Title Here Annual Review 2011/12 “A year of growing partnerships” Greenwich & Bexley community hospice Title Here Contents 3 4 7 8 12 14 15 18 20 22 24 27 22 About Greenwich & Bexley Community Hospice Message from our Chairman and Chief Executive Highlights of 2011-12 Providing care to local people Meet members of the team Extending our reach Supporting our care Delivering care in partnership with the community More partnerships with the community Looking to the future Sources of Income Thanks About Greenwich & Bexley Community Hospice Title Here The Hospice is the foremost provider of specialist palliative and end of life care within the London boroughs of Greenwich and Bexley. Providing high quality, compassionate care, advice and support around the clock to help around 2,500 people annually to achieve the best possible quality of life; the Hospice works with people to plan their care around their individual needs and supports people at any time between diagnosis and bereavement. Hospice care and support is provided in the home, in care homes, at Queen Elizabeth Hospital and at the Hospice to people with a range of terminal illnesses – not just cancer. Our team of staff and volunteers are specially trained to use an approach which encompasses the practical, clinical and emotional support which patients, their families and carers need. Everything we do with and for our patients helps ensure they have confidence, choice and control in their lives and that they are able to live life to the full, no matter how much time is left. As experts in end of life care we share our expertise through our education programme, working with GPs, district nurses, care home and hospital staff to ensure as many people as possible can benefit from good care. It takes nearly £7 million per year to maintain the Hospice’s services, and with only around a third of our funding coming from the NHS we rely on the generous support of local people, businesses, organisations and community groups to continue our vital work. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 3 Message from our Chairman and Chief Executive Since 1986 when the Charity was founded by two amazing local people, Pat Jeavons and Don Sturrock, the Hospice has grown from strength to strength, it has expanded from a small inpatient unit and day care facility to now providing a multidisciplinary and integrated specialist palliative care service with a focus on care being delivered whenever and wherever it is required, including at home. The Hospice has had to make every effort to maintain its profile in the communities that it serves, as our services grow to keep up with increasing demand and competition for charitable support increases. We still have to work really hard to ensure that people know that the Hospice is their local charity and that we need their support just as much now as in the early years. In 2011/12 we improved our management, systems and processes so that we continue to use our resources as wisely and efficiently as 4 possible. Following a review of all aspects of the organisation, the Hospice underwent a charitywide restructure to improve and streamline care for patients and to control costs into the future. Externally, the government’s health reforms are moving on and, although it is not yet clear the degree of impact that they will have on care provision, changes to commissioning arrangements and the squeeze on public finances have already placed enormous pressure on the whole system of which the Hospice isTitle a small part. Our relationships with Here GPs, our local authorities, partner organisations and other professionals are increasingly important, and headway has been made in developing these relationships in 2011/12. The difficult economic climate is having an impact on charitable giving, and we have particularly noticed a negative impact on legacies, but it has created some opportunities in other areas, with a seemingly positive impact on our retail operation and volunteering. The need and demand for Hospice services is increasing with a growing ageing population who are increasingly aware of their rights and have need for the care we provide. With the introduction of more flexible home-based services, we are working with more people from previously hard to reach groups. The Hospice continues to lead the way locally and nationally in improving care for people at the end of life. Our recently developed integrated care service, the Greenwich Care Partnership is an example of how we are working with others to provide quality home care and support for dying people and their families facilitating quality and greater choice. The next year will no doubt present some new challenges, but we look forward to continuing to develop and improve so that Pat and Don’s vision continues to be realised and developed and their legacy remains into the future. Dr David Robson Chairman Kate Heaps Chief Executive Greenwich & Bexley Community Hospice Annual Review 2011/12 | 5 ” Thank you to the Hospice Team for the wonderful care and support they gave... We first came into contact with the Hospice back in 2009, when one of the nurses came to visit us and to talk about the services on offer... from time to time we received a phone call... just to see how (he) was doing... he did not need their services, but it was good to know they were there. Then in November last year, (my husband) became very ill and the Hospice Team stepped in... We both felt immediately reassured and confident that (they) understood the situation and he was in good hands... and all the equipment that made things so much easier for (him), and finally by the Hospice at Home carers, ” who looked after (my Husband) with such patience, kindness, care and skill during his last few days. All of this... enabled him to remain at home, which was what he wanted. Wife of patient, West Greenwich Highlights of 2011-12 • We completed the refurbishment of our Day Hospice and outpatient facilities supported by a grant from the Social Enterprise Investment Fund and NHS Greenwich, enabling us to enhance the environment for people who receive our care • We began delivering care as part of the Greenwich Care Partnership - a new integrated service for Greenwich residents • We were proud to be chosen by Councillors Jim and Janet Gillman to be the Mayor’s Charity in Jim’s Mayoral year • We developed our rehabilitation service helping patients maintain their dignity and independence through group work and 1-1 support • We reached out to more people, particularly those from black and minority ethnic communities and with a diagnosis other than cancer by providing more care in community settings and working collaboratively with local care partners • We implemented an Electronic Patient Record system accessible throughout all of our services, helping to integrate services, reduce duplication and improve communication among the team • We reviewed Hospice management structures, to maximise efficiency, integration and free up resources to improve services for patients • We continued to develop new streams of voluntary funding by developing the fundraising team and diversifying our income streams • We increased income from retail through development of our existing shops and ebay site, improving income from recycling and opening a new unit in Erith. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 7 Providing care to local people - what we did during 2011-12 Specialist Community Services In 2011/12 our Specialist Community Nurses and Doctors made 4,616 visits to 1,389 people in their own homes. Nearly a quarter of the people we visited had a diagnosis other than cancer and of the 729 people who died in our care, over half were able to die at home, as was their wish. Hospice Outreach Our hospital support team based at Queen Elizabeth Hospital, Woolwich continued to play an important role in educating and advising hospital staff as well as supporting patients and their families in the hospital. This year our small team made over 1,650 visits to 732 patients during their hospital stay, a third of the people who were visited had a diagnosis other than cancer. 8 Greenwich Care Partnership This year saw the introduction of a new round-the-clock home care service for Greenwich borough. Through one telephone number, patients and carers can access nursing and personal care, delivered in partnership between the Hospice, Marie Curie Cancer Care and Oxleas NHS Foundation Trust. In the first 10 months of operation the service provided support and advice to 421 people and the new personal care service provided by Hospice carers provided 2,763 hours of care. Rehabilitation 2011/12 saw the hospice rehabilitation service enhanced by the appointment of a Physiotherapist. Working with the Occupational Therapist, the improved rehab team enriched the wider Hospice team and developed a rehabilitative approach for those people for whom it was appropriate. 649 people were seen as outpatients across Rehabilitation and Lymphoedema, half of these had a diagnosis other than cancer. The innovative and popular “Stepping Stones” service for patients, carers and the bereaved benefitted from the input of the rehabilitation team with groups being offered as part of the programme of Here events. In addition, for the first Title time, Hospice patients had access to art therapy through a link with Goldsmith’s University. Inpatient Care During the course of the year we cared for 345 patients within Woodlands, our In-patient Unit. For some people, their symptoms were hard to manage and they required specialist assessment, support and treatment, these patients stayed with us to enable the team to assess their condition and modify their medication or treatment in order to relieve their pain and other symptoms and enable them to be discharged home. For just over half of the people who stayed with us this year, their illness had reached the final stages and they chose to stay with us for terminal care, these patients were offered support and symptom control so they could achieve the best quality of life during their final days. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 9 Day Hospice In 2011/12 we received a grant from the Social Enterprise Investment Fund to further develop Shornells, our Day Hospice and outpatient facilities as well as to purchase a new minibus. During the course of the year there were 2,267 attendances to Day Hospice, an increase of 20% on last year. This facility is offered to those who require our support but do not require 24-hour care. Social, Psychological and Spiritual Care During the course of the year we continued to offer counselling support one to one and within support groups, patients, relatives and carers are offered counselling before and/or following bereavement. In 2011/12 our new telephone bereavement service offered support to 687 bereaved people. 10 Our Hospice Social Worker provided advice and support to patients and their families around welfare rights, housing and family issues. In 2011/12 she was supported by a Social Work Student from Greenwich University. To meet the spiritual needs of our patients, their families, our volunteers and staff, a team of volunteer Chaplains operate across all Hospice services; links continued to be made in the year with faith communities who have historically not had an association with the Hospice. Practice Development The Practice Development team worked within and outside the Hospice to educate professionals and facilitate improvements in care for people at the end of life. In 2011/12 we trained over 100 community nurses as well as many staff working in the Hospital and in local care homes. This training helps to build staff confidence and enable more people to achieve their goal of dying in their own home. We can’t begin to express our gratitude for all the care, support, patience, understanding and compassion you all showed to (him) while he was with you, and us lot too! You treated (him) as if he were your own, and gave us the opportunity to just be with him, and enjoy him in his last days... The Hospice is an amazing place, filled with very special people, all of whom helped us through a very difficult time. Thank you. Family of inpatient ” Greenwich & Bexley Community Hospice Annual Review 2011/12 | 11 ” Meet members of the team Barbara Hurley-Tye, Team Leader Hospice at Home Team Title Here Barbara joined the Hospice in June 2011 to develop and manage the new Hospice at Home Service; a community based team who provide individualised personal care and support to people with end of life care needs in their own homes in the Greenwich area. “ I returned to the field of Palliative care after a break of fifteen years, hoping I could draw on my professional and personal life experiences to develop a service that patients and their families deserve. The past sixteen months have been a real challenge and required hard work for the entire Hospice at Home team, who have shown great commitment and enthusiasm for the success of the project. I’m very proud to be part of a team who strive to always put the patient first, and are constantly looking at ways to improve the care and service we provide. The feedback we have received from professional collegues, patients and their families has been very encouraging. One family visited by our service wrote after the loss of their mother: “You always treated our Mum as the special person she was, and kept her dignity and respect” another wrote “You made it possible for Dad’s last wishes, to pass away in his own home”. “ The measure of our team’s success to date is not just about meeting targets set by our commissioners, but also the impact we have on people’s lives in helping them receive the care they need in the place of their choice at the end of their lives. 12 ” Wendy Doubleday and Kate Smith, Occupational Therapist and Physiotherapist, Rehabilitation Team Working at the Hospice, in Inpatients, Day Hospice and with the Outreach service allows both of us to help enable and Title Here facilitate individuals’ abilities. Following assessment of need, we can help support patients who want to be discharged home, through home assessment and provision of equipment. It may be that they need an individualised exercise programme to help strengthen their muscles to keep them mobile, to learn techniques to manage their breathing, or one of the many other services we offer. Helping people to manage activities of daily living, maintaining dignity and independence is a vital part of what we help to support and it is great to work as a part of the multi-disciplinary teams within these areas of service delivery. We are also privileged to support Stepping Stones, offering help and support to those who are patients, carers or bereaved, through our bi-monthly drop in service, helped out by our fantastic group of volunteers. Rehabilitation in palliative care offers us the chance to support ” those ‘here and now’ and we are delighted to be able to do this within Greenwich & Bexley Community Hospice. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 13 Extending our reach - what we did during 2011-12 Care beyond cancer The Hospice as a whole continues to increase the number of people it cares for with a diagnosis other than cancer, as shown right. Some services have an even higher proportion of patients who do not have a cancer diagnosis, for example our rehabilitation and lymphoedema services and our Hospital specialist palliative care team. Black and Minority Ethnic Communities For a number of years, the Hospice has been working hard to reach out to the whole community, we continue to develop links with leaders of black and minority ethnic communities and our recent community developments and our work in the hospital have helped us to reach out to people who may not historically have accessed Hospice care. Our new electronic patient record system will help us to gather complete demographic data in the future. 14 Cancer 71% Motor neurone disease 1% Other neurological conditions 2% Dementia 2% Heart and circulatory conditions 13% Lung conditions 13% Kidney disease 1% Other 5% White British 72% White Irish 1% Other White 2% Mixed 1% Indian conditions1% Other Asian 1% Black Caribbean 1% Black African 2% Other 1% Not Stated 18% Supporting our care what we did during 2011-12 Title Here Retail activities The Hospice has an extensive network of charity shops. In 2011/12 there were 15 shops spread across our two boroughs. Despite the economic climate, our shops had a successful year with the retail trading results showing a 14% increase in total income and an increase of 66% in profit terms. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 15 “ 16 “ Words cannot express our gratitude to you and your team for the support and guidance, help, understanding and care that you gave to us and to our Mum. We will never forget you. During 2011/2012 the Lottery continued to be an important source of income to support our care. The sale of single lottery tickets, particularly in our shops has boosted income on top of lottery members. The introduction of a “rollover” prize generated awareness of the lottery, encouraging additional ticket sales and maintaining our regular player base. 2011 saw the launch of our two annual bumper draws, combined the summer and winter draws generated over £51,000 towards the vital care and support we provide. “ Daughter of community patient, Thamesmead. Lottery Greenwich & Bexley Community Hospice Annual Review 2011/12 2010/11 | 17 Delivering care in partnership with the community The year saw an enormous amount of change for our fundraising team; these changes enabled existing income streams to be strengthened and new initiatives to be developed. We have attracted new supporters as well as maintaining our relationships with existing ones. The Hospice developed new ways of communicating with the public, including increasing the use of the Hospice website and social media sites, Facebook and Twitter. As a result of all of these changes, we were pleased that the overall growth in voluntary income was 17%. Legacies (when someone leaves us a gift in their will) are a significant source of income for the Hospice, but by their nature they are very unpredictable and in 2011/12 our legacy income, totalling £218,565 was only a third of the previous year’s figure. Legacies continue to be a crucial source of funding for the Hospice, 18 and we hope to raise their profile through our legacy campaign and our “Free Will Week”. Individuals, schools, faith groups, clubs, pubs, community groups, Freemasons and other local organisations continued to demonstrate their support by donating money and gifts in kind as well as organising fundraising events and activities to support our work. Events which we actively organise continued to help foster partnership and local community spirit. More and more people raised funds individually on behalf of the Hospice and we are extremely grateful for their support. Many businesses offered their help and support by joining our local business partnership or choosing the Hospice to be their charity of the year. The Broadway Shopping Centre, Bexleyheath continued to provide support in various ways including agreeing to allow the Hospice to operate the Centre’s Christmas grotto and local branches of NatWest Bank chose the Hospice as their charity of the year and raised £27,349 to support our care. Hospice patient, Carol Kadar, launched her own appeal in spring 2011, sharing her story and informing people in the local community about how the support that she receives from the Hospice has helped her regain her quality of life. Carol’s appeal raised £9,872.70 for the Hospice. Community Nurse Sarah Parker launched an appeal in September 2011 to raise additional funds to support the cost of our nurses. The campaign raised £11,000. • A total of 2,561 in memoriam donations were made in 2011/12, making up a contribution of £238,032.97 towards the cost of local Hospice care. •400 cyclists took part in our annual sponsored cycle in October raising a total of £17,556 •29 people ran the London Marathon on behalf of the Hospice in April 2011 raising a total of £31,258 •260 people took part in our annual sponsored walk raising £14,748 • In June 2011, twelve Hospice staff, including the Hospice Chief Executive and several nurses participated in a weekend of high intensity physical training at GI Jane Bootcamp. Over £6,000 was raised towards our vital work. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 19 More partnerships with the community Volunteering The Hospice benefitted from the support of a large number and diverse range of volunteers. Volunteers brought their time and expertise as well as their personalities and life experiences, helping to create the special atmosphere that exists within the Hospice. Volunteers worked in all areas of the organisation; they include trustees, drivers, gardeners, fundraisers, shop workers, receptionists, counsellors and therapists to mention a few. In excess of 531 people volunteered in 2011/12 and collectively they gave over 75,000 hours of time. This equates to 44 full time workers for a year, or a financial donation equivalent to approximately £530,000. This was a considerable contribution and added real value to every aspect of our work. We are proud and greatly encouraged to have had such a wide range of volunteers offering their time to us, ranging from teenagers to people in their 90’s. 20 “For every ounce of energy it takes to be a volunteer I get it back quadrupled. There are two reasons for this. The first is having the opportunity to work alongside staff and fellow volunteers who dedicate their life to providing the highest standard of care. The second is the privilege of helping people come to terms with their life’s experiences. Both opportunities are humbling.” Gloria Dillon-White – Volunteer Counsellor, Stepping Stones Increasingly, young people are choosing to come to the Hospice for work experience, enabling them to have a greater understanding of our work and the various opportunities available within the organisation, they also help us to raise our profile further in the local community. This year we also had a number of volunteers through back to work schemes as a volunteer placement for someone who is looking for work can often help them develop their confidence, knowledge and skills as well as allowing the Hospice to benefit from existing experience and skills such as IT, administration or people skills. “Volunteering at the hospice was a great opportunity for me to enhance my skills, develop new ones and enabled me to support my local community and a cause I feel passionately about. Thanks, in part, to volunteering at the Hospice I was able to successfully apply for an admin position here, it has given me more confidence and a greater insight into the work the organisation does.” Denise Moody – former administrative volunteer, education department Volunteers from Christ Chapel Ministries in Abbey Wood In December 2011 Joan Hallock was awarded a National Health and Social Care Volunteering award by Age UK in recognition of her outstanding contribution in delivering information and advice to Hospice patients. Joan joined the Hospice in 1995 as a volunteer fundraiser and five years later, helped set up ‘Stepping Stones’. Within this service, Joan also set up a ‘Helping Hands’ team to provide benefits support and guidance to patients, families and carers. The service has helped hundreds of people over the past 10 years. Greenwich & Bexley Community Hospice Annual Review 2011/12 | 21 Looking to the future in 2012-13 we will: •Continue to invest in the development of our fundraising activity in order to achieve greater financial stability including building Hospice reserves to meet our 6 month target •Ensure quality across all of our services through better monitoring and service user involvement •Continue to develop our care services to keep up with demand in the local area, including further development of our integrated care service, volunteer befriending and advance care planning to support our increasing number of patients who wish to remain at home. We will also continue to work towards 24 hour admission to our inpatient unit, in order to further develop our seamless care •Continue to develop volunteering across the Hospice to ensure we respond positively to external opportunities and value our existing volunteers across the whole organisation 22 •Build upon our estates strategy, ensuring our buildings continue to meet the future needs of the organisation and our patients and where possible, to reduce our environmental impact. To include the launch of a capital appeal to enable further development of our rehabilitation, education and community services •Develop new information resources to better communicate with the public and professionals and to ensure that our patients/prospective patients are able to access appropriate care when they need it •Continue to develop the education we provide to meet the needs of health and social care professionals •Open a new retail unit and trial a House Clearance service as another stream of income. “ “ • To all the staff at Woodlands, Thank you for the help and care, I have improved so much it has been remarkable. Patient of Woodlands, Inpatient Unit Greenwich & Bexley Community Hospice Annual Review 2011/12 | 23 Sources of Income – 2011-12 Where our money came from Where our money came from 2010-11 General donations 13% Charity shop income 21% Legacies 3% Grants received 2% Lottery 3% Other income 1% NHS income Greenwich Care Partnership 11% NHS income Specialist Palliative Care 35% NHS Greenwich Capital Grant 11% General donations £945,959 Charity shop income £1,525,421 Legacies £218,565 Grants received £164,948 Lottery £250,377 Other income £104,960 NHS income Greenwich Care Partnership £800,000 NHS income Specialist Palliative Care £2,537,291 NHS Greenwich Capital Grant £800,000 Total £7,347,521 Where our money was spent in 2011-12 “ 24 How we spent our money % Raising Funds £514,404 7 Running our charity shops £971,294 14 Raising Funds 7% Running a lottery £148,943 2 Running our charity shops 14% Providing Specialist Palliative Care Running a lottery 2% Providing Specialist Palliative Care 66% Running the Greenwich Care Partnership Running the Greenwich Care Partnership 11% Total £4,637,546 66 ” £767,743 11 £7,039,932 100 “ Our Reserves Policy We aim to retain a level of free reserves equivalent to 6 months running costs. At 31 March 2012 our free reserves amounted to £2,438,032, equivalent to running costs for 2011/12 of approximately 4.4 months. The Trustees will strive to maintain free reserves to the target level as stated above. A full set of our accounts can be viewed on our website www.communityhospice.org.uk “ • I want to write to thank everyone at the Hospice for their exemplary care and kindness, for all of us, when my Dad was dying last month. You gave him back his dignity; he lost his fear; and he, and we, had a few precious days to savour the last of his life. It was, for “ all its sadness and its soonness, the death I would wish for anyone I loved. Daughter of community patient, Blackheath Greenwich & Bexley Community Hospice Annual Review 2011/12 | 25 £10 pays for a walking stick to promote independence for somebody returning home from the Hospice £25 will provide a patient on our inpatient unit with lunch for one week £35 covers the cost of a special compression sleeve for a patient with lymphoedema £50 helps us to provide telephone support to a bereaved person £100 funds an assessment and intervention by our Physiotherapist £600 funds a course of six counselling sessions £1,000 supplies the inpatient unit with medicines for 5 days £1,500 supports patients, carers and the bereaved for one month in Stepping Stones £3,300 funds a 3 day course for 10 care home staff £5,000 will sponsor a community nurse for a month supporting around 25 people and helping them to spend their last days or weeks at home, in familiar surroundings and with family and friends 26 We simply couldn’t continue our vital work without the support of our generous and loyal supporters and volunteers. We cannot list everyone here but special thanks go to: Individuals Carol Kadar Clive Bennett, Pearly King of Woolwich Gwen Jones, Pearly Queen of Greenwich Mayor & Mayoress of Greenwich, Jim and Janet Gillman Businesses ASDA Broadway Shopping Centre Ferndale Foods Furnitubes Gallions Housing Association GI Jane Bootcamp James Gregory Natwest SELkent team RBS Wealth Management Roy’s Stores St John’s Ambulance Sumac The Marriott Hotel, Bexleyheath TG Baynes Community Groups Crook Log Over 50s Swimming Club Trusts and Foundations Albert Hunt Trust Axis Foundation Burdett Trust Comic Relief Co-operative Community Fund Joan Seeley Pain Relief Memorial Trust Percy Bilton Charity Social Enterprise Investment Fund Thomas T Horne Memorial Trust Freemasons Freemasons Grand Charity Sydney Lodge No829 The Crofton Oak with Shooters’ Hill Lodge No 4277 Severndroog Castle Lodge No8677 Elfrida Lodge No4497 Rotary Clubs Rotary Club of Eltham Phoenix Rotary Club of Erith Rotary Club of Sidcup Rotary Club of Greenwich Rotary Club of Woolwich Thank you www.communityhospice.org.uk If you would like to know more about raising funds or volunteering for the Hospice please contact us on [email protected] or call 020 8319 9230 Greenwich & Bexley Community Hospice Annual Review 2011/12 | 27 For further details of Greenwich & Bexley Community Hospice: email us at [email protected] call us on 020 8312 2244 visit us at www.communityhospice.org.uk write to us at 185 Bostall Hill Abbey Wood London SE2 0GB Greenwich & Bexley community hospice Greenwich & Bexley Community Hospice. A company limited by guarantee. Registered in England and Wales No. 2747475. Registered office:185 Bostall Hill, Abbey Wood, London SE2 0GB. Charity No.1017406 28
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