1. Introduction to End of Life Care

3. Rank the ‘top 3’ causes of death in England 2009 1. Circulatory diseases159,779 2. Cancers140,497 3. Respiratory diseases67,559

4. Cause of Death England 2009 Cancers Circulatory diseases Respiratory diseases

5. What is End of Life Care (EoLC)? How would you define EoLC and when does it start and end?

6. What EoLC “tools” and “frameworks” are you aware of?

7. What services (community and hospital) are available for patients/carers at end of life?

8. Definition and Principles EoLC Helps all those with advanced, progressive, incurable illness to live as well as possible until they die Helps all those with advanced, progressive, incurable illness to live as well as possible until they die Pain and suffering are kept to a minimum Pain and suffering are kept to a minimum Holistic care focussing on quality of life Holistic care focussing on quality of life People’s individual needs, priorities and preferences are identified, documented, reviewed, respected and acted upon wherever possible People’s individual needs, priorities and preferences are identified, documented, reviewed, respected and acted upon wherever possible Families have a vital role and are involved and supported as carers and have their own needs recognised Families have a vital role and are involved and supported as carers and have their own needs recognised

9. Good health Terminal care Long term conditions care This patient would benefit from EoLC Transition to last days of life Changing goals of care EoLC care in parallel with disease modifying treatment- EoLC

10. Elements of EoLC

11. Main EoLC Tools

12. Services- NB not available for all patients Home Carers Home Carers Residential/Nursing Care Residential/Nursing Care District Nurses, GPs, Practice staff District Nurses, GPs, Practice staff AHP eg equipment AHP eg equipment Pharmacists Pharmacists Voluntary services eg Age UK Voluntary services eg Age UK Pensions service Pensions service Chaplaincy Chaplaincy Hospice services including Hospice-at-Home Hospice services including Hospice-at-Home Marie Curie Marie Curie Macmillan Nurse Macmillan Nurse Specialist teams eg STINT, RATS Specialist teams eg STINT, RATS Macmillan CAB Macmillan CAB Counselling/psychology services Counselling/psychology services Complementary services Complementary services