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User & Carer Partnership Lead for Cancer and Palliative Care (0.6 WTE), who is working across both Salford and Trafford to develop a User Involvement Strategies across all care settings.

Supportive and Palliative Care Education Facilitator (0.80 WTE), who supports the implementation of the education strategy across Salford focussing on breaking bad news and communication skills.

Integrated Care of the Dying Pathway Facilitator (1.0WTE) responsible for the roll out ICP within Salford Royal NHS Trust

Cancer Information Lead Manager (1.0 WTE), who provides a wide range of patient information on cancer, cancer services, prevention and health promotion links to benefits, with out reach community work. Links with the cancer network on the development of patient information.

Specialist palliative care services

The NICE Guidance outlines type of specialist palliative care services, which should be available to meet the needs of the local population (see Needs Assessment).  At a minimum, this should include:

Multidisciplinary specialist palliative care teams providing assessment, advice and care for patients in all locations.

Specialist inpatient facilities (such as hospice / hospital) for patients with complex problems that cannot be managed adequately in other settings.

Bereavement support services.

Specialist multidisciplinary palliative care (in any setting)

The specialist multidisciplinary palliative care team should be able to offer specialist advice, support and care for patients and carers. The service should be provided in conjunction with the GP and primary care team and specialties within the hospital, as relevant. The level of intervention will vary according to assessed needs, but will range from a purely advisory role to taking a lead in providing care. The team should also be able to provide advice and support to staff and education and training for professional colleagues.

The NICE Guidance recommends that in order to provide this level of specialist physical, psychological, social and spiritual support to patients and carers, the specialist palliative care teams require:

Palliative medicine consultant

Palliative care nurse specialists

A team secretary / administrator

The NICE Guidance also suggests that a range of expertise should be provided by:

Physiotherapists

Occupational therapists

Dieticians

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