Developments in End of Life Care John Sheridan End of Life Care Clinical Educator

Tools available in the trust AMBER care bundle Last Days of Life Care Plan Rapid Discharge Pathway Advance Care Planning DNACPR Advance Decisions to Refuse Treatment

Key developments End of Life Care Education Community Clinical Educator and Part Time Acute Clinical Educator Full Time Acute Clinical Educator in End of Life Care Full Time Acute Clinical Educator in End of Life Care End of Life added to trust Stat-Mand Training Communication Collaborative educational working Role Champions Development Programme Development of best practice tools Multi- professional End of Life Education Days Location based training Transfer of Care ethos – not discharge

AMBER care bundle For patients whose recovery is uncertain

Care Plan recognised by all professionals in all settings: community, hospital, hospice, ambulance Patient Held CarePlan

End of Life Care Educational Days End of Life Care Educational Days St. Catherine’s Hospice courses in communication skills. St. Catherine’s Hospice courses in communication skills. Guidance in relation to Advance Care Planning Guidance in relation to Advance Care Planning Role Champions development Role Champions development Network development – always someone to ask! Network development – always someone to ask! Opportunities

Can we make a difference Change perceptions of ‘discharge’ into ‘transfer of care’ Alerting as to admissions for susceptible patients Provide all MDT members, even extended members, with essential information Explicit information sharing – GP End of Life Register, Advance Care Plan, Preferences.

Importantly ……. Unlike other aspects of care delivery and treatment …….. We get only one opportunity to provide end of life care. Getting it right first time is not an option ….. It is ESSENTIAL.

Contact for help York Acute John Sheridan, End of Life Care Clinical Educator, Ext 1106 Debbie Bayes, End of Life Care Clinical Educator, Ext 1480 Specialist Palliative Care Team York Ext 5835 Out of Hours: St Leonard’s Hospice

Contact for help Scarborough Christine Wilson, End of Life Care Clinical Educator, Specialist Palliative Care Team Out of Hours: “Pall Call”, St Catherine’s Hospice, Scarborough:

Contact for help Community Becky Shaw, Community End of Life Care Clinical Educator (07809) Specialist Palliative Care Team Community York & Selby (01904) Specialist Palliative Care Team Community Scarborough (01723)