RT Journal Article SR Electronic T1 P134 Pilot service evaluation survey to demonstrate ‘quality & efficiency’ of ‘hospice in-patient care’ JF BMJ Supportive & Palliative Care JO BMJ Support Palliat Care FD British Medical Journal Publishing Group SP A57 OP A57 DO 10.1136/bmjspcare-2013-000591.156 VO 3 IS Suppl 1 A1 Joseph, Marie A1 Goldhill, Alice YR 2013 UL http://spcare.bmj.com/content/3/Suppl_1/A57.2.abstract AB Introduction Patients with uncontrolled symptoms will experience impaired quality of life [QoL]. Improvement in symptom management, therefore will lead to an improved ‘QoL’ which is one of the ultimate goals of management of patients in the palliative care setting. The ‘WHO performance scale/status’{PS}, is designed to measure the ‘QoL’ of patients in the above setting. It is measured between 0 and 4. [0---normal; 4---totally bed/chair bound, with gradations in-between] {Note: The higher the value of the ‘PS’, the lower the ‘QoL’ of the patient.} Aim To demonstrate improvement in ‘QoL’ following successful symptom management Methods Survey all in-patient admissions to the hospice for ‘symptom control’ purpose Identify symptoms on admission Record ‘PS’ as a measure of patient’s ‘QoL’, on admission & on discharge Record relevant clinical & therapeutic management measures Pilot survey period: Approximately 6 weeks Results 14 patients were admitted for ‘symptom control purpose’. Neuropathic pain, poor pain control [commonest], nausea and vomiting, shortness of breath, anxiety/low mood, constipation were the identified symptoms. ‘OPIOID switch’, Neuropathic Analgesic Agents, Continuous Sub-Cutaneous Infusion [CSCI/syringe driver], were the common therapeutic measures used. Average PS on admission was: 2.7 {approximately 3} Average PS on discharge was: 2.2 {approximately 2} All patients were discharged home with an improved ‘PS’ indicating an improvement in their ‘QOL’ in comparison to the state on admission. 3 patients subsequently died at home. Discussion/Survey implications This pilot survey demonstrates to the Clinical Commissioning Groups [CCGs], an evidence of ‘quality and efficiency of hospice in- patient care’. The findings in addition strengthen ‘staff morale’ in caring for patients in the hospice setting. Conclusion PS’ as a measure of ‘QoL’ can be a marker of good symptom management in palliative care. April 2013