1. Palliative Care TARGET June 2005

2. Welcome!  Dr Philip Sawyer – Primary Care Cancer Lead  St. Albans & Harpenden PCT  TARGET ( Protected Learning Time) steering group

3. TARGET  Since 2000…  6 monthly ‘large’ PCT – wide topic  6 monthly ‘in-house’ practice learning specific topics  Ideas & evaluation forms  Thanks …

4. Why Palliative Care?  First TARGET focused on Cancer  Note. New referral guidelines due out soon  New referral proformas from WHHT  NICE Supportive & Palliative Care guidance for adults with Cancer 2004  Palliative Care in non-cancer patients  Important that we do it well.

5. NICE Guidance  Supportive & palliative  team working – communication  Holistic needs assessment  Physical, psychological, social, spiritual, info, carers  Key-worker role  Proactive case management  E.g. Gold Standards Framework

6. GSF  PCT provided some financial support (LES)  Regularly multidisciplinary meetings, proactively discussing cases. Identify needs & planning care.  Communication within team and OOH  Avoid crises and plan good terminal care  Collective learning, significant case analysis, developing & sharing systems/tools etc.

7. Palliative Care  Rising up political agenda at last.  Non-cancer patients esp. heart failure, chronic respiratory disease and progressive neurological diseases  Complex system of providers  NHS service has recently been very understaffed  Fortunate with local voluntary-funded services…  Ethical issues.

8. Dr Suzy Jordache  Director of psychological medicine  Hospice of St. Francis, Berkhamsted