Welcome to the Acute Hospitals Training Programme

The Gold Standards Framework Hospitals Training and Accreditation process is recognised by CQC and is the only CQC approved Information Source for End of Life care for acute and community hospitals. 

This very successful, evidence-based GSF Hospital Programme in End of Life Care began in 2008, building on the use of GSF in the community since 2000 and now involves numerous Acute and Community Hospital wards, many have now progressed to whole-hospital implementation moving towards Accreditation and the Quality Hallmark Award. The Acute accreditation award is co-badged by the British Geriatrics Society and Community hospital accreditation award is co badged by the Community Hospital Association.

  • GSF Frontrunners in Hospitals - See case studies and examples from GSF Accredited hospital wards  demonstrating what is possible to achieve and the considerable progress made. 

  • Poster Summary of Hospital Programme - a useful summary poster used at EAPC Conferences, describing the aims, methods, outcomes and impact of the GSF Hospitals Programme. 

  • Hospital Training Information Flyer - latest information from the GSF Centre in the current GSF Hospital programme - contact the GSF for more details and for the next planned dates for the Hospital programme. 

The training programme is in alignment with NHS England’s 2019 Long Term Plan, the Universal Personalised Care guidance and NICE Guidance 2019 in End of Life care Service Delivery. Section 1.42 of the Long Term Plan states that  “…the NHS will personalise care, to improve end of life care. By rolling out training to help staff identify and support relevant patients, we will introduce proactive and personalised care planning for everyone identified as being in their last year of life.”

Improving End of Life Care in hospitals is recognised as being crucial to enhancing care for the wider population. With earlier identification of patients in their last year of life and more advance care planning, there can be better quality of care for patients, fewer hospital deaths, readmissions and a reduction in hospital bed days, more enabled to die at home.

GSF can be part of the solution for your hospital, and GSF can help change the culture within the hospital and improve your CQC ratings in EOLC, as many hospitals have already found. 

"I think the biggest change has been the culture change...it’s about getting patients and their families to take ownership of their care. GSF is the framework that allows us to make that happenThe best bit is making sure that patients receive the care they want, where they want it, when and how they want it and the satisfaction they and we get from that." Dr Kumar, Stroke Consultant at Royal Lancaster Infirmary

 “Implementation of GSF is encouraging a systematic approach to recognising those patients in hospital who might be in their last year of life, leading to more proactive care and opportunities for people to consider and express their wishes and preferences.” Dr Clare Marlow, Consultant in Palliative Medicine, Wolverhampton Hospital

What is involved in the training?

The training programme is very simple, there is one key aim to improve end of life care for all, in order to do that we need to identify our population 30% at any one time in hospitals, assess their needs both clinically and personally and plan their care in alignment with their wishes and preferences. GSF will enable you to proactively identify and support your patients and the benefits will not only be felt by the patients but the carers and staff. 

GSF includes:

  • 5 Training workshops – four structured interactive workshops sharing good practice and step-by-step progress then a final workshop which is a site visit to support implementation in practice.

  • Tools and resources – All resources required including teaching materials, posters, vimeo clips, leaflets, ward folders, good practice guides etc.

  • Measures – Intrinsic evaluations showing benchmarked change and progression over time the evaluations are at the organisational, patient and staff  level and are aligned with national targets

  • Support – individualised coaching sessions between workshops as required, and representation at Grand Rounds focussed on doctors for whole hospital training.

There are three different ways to access the programme:

  • STANDARD OPEN programme – local EOLC ward leads attend 4 workshops over 12 months at a central venue along with those from other hospitals – includes all resources, teaching, personalised coaching and evaluations, showing progress and standards in preparation for accreditation

  • COMMISSIONED Whole hospital programme based at your hospital – for multiple wards, Community hospital projects, in which the GSF team deliver the programme in your hospital to your ward leads, including medical staff, making it more accessible and embedded.

  • BESPOKE flexible programme for hospitals – tailored to your needs and requirements for EOLC training and service improvement for your hospital, working with your palliative care teams, including site visits, dependent on requirements

On completion of the training you can progress forward to accreditation

There are 4 parts to the process:

  • Part 1: key outcome ratios – evidence of attainment of standards in key areas as a run chart over the next 8 weeks and Patient Audit - After Death Analysis x 10 (5 deaths + 5 discharges) to demonstrate GSF is embedded in practice at the patient level.

  • Part 2: Portfolio of evidence - statement of how you attain the 7 key tasks with supporting evidence and an action plan for sustainability. 

  • Part 3: Assessment Visit - Visit from The GSF Assessment team to assess implementation, team awareness and long-term sustainability.

  • Part 4: Attendance at the GSF bi-annual conference to receive your quality hallmark award. 

"GSF has helped bring the team together in a way none of us had expected. Everyone, including the domestic staff feel engaged and have come up with brilliant ideas for how we can deliver even better care." Dr Elisabeth Bjorndal, Palliative Care Consultant at the Margaret Centre at Whipps Cross Hospital.

Heather Wright, Palliative Care team leader: "I’m really proud of both our teams for achieving this. It’s been a lot of hard work, especially when they have a lot of competing priorities. The most important thing about identifying patients who are nearing the end of their lives is that it gives them more choice and control over their own care."

 To register your interest and receive details regarding the next GSF Acute Hospitals training programme please complete our Expression of Interest form


Updated: 16.01.20

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