Our strategy has been inspired by patient need and every one of our staff and volunteers plays a role in helping to deliver it.
Download our strategy (pdf)
Princess Alice Hospice at Home gives our patients direct access to the high quality, compassionate care they need in the place they most want to be. It brings the skills and expertise of our highly-trained multi-professional team – specialist palliative care doctors, nurses, social workers, welfare advisors, chaplain and therapists – straight into the home and gives the patient, family and carers the support they require at this difficult time.
There are four main elements to our Princess Alice Hospice at Home service:
Caring for more than 800 patients in the community at any one time, our team of Princess Alice Nurses is the primary point of contact for the hospice’s multi-professional team and its services. Supported by our own specialist doctors and consultants these trained CNSs, specialist staff nurses and HCAs work closely with the patient’s GP and other local healthcare professionals visiting the patient at home to assess their needs; meeting their family and/or carer; and starting the process of planning and coordinating the patient’s ongoing care from the hospice team.
Depending on what is best for the individual, the hospice care we offer can include: relief of symptoms, therapy, spiritual care, psychological and emotional support, and practical financial advice. Last year we cared for more than 2,800 people in the community and our nurses made more than 10,000 home visits.
When a patient requiring immediate attention is referred to us by a GP, a care home or a hospital, our dedicated Rapid Response Nurse (an experienced CNS), is on call to help. Driving to the patient within hours to assess their condition and to offer symptom control advice and support, our nurse helps the patient and their family to adjust to their new situation. If necessary she can call on our wider multi-professional team to help. Last year the Rapid Response Nurse responded to 146 calls for help.
If patients, need urgent additional help during the night, our Night Response team – two dedicated nurses – is on call and available to visit the patient’s home within 1-2 hours to provide critical support. Last year over 100 patients were supported by our Night Response team.
The responsibility and emotional demands of looking after someone with a life-threatening illness at home are exhausting. Family and carers need occasional respite – and our Night Nurses are there to provide just that. Registered Nurses and HCAs benefiting from additional palliative care training from us, stay with the patient overnight from 10pm to 7am. Working from pre-prepared care plans, based on our detailed knowledge of the individual’s condition they can quickly respond to changes in need.
Should a patient suffer a significant change in symptoms which puts them at risk of urgent admission to hospital, our Enhanced Support service focuses the support of a dedicated multi-professional team on meeting the patient’s requirements and enabling them to stay with their family and carers by creating a “virtual” hospice bed in their home. The daily support can see home visits by a specialist doctor or one or more of our specialist team members to address different aspects of the patient’s need. If the patient no longer requires this intense level of care, they can be “discharged” to normal levels of support. Since its launch in 2013, Enhanced Support has helped more than 200 of our patients. The service is on offer seven days a week.
Last year, our caring support enabled 946 patients to die at home among family and friends. Our multi-professional, whole-person care and support meant that 228 of the 619 patients admitted to the Hospice, were able to be discharged home to be cared for by our Community Team. We will continue to develop Hospice at Home providing high quality, compassionate care where and when our patients need it.
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