2F: Many Hands: Person First, Compassionate Communities and Choice at end of life. Solutions to a Public Health Challenge (Workshop)
Tracks
Track 6
| Monday, November 11, 2019 |
| 1:15 PM - 2:15 PM |
| Room 103 |
Details
Chaired by Dr Stephen Ginsborg, Board Member, Community Care Northern Beaches
Speaker
Dr Stephen Ginsborg
Board Member
Community Care Northern Beaches
248 Many Hands: A Person First Model of Care for People at end of life. Solutions to a Public Health Challenge (Workshop)
Abstract
Presenters
Dr. Stephen Ginsborg; GP, Board member CCNB and SNPHN
Marika Kontellis; Manager, Community and Service Development CCNB
What if we could create care choices at the end of life? What if people felt confident to support a dying person? What if that person had family and friends at their side, aided by a community nurse, skilled community informal carers, a care coordinator, and perhaps their GP? There is a need for a sustainable and integrated model of end of life care that meets the expectations of citizens and their families as the fiscal demands on our health system increase in the coming decades (1) In Australia only 20 % of people die outside hospitals or RACF’s, one of the lowest rates in the developed world. The costs for community based care can be 50% or less than a hospital (2), and the emergent models of Compassionate Communities show sustainability and improved social, physical, spiritual and emotional benefits in line with the Ottawa Charter. This workshop will give an overview of such a “work in progress” local model based on a person first, compassionate community framework, which is scaleable to meet the growing public health challenge of end of life, grief and bereavement. With increased death literacy people can feel confident to support the dying in the community and declare that this is a part of the life cycle care that can be “done by us, for us”. The current lack of urban GP engagement in palliative care,and the barriers to GP participation in end of life care make this an urgent challenge. Emerging Australian public policy (3) aligns with this model of end of life care and can be interwoven with the homeostatic First Nations knowledges that have enabled families and communities to thrive in life and celebrate death for over 60,000 years. 1.Australia’s Health 2016 (AIHW) 2.SCARC 2012 3.Compassionate Communities; Final Report 2018 , NOUS Group
Dr. Stephen Ginsborg; GP, Board member CCNB and SNPHN
Marika Kontellis; Manager, Community and Service Development CCNB
What if we could create care choices at the end of life? What if people felt confident to support a dying person? What if that person had family and friends at their side, aided by a community nurse, skilled community informal carers, a care coordinator, and perhaps their GP? There is a need for a sustainable and integrated model of end of life care that meets the expectations of citizens and their families as the fiscal demands on our health system increase in the coming decades (1) In Australia only 20 % of people die outside hospitals or RACF’s, one of the lowest rates in the developed world. The costs for community based care can be 50% or less than a hospital (2), and the emergent models of Compassionate Communities show sustainability and improved social, physical, spiritual and emotional benefits in line with the Ottawa Charter. This workshop will give an overview of such a “work in progress” local model based on a person first, compassionate community framework, which is scaleable to meet the growing public health challenge of end of life, grief and bereavement. With increased death literacy people can feel confident to support the dying in the community and declare that this is a part of the life cycle care that can be “done by us, for us”. The current lack of urban GP engagement in palliative care,and the barriers to GP participation in end of life care make this an urgent challenge. Emerging Australian public policy (3) aligns with this model of end of life care and can be interwoven with the homeostatic First Nations knowledges that have enabled families and communities to thrive in life and celebrate death for over 60,000 years. 1.Australia’s Health 2016 (AIHW) 2.SCARC 2012 3.Compassionate Communities; Final Report 2018 , NOUS Group
Biography
Dr Stephen Ginsborg
Dr Ginsborg is a General Practitioner working on the Northern Beaches of Sydney for over 40 years.
Stephen is a Board Member of Sydney North Primary Health Network (PHN) where he is Chair of the Clinical Governance Committee, Council on the Ageing NSW, CCNB (Community Care Northern Beaches), Manly Warringah Division of General Practice, and Kamaroi School. He is a Member of the Australian Institute of Company Directors.
His interests include Mental Health, Elder, Palliative and Intergenerational Care. He is committed to developing strategies that assist community, GP’s and other health care professionals to offer options for people, based on compassionate care in a manner and place of their choice.
He liaises with and learns from his local Aboriginal and Torres Strait Islander community and works with remote Aboriginal Medical Services.
Marika Kontellis
Marika has 30 years’ experience working as a social worker, policy maker, manager and community developer. She is deeply committed to ensuring that the formal care system does not hinder a person’s informal system of care. She works with CCNB and is helping mobilise thinking, people and resources to better support people at end of life.
