1. ONE CHANCE TO GET IT RIGHT
Dr Gill Pottinger
GP Garforth Medical Practice
Clinical Lead for End of Life Care, Leeds

2. IDENTIFICATION – WHO TO INCLUDE
Patients whose…..
Health is deteriorating despite maximal therapy
Maximal therapy is not appropriate or desired
Focus of care prioritises comfort, wellbeing and symptom management
This may include patients whose prognosis is difficult to determine and could be more than a year
CONSIDER all conditions including LTCs, dementia, frailty.

3. EPaCCs Identify patient Discuss palliative approach with patient/carer
MDT record, share and review care preferences
Fast track funding application/DNACPR/ palliative care referral/ prescribing information/GSF meetings
Other useful resources

4. ADVANCE CARE PLANNING pre-planning of support Personalised care
Increases realistic hope, allay anxieties, empowers
Reduces unplanned hospital admissions
Achieved preferred place of death
Positive impact on bereavement

5. LEEDS DATA
DEATHS OUT OF HOSPITAL
ON EPaCCs - 86% (known to LCH)
ALL DEATHS – 45% (2015 DATA)

6. FUTURE DEVELOPMENTS RESPECT PROCESS
Creates a personalised recommendation for a persons clinical care in a future emergency in which they are unable to make or express choices
RESPECT can be for anyone (does not have to be EOL)
Includes DNACPR
Nationally recognised form
Further information –

7. Future - Project ECHO® Extension for Community Healthcare Outcomes
Conducting virtual clinics with community providers through multi-point videoconferencing
Specialist Palliative Care team at St. Gemma’s Hospice (Hub) will provide education and support to GP practices (Spokes)
Members establish a curriculum based on the learning needs of front line staff
Further information over the next few months…

8. THANK YOU