How do I get involved in working for H@H?
All H@H organisations differ in how they operate. Most of them will have a lead nursing post as a co-ordinator or manager who could be the first person to contact. To contact our member organisations use the link to Help the Hospice. You may find t useful to investigate what hospice provision there is locally and check if they have a dedicated H@H team.
What skills are required to work in H@H?
To work in H@H you will need to have a genuine interest in caring for patients who have a life limiting illness. You would also have to demonstrate an understanding of the philosophy, aims and objectives that underpin caring for individuals in their own home. The focus is to include, involve and support patients and their families with key decisions about their care.
Do you have to be a qualified nurse to work in H@H?
Hospice at Home services are based in varying locations. Whether the service works from a hospice building or exclusively in the community all nursing posts will require a registered nursing qualification. Some organisations also require additional specialist qualifications or proven experience. Some H@H services may provide elements of social care and if this is the case they may also employ Health Care Assistants. While each organisation will differ slightly in how they operate, most will require a set of core competencies for all members of staff. There is a requirement that Health Care Assistants in the future will have attained an NVQ Level 3 in care.
Who can refer patients or families for care?
Services will generally accept a referral from any professional involved with a patient diagnosed with a life-limiting illness. It is important however, that the patient is aware of the referral and consents to it.
How will I be kept informed?
In general organisations communicate closely with all professionals involved in the care of the patient. Communication may be by telephone, meeting or in writing. In the best interest of patient care all professionals need to be as informed as possible at all times.
How will patients care be managed?
Services should work collaboratively to provide care. It is widely accepted that the district nurse continues to be the key worker while involved in the patients care - this is in line with national policy. When this is not the case the clinician having most contact is the person responsible for managing and co-ordinating care.
How long can H@H be involved?
Each patient has individual needs and care is normally planned and reviewed in a timely way. Some services will provide care for longer episodes than others - you may need to establish this at the time of referral. Many services adapt to the fluctuating needs of patients and their families and could be involved for between a few days to several weeks.
