"Advance Care Planning is now embedded in the fabric of the whole organisation. In this way, and with these strong collaborative links across the healthcare community, we achieve 100% of our residents dying in their preferred place of death.”
LB Melrose Nursing Home
GSF Accredited Care Home of the Year 2017
Experience of ACP in GSF
We integrate Advance Care Planning (ACP) discussions into all GSF programmes, as a key means of delivering personalised care, to best meet the needs and wishes of the individual person and their family.
‘Every appropriate person should be offered ACP discussions’ (mainly Advance Statements) by their usual/chosen healthcare provider which then becomes an action plan against which quality of care is measured’
GSF Summary Statement on ACP
This in practice includes everyone considered to be in the final year/years of life identified by GPs’, locality or Hospital GSF or End of Life care register, every resident in a care home, retirement village etc.
We have found by combining earlier identification of patients and offering more proactive care, more people are more likely to have an ACP discussion and express their wishes and preferences.
GSF accredited teams demonstrate more patients being offered ACP discussions to differing degrees
The actual tool matters less than the process of offering ACP to everyone.
At GSF in the UK we use we have been using the GSF Thinking Ahead document for many years in many settings.
We also developed the GSF 5 Steps video, leaflet, poster and brochure to help people begin the discussion - along with other useful examples and resources- see here
Experiences of of the benefits of ACP discussions from GSF trained teams and others .
Nurse from The Marches Nursing Home describes normalising ACP discussions for all residents in their home
Lucy Giles discussing ACP with Mum at home, discussing her wishes if her condition worsened .
Dr Bill Silvester discussing the advantages of having ACP discussions early in ICUs in Melbourne ,Australia
Iris describes how having ACP discussions has made a difference to her personally and empowered her.
Peter talks with Maggie about the benefits to him of ACP discussions
Simon Pedsinski from Nightingale Hammerson House , talks about mainstreaming ACP in their GSF accredited care home.