Public – Private Partnership
Background
In response to the increasing number of patients receiving treatment in the oncology day clinic and oncology ward in St George Private Hospital (SGPH) there was a need for patients to access palliative care services for both inpatient and community support.
A model of care partnering SGPH with Calvary Healthcare Kogarah (CHCK) to provide a seamless transition and access to palliative care services within the SESLHD (South East Sydney Local Health District).
Aim
To consider a novel partnership between the public and private sector which enhances service provision with access and equity to palliative care services provided by the specialist service in the SESLHD.
Approach
A review of current referral processes was undertaken, a collaborative multidisciplinary approach was implemented to establish referral pathways and access to medical information in the absence of a shared electronic database or eMR.
Outcomes
A weekly multidisciplinary team (MDT) meeting was set up to discuss all oncology patients. Membership included Oncology Advance Trainee, Oncology CNS, Palliative Care Staff Specialist, Palliative Care CNC, social work, occupational therapist, physiotherapist and dietician.
This meeting ensures no patients fall through the gaps and a comprehensive discussion regarding goals or care, treatment and issues can be discussed with care plans developed and implemented.
Discussion
The development of a formal referral book and transfer form between SGPH and CHCK ensures all relevant discussions have taken place prior to referral to the palliative care service.
This has improved communication between health practitioners and patients and families to ensure they have a full understanding of their reasons for referral thereby reducing any distress or misconceptions regarding the referral.
Conclusion
Using a more formal and structured referral process with better communication and sharing of information, strengthens working relationships and aims to improve outcomes for the patient experience.