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Specialist palliative care teams often work closely with acute oncology services to provide the best supportive care for patients suffering from distressing symptoms relating to their cancer or the treatment they are receiving. |
National and International guidance:-
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NICE Clinical Knowledge Summaries - Palliative care Providing primary care practitioners with a readily accessible summary of the current evidence base and practical guidance on best practice
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Useful links:
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Advance care planning - Advance care planning makes sure people know what the patients wishes are when it comes to their treatment and future care. Macmillan have advice to help them plan ahead.
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Coordinate My Care -is an NHS service that coordinates urgent care for patients. It starts with the patients filling in an online questionnaire called MyCMC. MyCMC then goes to a doctor or nurse who knows the patient who completes the Coordinate My Care (CMC) plan by adding the patients diagnosis, medical details, resuscitation status, medications and recommendations for the urgent care services to follow in an emergency. Once completed the plan is approved and is immediately visible to all the urgent care services including 111, out of hours GPs, the ambulance (in their vehicles) and the emergency departments. This way everyone is in the loop with the patient in the middle.
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ReSPECT for healthcare professionals ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a summary of personalised recommendations for a person’s clinical care in a future emergency in which they do not have capacity to make or express choices. Such emergencies may include death or cardiac arrest, but are not limited to those events. The process is intended to respect both patient preferences and clinical judgement. The agreed realistic clinical recommendations that are recorded include a recommendation on whether or not CPR should be attempted if the person’s heart and breathing stop.
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Articles and Presentations
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Acute oncology and palliative care: two sides of the same coin? The aim of this pilot project was to establish an acute oncology service model within a teaching district general hospital which has on-site palliative care and haematology services but is not a cancer centre. Catherine O'Doherty, Sharon Quinn and Jackie Gibson - Basildon and Thurrock University Hospitals NHS FT -
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Palliative Care and Acute Oncology Integration Dr Catherine O'Doherty, Consultant in Palliative Medicine, Trust Acute Oncology Lead and Lead Cancer Clinician, Basildon and Thurrock University Hospitals NHS Foundation Trust
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Objectives To analyse patterns of use and costs of unscheduled National Health Service (NHS) services for people in the last year of life. Design Retrospective cohort analysis of national datasets with application of standard UK costings. Participants and setting All people who died in Scotland in 2016 aged 18 or older (N=56 407). Main outcome measures Frequency of use of the five unscheduled NHS services in the last 12 months of life by underlying cause of death, patient demographics, Continuous Unscheduled Pathways (CUPs) followed by patients during each care episode, total NHS and per-patient costs. Bruce Mason, Joannes Joseph Kerssens, Andrew Stoddart, Scott A Murray, Sébastien Moine, Anne M Finucane,Kirsty Boyd |
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