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195 Equipping the Care Home workforce for the challenges associated with End-of-Life Care
  1. Leonie Lowrie1 and
  2. Tracey Golding2
  1. 1Rennie Grove, Tring, UK
  2. 2Peace Hospice Care, Watford, UK


Background We have a globally aging population that is going to impact on health and social care provision (Bone, Gomes, Etkind, et al., 2018); by 2040 care homes will be the most common place of death in the UK (Bone, Gomes, Etkind, et al., 2018). The burden of care is going to fall on the care home sector; it is vital that we equip them with the relevant knowledge and skill base to ensure equitable and excellent end-of-life care.

Aim To provide a sustainable approach in care homes for delivery of high standard of end-of-life care through education. To ensure excellent standards of holistic care at the end-of-life.

Methods A structured ‘Train the Trainer’ educational package for care homes across two counties – provided by a collaboration of two hospices. This begins with a needs assessment and delivered through a blended learning approach:

  • In person training.

  • Discussion and case study.

  • Personal reading and development.

  • Virtual learning.

  • Enquiry.

Followed by an audit to identify the learning and changes in practice. This will be supported by regular contact with educators.

Results Engagement with care homes across both counties, demonstrating effective training and ongoing support of champions. This will equip staff with a sustainable skill set and knowledge framework with a resulting change in end-of-life care which will meet the needs of our changing population (Bone, Gomes, Etkind, et al., 2018). This will include ongoing support from hospice educators, including a forum for peer support and ongoing relationships.

Conclusion The project will equip care home staff to facilitate in-house end-of-life education and training to maintain a standard of care that meets the recommendations as highlighted in the Ambitions document (National Palliative and End of Life Care Partnership, 2021) . This project will maintain ongoing engagement with care homes through a relationship of mutual professional trust and respect, facilitating peer support within the care home community, and at the same time recognising the specific challenges that care homes face.

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