We Are Your Hospice Annual Review 2018-19 About Us
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We are your Hospice Annual Review 2018-19 About Us About Us St Peter’s Hospice is Bristol’s only adult hospice. We have Contents been looking after people in our area (Bristol, South Gloucestershire, North Somerset and parts of Bath and Welcome 3 North East Somerset) for 41 years. Our commitment is to contribute to improving the quality of life of patients with New Inpatient Unit 4 life limiting illnesses while extending care and support to Patient Care 6 their families and loved ones. Our main building is at Brentry Education 9 and our Community Nurse Specialist team have bases in Staple Hill, Long Ashton, Brentry and Yate, making it easier Volunteering 10 for us to provide accessible care and support across this Communications 11 large geographical area. Income generation 12 Financial summary 16 Looking ahead 18 2 Welcome Welcome 2018/19 has been a remarkable The review also reflects how, besides money, our year in the life of St Peter’s Hospice, supporters have also generously donated their time as during which we have completed a volunteers – without whom we would not be able to major rebuild of our Inpatient Unit achieve much of what we do. (IPU) to produce a hospice fit for the 21st century. We are very We do not take this generosity for granted. We know we proud of the new IPU, which must work hard to maintain the excellent reputation St opened in November 2018 and is Peter’s Hospice enjoys, and part of that involves changing appreciated by the patients and what we do in order to meet the developing needs of our their families who use it. During the build we maintained all patients and families in the 21st century. We will continue our other services, both at Brentry and in the community, to expand and enhance our services to meet patient needs and our staff and volunteers worked hard to ensure any both at the Hospice and in the community. disruption did not impact on patients. So thank you to everyone who has supported the Hospice, St Peter’s Hospice provides the only adult hospice care to a whether by donating money, buying from or giving to our population of almost one million people. Our services cost shops or volunteering in so many ways. I hope you will £22,100 a day to run and the NHS funds only 21% of this; so want to support St Peter’s Hospice in the coming year to the remainder has to be raised from charitable donations. enable us to continue the work you will see so clearly We know from patient and family feedback how valued our illustrated in this review. services are, but they are only available thanks to the generosity of so many people. Simon Caraffi This Annual Review is one way for us to say thank you to Chief Executive our community for all your support over the past year, by showing you how you have raised the funds we need as well as how we have spent them – and how many lives have been affected by your generosity. 3 New Inpatient Unit New Inpatient Unit 2018 saw the successful completion of the rebuild of our Inpatient Unit at Brentry, as well as a new Coffee Shop and social hub. The Hospice now has an Inpatient Unit fit for the 21st century, providing patients with a physical environment to match the excellence of the care we provide. The rebuild was made possible by the £2.74m raised during the Room to Care Appeal. Actress and Room to Care Appeal Patron Caroline Quentin joined us in November 2018 to announce the success of the appeal and open the new Inpatient Unit. Some of the new features of the Hospice include: • Private, enlarged patient bedrooms with ensuite bathrooms and facilities for visitors to stay overnight • Dementia-friendly rooms and an enclosed garden safe for patients with any form of cognitive impairment to explore • Family lounges and quiet rooms plus a sanctuary for quiet reflection, prayer or meeting • Fully-equipped hairdressing salon for patients • New enlarged Coffee Shop and social hub with indoor and outdoor seating, serving hot and cold food, drinks and • Remodelled gardens specially designed for patients and snacks families, accessible from all patient rooms, with patio space for beds to be taken outside 4 Coffee Shop Patient Care Services Overview All our patient services were affected to some extent by the rebuilding of the Inpatient Unit but we were pleased that at no stage did we have to suspend any services. The day-to-day running of the Hospice’s support functions also suffered some disruption but these were well-managed in collaboration with our contractors. The total number of patient referrals increased for another year, by 17% on 2017/18, and we were able to develop certain service areas in line with our plans. Patient care activity 2018/19 Number of new referrals 2,887 Community Nurse visits 8,033 Inpatient Unit bed days occupied 3,818 +17% Hospice at Home care hours 17,191 Patient referrals Day Hospice attendance 1,926 on previous year Advice Line calls 4,317 6 Patient Care Patient Care During most of this year our Inpatient Unit (IPU) continued to operate from its temporary site at Keynsham while the Brentry site was rebuilt. The temporary unit functioned very effectively, and the IPU staff worked hard to ensure their usual very high standards of care were delivered. Despite the site’s limitations, such as no readily accessible outside space, feedback from patients and their families was very positive and scoring on the ‘iWantGreatCare’ satisfaction survey remained high. The newly rebuilt 15-bed unit opened to patients at the end of November following an intensive period of activity to re-equip and refurnish it and provide staff with the necessary training. All 15 rooms were available to patients within two weeks, thanks to the leadership of clinical managers and the co-operation of all staff. Since opening, the new unit has received excellent reviews from patients, families and staff, and achieved 98% bed occupancy from January 2019 to the end of the financial year. 98% Bed occupancy in our Inpatient Unit 7 Patient Care Service Development Patient We developed our Community Nurse Specialist (CNS) reviews on service by recruiting two Response Nurses which has 93% iWantGreatCare enabled us to manage referrals better. This has been a very successful initiative, improving response time to “Extremely likely” urgent referrals without disrupting planned visits by the to recommend local CNS teams. our service We also began our programme to gain non-medical prescribing qualifications for selected CNSs. Non-medical prescribing allows health professionals who are not doctors to prescribe medicine, enabling a faster, more efficient Improved service for patients and improved continuity of care. response times The Hospice joined Project ECHO (Extension of Community to urgent Healthcare Outcomes), a community of practice that shares referrals learning and support to improve end-of-life care, particularly in local care homes. Staff recruitment included: • The new post of Deputy Director of Patient Care to provide more capacity in clinical governance and quality We had 467 responses this year to our ongoing patient survey (iWantGreatCare.com). 93% said they were • A rehabilitation assistant to increase capacity in our “extremely likely” and 4% “likely” to recommend our Therapy team service. We received one written and eight verbal complaints this year, and five other concerns were actioned. • A middle-grade doctor to join the medical team and We also received 264 written compliments (cards and enable more efficient use of consultant time letters). 8 Education Education The Education department is a valuable service within St Peter’s Hospice, helping to improve standards of end-of-life care both internally and externally. The Education department maintained consistently high quality delivery for the University of West of England, delivering modules for BSc and MSc courses and for professional candidates. Student numbers have been sustained and increased for the module delivery planned for the coming year. We continued to provide external agencies, such as Bristol Community Health, South Gloucestershire Council, Avon Local Medical Committee, Health Learning Partnership, care homes and other clinical and medical colleagues across Bristol with a significant range of end-of-life care education and training opportunities, reaching up to 100 colleagues in the area. 9 Volunteering Volunteering Volunteer Resources provides our clinical and commercial • Shop volunteers alone contributed the equivalent cost of teams with a motivated, trained and supported volunteer 52 days of patient care – or more than £1m in cash terms workforce. With 20 varied and individual roles, our 1,500 volunteers contribute more than £2m of in-kind support. The • Hospice Neighbours made over 1000 visits to patients in 2018/19 year has seen the re-integration of volunteers at their own homes Brentry after the Inpatient Unit rebuild. A substantial amount of planning and training has been required, including new Volunteer drivers Information Governance training, expanding the Coffee Shop transport patients role, recruiting a hairdressing team, new gardeners and a a distance of at broadening of the IPU role. Brentry volunteers have risen to the challenge and we’ve been encouraged by a significant least twice increase in younger volunteers. around the world every year • Volunteer gardeners shifted 20,000 litres of kitchen and garden compost per year – that’s a lot of …manure! • Volunteer complementary therapists delivered nearly 500 sessions to patients in Day Services and the Inpatient Unit • Pre- and post-bereavement support volunteers gave 530 sessions to families who lost a loved one The number of retail volunteers continues to hold steady despite a decrease nationally.