the hospital and community specialist palliative care MDT and the hospice specialist social work team.
Social workers provide a range of support including: support to people living at home, day care, respite care and longer term care in Care Homes. They also provide very valuable emotional and practical support to individuals and their families / carers from the time a diagnosis is made and throughout the progress of the illness. In partnership with the other members of the team, they provide a holistic assessment of the individual’s needs and can provide advice on employment issues, benefit entitlement, housing provision, relationship difficulties and bereavement issues.
A separate assessment is undertaken of the carer’s needs and there are five specialist carers social workers employed to undertake the assessment of carers and provide support
Spiritual Support Services
The diagnosis of life-threatening disease has a profound effect on people who are ill and on their family and friends. Spiritual support is required at various points along the care pathway and each individual should have their spiritual needs continually assessed.
A recent mapping exercise highlighted the need for improvements in respect to access, assessment and providing seamless spiritual care to individuals and their families/ carers across Salford
Spiritual support services (Salford Royal NHS Trust - Inpatients)
Referrals can be made by the individual, individual’s family / carer or the individuals own religious/spiritual advisor. Access to Chaplaincy services is available on a 24/7 basis During the general admission process, spiritual care is not uniformly assessed by all staff.
There is no uniform spiritual assessment protocol, the exception to this is when an individual is cared for on the Care of the Dying Pathway. Improvements have been made in the assessment of spiritual needs by the chaplain becoming part of the Palliative Care MDT which has recently commenced. However, ongoing spiritual needs assessment should be undertaken as an integral part of the assessment process by any member of the MDT.
Whilst this mapping exercise shows that there is a level of spiritual care needs assessment and services available, it also points out that the assessment of spiritual needs is not owned by all professionals. In addition, the provision of ongoing spiritual care varies greatly within the NHS and highlights the need for a more multi-faith disciplinary model of spiritual care which is essential if a more comprehensive care service is to be provided to individual and their families /carers.
Spiritual Support Services (St Ann’s Hospice)
St Ann’s Hospice, historically has been well supported by a team of voluntary Chaplains at Little Hulton. However, there were gaps in the service provision in relation to spiritual support, hence the appointment of a full-time Hospice Spiritual Care Co-ordinator in October 2005.