This practical guide shows how YOU can use evidence to improve care and services. It is for anyone with an interest in improving practice. These practical steps are drawn from Their work with NHS organisations, local authorities, social care providers and voluntary organisations, as well as published literature.

Brief overview document Informing about a new service been developed in response to feedback from people, including patients, their families and carers and health professionals. It aims to give time and space for the difficult and compassionate conversations that are needed when discussing future wishes and choices about their end of life care. . It will also put in place plans which are shared with their GP and other community teams to make sure that the palliative care provided meets their needs as closely as possible. On Monday 09 November 2020, this service will be initiated to support people who have deteriorating health and require supportive palliative care, being discharged from Pilgrim Hospital in Boston. The service will be delivered by the Butterfly Advance Care Planning & Coordination Team (ACCT), supported by the Butterfly Hospice. It will operate Monday to Friday, 1000-1800 hrs. See SOP for more details