Scoping Exercise of Education and Training in End of Life Care in the North West

1. Scoping Exercise of Education and Training in End of Life Care in the North West Joy Duxbury Helen Ellis Sue Yates Mary Matthiesen David Pulsford Kay Sheik Terri Obrien

2. Aims • To scope the extent to which educational and training provision across health and social care providers meets End of Life Care strategies. • To identify any gaps in specified areas of education from varied perspectives

3. To make recommendations for education and training requirements that cover: • the workforce skill mix and sectors including: • Staff who spend the whole of their time caring for those at end of life. • Staff who frequently deal with end of life care • Staff involved in providing end of life care work across different sectors. • the diverse needs of the workforce • meeting relevant standards • stakeholder perspectives • the necessary knowledge, skills and attitudes to provide high quality care

4. Method • Scoping educational and trainingprovision • Literature review • Survey • Gap analysis • Surveys • Mapping tool • Dissemination • Workshop

5. A Scoping Activity Establishing baseline dataset • Providers • Type/range of education and training. • Mode and amount of delivery • Academic level and accreditation of the education and training • The geographical location of the provision • Target audience across health and social care workforce in the Northwest. • Content • Underlying frameworks/guidance

6. A telephone call for initial contact, to facilitate dialogue with regards to access and snowballing • Survey tool to reflect flavour of: • Gold Standards Framework • NW EOL Care Pathway • National End of Life Care Strategy • Core Competencies for End of Life Care • Communication skills • Assessment of the persons needs and preferences. • Advance care planning • Symptom control

7. B Gap Analysis • Mapping of met and unmet priorities against mapping tool • Surveys • Staff/Patients/Carers • Survey Monkey • Focus groups

8. Focus Groups • A cross regional stratified sample of staff • Six focus groups to cover geographical areas • 1 Merseyside • 2 Cumbria & Lancashire • 2 Greater Manchester; • 1 Cheshire. • Basic demographics • Training received • Experience • Setting

9. Focus Groups • A cross regional sample of patients and carers • Six focus groups to cover geographical areas • 1 Merseyside • 2 Cumbria & Lancashire • 2 Greater Manchester; • 1 Cheshire. • Basic demographics • Stage of illness/experience • Care setting • Social circumstances

10. C Workshop • For educational, health and social care staff, patients and carers • Aim • Review findings • Initiate the dissemination strategy • Provide opportunities to consider impact across the workforce and the quality of end of life care provision • Discuss the way forward • Network

11. Outputs • A map of education and training in end of life care across the northwest • A gap analysis that will be based on the North west end of life care model from varied perspectives • Recommendations that will inform education commissioning and governance • A final report and other appropriate summaries with recommendations for further work

12. Progress & Challenges • Ethics approval • R&D • Survey design • Populating contacts database • Recruitment • Where, how and who • Access • Data collection ongoing • Deadlines on track