In a recent needs analysis undertaken by Dearden’s Consultants11, highlighted that 69.8% of the inpatient activity undertaken at Little Hulton site is provided to patients from Salford and the remainder spread across other PCTs. The service is provided by a full Multi Disciplinary Team. The medical workforce is led by Consultants in Palliative Medicine (0.5WTE)on both inpatient sites and supported by a range of other medical posts. Other members of the Multi Disciplinary Team include Nurses, Occupational Therapists, Physiotherapists, Pharmacists, Social Workers, Dietician, Psychological Support Nurse and Spiritual Care Co-ordinator. The inpatient units are also supported by volunteer Chaplains and other volunteer staff. A summary of the staffing working across these sites is provided in Table 4.
Specialist Palliative Care – Salford Community
The Salford Community Specialist Palliative Care Team are employed and based at St Ann’s Hospice (Little Hulton)
Consultant in Palliative Medicine (0.2 WTE),
Clinical Nurse Specialists (4.2 WTE),
Social Worker (1 WTE)
Secretary (0.5 WTE).
In addition the team has access to the wider Hospice Multi-Disciplinary Team including Pharmacist, Psychological Support Nurse, Occupational Therapist, etc. They operate a Monday to Friday 9am-5pm service. The team is also supported by a GPwSI Facilitator (0.1 WTE), and links with GSF Facilitator 1 WTE and Care of Dying Facilitator 0.5 WTE.
A weekly multi-disciplinary team meeting takes place between the Hospital Specialist Supportive and Palliative Care Team and the Community Specialist Team.
The Community Specialist Palliative Care Team has links and relationships with the generic Primary Care Teams and other specialist teams across the City.
The current core Hospital and Community Multidisciplinary Palliative Care core teams meet the NICE Guidance .However, there are still some difficulties in accessing the recommended extended team of allied health professionals, pain specialist, oncologist, and psychological services.
Respite Palliative Homecare Team
The Respite Team consists of experienced qualified and unqualified nurses who give specialist nursing care within people’s own homes and compliment and supplement the care provided by other community services e.g. District Nurses, Marie Curie service
There is clear evidence about the value of a rehabilitative approach to people with cancer and advancing life threatening disease in enabling them to lead fulfilling lives within the constraints of their illness and that rehabilitation should be an integral part of palliative care and not an optional extra .A definition of rehabilitation commonly used in palliative care is :
“Improve the quality of survival, so that patients’ lives will be