Local models of care

Palliative and end of life care is a key identified priority for COORDINARE. In 2017, COORDINARE commissioned development of a model of care to support the role of primary care providers in palliative and end of life care in South Eastern NSW. This involved wide-ranging consultation with GPs, other care providers and consumers from across our region to identify key issues and priorities, and development of a model which acknowledges the diverse needs and service contexts across the region. The need to strengthen advance care planning was identified as a priority by consumers to ensure discussions are held early enough to enable respect of each person’s wishes about their death.

The purpose of the consultation was to hear from local stakeholders what was working best in their region, what their priorities were for palliative and end of life care and what solutions they proposed to the proposed priorities identified.

The models of care were developed in recognition of the growing demand on palliative care services within the region, and the critical role that primary care providers can play in supporting palliative and end of life care.

The models aim to:

  • support more consistent involvement of GPs in palliative and end of life care
  • strengthen the coordination and management of palliative and end of life care between GPs, the specialist palliative care service, primary health nurses and other care providers
  • improve outcomes for patients with palliative needs and their families and carers, including greater support for dying at preferred place of choice.

The guide also identifies opportunities to strengthen our health system and support local tailoring and implementation of the model of care. This is important if we want to drive improvements in palliative care for our communities.

 

Models of care

COORDINARE would like to acknowledge the valuable contributions of the Expert Advisory Groups, Southern NSW Local Health District (SNSWLHD), Illawarra Shoalhaven Local Health District (ISLHD) specialist palliative care services, as well as the GPs, specialists, and other care providers and consumers who shared their insights and helped shape this model.