Table 1 Innovation Centres and identified focus areas
From: Impact of the Macmillan specialist Care at Home service: a mixed methods evaluation across six sites
Site A |
Develop volunteer provision to support home visits to patients |
Streamline service delivery across the two areas |
Establish a local primary care learning network to widen knowledge about palliative and end of life care |
Develop protocols and deliver clinical interventions at home |
Site B |
Create a single point for access for referral |
Fund additional personnel, in particular two part-time consultants in palliative medicine |
Work to integrate community teams and create a central ‘hub’ |
Develop systems for early referral |
Develop protocols and deliver clinical interventions at home |
Site C |
Fund a speciality doctor to set up another palliative care clinic |
Work with local care homes to provide education and support |
Create an end of life education programme |
Develop volunteer provision to support home visits to patients |
Develop protocols and deliver clinical interventions at home |
Site D |
Fund additional personnel, including community support workers and an occupational therapist |
Work to integrate community teams |
Develop systems for early referral |
Increase rapid response and 24/7 access |
Develop protocols and deliver clinical interventions at home |
Site E |
Fund additional personnel, including a staff grade doctor, advanced nurse practitioner and two part-time health care assistants (HCAs) |
Develop systems for early referral |
Develop as rapid response team of HCAs |
Develop volunteer provision to support home visits to patients |
Develop protocols and deliver clinical interventions at home/hospice |
Site F |
Fund additional personnel, in particular a nurse consultant |
Create a single point for access for referral |
Develop volunteer provision to support home visits to patients |
Work to integrate community teams |