Planning for Future Care Guidance (Adult): Advance Care Planning (ACP), Advance Decisions to Refuse Treatment (ADRT) & ReSPECT – Lincolnshire

The purpose of this guidance document is to support staff involved with care planning and decision making for people with life limiting condition in Lincolnshire. It is comprehensive (48 pages) and covers many areas including deactivating ICDs, mental capacity etc

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Health Foundation – Quality Improvement (QI) made simple
28th August 2019 | Source: Health Foundation

An easy to read and practical guide to undertaking QI. This is not a ‘how to’ guide. Instead, it offers a clear explanation of some common approaches used to improve quality, including where they have come from, their underlying principles and their efficacy and applicability within the healthcare arena.

Carer Administration of Subcutaneous Medicines as needed (sc injections prn)
1st April 2020 | Source: Helix Centre supported by NHSE

Carers must be identified and assessed by health professionals before acting on this information. Seriously ill people often want to spend their last days of life at home being cared for by family or friends. This website details how carers, who are looking after a very ill person at home, can be taught to give extra (top-up) doses of medication under the skin to the person they are caring for when they experience ‘breakthrough’ symptoms (that is, symptoms not controlled by their regular medication). This will be in addition to the care they are already receiving. There is also a Lincolnshire policy on this procedure. However the Helix protocol has been adapted for Covid-19

The website is not designed to give medical advice, but rather to give information on a wide range of topics to health and social care staff, no matter where they work. Find out more