Introduction The introduction of a nurse-led model of care within our hospice is at our fingertips. Traditionally we have always used a consultant-led model.

As we move into the future and open our doors to a wider population needing palliative care services, we need to consider our options, ensuring we are fit for the future. Introducing nurse-led care provides a valuable resource for patients and families.

Aims of project

• Pilot the delivery of nurse-led care

• Build the potential for nursing leadership

• Establish advanced practice in inpatient care

• Change and challenge traditional practices

• Effective and efficient use of palliative care consultant time.

Evidence and experience to date Since November 2015 we have been piloting a nurse-led model of care. Patients are transferred into the nurse- led model of care with their consent, providing a seamless and holistic patient centred service. Anecdotal evidence from relatives suggests that this is a valued and useful service. Patient experience surveys have provided evidence that there has been no deterioration in the satisfaction expressed in the quality and efficiency of care received. The expected challenge by the inpatient nursing team in delivering a new model of care has not been evident.

Developments for the future

• Clear programme in place for the sustainable delivery of advanced nursing practice in the inpatient setting

• Development of robust tools to measure and analyse the impact on nurse-led care for the individual, team and organisation

• Establish if nurse-led care is a viable alternative to consultant-led care

• Development of allied health professional-led care.

Conclusion Our experience to date has identified that the delivery of nurse-led care within our organisation provides an alternative model that releases the potential for nurses and doctors alike.