Palliative CarePalliative Care

TARGETTARGET

June 2005June 2005

Welcome!Welcome! Dr Philip Sawyer – Primary Care Cancer LeadDr Philip Sawyer – Primary Care Cancer Lead

St. Albans & Harpenden PCTSt. Albans & Harpenden PCT

TARGET ( Protected Learning Time) steering TARGET ( Protected Learning Time) steering groupgroup

TARGETTARGET

Since 2000…Since 2000… 6 monthly ‘large’ PCT – wide topic6 monthly ‘large’ PCT – wide topic 6 monthly ‘in-house’ practice learning 6 monthly ‘in-house’ practice learning

specific topicsspecific topics Ideas & evaluation formsIdeas & evaluation forms Thanks …Thanks …

Why Palliative Care?Why Palliative Care?

First TARGET focused on CancerFirst TARGET focused on Cancer Note. New referral guidelines due out soonNote. New referral guidelines due out soon New referral proformas from WHHTNew referral proformas from WHHT

NICE Supportive & Palliative Care NICE Supportive & Palliative Care guidance for adults with Cancer 2004guidance for adults with Cancer 2004

Palliative Care in non-cancer patientsPalliative Care in non-cancer patients Important that we do it well.Important that we do it well.

NICE GuidanceNICE Guidance

Supportive & palliativeSupportive & palliative team working – communicationteam working – communication Holistic needs assessmentHolistic needs assessment Physical, psychological, social, spiritual, info, carersPhysical, psychological, social, spiritual, info, carers

Key-worker roleKey-worker role Proactive case management Proactive case management E.g. Gold Standards FrameworkE.g. Gold Standards Framework

GSFGSF

PCT provided some financial support (LES)PCT provided some financial support (LES) Regularly multidisciplinary meetings, Regularly multidisciplinary meetings,

proactively discussing cases. Identify proactively discussing cases. Identify needs & planning care.needs & planning care.

Communication within team and OOHCommunication within team and OOH Avoid crises and plan good terminal careAvoid crises and plan good terminal care Collective learning, Collective learning, significant case analysis, significant case analysis,

developing & sharing systems/tools etc.developing & sharing systems/tools etc.

Palliative CarePalliative Care

Rising up political agenda at last. Rising up political agenda at last. Non-cancer patients Non-cancer patients esp. heart failure, esp. heart failure,

chronic respiratory disease and progressive chronic respiratory disease and progressive neurological diseasesneurological diseases

Complex system of providersComplex system of providers NHS service has recently been very NHS service has recently been very

understaffedunderstaffed Fortunate with local voluntary-funded Fortunate with local voluntary-funded

services…services… Ethical issues.Ethical issues.

Dr Suzy JordacheDr Suzy Jordache

Director of psychological medicineDirector of psychological medicine Hospice of St. Francis, BerkhamstedHospice of St. Francis, Berkhamsted