Final template

  1. CRISIS CONTACT INFORMATION
  1. Sources provided

 
  1. Out-of-hours DNs
  2. GP out-of-hours service
  3. In-hours PHCT
  1. Feelings about information
  1. Reassurance
  2. Confusion
  3. Annoyance re. lack of information
  1. QUALITY OF OUT OF HOURS CARE AND SUPPORT
  1. Out of hours District Nurses
  1. Excellent service
  2. Failing to listen
  3. Call-out times
  1. Out-of-hours GPs
  1. Limited use of
  2. Satisfaction with service
  3. Well-informed about patient
  4. Uninformed about patient
  1. Other out of hours staff (night-sitters, social services)
  1. Confusion re. roles
  2. Availability/lack of night sitters
  3. Valued service
  4. Importance of continuity
  5. Concerns re. ability of younger staff to cope
  6. Reliability of service
  7. Inflexibility of social services home care provision
  1. In-hours PHCT members (DNs, GPs)
  1. Appreciation of availability out of hours
  2. Personal commitment of staff
  1. OOH staff in general
  1. Good support
  2. Access issues
  1. DRUGS AND EQUIPMENT OUT OF HOURS
  1. Access to drugs
  1. Left in patient's home
  2. Problems with patient self-administration
  3. Reassurance from knowing how to access in emergency
  4. Arrangements for delivering prescriptions
  5. Problems in collecting prescriptions
  1. Access to equipment
  1. Use of syringe drivers
  2. Equipment delivered out of hours
  3. Appreciation of access out of hours
  4. Late and/or inappropriate provision of equipment
  1. GENERAL CARER SUPPORT ISSUES
  1. Problems re. secondary care
  1. Good clinical care
  2. Long journeys
  3. Waiting times
  4. Poor communication with patient/carer
  5. Poor communication with primary care
  6. Insensitivity in dealing with patients/carers
  1. Role of Macmillan Nurses
  1. Confusion re. role
  2. Surprise at lack of "hands on" role
  1. Social services support
  1. Delays in receiving benefits
  2. Delays in installing equipment
  3. Insensitivity in dealing with bereaved carer
  1. Bereavement care
  1. Offered by PHCT
  2. Counselling arranged
  3. Continuing relationship with staff post-bereavement
  1. Removal of drugs / equipment
  1. Distress caused by failure to remove
  2. Prompt action to remove by DNs
  1. Overall quality of in-hours care and support
  1. Good access in-hours
  2. Excellent support from PHCT
  3. Poor support from individual staff