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NHSGGC Bereavement Action Plan Update July 2012. Action Plan Changes/Developments Timescale Lead Recommendation 1: Rosslyn Crocket, NHSGGC Board Nurse Director is the corporate lead for In place Rosslyn Each board should nominate an Executive Shaping Bereavement Care Crocket Lead at Board Level to be responsible for the development and delivery of quality bereavement care within the service. Recommendation 2: A board wide steering group leads on Shaping Bereavement Care In place Rosslyn Each board should identify a Bereavement implementation across all care settings. This structure feeds into senior Crocket/Jan Services Co-ordinator to lead the planning and management structures across NHSGGC. This approach reflects Whyte development of quality bereavement care the importance and need for management and all staff to be responsible for and to promote partnership working. supporting bereavement approaches within the size and complexity of NHSGGC. Establish and further develop partnerships in The Bereavement Steering Group consists of representatives from across all November Jan Whyte the provision of board wide consistent and delivery structures. Work is ongoing across NHSGGC with CRUSE 2012 quality bereavement support in all care Bereavement Care Scotland, the six NHSGGC Hospices and local Carers settings for its population: Centres to develop, signpost and provide a range of approaches to Bereavement support in each community setting. This will be collated and added into an electronic directory of NHSGGC bereavement support. This directory of NHSGGC Bereavement services will support, promote and expand good practice. Comprehensive information will be available on the Bereavement page of the NHSGGC Palliative Care Website which in turn is linked to the Scottish Grief and Bereavement Hub and also NHS Inform Bereavement Zone when this becomes available in the Autumn Recommendation 3: All current policies and procedures relating to care of the dying patient were November Jan Whyte Each board should undertake a review of all reviewed in Acute settings and is part of the Palliative Care Agenda in each 2012 current policies and procedures relating to CHP/CHCP. The Bereavement Policy is being drafted and will refer to and care of the dying patient, and care of the link all NHSGGC policies relating to Death and Dying across all ages and care deceased, to ensure that they reflect good settings. Draft Deaths in Hospital Policy has been subject to an Equality quality care and to assess and reduce any real Impact Assessment and following approval from the steering group in August, or potential negative impact of these will be subject to Board wide consultation and approval. processes on those who have been bereaved. Recommendation 4: The draft Bereavement policy is under development in line with Shaping November Jan Whyte Each board should develop a policy on care Bereavement Care to support equitable good quality bereavement care across 2012 of those who have been bereaved. NHSGGC. The draft NHSGGC policy will reflect best practice identified as well as the principles of Shaping Bereavement care and will establish corporate and local processes to: ensure that bereavement care and support is provided on an equitable basis across NHSGGC through piloting delivery models emphasise the importance of NHSGGC staff education, training and support; Ensure that clear and accurate printed information is given to those who have been bereaved ensure awareness raising , education and training to all levels of staff support skills training for staff exposed to bereavement on a regular or deeper basis This is the current key piece of work for the NHSGGC Bereavement Group Recommendation 5: The bereavement booklet review is complete and updated bereavement September Jan Whyte Each board should review the quality of booklets printed – all information and approaches are in line with the 2012 printed information given to those who have NHSGGC Accessible Information Policy. As there was a set number printed, been newly bereaved, and the consistency an audit is being considered re distribution and use to determine future with which it is given to them. provision. Recommendation 6: The Bereavement Group is tracking progress on bereavement actions Jan Whyte Each board should develop a planned and consistent approach to bereavement 1 Bereavement training in line with the 3 levels in Shaping Bereavement Care: October awareness, training and education, which modules completed to date: 494 by Acute staff and 64 by community staff 2012 should be available, at appropriate levels, for 2 Advice for staff on communicating with bereaved relatives all staff. 3 Electronic Directory of all bereavement support available across NHSGGC The Palliative Care MCN will continue to oversee the development of bereavement work already implemented in all care setting across NHSGGC Ongoing through the Liverpool /End of Life Care Pathway. The MCN will also ensure bereavement awareness and support is built into the new NHSGGC processes for Anticipatory and Advanced Care Planning. This includes supporting the use of a patient held plan such as My Thinking Ahead Making Plans. All this work will take account of person centred care and the quality strategy March 2013 to support a whole system bereavement service mapping and provide local bereavement signposting A system for local bereavement support and coordination across care settings to meet the needs of the dying and bereaved people in each locality Algorithm for Bereavement Information and Training for staff linked to KSF. This will include current and future modules available on Learn- Pro and record their usage for service review and future planning. Evaluations and reviews to assess user and staff involvement / experience of the approaches developed A Bereavement Awareness launch event is planned for November that will initiate local processes to support bereavement awareness and an algorithm to support staff in appropriate access to training and education. Recommendation 7: Bereavement Steering Group with HR involvement to review staff support December NHSGGC Each board should review its staff support structures to ensure that support is available for staff who are distressed by 2012 BSG structures to ensure that support is available experience of death or trauma in all care settings with particular arrangements for staff who are distressed by experience of for critical care services, and those who experience personal bereavement. death or trauma, and those who experience Local Procedures be developed in each service as required by both the personal bereavement. Arrangements for Bereavement Policy and the Deaths in Hospital Policy debriefing should be reviewed in critical care areas such as Intensive Care and Accident and Emergency. Recommendation 8: Bereavement Steering Group is working with HR involvement to ensure new October NHSGGC Recognising the exposure of staff to matters Policy is clear and appropriate to support NHSGGC staff. Bereavement 2012 BSG relating to death and dying, each health Steering Group with HR input to ensure all service managers review board should consider the terms on which individual staff support on return to work for those who experience personal staff return to work following personal bereavement bereavements. Recommendation 9: This development work will be led by the Bereavement Steering Group and November NHSGGC Each board should establish lines of will build on a prior approach in partnership with Glasgow City Council. This 2012 BSG communication with other stakeholders provided comprehensive bereavement information and links for carers including the Crown Office, Local registering deaths to build on information provided in Acute settings. authorities, Funeral Directors, Registrars, Partnership Event to launch all developments to be planned for November relevant third sector agencies and 2012. This will include representatives from all other local stakeholders. independent burial and cremation authorities.
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