P-129 Volunteer telephone support service (VTSS) to support self-management and achievement of goals

Abstract

mainstreaming a proactive approach, later spread to the wider Notts Integrated Care System/ICS population. Local hospices are working in partnership with community, third sector and acute sector organisations to lead development and expand capacity and flexibility of the service. The partners led on advance care planning, Respect implementation, a new ICS end of life strategy, a co-designed care-co-ordination service and regular interdisciplinary training for all care providers. Progress in population-based end-of-life care was assessed using robust comparative audits of digital record-sharing (EPaCCS) data against whole-system GSF end-of-life care metrics.Results Nottinghamshire data shows (trend 2019-2021). Earlier patient identification (0.22-0.66%).. Earlier and increased advance care planning (ACP) discussions and improving quality Respect forms (audited). . Those on register attaining preferred place of care/death (54.7-67%). . Reduced hospitalisation and system resource savings (10% Quipp). . Better outcomes for individuals (commendations, fewer complaints). . Nottinghamshire's use of GSF and ACP laid the foundations for a later robust, generalist-led response to the COVID-19 pandemic.