Daffodil Standards

Question 1

What are the 8 daffodil standards?

Answer 1

1. Professional and competent staff
2. Early identification
3. Carer Support before and after death
4. Seamless, well-planned, coordinated care
5. Care is based on the assessed unique needs
6. Quality Care during the last days of life
7. Care after death
8. Community Pharmacy linking with Compassionate Communities hub

Question 2

Describe how standard 1 (Professional and competent staff) can be achieved

Answer 2

1) Ensure that each staff member understands their role and responsibility for Advanced Serious Illness, Life-limiting illness or end of life care
2) Ensure all staff are able and confident to communicate effectively with people who have palliative care needs (and their carers)
3) Identified pharmacy champion for Palliative and end of life care.

Question 3

Describe how standard 2 (Early identification) can be achieved

Answer 3

1) Develop multidisciplinary team working so that pharmacy is aware at an early stage of a patients’ status, potential support needs and their identified multidisciplinary team members and how to access them
2) Ensure appropriate documentation and sharing information within the pharmacy to help identify and prioritise the needs of a patient

Question 4

Describe how standard 3 (Carer Support before and after death) can be achieved

Answer 4

1) Identify any carer(s) in a timely fashion
2) Structured approach to identification of carers’ needs.

Question 5

Describe how standard 4 (Seamless, well-planned, coordinated care) can be achieved

Answer 5

1) Provide information to patient/carer re: use of medicines (new and existing)
2) Engage with multi-disciplinary team meetings and/or local communication systems where in place (and share information across MDT)
3) Collect (and share) data on medicines-related issues for individual patients.

Question 6

Describe how standard 5 (Care is based on the assessed unique needs) can be achieved

Answer 6

1) Requests sharing of advance/future care plan (where available/relevant)
2) Implement individual medication review and medicines optimisation- personalised, holistic and reflective approach.

Question 7

Describe how standard 6 (Quality Care during the last days of life) can be achieved

Answer 7

1) Proactively manage medicines supply chain- stock holding/access or signpost as locally agreed
2) Identify and advise/address (within own level of competence or refer) any issues with medicines use and administration e.g. swallowing, formulations
3) Reflect on lessons from individual care to improve (and share within pharmacy and MDT).

Question 8

Describe how standard 7 ( Care after death) can be achieved

Answer 8

1) Have understanding and be able to provide individuals or signpost to grief and bereavement support (using appropriate local resources)
2) Stop repeat medication supply, as appropriate
3) Handle returned medicines compassionately.

Question 9

Describe how standard 8 (Community Pharmacy linking with Compassionate Communities hub) can be achieved

Answer 9

1) Support the development of compassionate communities.

Question 10

What are the 5 priorities of care?

Answer 10

1) Timely recognition of imminently dying person
2) Care is safe, effective, responsive and appropriate
3) Care plans are developed, implemented and reviewed regularly to support people who are imminently dying, their families and carers
4) Timely symptom control assessments using best-practice guidance and tools
5) Evidence that patients, family and carers are provided with information and support in accessible ways.