Quality End of Life Care for All (QELCA)

The QELCA© (Quality End of Life Care for All) Programme – an innovation in end of life care education

The QELCA© programme is an innovation in end of life care education. It has been designed by St Christopher’s Hospice to enable and empower teams of health and social care practitioners from acute, community or care home settings to lead on the delivery of high quality care to patients and families at the end of life.

There is evidence that QELCA© also motivates participants to introduce care for ‘self’ and their teams back into their organisations and to lead change in culture. It integrates a work-based learning experience with facilitated classroom reflection and the model is designed to be delivered by specialist clinicians who have undertaken the QELCA© ‘Train the Trainers’ programme.

It was initially formally evaluated in partnership with the King’s Fund (available on request from Liz Bryan – l.bryan@stchristophers.org.uk) but has since been rolled out nationally to acute nurses in collaboration with Hospice UK and NHS Improving Quality (formally the End of Life Care Programme). A summary of the findings can be seen in the QELCA© Report May 2013 (downloadable below).

Train the Trainers Specialist palliative care units are a valuable resource for role modelling quality end of life and it is our assertion that an experienced and competent palliative care specialist will have the necessary attitudes and skills to facilitate small group learning using a person-centred approach in much the same way as he/she would provide support to a family or a patient or carer group.

Having supported other hospice/hospital partnerships around England it is evident that when the underlying principles of the QELCA© programme are applied, the positive impact observed in the early stages of the programme’s development, is replicable across other sites.

QELCA© is copyrighted to St Christopher’s Hospice and anyone claiming to deliver the programme must be registered as a QELCA© trainer. The register comprises trainers who have attended the ‘Train the Trainers’ run by St Christopher’s Hospice and who have delivered at least one programme under supervision.

St Christopher’s is grateful to the Daisy Foundation for supporting the development of the QELCA© ‘Training the Trainers’ course and for helping make the roll out of this programme possible.

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