libby sallnow examples from england

A public health approach to EoLC: Examples from England

Dr Libby Sallnow Research Fellow, St Joseph’s Hospice London Doctoral Student, University of Edinburgh

Overview of talk

• To review three examples of a public health approach in England • To understand how these concepts can be translated into practice • To look at the impacts that can follow from this work

Now an international movement

St Joseph’s Hospice, East London • Recognition that we were

not meeting the needs of our local communities

• Aware we were delivering a professional service – not in partnership with the community

• Resonated with the core mission and values

• Focus on sustainability • Upstream interventions

Initial Plan (2006)

• Understood that we are not experts in community development

• Needed to incorporate research from the outset

• Saw it as a journey – long term funding and support

• Embed it within the culture of the organisation • Build local partnerships • Understand what was already happening

First Steps (2007-9)

• Partnership with Social Action for Health • Strong links within the community

• Dialogue events • Health Guides • Presentations to hospice staff • Staff supported to attend public health and

palliative care conferences

Compassionate communities at

St Joseph’s Hospice

Compassionate Neighbours

Namaste Dementia Care

Newham Bereavement

Service

Empowered Living Team

Newham Neighbourhood

Hospice

Chaplaincy

Results

Compassionate Neighbours • Recruit and train

community members to become ‘Compassionate Neighbours’

• Support people emotionally, socially, practically in their homes

• Communities not well represented in the hospice targeted

Compassionate Neighbours

• Developed in partnership with Social Action for Health

• Wider role to drive social change, to make communities more compassionate places to live and die

• Received Cabinet Office funding to extend project (2015)

• Now over 120 people trained

Development (2010 – current)

• PhD researcher • Visits to other centres • Learning from mistakes and refining the language • Developing confidence and managing risk • National networks – Pathfinders, UK branch of

PHPCI • Funding applications – Cabinet Office, Hackney

Commissioners • Community ambassadors • Beginnings of a social movement

Presenter

Presentation Notes

In Cheshire, we are in the unique position to have a dedicated Public Health and Wellbeing Programme…proud that we were the first in the UK to have established such a programme. The programme is not simply about raising awareness – it is about motivating and supporting a change in knowledge, attitude and behaviour to improve health and wellbeing… Through, the CLWDW Partnership – which is our public facing branding of The EoLP – work to engage with the public and with anyone who works with public…so that we can enable, inspire and empower our communities

Research, Evaluation

and Technology

Education and Practice Development

Service Development

Public Health & Wellbeing

…To Transform End of Life Experience and Care

Presenter

Presentation Notes

…have the aim to transform end of life experience and care. The EoLP is a charity/ organisation in our own right and have a core team consisting of four dedicated departments Education & Practice Development – with a focus on educating and training health and social care staff – and delivery of BSc and MSc academic programmes Service Development – including (a Dementia EoL practice development team) – with a focus of working with clinicians to help enable and facillitate excellent end of life care Public Health and Wellbeing – with a focus of working with the public and the wider ph workforce to support people to engage in future life planning and support each other, throughout the life course Research, Evaluation and Technology – with a focus of evaluating work of EoLP Team and partners and adding to knowledge base We also have a business support team – supporting the work of the organisation

Concept Model of Cheshire Living Well, Dying Well Public Health Programme

Rachel Zammit (2011)

Presenter

Presentation Notes

Central tenet of our public health and wellbeing work is living well… Because how we live affects how we age, how we grieve and how we die… How we die affects those we leave behind – their health and wellbeing - and how they live,age, grieve, die etc and so the cycle continues…

The evidence base is building

Thank you

libby sallnow examples from england

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