Learning from the National Care of the Dying 2014 Audit. Dr Bill Noble Medical Director, Marie Curie Cancer Care

Size: px
Start display at page:

Download "Learning from the National Care of the Dying 2014 Audit. Dr Bill Noble Medical Director, Marie Curie Cancer Care"

Transcription

1 Learning from the National Care of the Dying 2014 Audit Dr Bill Noble Medical Director, Marie Curie Cancer Care

2 MARIE CURIE Major UK end of life charity Major service provider Network of 2000 Nurses caring for people in the last few hours and days of life 1.3 million hours of nursing in hospices across the UK reach 8,000 people each year Our services reached a total of 38,777 people in Major funder of academic and health service research with an Open Access research policy Working to influence policy and practice through our policy and public affairs work.

3 DELIVERING HIGH QUALITY SERVICES

4 COMMITMENT TO RESEARCH 1. Increasing research budget million rising to 6.8 million over the next five years 2. Three dedicated research centres: Marie Curie Palliative Care Research Centre, Cardiff Marie Curie Palliative Care Institute Liverpool Marie Curie Palliative Care Research Unit, London, University College London (UCL) 3. Focus on all terminal conditions. 4

5 National Care of the Dying Audit The National Care of the Dying Audit for Hospitals Carried out by the Royal College of Physicians, with the Marie Curie Palliative Care Institute Liverpool Funded by Marie Curie and Public Health England.

6 National Care of the Dying Audit Draws on three sets of data: 1. Individual patient records (6580 people who died in 149 hospitals in England 1st-31 st May 2013) 2. An assessment of organisational readiness to deliver palliative and end of life care 3. Views of 858 bereaved relatives.

7 Organisation of Care Only 21% of sites had access to face-to-face palliative care services, seven days per week Most (73%) provided face-to-face services on weekdays only Mandatory training in care of the dying was only required for doctors in 19% of Trusts and for nurses in 28% 2% provided 24/7 face to face palliative care 82% of Trusts had provided some form of training in care of the dying in the previous year; 18% had not provided any. Only 47% of Trusts routinely capture the views of bereaved relatives or carers.

8 Findings on the quality of care (1) 87% recognition of patients being in the last days of life, but told less than half (46%) of patients capable of discussing this. Communication with family/carers about the imminent death of a relative/friend occurred in 93% of cases (average of 31 hours before the individual died). Most patients (63-81%) had medication prescribed 'as required' for the five key symptoms common at the end of life - pain, agitation, noisy breathing, difficulty in breathing, and nausea and vomiting. 59% of patients were clinically assessed to see if they needed artificial hydration, but discussions recorded with 17% of capable patients and 36% of relatives.

9 Findings on the quality of care (2) Artificial hydration was in place for 29% of patients at the time of death. 45% of patients were clinically assessed to see if they needed artificial nutrition, but discussions only recorded with 17% of capable patients and 29% of relatives. Artificial nutrition was in place for 7% of patients at the time of death. Only 21% of capable patients were asked about their spiritual needs, and only 25% of relatives/carers asked about their own needs. Most patients - 87%, were assessed five or more times in the final 24 hours of life, in line with national guidance.

10 Findings from bereaved relatives survey 76% reported being very or fairly involved in decisions about care and treatment of their family member 24% did not feel they were involved in decisions at all. 39% of bereaved relatives reported being involved in discussions about artificial hydration in the last 2 days of life. 63% reported that the overall level of emotional support given was good or excellent. 37% thought it fair or poor. Overall, 76% felt adequately supported during the patient's last 2 days of life; 24% did not. Based on their experience, 68% were either likely or extremely likely to recommend their Trust to family and friends. 8% were extremely unlikely to do so.

11 Key Issues Highlighted Lack of access to face to face palliative care Lack of 24/7 support Poor communication with individuals and their families Even though it was recognised that someone needed artificial hydration/nutrition, there is too often no communication about this

12 Future Focus 1. We need to focus on two groups of people: Those who clinically need to be in hospital Those who could and want to be elsewhere 2. For the first group we need to drive up the quality of care - helped by better auditing and measuring of experiences 3. Improve interventions which prevent people who do not need/want to be there from ending up in hospital and getting them out when they end up there.

13 THANK YOU FOR YOUR TIME

National care of the dying audit for hospitals, England Executive summary May 2014

National care of the dying audit for hospitals, England Executive summary May 2014 National care of the dying audit for hospitals, England Executive summary May 2014 Foreword We only have one chance to get end of life care right and sadly sometimes we don t. There are few surprises in

More information

BGS Response to LACDP System Wide Response (www.gov.uk)

BGS Response to LACDP System Wide Response (www.gov.uk) BGS BRIEFING 25 TH JUNE 2014 LEADERSHIP ALLIANCE FOR THE CARE OF DYING PEOPLE (LACDP) ANNOUNCEMENT OF PRIORITIES FOR CARE OF THE DYING PERSON BGS Response to LACDP System Wide Response (www.gov.uk) 1.

More information

Supporting people who need Palliative and End of Life Care in the Community. Giving people a choice

Supporting people who need Palliative and End of Life Care in the Community. Giving people a choice Supporting people who need Palliative and End of Life Care in the Community Giving people a choice Introduction People who are terminally ill or at the end of their life need excellent nursing and medical

More information

CARE OF THE DYING IN THE NHS. The Buckinghamshire Communique 11 th March The Nuffield Trust

CARE OF THE DYING IN THE NHS. The Buckinghamshire Communique 11 th March The Nuffield Trust CARE OF THE DYING IN THE NHS The Buckinghamshire Communique 11 th March 2003 The Nuffield Trust Everyone should be able to expect a good death and to exert control, as far as possible, over the process

More information

ORGANISATIONAL AUDIT

ORGANISATIONAL AUDIT [Type text] National Care of the Dying Audit Hospitals (NCDAH) Round 3 This audit is being led by the Marie Curie Palliative Care Institute Liverpool in collaboration with the Royal College of Physicians,

More information

An overview of Marie Curie s services

An overview of Marie Curie s services An overview of Marie Curie s services Marie Curie Cancer Care is a charity dedicated to the care of people with any terminal illness. We provide high quality care and support through the Marie Curie Nursing

More information

Hospice Isle of Man Education Prospectus 2018

Hospice Isle of Man Education Prospectus 2018 Hospice Isle of Man Education Prospectus 2018 Leading the Way in Palliative Care Introduction The need for palliative and end of life care is changing, with increasing demands and complexity for patients

More information

End of Life Care in the Acute Hospital Setting. Dr Adam Brown Consultant in Palliative Medicine

End of Life Care in the Acute Hospital Setting. Dr Adam Brown Consultant in Palliative Medicine End of Life Care in the Acute Hospital Setting Dr Adam Brown Consultant in Palliative Medicine Learning objectives Understanding a patient's priorities for end of life care How to work with the 5 priorities

More information

PRIORITIES FOR CARE OF THE DYING PERSON

PRIORITIES FOR CARE OF THE DYING PERSON PRIORITIES FOR CARE OF THE DYING PERSON Core and other useful sessions to support education and training across health and social care Fig.1 The 5 Priorities for Care of the Dying Person INTRODUCTION One

More information

Calderdale and Huddersfield NHS Foundation Trust End of Life Care Strategy

Calderdale and Huddersfield NHS Foundation Trust End of Life Care Strategy Calderdale and Huddersfield NHS Foundation Trust End of Life Care Strategy 2016-2017 Contents Acknowledgements Subject Page Number 1. Introduction 4 2. Vision 5 3. National policy Context 5-6 4. Local

More information

End of life care in Secure Psychiatric Settings

End of life care in Secure Psychiatric Settings End of life care in Secure Psychiatric Dr Nuwan Galappathie MBChB MRCPsych MMedSc LLM Consultant Forensic Psychiatrist St Andrew s Healthcare, Birmingham Visiting Researcher, Institute of Psychiatry, Kings

More information

PAHT strategy for End of Life Care for adults

PAHT strategy for End of Life Care for adults PAHT strategy for End of Life Care for adults 2017-2020 End of Life Care encompasses all care given to patients who are approaching the end of their life and following death, and may be delivered on any

More information

Inspiring Improvement in End of Life Care. Dr Ben Lobo

Inspiring Improvement in End of Life Care. Dr Ben Lobo Inspiring Improvement in End of Life Care Dr Ben Lobo Death is life s greatest change agent 3 Questions What care do we want and expect? What care don't we want and need to change? How will we make and

More information

National Care of the Dying Audit Hospitals (NCDAH) Round 3

National Care of the Dying Audit Hospitals (NCDAH) Round 3 National Care of the Dying Audit Hospitals (NCDAH) Round 3 This audit is being led by the Marie Curie Palliative Care Institute Liverpool in collaboration with the Royal College of Physicians, and is supported

More information

Transforming hospice care A five-year strategy for the hospice movement 2017 to 2022

Transforming hospice care A five-year strategy for the hospice movement 2017 to 2022 Transforming hospice care A five-year strategy for the hospice movement 2017 to 2022 Hospice care in the UK is at a pivotal moment... Radical change is needed. About Hospice UK We are the national charity

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

Hospice Care for the Person with Cancer

Hospice Care for the Person with Cancer Hospice Care for the Person with Cancer Hospice is a special type of care designed to provide comfort, support and dignity to patients with a lifelimiting or terminal illness. For hospice purposes, a life-limiting

More information

One Chance to Get it Right:

One Chance to Get it Right: One Chance to Get it Right: Implementing the new priorities of Care for the Dying Person Dr Susan Salt, Medical Director Trinity Hospice, Blackpool Outline of the talk Brief look at what led to this point..

More information

Criteria and Guidance for referral to Specialist Palliative Care Services

Criteria and Guidance for referral to Specialist Palliative Care Services Criteria and Guidance for referral to Specialist Palliative Care Services FEBRUARY 2007 Introduction This guidance is for health professionals caring for patients who may need referral to specialist palliative

More information

There are generally considered to be six steps in providing effective end of life care

There are generally considered to be six steps in providing effective end of life care Page: 1 of 6 Purpose Scope Policy To provide a framework to guide best practice care and support of Service Users who have been identified as nearing the end of their life. Service Users who have been

More information

End of Life Care Review Case Review Audit

End of Life Care Review Case Review Audit Case Review Audit : : Version: 1 NHS Wales (Intranet) / Public Health Wales (Intranet) Purpose and summary of document: This document is for use by general practices who are engaged in providing services

More information

Serious Medical Treatment Decisions. BEST PRACTICE GUIDANCE FOR IMCAs END OF LIFE CARE

Serious Medical Treatment Decisions. BEST PRACTICE GUIDANCE FOR IMCAs END OF LIFE CARE Serious Medical Treatment Decisions BEST PRACTICE GUIDANCE FOR IMCAs END OF LIFE CARE Contents Introduction... 3 End of Life Care (EoLC)...3 Background...3 Involvement of IMCAs in End of Life Care...4

More information

Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth

Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth Individualised End of Life Care Plan for the Last Days or Hours of Life Patient name Hospital number Date of birth NHS number Informed by Five Priorities for Care: Recognise, Communicate, Involve, Support,

More information

LCP CENTRAL TEAM UK MCPCIL. 10 Step Continuous Quality Improvement Programme (CQIP) for Care of the Dying using the LCP Framework

LCP CENTRAL TEAM UK MCPCIL. 10 Step Continuous Quality Improvement Programme (CQIP) for Care of the Dying using the LCP Framework LCP CENTRAL TEAM UK MCPCIL 10 Step Continuous Quality Improvement Programme (CQIP) for Care of the Dying using the LCP Framework Within a 4 phased Service Improvement model August 2009 (Review November

More information

Developing individual care plans and goals for every end of life care patient

Developing individual care plans and goals for every end of life care patient Developing individual care plans and goals for every end of life care patient Dr. Dee Traue Consultant in Palliative Medicine We will cover How individual care plans differ from the LCP Developing and

More information

End of life care. Patient Guide

End of life care. Patient Guide 8 End of life care Patient Guide What happens? There is a point for many in the brain tumour journey when either the disease no longer responds to treatment, or you have had all treatment that is available

More information

Support for People Affected by a Life Limiting Illness

Support for People Affected by a Life Limiting Illness Support for People Affected by a Life Limiting Illness Services available and the care you should expect from health and social care staff looking after you and your family. Being told that you or someone

More information

Palliative and End of Life Care Bundle

Palliative and End of Life Care Bundle Palliative and End of Life Care Bundle Nothing About Me Without Me. Involving People in Planning Their Care. Dundee Community Nursing 71 Lothian Road Dundee 01382 513104 dnadultservices.tayside@nhs.net

More information

Unit 301 Understand how to provide support when working in end of life care Supporting information

Unit 301 Understand how to provide support when working in end of life care Supporting information Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment

More information

Community pharmacy and palliative care

Community pharmacy and palliative care 8 This module is also online at pharmacymagazine.co.uk CPD MODULE module 261 Community pharmacy and palliative care Contributing author: Louise Baglole, healthcare/ pharmacy consultant and medical writer

More information

TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE

TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE ...from the Middle Ages to the 21st Century TEAMBUILDING CREATING A POSITIVE CULTURE IN HOSPICE CARE Emily Bradford RN CHPN Director of Hospice Services VNA Middle Ages: 16th-18th Centuries: Religious

More information

Spiritual & Religious Care Competencies for Specialist Palliative Care. Assessment Tools Levels 1 & 2 Self-Assessment Tools Levels 3 & 4

Spiritual & Religious Care Competencies for Specialist Palliative Care. Assessment Tools Levels 1 & 2 Self-Assessment Tools Levels 3 & 4 Spiritual & Religious Care Competencies for Specialist Palliative Care Assessment Tools Levels 1 & 2 Self-Assessment Tools Levels 3 & 4 Marie Curie Cancer Care provides high quality nursing, totally free,

More information

ONE CHANCE TO GET IT RIGHT DERBYSHIRE

ONE CHANCE TO GET IT RIGHT DERBYSHIRE ONE CHANCE TO GET IT RIGHT DERBYSHIRE A guide for professionals in Derbyshire who care for patients believed to be in the last year of life 1 ST edition July 2014 OCTGIRv1.29614 DERBYSHIRE ALLIANCE FOR

More information

Care and support in the last days of life

Care and support in the last days of life Care and support in the last days of life Hospital Palliative Care Team 0161 206 4609 Community Palliative Care Team 0161 702 5406 Bereavement Team 0161 206 5175 All Rights Reserved 2018. Document for

More information

End of Life Volunteer Companionship Service

End of Life Volunteer Companionship Service End of Life Volunteer Companionship Service Early stages of the initiative The Volunteer department was receiving frequent calls from various Wards in the Trust asking if a volunteer could sit with a dying

More information

PALLIATIVE AND END OF LIFE CARE EDUCATION PROSPECTUS 2018/19

PALLIATIVE AND END OF LIFE CARE EDUCATION PROSPECTUS 2018/19 #wearenhft Northamptonshire Healthcare NHS Foundation Trust PALLIATIVE AND END OF LIFE CARE EDUCATION PROSPECTUS 2018/19 DELIVERED BY: THE NORTHAMPTONSHIRE END OF LIFE CARE PRACTICE DEVELOPMENT TEAM Working

More information

NATIONAL CARE OF THE DYING AUDIT HOSPITALS (NCDAH) ROUND 3 GENERIC REPORT 2011/2012

NATIONAL CARE OF THE DYING AUDIT HOSPITALS (NCDAH) ROUND 3 GENERIC REPORT 2011/2012 NATIONAL CARE OF THE DYING AUDIT HOSPITALS (NCDAH) ROUND 3 GENERIC REPORT 2011/2012 Led by the Marie Curie Palliative Care Institute Liverpool (MCPCIL) in collaboration with the Royal College of Physicians

More information

When someone is dying Information for Relatives and Carers

When someone is dying Information for Relatives and Carers When someone is dying Information for Relatives and Carers This leaflet can be made available in other formats including large print, CD and Braille, and in languages other than English, upon request.

More information

Support services for patients with secondary breast cancer.

Support services for patients with secondary breast cancer. Sheffield Teaching Hospitals NHS Foundation Trust Support services for patients with secondary breast cancer. Secondary breast cancer pledge: working together to improve secondary breast cancer services

More information

END OF LIFE CARE STRATEGY

END OF LIFE CARE STRATEGY END OF LIFE CARE STRATEGY 2016-19 Controlled Document This document is uncontrolled when downloaded or printed. Reference number Version 12 Authors Date ratified Committee/individual responsible Issue

More information

Prescribing for Symptom Control in End of Life Care. Dr Deborah Robertson Senior Lecturer University of Chester

Prescribing for Symptom Control in End of Life Care. Dr Deborah Robertson Senior Lecturer University of Chester Prescribing for Symptom Control in End of Life Care Dr Deborah Robertson Senior Lecturer University of Chester #hellomynameis Dr Debs Robertson Programme leader NMP Nurse and pharmacologist Champion of

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Marie Curie Hospice Liverpool Speke Road, Woolton, Liverpool,

More information

C. Public Health Approach to Palliative Care in the United Kingdom

C. Public Health Approach to Palliative Care in the United Kingdom C. Public Health Approach to Palliative Care in the United Kingdom Overview In the UK, there has been a growing interest over the past decade in embedding the public health approach and community compassion

More information

Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee

Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee Cynthia Ann LaSala, MS, RN Nursing Practice Specialist Phillips 20 Medicine Advisor, Patient Care Services Ethics in Clinical Practice Committee What is Advance Care Planning (ACP)? Understanding/clarifying

More information

We need to talk about Palliative Care. The Care Inspectorate

We need to talk about Palliative Care. The Care Inspectorate We need to talk about Palliative Care The Care Inspectorate Introduction The Care Inspectorate is the official body responsible for inspecting standards of care in Scotland. That means we regulate and

More information

Key Challenges in Implementing the 5 Priorities of Care. Monday 30 th March 2015 Cedar Court Wakefield

Key Challenges in Implementing the 5 Priorities of Care. Monday 30 th March 2015 Cedar Court Wakefield Key Challenges in Implementing the 5 Priorities of Care Monday 30 th March 2015 Cedar Court Wakefield The Five Priorities for Care National Update (Bee Wee s slides adapted) Suzanne Kite 30 March 2015

More information

July CFR Part 483 Requirements for State and Long Term Care Facilities Subpart B Requirements for Long Term Care Facilities

July CFR Part 483 Requirements for State and Long Term Care Facilities Subpart B Requirements for Long Term Care Facilities Provision of Hospice Care to Residents of Long Term Care Facilities Comparison of Current Medicare Regulations for Long Term Care Facilities and Hospices Prepared by Hospice Fundamentals July 2013 42 CFR

More information

Introducing the Role of the Macmillan GP Facilitator. Ciara O Neill Macmillan GP Facilitator

Introducing the Role of the Macmillan GP Facilitator. Ciara O Neill Macmillan GP Facilitator Introducing the Role of the Macmillan GP Facilitator Ciara O Neill Macmillan GP Facilitator Aim of Macmillan GP Facilitator To produce recognisable improvements in the quality of palliative and cancer

More information

Objectives: Documents/crossroads marie curie single point.doc

Objectives:  Documents/crossroads marie curie single point.doc PILOT PROTOCOL SINGLE POINT OF ACCESS FOR END OF LIFE CARE PROVIDED BY CROSSROADS CARE MACMILLAN PALLIATIVE CARE SERVICE & MARIE CURIE CANCER CARE EASTERN CHESHIRE CLINICAL COMMISSIONING LOCALITY Crossroads

More information

End of Life Care Strategy

End of Life Care Strategy End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to

More information

Community Palliative Care Service for Western Sydney. Information for clients

Community Palliative Care Service for Western Sydney. Information for clients Community Palliative Care Service for Western Sydney Information for clients Who we are Silver Chain Group is a not-for-profit organisation and the largest provider of community-based palliative care services

More information

FOR ILLUSTRATIVE PURPOSES ONLY

FOR ILLUSTRATIVE PURPOSES ONLY - Page 1 of 15 GUIDANCE Health Professional Guidance for the Care Plan for the Dying Person - Victoria RECOGNISING DYING The possibility that a person may die within the next few days or hours is recognised

More information

Leadership Alliance for the Care of Dying People. Engagement with patients, families, carers and professionals.

Leadership Alliance for the Care of Dying People. Engagement with patients, families, carers and professionals. Leadership Alliance for the Care of Dying People Engagement with patients, families, carers and professionals. 1 Leadership Alliance for the Care of Dying People Engagement with patients, families, carers

More information

Providing Hospice Care in a SNF/NF or ICF/IID facility

Providing Hospice Care in a SNF/NF or ICF/IID facility Providing Hospice Care in a SNF/NF or ICF/IID facility Education program Insert name of your hospice program Insert your logo Objectives Review the philosophy of hospice care and discuss what hospice care

More information

Guidance on End of Life Care-Updated July 2014

Guidance on End of Life Care-Updated July 2014 Guidance on End of Life Care-Updated July 2014 INTRODUCTION Definition of End of Life Care: End of Life care helps all those with advanced, progressive, incurable illness to live as well as possible until

More information

Hospital Specialist Palliative Care Service

Hospital Specialist Palliative Care Service Hospital Specialist Palliative Care Service What is palliative care? Palliative care is an approach that aims to improve the quality of life for patients facing a serious illness and their familes, through

More information

Understanding roles: working together to improve end of life care. Understanding roles: working together to improve end of life care

Understanding roles: working together to improve end of life care. Understanding roles: working together to improve end of life care Understanding roles: working together to improve end of life care 1 Contents page 2 3 Introduction It is only by understanding the roles, skills and experiences of others that it is possible to work together

More information

Fluids and the use of artificial hydration

Fluids and the use of artificial hydration Fluids and the use of artificial hydration INFORMATION FOR PATIENTS, CARERS AND FAMILIES This leaflet answers some frequently asked questions about fluids and the use of artificial hydration (fluid intake

More information

top Tips guide To supportive and palliative

top Tips guide To supportive and palliative top Tips guide To supportive and palliative care meetings Patients value care that is high quality and co ordinated. Efficient meetings in a Primary Care setting are of great importance in ensuring that

More information

MND Factsheet 44 Advance Directives

MND Factsheet 44 Advance Directives MND Factsheet 44 Advance Directives Last Updated 27/10/11 Introduction Living wills, advance decisions, advance directives and advanced medical directives are all names which are, or have been, applied

More information

Scottish Partnership for Palliative Care

Scottish Partnership for Palliative Care Scottish Partnership for Palliative Care Palliative and end of life care in Scotland: the case for a cohesive approach Report and recommendations submitted to the Scottish Executive May 2007 1 2 Contents:

More information

Hospice and End of Life Care and Services Critical Element Pathway

Hospice and End of Life Care and Services Critical Element Pathway Use this pathway for a resident identified as receiving end of life care (e.g., palliative care, comfort care, or terminal care) or receiving hospice care from a Medicare-certified hospice. Review the

More information

Quality Account 2014/15

Quality Account 2014/15 Quality Account 2014/15 June 2015 Contents Who we are and what we do 3 Section one Chief Executive s statement 6 Section two progress against last year s priorities Priority 1 Patient experience 11 Priority

More information

PROSPECTUS - COURSES FROM AUGUST 2017 MARCH 2018 More courses added throughout the year COURSE TITLE DATE TIME VENUE TUTOR COST 2017

PROSPECTUS - COURSES FROM AUGUST 2017 MARCH 2018 More courses added throughout the year COURSE TITLE DATE TIME VENUE TUTOR COST 2017 PROSPECTUS - COURSES FROM AUGUST MARCH More courses added throughout the year Key: Courses held at our Shrewsbury Hospice, Bicton Heath, Shrewsbury, SY3 8HS = Course held at our Telford Hospice, Apley

More information

End of Life Care Audit Dying in Hospital Executive summary 2016

End of Life Care Audit Dying in Hospital Executive summary 2016 End of Life Care Audit Dying in Hospital Executive summary 2016 Commissioned by: Acknowledgements The End of Life Care Audit Dying in Hospital was commissioned by the Healthcare Quality Improvement Partnership

More information

Nurse Led End of Life Care. Catherine Malia- St Gemma s Hospice, Leeds Lynne Symonds- St Catherine s Hospice, Scarborough

Nurse Led End of Life Care. Catherine Malia- St Gemma s Hospice, Leeds Lynne Symonds- St Catherine s Hospice, Scarborough Nurse Led End of Life Care Catherine Malia- St Gemma s Hospice, Leeds Lynne Symonds- St Catherine s Hospice, Scarborough SETTING THE SCENE Preferences for Place of Death 2014 Home 72% Hospice 10% Care

More information

LAST DAYS OF LIFE CARE PLAN

LAST DAYS OF LIFE CARE PLAN INFORMATION FOR HEALTHCARE PROFESSIONALS REGARDING THE LAST DAYS OF LIFE CARE PLAN RECOGNISE The recognition of dying is always complex. The possibility that a person may die within the next few days or

More information

HOSPICE IN MINNESOTA: A RURAL PROFILE

HOSPICE IN MINNESOTA: A RURAL PROFILE JUNE 2003 HOSPICE IN MINNESOTA: A RURAL PROFILE Background Numerous national polls have found that when asked, most people would prefer to die in their own homes. 1 Contrary to these wishes, 75 percent

More information

Perceptions of the role of the hospital palliative care team

Perceptions of the role of the hospital palliative care team NTResearch Perceptions of the role of the hospital palliative care team Authors Catherine Oakley, BSc, RGN, is Macmillan lead cancer nurse, St George s Hospital NHS Trust, London; Kim Pennington, BSc,

More information

At the heart of our community

At the heart of our community At the heart of our community St. Gemma s Hospice Strategy 2011 2016 Mission Statement St. Gemma s provides compassionate and skilled specialist palliative care of the highest quality, both in the Hospice

More information

What is palliative care?

What is palliative care? What is palliative care? Hamilton Health Sciences and surrounding communities Palliative care is a way of providing health care that focuses on improving the quality of life for you and your family when

More information

Clinical Staff Overview

Clinical Staff Overview Clinical Staff Overview RESOURCES Developed by VEC Expert reference and consumer group input Last days and hours of life focus State-wide relevance acute and sub-acute care settings CARE PLAN KEY BENEFITS

More information

CARE OF OFFENDERS WITH TERMINAL CONDITIONS

CARE OF OFFENDERS WITH TERMINAL CONDITIONS Formulated: 12/96 Page 1 of 6 PURPOSE: To provide a continuum of care for patients with terminal conditions, from outpatient palliative care to inpatient hospice care that maximizes the patient s activities

More information

ADVANCE DIRECTIVE INFORMATION

ADVANCE DIRECTIVE INFORMATION ADVANCE DIRECTIVE INFORMATION NOTE: This Advance Directive Information and the form Living Will and Durable Power of Attorney for Health Care on the Arkansas Bar Association s website are being provided

More information

QUALIFICATION HANDBOOK

QUALIFICATION HANDBOOK QUALIFICATION HANDBOOK Level 2, 3 & 5 Awards and Certificates in End of Life Care (3571-02-03-04-05) May 2013 Version 5.0 Qualification at a glance Subject area City & Guilds number 3571 End of life care

More information

Bolton Palliative and End Of Life Care Strategy

Bolton Palliative and End Of Life Care Strategy in Bolton Bolton Palliative and End Of Life Care Strategy Published December 2016 Acknowledgement 1 The strategy has been developed with our partners and users, we would like to thank everyone for the

More information

End of Life Care Strategy PROUD TO MAKE A DIFFERENCE

End of Life Care Strategy PROUD TO MAKE A DIFFERENCE End of Life Care Strategy 2017-2019 PROUD TO MAKE A DIFFERENCE Background Sheffield Teaching Hospitals NHS Trust is committed to delivering high quality care to patients and those identified as important

More information

INTEGRATED CARE PATHWAY FOR THE DYING PATIENT PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY.

INTEGRATED CARE PATHWAY FOR THE DYING PATIENT PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY. PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY. SECONDARY.. A Care Pathway is intended as a guide to treatment and an aid to documenting patient progress.

More information

Making Your Wishes Known With the Help of the Five Wishes Document

Making Your Wishes Known With the Help of the Five Wishes Document Making Your Wishes Known With the Help of the Five Wishes Document Lora Rhodes, MSW, LSW Oncology Social Worker Department of Medical Oncology LBBC: Annual Conference for Women living with Metastatic Breast

More information

Marie Curie Northern Ireland Patient Guide

Marie Curie Northern Ireland Patient Guide Marie Curie Northern Ireland Patient Guide Date of Issue: November 2014 Review date: November 2017 Contents 1. Introduction 1 2. Respect for patient s rights 3 3. What you can expect from our staff and

More information

Care Pathway For the last days of life

Care Pathway For the last days of life NORTH EAST Care Pathway For the last days of life Patient Details Unit Number / NHS number August 2011 Review date: August 2013 1 Patient Details Unit Number/ NHS number CARE PATHWAY FOR THE LAST DAYS

More information

End of Life Care Policy. Document author Assured by Review cycle. 1. Introduction Purpose Scope Definitions...

End of Life Care Policy. Document author Assured by Review cycle. 1. Introduction Purpose Scope Definitions... End of Life Care Policy Board library reference Document author Assured by Review cycle P011 Lead Nurse Quality and Standards Committee 3 Years Contents 1. Introduction...3 2. Purpose...3 3. Scope...3

More information

Deprivation of Liberty Safeguarding in hospice care: from law into practice

Deprivation of Liberty Safeguarding in hospice care: from law into practice Deprivation of Liberty Safeguarding in hospice care: from law into practice Hot Topics Study Day May 2016 Dr Corinna Midgley Saint Francis Hospice Registered Charity No: 275913 Aims of today: To review

More information

Care and support through terminal illness

Care and support through terminal illness Care and support through terminal illness We re here for people with any terminal illness and their families Someone has a terminal illness when they reach a point where their illness is likely to lead

More information

Mel McEvoy, Nurse Consultant in Palliative Care 12 th January 2013

Mel McEvoy, Nurse Consultant in Palliative Care 12 th January 2013 Family s Voice improving communication during end of life care. Trust Member Event Mel McEvoy, Nurse Consultant in Palliative Care 12 th January 2013 Overview Making a difference Results from the year

More information

Palliative Care (Scotland) Bill. British Humanist Association

Palliative Care (Scotland) Bill. British Humanist Association Palliative Care (Scotland) Bill British Humanist Association About the British Humanist Association The British Humanist Association (BHA) is the national charity representing the interests of the large

More information

RUH End of Life Care Annual Report April 2014 March 2015

RUH End of Life Care Annual Report April 2014 March 2015 RUH End of Life Care Annual Report April 2014 March 2015 Chairman, Brian Stables Chief Executive, James Scott Contents 1. Introduction page 3 2. End of Life Care Working Group page 3 3. Lead Nurse Palliative

More information

END OF PROJECT BRIEFING

END OF PROJECT BRIEFING ECONOMICS OF END OF LIFE CARE END OF PROJECT BRIEFING An overview of the project This briefing provides a summary of key findings from a four year research project which studied the economics of supportive

More information

10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When

10/3/2016 PALLIATIVE CARE WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION. What, Who, Where and When PALLIATIVE CARE What, Who, Where and When Mary Grant, RN, MS ANP Connections Nurse Practitioner Palliative Care Program Oregon Region WHAT IS THE DEFINITION OF PALLIATIVE CARE DEFINITION The Center for

More information

Layton Thompson/Marie Curie

Layton Thompson/Marie Curie About us Layton Thompson/Marie Curie Wh0 we are We believe everyone living with a terminal illness should be able to get the most from the time they have left. Marie Curie Nurses care for you in your home,

More information

Practical information and tools to support the needs of homeless people who are approaching the end of life, and those who are bereaved

Practical information and tools to support the needs of homeless people who are approaching the end of life, and those who are bereaved Homelessness and end of life care Practical information and tools to support the needs of homeless people who are approaching the end of life, and those who are bereaved Homelessness and end of life care

More information

Overarching principles for end of life care training

Overarching principles for end of life care training Overarching principles for end of life care training April 2015 Table of contents PURPOSE 2 HOW TO DELIVER TRAINING Principle 1: Appropriate levels of mandatory training 4 Principle 2: Continuous learning

More information

About me. This page was updated by. Date (dd/mm/yy) Name. has been diagnosed with. My home address. My date of birth is (dd/mm/yy) My NHS number is

About me. This page was updated by. Date (dd/mm/yy) Name. has been diagnosed with. My home address. My date of birth is (dd/mm/yy) My NHS number is About me This page was updated by Date (dd/mm/yy) Name has been diagnosed with My home address My date of birth is (dd/mm/yy) My NHS number is My hospital number is The hospital I go to is My contact at

More information

Consent Policy and Procedure (Including Incapacity and Advance Directives)

Consent Policy and Procedure (Including Incapacity and Advance Directives) Consent Policy and Procedure (Including Incapacity and Advance Directives) Policy Statement The Phyllis Tuckwell Hospice is committed to providing high quality care based on patients giving their informed

More information

1. Guidance notes. Social care (Adults, England) Knowledge set for end of life care. (revised edition, 2010) What are knowledge sets?

1. Guidance notes. Social care (Adults, England) Knowledge set for end of life care. (revised edition, 2010) What are knowledge sets? Social care (Adults, England) Knowledge set for end of life care (revised edition, 2010) Part of the sector skills council Skills for Care and Development 1. Guidance notes What are knowledge sets? Knowledge

More information

Developing the culture of compassionate care: creating a new vision for nurses, midwives and care-givers

Developing the culture of compassionate care: creating a new vision for nurses, midwives and care-givers Developing the culture of compassionate care: creating a new vision for nurses, midwives and care-givers Organisation: Sue Ryder Author: Lotte Good, Senior Policy and Campaigns Officer Email: Charlotte.good@sueryder.org

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS DELIVERING THE END OF LIFE CARE STRATEGY

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS DELIVERING THE END OF LIFE CARE STRATEGY THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST COUNCIL OF GOVERNORS Agenda item 18 Paper R DELIVERING THE END OF LIFE CARE STRATEGY Report Purpose: Decision / Approval Discussion Information Brief

More information

What You Need To Know About Palliative Care

What You Need To Know About Palliative Care www.hrh.ca Medical Program What You Need To Know About Palliative Care What s Inside: Who are your team members?... 2 Care Needs of Your Loved One: Information for the Family... 4 Options for Discharge...

More information

E-Learning Module B: Introduction to Hospice Palliative Care

E-Learning Module B: Introduction to Hospice Palliative Care E-Learning Module B: Introduction to Hospice Palliative Care This Module requires the learner to have read Chapter 2 of the Fundamentals Program Guide and the other required readings associated with the

More information

St Elizabeth Hospice education prospectus 2018

St Elizabeth Hospice education prospectus 2018 St Elizabeth Hospice education prospectus 2018 St Elizabeth Hospice has been delivering palliative and end of life care in Ipswich and Suffolk for almost 30 years. Our compassionate and professional standards

More information