Dementia End of Life Conference Thursday, 12th September 2013, 10.00 am – 4.00 pm Venue: Arundel Suite, Crowne Plaza Hotel, Crawley, RH11 7SX AGENDA 9:30 – 10:00 Registration & Refreshments Welcome & Introductions 10:00 – 10:05 David Clayton-Smith, Chairman Kent Surrey Sussex AHSN Important clinical conversations for those living with dementia – is advance care planning appropriate? Dr Catherine Gleeson, Consultant in Palliative Medicine, St Catherine’s Hospice 10:05 – 10:25 10:25 – 10:45 Defining optimal supportive and palliative care for people with dementia; Priorities when planning future care in dementia – carer and patient perspective; Clinician’s role in facilitating discussion of priorities – discussion of timing and how to introduce important topics; Preparing for end of life care. Developing end of life care education for people with dementia Laura Myers, Lecturer Practitioner, St Catherine’s Hospice Gold Standards Framework - enabling care home residents to live well until the end of their lives Jane Berg, Head of Education Princess Alice Hospice 10:45 – 11:05 Princess Alice Hospice is a Regional training Centre for the GSFCH programme. The care home training programme is an organisational approach to ensure that the special relationship often built up with residents can be continued to the end of life and the support offered for the person to die with dignity at home if they wish. 11:05 – 11:20 Refreshment break 11:20 – 11:40 Carers perspective Marion Langton Working together to improve end of life care for people with dementia Facilitated by Eleanor Langridge, End of Life Project Manager, Brighton & Hove CCG The session will look at what actions people and organisations need to take to increase the number of people with dementia getting what they want, as far as is possible, at the end of their life. Delegates to work in groups and consider the following key questions: 11:40 – 12:30 12:30 – 13:45 What patient stories/examples do we currently have that demonstrate people with dementia dying in the right place with no last minute acute transfers from care homes? What lessons can we learn from these examples? (What key pathway improvements need to be made to reduce emergency admissions from care homes? Lunch (The Cube Restaurant) Dying to talk: How can people with dementia achieve real choice in their care if they are never asked? Dr Jayne Chidgey-Clarke, Director of Training & Development, National Council for Palliative Care 13:45 – 14:05 This session will look at reasons why early discussions with people living with dementia or mild cognitive impairment are vital to ensure good quality end of life care, choice and effective use of resources. Drawing on evidence and practical examples of training to support compassionate conversations about end of life care and advance care planning, it will offer practical ways forward to improve dementia care towards end of life, in all care settings, and to help avoid unnecessary hospital admissions. PEACE project (Proactive Elderly Persons’ Care Plan) 14:05 – 14:25 Dr Elena Mucci, Consultant Physician & Geriatrician, East Sussex Healthcare NHS Trust A document to help Health Care Professionals deliver the best care to frail, older people with life-limiting illnesses (such as those with Parkinson's, Advanced Dementia and Cancer) who are anticipated to be in the last year of their life and reside in a care home. The PEACE plan has increased the number of people who spend their last days in the familiarity of their care home. SECAMB and end of life patients with dementia 14:25 – 14:45 Elizabeth Davis, Consultant Clinical Quality, South East Coast Ambulance Service An interactive discussion of issues and potential joint working 14:45 – 14:55 Refreshment break Working with care homes in Kent Linda Caldwell, Senior Associate, Kent & Medway Commissioning Support Unit 14:55 -15:15 Drawing on the experience of the multi-agency approach to working with care homes in Kent to improve the quality of care, including end of life care Good death – Palliative care and helping people die well at home Steven Parker, Client Services Director, Home Group 15:15 – 15:35 Outlining Home Group’s work on the ‘Good Death’ palliative care pilot, which demonstrated how providers of housing and support services can provide palliative care and aid in helping older people die well at home. The ‘Good Death’ pilot recently won the Innovation award at the 2013 Independent Specialist Care awards. 15:35 – 15:45 Research wrap up & close Kay Mackay, Director Service Improvement, KSS AHSN