comments about the quality of our care across all our services from patients and
professionals alike.
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A Patient attending Day Hospice said; ‘I attended the day hospice not knowing what to
expect, I was pleasantly surprised. The atmosphere was warm and friendly and I soon felt
part of the family. My needs were well catered for. The volunteer drivers were helpful. Thank
you for a very positive experience which I found helpful.’
A Carer commented - ‘My husband only spent the last 10 hours of his life in the hospice but
it gave him dignity and loving care in that time. I am very grateful for it and full of praise for
the unstinting help given by the Clinical Nurse Specialist of the community team during the
preceding months. The reassurance of the availability of Palcall was also a help throughout.
I would like to thank you for the whole service and in particular that of the Community
Clinical Nurse Specialist - He helped us both so much.’
A Professional said, ‘I’m a GP and one of your Clinical Nurse Specialist’s (CNS) gave me
the help I needed to keep 2 dying patients in their residential home, and allowed them to die
as comfortably as possible. The CNS helped me with the syringe driver prescriptions and
helped liaise with the DN’s. I felt happy these patients would be well cared for over the
weekend with the CNS on-call’.
Our regulators, the Care Quality Commission, have inspected our patient areas across all
three sites and confirmed that they meet their demanding clinical standards. Our services
are not simply about meeting standards and delivering high quality and excellence in all we
do. They are about delivering holistic care and embracing people as individuals, providing
care, improving their personal experience and ensuring dignity and privacy.
Learning lessons to continually improve care is a key priority for the Hospice. I am
committed to developing and nurturing an environment of openness, honest and
transparency to ensure that we fulfil our duty of candour. The Hospice is committed to
address any concerns and complaints effectively and efficiently and to ensure we learn
lessons to continuously improve our care and services.
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 the healthcare services provided by Saint Catherine’s
Hospice.
Mike Wilkerson
Chief Executive
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Our Intent
The hospice works under the banner of Your community, Your hospice, Our care.
Your community
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To take the lead in securing excellent end of life care for patients in our community.
To work collaboratively with other healthcare providers to support integrated care for
palliative and end of life care patients in our community.
To enable patients to be cared for in the right place, at the right time for their needs.
Your hospice
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To be a kite mark for quality and compassion wherever we work.
To use our charitable endeavours to add value to statutory provision.
To develop our volunteers and staff and support them in their roles.
Our care
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To put patients at the centre of everything we do.
To provide high quality specialist palliative care for those patients with complex
needs.
To support the provision of good end of life care and long term palliative care for
patients with less complex needs.
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Part 2 – Measuring Quality in Detail
Saint Catherine’s Hospice monitors the quality of care that is provided across the
organisation via its Clinical Strategy and Governance Committee. The importance of
providing quality care is underlined by the membership of the committee which includes the
organisations most senior clinicians, the Director of Patient Services and the Medical
Director. The Clinical Strategy and Governance Committee also has representatives from
the Board and co-opted members who provide specialist input.
On a day to day level the Executive Team support the development and improvement of
services to ensure quality and to enable the organisation to meet the challenges within the
health care economy of Scarborough, Whitby, Ryedale, Bridlington and Driffield. To support
this approach we measure quality against nationally agreed areas which are shown below:
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Patient safety
Clinical effectiveness
Patient experience
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Priority 1- Patient Safety
Reviewing our practice and responding to legislative requirements
Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS)
In the past year we have undertaken a comprehensive review of our MCA and DoLS
procedures, guidance, association documentation and training to staff. This has been in
line with changes and regular updates leading from the Supreme Court’s judgement on the
‘Cheshire West’ case in April 2014. Our DoLS requests have therefore increased, but in an
appropriate manner. We have been coordinating regularly with the North Yorkshire County
Council MCA Coordinator and DoLS Lead and participating in the MCA & DoLS Professional
Lead Network Support Group.
Undertake audits of clinical services to ensure that the care delivered is safe and
of a constant standard
Saint Catherine’s Hospice undertook a number of audits to ensure that the care that we
provide is both safe and consistent in quality.
1. Audit of medical prescribing practices:
The medical and nursing staff conduct a twice yearly audit of the prescribing and
administration practices with formative feedback to individual clinicians and nursing
teams.
2. Audit of hospice prescriptions by cost:
The medical and pharmacy team produce a six monthly review of prescribing
practices within the hospice focusing on cost effectiveness. In future this will be used
to benchmark our prescribing practices against another local hospice.
3. Audit of ketamine prescription in the hospice in-patient setting:
This examined the initiation of Ketamine prescriptions; the doses/regimes used and
documented outcomes from treatment.
4. Audit of DNACPR recording:
Audit of documentation to ensure that DNACPR discussions had been accurately
recorded and that DNACPR forms were fully completed, saved and printed in
accordance with recent national guidance.
5. Audit of assessment and documentation of patients’ mental capacity in relation
to significant decision making on the in-patient unit.
6. Audit of quality and timeliness in producing in-patient discharge letters and the
offer to all patients of having a copy of their discharge letter when they leave the
hospice.
7. Multidisciplinary audit of falls in the hospice in-patient setting:
Identifying predisposing clinical factors and environmental issues. A falls group was
established as a result of the audit and has designed a falls risk assessment tool
which will be re-audited.
8. Audit of the “burden” of medications for hospice inpatients identifying how
effective we are at rationalising patients’ medications
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9. Audit of the effectiveness of starting doses of PRN Midazolam and opioids in
opioid and benzodiazepine naïve patients following admission to IPU.
10. Patient safety audits benchmarking our rates of falls, pressure sores and
medication incidents with other participating hospices.
11. Audit of patients admitted to IPU as a nurse led admission documenting
diagnosis, source of referral, symptom control issues, length of stay and number of
acute trust bed days saved.
Priority 2- Ensuring Clinical Effectiveness
Patient Safety Audits
In January 2014 we began to benchmark our safety data against other hospices by
engaging with a national initiative through Hospice UK. We collect data and provide this on
a quarterly basis. This allows for comparison of our rates of falls, pressure ulcers and
medication incidents with the other participating hospices and we have now completed a full
year.
Using this tool Saint Catherine’s Hospice (SCH) has been found to have a higher incidence
of falls than other hospices during the period January to April 2014. Falls are a common and
serious problem, with 30% of people older than 65 and 50% of people older than 80 falling at
least once a year. Falls cost the NHS approximately £2.3 billion per year and lead to
distress, pain, loss of confidence, injury and mortality which affect relatives and carers as
well as patients.
The aim of this project was to evaluate the falls prevention in SCH compared to
recommended best practice. This involved examining the evidence and literature available
as well as receiving input from staff on techniques they have found helpful in minimising falls
risk.
 Overall 2 falls were attributable to neurology patients.
 3 patients fell more than once.
 No significant injuries were sustained, a skin tear requiring a plaster was the most
severe.
Recommendations included:
1. Medical review by doctors of patients determined to be at “medium” or “high risk” of
fall using a medical assessment checklist.
2. Develop and incorporate an MDT risk assessment for electronic patient data base
(Systm1).
3. Implement a tailored ‘falls plan’ for patients identified at risk.
4. We now have a supply of non-slip stockings for all patients deemed to be at risk –
need to consider rubber-soled stockings and properly aligned socks.
5. Incorporate suggestions for each category of falls risk into assessment pro-forma.
6. Reassess footwear – particularly non-slip stockings for lymphoedema patients.
7. Utilise night sitters and improve signage to aid orientation.
8. Utilise toileting pattern assessment (37% of falls related to toileting needs).
9. Increase awareness and education re specialist equipment.
We have committed to continuing to provide our data during the year 2014/15.
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Utilising nationally recognised tools to identify the effectiveness of our services
Utilising nationally recognised tools to identify the effectiveness of our services
Integrated Palliative Outcome Scale (IPOS), Phase of illness (POI) and the Australian
Karnofsky Performance Status (AKPS).
Following the introduction and use of the Edmonton Symptom Assessment System (ESAS)
in Day Hospice in 2013, we recognised that the tool is not ideal for assessing symptom
burden and severity in palliative care patients because of the progressive nature of their
illness.
In 2014/15 The community specialist palliative care team has been exploring methods of
measuring outcomes of health care and looked specifically at the work undertaken by the
Outcome Assessment and Complexity Collaborative (OACC ) team at King’s College.
Outcome measures capture a change in health status as a consequence of health care
intervention.
They incorporated 3 of these tools into practice to assess their suitability for wider use
across the whole of the organisation. The tools were the Integrated Palliative Outcome Scale
(IPOS), Phase of illness (POI) and the Australian Karnofsky Performance Status (AKPS)
The IPOS is an assessment and measurement tool. It includes items that enable us to
measure physical, psychological, social and spiritual domains alongside holistic assessment.
It allows a patient to list their main concerns and addition of other issues and examines
whether there are any unmet information or practical needs. Each of the domains is scored
on a Likert-type scale from 0-4.The questionnaire is available as a patient or staff version
and wherever possible we have used the patient version. Where the staff version is used the
assessment is completed to reflect as closely as possible the patient’s concerns. Individual
scores can reveal the severity of specific symptom or issues and when repeated at regular
intervals can reveal the impact of care interventions and total scores can give an overall
summary of need or burden. Experienced staff can also monitor and support the patient’s
ability to identify for themselves the issues which affect them.
In the sample, 54 patients completed an IPOS with 14 patients completing a second or third
IPOS. Scores were analysed after a short period and have highlighted the severity of
symptoms and the main areas of concern for patients.
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On the basis of our initial use we were able to come to the conclusion that the use of
IPOS tool enabled the team to monitor and evaluate the impact of care interventions.
Utilising the phase of illness and Australian Karnofsky tools enhanced
communication both within and between teams.
As a result of this positive experience the organisation is implementing a program of
education to support the use of these tools across the organisation as a whole.
Another outcome is that we are one of 8 national sites for the C Change project led
by Kings College London. The project is examining the measurement and effect of
complexity on caseload using qualitative and quantitative methods in a number of
work streams.
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Improving the quality of palliative care within care homes
NHS Scarborough and Ryedale Clinical Commissioning Group (SRCCG) has extended its
funding of the Care Homes Project and we continue to develop our work with care homes
aiming to improve the quality of care for residents nearing the end of their lives. We also aim
to improve collaborative working between GP’s, hospitals, primary care teams to reduce the
number of unnecessary admissions to hospital in the last stages of life, enabling residents to
die in their ‘home’. We provide an in-house education programme for nursing and residential
homes and work with the education department at the hospice to facilitate end of life care
training including a ‘care home forum’ model. We also provide clinical support and advice
for palliative care residents in care homes, to enhance the care already delivered by the care
home, GP and community teams. There are now 75 care homes in the catchment area of
Saint Catherine’s Hospice and all these homes are now supported by a 3 Level module of
care, known as “Pies, Peas and Mash”.
1: ‘Pies’
Programme of Intensive Education and Support (over 12 months / 10 homes per cohort)
2: ‘Peas’
Programme of Extended Application and Support
3: ‘Mash’
Multi-disciplinary Advice and Support for all Homes
Improvements include –
Care Homes Forum:
 Care Homes Forum meetings continue to be held every two months.
 Administration has improved since the Care Homes team Administrator became the lead
administrator.
 Care Homes Clinical Nurse Specialists have taken on the Chair/Lead for the Forum
meetings.
 A plan of regular dates distributed for a full year of 6 meetings.
 Attendance to the Forums has increased over the year.
 The number of Care Homes attending has increased.
 The variety and number of speakers has increased.
 We have recently instigated a Care Homes Forum Feedback form. The initial feedback
has been positive and we have acted on several suggestions made, i.e. speakers
requested and change in room layout for meetings.
 Improved gathering of data and use of Systm1 to facilitate audit and statistical analysis.
Education:
 Education Sessions held at the Hospice gives all 75 homes the opportunity to attend
education (previously education sessions were provided Level 1 homes only).
 Following a pilot study of 10 Education Sessions at Hospice held over 1½ days once
every two months; demand has proved so high that this has been increased to monthly
1½ days of 10 Education Sessions.
 Level 1 homes new staff are able to attend education sessions at the Hospice, to
increase more effective use of CNS role within homes.
 Flexible education sessions within Level 1 homes continue.
 During 2014/15 there have been 268 referrals for the service and the average number of
referrals for the Care Homes Team with a non-cancer diagnosis is 85%
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Facilitating rapid discharge from an Acute Hospital for End of Life Care
NHS Scarborough and Ryedale Clinical Commissioning Group (SRCCG) has extended its
funding of the Nurse Led End of Life Care Beds. Working collaboratively with Scarborough
Hospital, the project has been successful in developing the skills of health care professionals
in hospital to identify dying patients and reduce the number of patients who die in
Scarborough Hospital. Saint Catherine’s Hospice Nurse Led Bed Service is available 7 days
a week and patients can be transferred from the acute hospital to an available nurse led bed
at the hospice on any day of the week, up to 9pm.
The service continues to offer patients in Scarborough Hospital the option of receiving
excellent end of life care in the hospice environment thus increasing the choice available to
patients and carers at the end of life and reducing in-hospital mortality.
There have been 110 patients who have received such care during the past year and 64 had
a non-cancer diagnosis and 46 had a cancer diagnosis.
Expanding our care to provide Hospice at Home
SRCCG have commissioned Saint Catherine’s Hospice to deliver a new service that will
provide Hospice Care in the patients’ home. Initially the service is being provided for
patients who have a Scarborough and Filey GP and it is envisaged it will expand into the
Ryedale area.
Saint Catherine’s Hospice is working in partnership with Marie Cure Marie Curie to deliver
the Hospice at Home service which commenced in January 2015. The service operates 24
hours a day, 7 days a week and the main aims of the service are to facilitate discharge from
hospice or hospital, responding to crisis and enabling patients to die at home, if this is their
preference. The service is delivered by a team of Nursing and Healthcare Staff led by a
Team Leader. In addition the service receives in hours support from the community palliative
medicine consultant and hospice medical team. Out of hours medical support is provided by
the usual out of hours GP with 24 hour specialist palliative medicine telephone support via
the on call consultants.
The model of care is a case management approach for an episode of care whilst the district
nurse remains the main case manager/key worker. Broadly, the Hospice at Home service
will consider referrals from patients who will be 18 years of age or above, are in the
deteriorating phase of their illness and require end of life care.
Between January and May 2015, there have been 154 referrals for Hospice at Home Care
with an average of 41% of patients having a non-cancer diagnosis.
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The Bridges Project – Working together for People with Palliative and
Bereavement Care Needs
The Commissioned report into the Future of Hospice Care (October 2013) places ‘high value
on the ambition of hospices to talk to their local communities …and says,’ that at its best
care will need to be highly integrated across health and social care systems’.
The Bridges Project, a partnership between Age UK Scarborough and district and Saint
Catherine’s Hospice has been running since June 2012 with 3 years Big Lottery Funding.
Counselling and advice is available to anyone in the Scarborough, Whitby and Ryedale
areas diagnosed with a life shortening illness and to anyone affected by such a diagnosis,
where someone over the age of 50 could benefit. Since the beginning of the project 400
people have received help with issues including finance, making a will, practical help and
loneliness through services offered by Age UK Scarborough and District.
Also, 200 patients, family members and carers have benefitted from palliative care
counselling via Saint Catherine’s Hospice and following the success of this project Saint
Catherine’s Hospice has committed to continuing to provide the funding for the four
experienced counsellors who are available through the Bereavement Support Service at
Saint Catherine’s Hospice.
Palliative counselling statistics demonstrated that 30% of the clients were carers and 70%
were patients with 53% being female and 47% male.
Priority 3- Patient Feedback
Measuring quality through patient feedback
In 2014 we reviewed and adapted our feedback survey format in order for it to include both
patients and carers. During the year 2014/15 we received 103 patient and 29 carer
completed feedback surveys.
One of the Hospices key outcomes for patient care is the control symptoms and improving
overall quality of life.
Of the patients who returned a questionnaire;
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65% reported that we have been very effective or effective in controlling pain and
symptoms.
87% reported that we were very effective or effective at improving ‘overall quality of
life’.
78% reported that we were very effective or effective at helping them to cope with
psychological/emotional distress?
98% reported that we offered sufficient support toothier family/carers and
themselves?
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95% reported that they were given sufficient information about our service (written or
verbal) and felt were able to ask questions?
99% reported that their privacy and dignity was respected.
As an organisation we also receive many thank you cards and comments on Facebook and
Twitter each of which are reviewed by the Executive Team. The following comment provides
a flavour of the responses we have received this year.
‘My husband did not want to go into hospital and you have made it possible for him to
stay at home. You have cared for me as well as him and it has been a godsend. I
cannot thank you and all your staff enough. It is never an easy time but your
involvement has been a great comfort to me.’ (Carer, via survey feedback 2014)
‘I phoned (Palcall hospice out of hours advice and information available from an
experienced hospice nurse) as my wife had breakthrough pain. The care and advice
given was more than I had expected and resulted in her pain being controlled. The
follow up calls to Palcall were further reassurance that there is someone there when
we need them. Knowing the service exists, with follow up calls and monitoring is a
great boon.’ (Carer, via survey feedback 2014)
‘My overall treatment has been excellent in all aspects. Staff couldn't do enough for me and I
greatly appreciated it. The doctor is an excellent doctor and very easy to confide in.’
(Patient attending day hospice 2014 via feedback survey).
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Part 3- Regulatory Requirements and Assurance from the Board
The following are formal statements, under various headings that all providers of NHS
healthcare services must include in their Quality Account, even though many of the
statements are not directly applicable to us as a Specialist Palliative Care provider.
Review of Services
During 2014/15 Saint Catherine’s Hospice has provided for the NHS:
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In-Patient Care
Day-care Services
Community Services
Care Home Services
Hospice at Home Services
Lymphoedema services
Pre and post Bereavement support
Out of hours Telephone help-line
Rapid discharge from hospital to Hospice at End of Life
Carers Support
Out of Hours Phone Support
What This Means
Saint Catherine’s Hospice is funded through a combination of a grant from the
NHS and fundraising activity. The grant that is allocated by the Statuary bodies is
£1,931,343 which represents approximately 34.29% of the hospice total income.
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Research
In the year 2014/15 patients were recruited to participate in research approved by a research
ethics committee. The research projects included;
IMPACCT – Improving the Management of Pain from Advanced Cancer in the Community –
NIHR funded portfolio study establishing health state utility values and health preferences of
patients. Now closed to recruitment.
Subcutaneous furosemide in Heart Failure – This is an ongoing service development
project for which we are continually collecting data.
Pharmacovigilance study – this international pharmacovigilance study led by an Australian
research team. Collects data on the impact of specific medications on palliative care
population. Medications/interventions studied in the last 12 months include effects of blood
transfusion, Haloperidol for nausea and Dexamethasone for appetite.
IPAC - Inflammatory biomarkers in Prognosis in Advanced Cancer – an NIHR portfolio study
now closed to recruitment
C-Change project – we are one of 8 national sites for the C Change project led by Kings
College London. The project is examining the measurement and effect of complexity on
caseload using qualitative and quantitative methods in a number of work streams.
What This Means
Saint Catherine’s Hospice has participated in a number of research projects
relating to specialist palliative care.
Use of the CQUIN Payment Framework
What This Means
Saint Catherine’s Hospice is not eligible to participate in the CQUINS
payment scheme. We do however produce activity figures for the Clinical
Commissioning Group in respect of the grant that we receive. In the period
2014/15 our bed occupancy was 70%.
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Care Quality Commission (CQC)
Saint Catherine’s Hospice is required to register with the Care Quality Commission and its
current registration status is Independent Hospice for Adults. All three sites i.e. Main site on
Throxenby Lane, Day Hospice in Whitby and Day Hospice in Ryedale are registered to
provide the following regulated activities:
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Transport services, triage and medical advice provided remotely
Treatment of disease, disorder or injury
Diagnostic and screening procedures
Saint Catherine’s Hospice has the following conditions on registration:
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The Registered Provider must not treat persons under eighteen years of age
The CQC has not taken enforcement action against Saint Catherine’s Hospice during
2014/15.
Saint Catherine’s Hospice has not participated in special reviews or investigations by the
CQC during 2014/15.
Saint Catherine’s Hospice volunteered to participate as a pilot site to test the CQC pilot
methodology and tools. An inspection team arrived unannounced to inspect Main Site on
May 8th 2014 and the format for the day included testing of the new characteristics,
principles and guidelines including the 5 key lines of enquiry subsequently adopted i.e. is the
service ‘safe, effective, caring, responsive and well led’?
Whilst we are prevented from publishing the ‘rating level’ it was overall extremely positive
about the services provided by Saint Catherine’s Hospice.
So far this year we have been required to submit our Provider Information Return (PIR) form
in preparation for an unannounced inspection of Whitby Day Hospice.
What This Means
Saint Catherine’s Hospice must register with the CQC the activities it wishes
to carry out. Once registered the CQC periodically inspect Saint Catherine’s
Hospice to ensure we are delivering safe, effective, caring, responsive and
well led services. When we were last inspected we were found to be
compliant with all standards and outcomes
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Data Quality
Saint Catherine’s Hospice did not submit records during 2014/15 to the Secondary Uses
Service for inclusion in the Hospital Episode Statistics which are included in the latest
published data.
What This Means
Hospital Episode Statistics are collected for NHS organisations as a method
of determining payment for services. Saint Catherine’s Hospice done not
receive payments in this form and as such was not required to submit any
records.
Information Governance Toolkit Attainment Levels
Saint Catherine’s Hospice Information Governance Assessment Report overall score for
2014/15 is 93% and is graded Green (satisfactory), meaning that we achieved Attainment
Level 2 or above on all requirements.
The Information Quality and Records Management attainment levels assessed within the
Information Governance Toolkit (IGT) provide an overall measure of the quality of data
systems, standards and processes within an organisation.
What This Means
Saint Catherine’s Hospice completes the NHS Information Governance
Toolkit to demonstrate the quality of data systems, standards and processes
within an organisation. This provides assurance that we are handing
personal and sensitive data in an appropriate way.
Clinical Coding Error Rate
Saint Catherine’s Hospice does not have a Clinical Coding Error Rate.
What This Means
Organisations that receive payment by results funding have to provide
accurate coding for the work the carry out and must report on clinical coding
errors. Saint Catherine’s Hospice is not eligible for this founding and as such
did not submit data.
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What others say about us.
Scarborough and Ryedale Clinical Commissioning Group said the following about Saint
Catherine’s Hospice:
“Scarborough and Ryedale Clinical Commissioning Group have continued to work closely
with Saint Catherine’s Hospice. Specifically St Catherine’s Hospice has developed an
integrated Hospice at Home service this year. Working jointly across the locality with Marie
Curie Care and other key stakeholders this new service provides a twenty four hour
response to patients and their families requiring support at home.
The Care Home Link Nurse Service and the Nurse Led Bed Service are also worthy of note
and provide a service for patients and their families dependent on their preferred place of
care. Saint Catherine’s Hospice continues to drive high quality patient centred care across
all of their services and commit to the five priorities of care - being treated as an individual,
being treated with dignity and respect, being without pain and other symptoms, being in
familiar surroundings and being in the company of close family and/or friends.
It has been a pleasure to work with them and we very much look forward to working with
them in the future.”
What This Means
The Lead commissioner of services that we provide for the NHS is very
happy with the quality of our work and outcomes for patients and has
indicated future collaboration on similar lines.
Your Community, Your Hospice, Our Care