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Dear Mr OBrien
I am writing to you as Chair of the End-of-Life Care Standing Committee for XXXXX hospital.
In yourlettertoall healthcare staff on 6 February2014 youinvitedideasandsuggestionstoimprove
care for our patients.
Id like to share with you some of our hospitals initiatives to improve end-of-life care.
 We are implementingthe Hospice Friendly Hospitals Quality Standards for End-of-Life Care
 We have an end-of-lifecare standingcommitteeinourhospitalswhichisrepresentedby xxx
and meets xx times a year
 Alongwithover30 otheracute hospitals,we are a memberof the Hospice FriendlyHospitals
Network
 We are using the Hospice Friendly Hospital resources to promote dignity and respect for
patients at end of life- see images overleaf
 We have upgraded family roomsinsert photo
 We have piloted the National End-of-Life Care Audit & Review system This system was
developed in partnership with the Palliative Clinical Care Programme. It proactively seeks
feedback from bereaved families on the care that their relative received. ?quotes
 Training/education 
 Remembrance services
 Bereaved parents support days
 Letter of condolence for families / sympathy card
 Post mortems
 Bereavement leaflets
Insert positive quotes from staff/families
Insert photos
Howeverthere isstill a lot for us to do to ensure we give the best possible care to our patients and
families.
We would like to take this opportunity to advocate for:
- Staff to be released for training on palliative and end of life care
- The inclusionof communicationstraining inthe ongoing continuing professional development
for staff. Examples include Dealing with bad news and Final Journeys workshops
- The prohibitionof the use of plasticbagsfor returning deceased patientsbelongingstofamilies
- A high-level commitment to roll out the End-of-Life Care Audit and Review System nationally
- The use of the Design & Dignity Guidelines for all new buildings and refurbishment projects
- Greateravailabilityof private spaces for private conversations between staff and patients and
their families. Bad news should never be broken on corridors.
- Dedicated End-of-Life Care Coordinators to coordinate the implementation of the Quality
Standards for End-of-Life Care
-
Thank you for the opportunity to .
Best wishes
Name
Chair of Standing Committee
End of Life Spiral
Thisspiral isdisplayedinthe clinical areawheneverapersonisvery
close to deathor has died. Itisa signal toall staff that an intensely
personal andprofoundeventishappeningforthe patientandtheir
family.
Bed/TrolleyDrape
Thisis a special drape tobe placedoverthe bodyof the deceased
personto promote a dignifiedceremonyasthe deceasedpatientis
transferredoff the ward/outof hospital.
FamilyHandover Bag
We use thisbag as a dignifiedwayof returningthe deceasedpatients
belongingstothe family.
Sympathy Card
The Quality Standards for End-of-Life Care in Hospitals recommend sending
a sympathy card / letter of condolence within two weeks of the patients
death and before the hospital bill.
In our hospital we send a card from a staff member who cared for the
patient or their family.

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Sample Text in Response to Letter from HSE Director General (From Acute Hospital Network Meeting, March 2014) [AHN2]

  • 1. Dear Mr OBrien I am writing to you as Chair of the End-of-Life Care Standing Committee for XXXXX hospital. In yourlettertoall healthcare staff on 6 February2014 youinvitedideasandsuggestionstoimprove care for our patients. Id like to share with you some of our hospitals initiatives to improve end-of-life care. We are implementingthe Hospice Friendly Hospitals Quality Standards for End-of-Life Care We have an end-of-lifecare standingcommitteeinourhospitalswhichisrepresentedby xxx and meets xx times a year Alongwithover30 otheracute hospitals,we are a memberof the Hospice FriendlyHospitals Network We are using the Hospice Friendly Hospital resources to promote dignity and respect for patients at end of life- see images overleaf We have upgraded family roomsinsert photo We have piloted the National End-of-Life Care Audit & Review system This system was developed in partnership with the Palliative Clinical Care Programme. It proactively seeks feedback from bereaved families on the care that their relative received. ?quotes Training/education Remembrance services Bereaved parents support days Letter of condolence for families / sympathy card Post mortems Bereavement leaflets Insert positive quotes from staff/families Insert photos Howeverthere isstill a lot for us to do to ensure we give the best possible care to our patients and families. We would like to take this opportunity to advocate for: - Staff to be released for training on palliative and end of life care - The inclusionof communicationstraining inthe ongoing continuing professional development for staff. Examples include Dealing with bad news and Final Journeys workshops - The prohibitionof the use of plasticbagsfor returning deceased patientsbelongingstofamilies - A high-level commitment to roll out the End-of-Life Care Audit and Review System nationally - The use of the Design & Dignity Guidelines for all new buildings and refurbishment projects - Greateravailabilityof private spaces for private conversations between staff and patients and their families. Bad news should never be broken on corridors. - Dedicated End-of-Life Care Coordinators to coordinate the implementation of the Quality Standards for End-of-Life Care - Thank you for the opportunity to . Best wishes Name
  • 2. Chair of Standing Committee End of Life Spiral Thisspiral isdisplayedinthe clinical areawheneverapersonisvery close to deathor has died. Itisa signal toall staff that an intensely personal andprofoundeventishappeningforthe patientandtheir family. Bed/TrolleyDrape Thisis a special drape tobe placedoverthe bodyof the deceased personto promote a dignifiedceremonyasthe deceasedpatientis transferredoff the ward/outof hospital. FamilyHandover Bag We use thisbag as a dignifiedwayof returningthe deceasedpatients belongingstothe family. Sympathy Card The Quality Standards for End-of-Life Care in Hospitals recommend sending a sympathy card / letter of condolence within two weeks of the patients death and before the hospital bill. In our hospital we send a card from a staff member who cared for the patient or their family.