37 Does medical care on a hospice in-patient unit reflect patients’ needs? A comparison between the perceptions of patients and those of the medical team

Background UK Hospices vary in their models of care, with many delivering a consultant led service on an inpatient unit (IPU). The traditional ward round structure is often maintained in such medically-led models. The extent to which such a model works for patient and family care givers in a hospice environment should be evaluated. This evaluation surveyed opinions of both patients/family caregivers and the medical team around the provision of doctor-led care on a twelve-bedded hospice IPU. Methods Over 6 months in 2023, two groups were surveyed. Eight surveys were completed by IPU patients/family caregivers; and six by IPU doctors. Results were anonymous and only analysed after IPU care ended. Results All patients/family caregivers were satisfied with the medical care delivered; specifically with the time spent discussing symptoms and level of communication with a doctor. Opinions differed on whether it was necessary to see the same doctor daily, but the importance of clear handover was highlighted. Overall, doctors reported feeling very satisfied with the level of care they provided on the IPU, commenting how time and resources felt less stretched than in NHS systems. Two thirds of doctors reported patients' symptoms were discussed in the right level of detail, with one third reporting they were discussed in too much detail. Again, opinions differed around the need for patients to see the same clinician daily. Conclusions This evaluation highlights a need for ongoing consideration of stakeholders' opinions when developing an IPU service. Patients and doctors alike were satisfied with the level of care provided to patients on the IPU. Areas to focus development on were emphasised; these were largely around communication between patients, doctors and the wider multi-disciplinary team, and streamlining discharge processes with community services.