ConclusionThe Alliance will develop a joined-up, holistic model of dementia support for the local community which puts the individual at the centre of their support, thus providing an integrated dementia support offering for local people from diagnosis to end-of-life.

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BackgroundThe benefits of exercise for people with life-limiting conditions are widely recognised. Woodlands Hospice runs a weekly exercise group which is well attended. Feedback is positive and the environment provides more than simply physical benefits. It has become a safe place that instils positivity and humour where patients can share feelings and coping strategies, gain support and strength from their peers and staff, ask for help whether physical, emotional or spiritual and where they can just ‘be’.AimTo further develop this group to enhance the experience for patients. Specifically:Music.To introduce music in the form of a personal group playlist where all patients are involved in sharing a song and a reason for its choice. This music is played during the group and made available to take home.Tai Chi. To teach simple chair based Tai Chi to be practised at the end of each session to promote a calm and contemplative atmosphere.Palliative Outcome Scale (POS). Using this recognised tool on a monthly basis helps patients to discuss any new concerns, allows staff to signpost patients appropriately and streamlines outcomes throughout the hospice.MethodsLiterature review on clinical benefits of Music therapy and Tai ChiConsultation with group membersPractise Tai Chi sessionsMultidisciplinary consultation regarding introduction of POS.ResultsMusicA feeling of ownership and camaraderie promoting discussion ranging from shared memories to the spiritual needs of the presentTai ChiThis new skill has facilitated relaxation, breathing control and aided sleepPOSIts use has identified a gap in care when patients are not accessing other hospice services and ensured their needs are met.ConclusionThe exercise group has proved to be a good leveller with patients feeling confident to share experiences whilst gaining physical and emotional strength.

BackgroundThe Outcome Assessment and Complexity Collaborative (OACC) created a standardised, validated suite of outcome measures for use in palliative care. The key features are the holistic approach, with involvement of the Multidisciplinary Team (MDT) and the patients/families themselves. Our hospice currently uses three outcome measures: the Integrated Palliative care Outcome Scale (iPOS), the Australia-modified Karnofsky Performance Status (AKPS) and Phase of Illness. All three outcome measures are discussed in the weekly multidisciplinary team meetings, both in the in-patient unit (IPU) and the day hospice.AimThe use of outcome measures was first piloted in the IPU and day hospice in 2012, but there has been no recent audit of their use. Anecdotally the outcome measures are consistently available for review at the MDT meeting but there is not always an available explanation when the iPOS is incomplete. This audit aims to quantify the compliance.MethodsThis is a retrospective audit, aiming to capture all patients in a one month period who were admitted to the IPU or who attended the day hospice for assessment. The standards (all with 100% targets) will include:iPOS offered to patients on admission (IPU) or at first assessment (day hospice)iPOS offered weekly thereafter – Reason for non-compliance documented when iPOS not completedAKPS and Phase of Illness discussed weekly at the MDT meeting (both IPU and day hospice).A secondary project will involve documenting baseline scores and changes in scores during admission or time attending the day hospice.ResultsFull results awaited.ConclusionThis project encompasses an audit to assess compliance and a secondary project to explore changes in outcome measures during an episode of care. We hope this information will help to further promote the use of outcome measures in clinical practice throughout the hospice.

MethodsThe previous e-ELCA lead worked with a team to map e-ELCA against the Association for Palliative Medicine (APM) medical school curriculum, identifying 64 relevant sessions. Further work from a team at Liverpool Medical School identified sessions that covered areas of the APM curriculum that were not covered by their local medical school curriculum. This previous work was combined to generate a provisional medical student learning path. This was presented at the APM undergraduate education special interest forum (APMUESIF). Feedback was gained on the choice of sessions but also the size and structure of the learning path. This feedback and the provisional learning path were used alongside the General Medical Council's (GMC's) Outcomes for Graduates document and the APM curriculum to produce a final learning path. Results A compact medical student learning path comprising 5 core, 5 additional and 5 case study sessions has been developed.Conclusions An e-ELCA medical student learning path has been developed following guidance from a number of sources. This will allow e-ELCA to be used more readily for undergraduate medical education.