The Federated Scheme

In light of the current situation we are providing support to our Federated Scheme members via monthly e-newsletters.

Some useful information we’ve shared is included below.

COVID-19 admission and care of people in care homes guidance webinar – April 2020


Self care tips for working on site

Self care tips for working from home

A guide for support compassionate visiting arrangements

Kent and Medway Treatment Escalation Plan (TEP)

Across Kent and Medway, a treatment escalation plan (TEP) has been devised, It is recognised that in the COVID-19 context, the most important element of Advance Care Planning will be this plan alongside, where appropriate, patients having a DNACPR completed.

This TEP is being widely circulated and many hospices, primary care and community services will be utilising this paperwork.

There are two points of action:

  • Please share the documents with all your staff, so that it is familiar to all. Ideally this should should this be discussed with your staff/residents/residents families.

Please also ensure staff are aware that should any health or social care professionals including SECAmb attend the home that care home staff alert them to the fact there is a TEP in place and where possible support this TEP to be actioned.

KM TEP Patient LeafletKM TEP Patient GuideTEP Form

EOL support pathways flyer for Kent and Medway

Kent & Medway ~ retention of EOLC medication

Please find below  3 documents from K&M about the retention of EOLC medication.

Information from the Medicines Optimisation Team at Kent and Medway CCG; this provides information on EOLC in the Care Home setting.


Management of symptoms for all COVID-19 patients

EOLC Drugs Formulary

KM Palliative Care Pharmacy List

Running a medicines re-use scheme in a care home or hospice setting

Template log for care homes and hospices

Diabetes in Care Homes COVID-19

Promoting health & wellbeing

Below are five leadership resources from NHSE/I South East Region Workforce Team , which you may find helpful to you and your team.

We recognise the benefits of mutual learning and sharing of good practice, particularly that which pertains to the frail elderly in care homes.  We also want the knowledge, skills and values of hospice palliative care to migrate into Care Homes/Care Agencies.

Utilising the existing models of federated schools, and those emerging around GP practices; we envisage the Hospice in the Weald Federated Scheme going beyond the current arrangements with local Care Homes/Care Agencies, and invite them to move forward with us to an agreed formal ‘compact’ (an informal contract).

Members of the Hospice in the Weald Federated Scheme will be permitted to use the name, logo and brand of Hospice in the Weald in the ways identified and defined in the compact.  The Federated Scheme with Care Homes and Care Agencies will be based on mutual understanding and learning.

Part of the learning will utilise Hospice in the Weald as an NVQ assessment centre, awarding staff and member Care Home/Care Agency staff with nationally recognised training.  We intend, via our Hospice in the Weald Social Enterprise – we:train, to offer other training and development opportunities around End of Life Care (including Dementia at end of life).

Our current support for individual Care Homes/Care Agencies will continue, but training will be focused on the members of the Federated Scheme.  Hospice in the Weald seeks the support of the West Kent CCG and KCC, and invites Care Homes/Care Agencies to contribute to the steering group to help maximise the effectiveness of our Federated Scheme and transform End of Life Care in West Kent and East Sussex.

To join the scheme & find out more contact:

Lisa Love, Head of we:train  – 01892 820497 or