Introduction With an emphasis on future services needing to meet the needs of more people, more of the time, we have embarked on a process of revolutionising how our day services and outpatient care could rise to this challenge.

Aims of project

• To reach those people who would not have traditionally used day services

• Development of planned sessions, group work and open access with the aim of creating a flow through the building which sees independent movement

• Ensure patient led goals are central, working towards the promotion of rehabilitation, enablement and self-help

• A change of focus for our volunteers with an emphasis of empowering and enabling service users

• Extend and welcome other groups who provide support across the community to deliver it from our building.

Evidence and experience to date During January 2016 there was an opportunity for us to take a moment in time to stop and reflect as well as having the opportunity to be able to work together as a team to review and revise the future of our day services and outpatient care. A new philosophy and vision has been created that sits firmly within the strategic plans of our hospice. A change of focus for the volunteers with the emphasis of empowering and enabling those who use our services has been one which has taken much longer to embed. New roles have been established to support planned day care and a self-management programme and access to various activities which promote well-being are now underway.

Conclusion The process of changing the philosophy and structure of our day services has not been without challenge. A new vision looks to build on the potential of those people accessing and working out of the building, whilst also seeking new opportunities to work in partnership.