1. Developments in End of Life Care John Sheridan End of Life Care Clinical Educator

2. Tools available in the trust AMBER care bundle Last Days of Life Care Plan Rapid Discharge Pathway Advance Care Planning DNACPR Advance Decisions to Refuse Treatment

4. Key developments End of Life Care Education Community Clinical Educator and Part Time Acute Clinical Educator Full Time Acute Clinical Educator in End of Life Care Full Time Acute Clinical Educator in End of Life Care End of Life added to trust Stat-Mand Training Communication Collaborative educational working Role Champions Development Programme Development of best practice tools Multi- professional End of Life Education Days Location based training Transfer of Care ethos – not discharge

5. AMBER care bundle For patients whose recovery is uncertain

6. Care Plan recognised by all professionals in all settings: community, hospital, hospice, ambulance Patient Held CarePlan

7. End of Life Care Educational Days End of Life Care Educational Days St. Catherine’s Hospice courses in communication skills. St. Catherine’s Hospice courses in communication skills. Guidance in relation to Advance Care Planning Guidance in relation to Advance Care Planning Role Champions development Role Champions development Network development – always someone to ask! Network development – always someone to ask! Opportunities

8. Can we make a difference Change perceptions of ‘discharge’ into ‘transfer of care’ Alerting as to admissions for susceptible patients Provide all MDT members, even extended members, with essential information Explicit information sharing – GP End of Life Register, Advance Care Plan, Preferences.

9. Importantly ……. Unlike other aspects of care delivery and treatment …….. We get only one opportunity to provide end of life care. Getting it right first time is not an option ….. It is ESSENTIAL.

10. Contact for help York Acute John Sheridan, End of Life Care Clinical Educator, Ext 1106 Debbie Bayes, End of Life Care Clinical Educator, Ext 1480 Specialist Palliative Care Team York Ext 5835 Out of Hours: St Leonard’s Hospice 01904 708553

11. Contact for help Scarborough Christine Wilson, End of Life Care Clinical Educator, 01723 342446 Specialist Palliative Care Team 01723 342446 Out of Hours: “Pall Call”, St Catherine’s Hospice, Scarborough: 01723 354506

12. Contact for help Community Becky Shaw, Community End of Life Care Clinical Educator (07809) 519754 Specialist Palliative Care Team Community York & Selby (01904) 724476 Specialist Palliative Care Team Community Scarborough (01723) 356043