As part of the ongoing assessment process at St Ann’s, all patients should have the opportunity to have their spiritual needs assessed. A key area for the Spiritual Care co-ordinator is the ongoing development of this assessment process and supporting tool.
General palliative care services
General palliative care is a core aspect of care and includes the provision of:
Information for patients and carers, with signposting to other relevant services.
Accurate holistic assessment of patient needs.
Co-ordination of care teams in and out of hours and across boundaries of care
Basic levels of symptom control.
Psychological, social, spiritual and practical support.
Open and sensitive communications with patients, carers and professional staff
General Palliative Care Services (Hospital Services)
Health and social care professionals providing day-to-day care form the main support for individuals with advanced cancer and other terminal illnesses, with the majority being cared for on hospital wards and outpatient clinics. Over 60% of patients will die in the hospital setting hence the need for staff to be trained in the best practice of the care of dying patients with particular attention to assessing and accommodating the wishes of patients, families and carers.
The NICE Guidance provides detailed advice and recommendations about the need for effective working between both general staff and specialist supportive and palliative care staff across all care settings, which is designed to ensure that all individuals have their needs (physical, psychological and spiritual) and preferences for both the nature and location of care recorded on a regular basis. It also stipulates that the appropriate training and education is provided to general staff and relevant protocols are in place for accessing specialist services.
General Palliative Care (Community) – Salford Primary Care NHS Trust
The general service provision is co-ordinated and managed through the Locality manager in the West Locality. The general services include:
District Nursing Service - provides a service 8.30 – 5.00 seven days a week. /District Nursing Evening Service - provides service 6.00 – 12.00 seven days a week. This has also links with Rapid response team from 6.00 – 7 .00 am
Community Care Bank – bank of qualified and unqualified nurses – single point of entry via the Transfer of care Team
Marie Curie Nursing Service – is a bank of both qualified and unqualified nurses, co-ordinated through the PCT Transfer of Care team, based at Hope Hospital.
Salford PCT Complex Health Support Team - compliments the district nursing service providing additional support patients and carers. It provides out of hours palliative care support at weekends.