Guidelines

Guidelines for the treatment and care of patients towards the end of life.

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The Lincolnshire Policy for Informal Carer’s Administration of As Required Subcutaneous Injections in Community Palliative Care – (carers)
4th December 2020 | Source: Lincolnshire NHS

A local policy to allow informal carers to give injections to palliative care patients in the community date issued April 2020

Neighbourhood Clusters- Neighbourhood Teams – contact details
9th November 2020 | Source: Lincolnshire NHS

Resource for Health and Social Care Professionals. Map of the Neighbourhood clusters. Contact details for Neighbourhood Leads in the East, South and west and how to make a nomination

Why use the SPICTTM? Using the SPICT TOOL – also appendix Butterfly Advance Care Planning and Coordination Team (ACCT) Service Operating Procedure
9th November 2020 | Source: Lincolnshire NHS

Resource for Health and Social Care Professionals The SPICT™ helps professionals identify people with general indicators of poor or deteriorating health and clinical signs of life-limiting conditions for assessment and care planning. What will happen to each person and when is often uncertain. SPICT™ looks at health status not a prognostic time frame. Identifying people with deteriorating health earlier improves care. This tool is also an appendix 1 for the Butterfly Advance Care Planning and Coordination Team (ACCT) Service Operating Procedure

Supportive and Palliative Care Indicators Tool (SPICT™)- appendix for Butterfly Advance Care Planning and Coordination Team (ACCT) Service Operating Procedure
9th November 2020 | Source: Lincolnshire NHS

Resource for Health and Social Care Professionals. Please use this resource also with Service Operating Procedure Butterfly Advance Care Planning and Coordination Team (ACCT) The SPICTTM is used to help identify people whose health is deteriorating. Assess them for unmet supportive and palliative care needs.

Service Operating Procedure- SOP – Butterfly Advance Care Planning and Coordination Team (ACCT)
9th November 2020 | Source: Lincolnshire NHS

Information for Health and Social Care professionals. Service operating procedure for the Butterfly Advance Care Planning and Coordination Team (ACCT) Pre -discharge from Pilgrim Hospital, a person is identified as having deteriorating health and will benefit from having an advance care planning conversation, regarding their future care preferences and wishes, following their discharge. Identification of people in Pilgrim Hospital is by the: • Specialist Palliative Care Team (SPCT) • Assertive In-Reach Team (AIR) • Community Care Nurse Specialist (CCNS) • Acute Medical Short Stay (AMSS) ward staff see also Supportive and Palliative Care Indicators Tool (SPICT™) and Why use the SPICTTM?

Butterfly Advance Care Planning & Co-ordination Team (ACCT)- Butterfly Hospice
9th November 2020 | Source: Lincolnshire NHS

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

Lincolnshire wide policy for the assessment and provision of Mouth Care (Adult Palliative Care)
4th November 2020 | Source: Lincolnshire NHS

For Health and Social Care Professionals The aim of this document is to create a united approach to Mouth care and ensure all patients within Lincolnshire are receiving evidence based mouth care. Approved policy 2019

Prescribing Home Oxygen
16th October 2020 | Source: Lincolnshire NHS

change of supplier and revised ordering process for out of hours suppliers

Palliative Care Identification Tools Compared
24th June 2020 | Source: Healthcare Improvement Scotland 2018

This tool has been designed to help health and social care professionals identify those who would benefit from a palliative approach to their care. Earlier identification has many advantages. It can allow people to make informed choices about what medical treatments and care they would like to receive, or not receive, and to prioritise things that are important to them when length of life may be short, or when the presence of irreversible illness has altered life for that person.

Primary Care Support from Macmillan for Cancer
25th March 2020 | Source: Macmillan

Macmillan has produced a number of toolkits, guidance documents and online training modules to support GPs as they connect with cancer patients from early diagnosis through to after treatment, and at end-of-life. Supporting resources for people with cancer have also been developed to help effective signposting and to shape the future of primary care.

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