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Australia


Advance

Services Offered

Advance is a toolkit and national training program to support nurses to work with general practitioners to initiate advance care planning and palliative care in everyday general practice.

Advance includes a suite of specifically designed resources, training videos, online learning modules, workshops, rural scholarships and tele-mentoring. The Advance Toolkit consists of six screening and assessment tools and a guide to support their use. The Toolkit has been endorsed by the Royal Australian College of General Practitioners and the Australian Primary Health Care Nurses Association.

The training aims to increase skills, confidence and comfort levels of nurses in general practice to initiate conversations with patients and their carers about screening for supportive care needs and advance care planning. The overall objective of the program is to enable earlier consideration and uptake of advance care planning among older people and those with chronic or complex illness, more efficient use of general practitioner and nurse time in assessing palliative and supportive care needs, and more appropriate and timely referrals to specialist palliative care services if required.

Advance is funded by the Australian Government Department of Health and led by HammondCare in partnership with other healthcare organisations and universities.

SPICT Uses

SPICT is used as one of the screening tools in the Advance Toolkit and training package. The expert advisory group members for Advance include SPICT programme leads and partners: Kirsty Boyd, Scott Murray, Geoffrey Mitchell and Joel Rhee.

Website: www.caresearch.com.au/advance/

Contact:  Professor Josephine Clayton


Armadale Health Service, Department of Health, Government of Western Australia

Services Offered

The Armadale Health Service is one of Australia’s leading public hospitals delivering quality health care to the community.

The 290-bed general hospital, located 34km south-east of the Perth CBD, is equipped with a modern Emergency Department and an Intensive Care Unit (ICU). The hospital has strong links with the local community and each year treats more than 60,000 emergency patients, 29,000 inpatients and 52,000 outpatients.

 SPICT Uses

The geriatric medicine service from Armadale Health Service has been using SPICT in a clinical study to determine how many people are ‘SPICT positive’ on a rehabilitation ward, to see how this correlates with existing frailty tools and then to follow-up prospectively to determine future hospital utilisation and survival.

Website: www.ahs.health.wa.gov.au/

Contact:  Nicholas Waldron


 Central Adelaide Palliative Care

The Queen Elizabeth Hospital, Woodville Rd Woodville Adelaide South Australia

Services Offered

Interdisciplinary palliative care service servicing the central region of Adelaide. We have inpatient beds on three sites, consultation liaison teams at the two major public hospitals, and a comprehensive community care service. The service is based at QEH, one of the two major hospitals

 SPICT Uses

It is propsed to use SPICT in a number of settings

  •  As a part of a statewide tool for documenting in-hospital treatment plans addressing goals of care. SPICT will be used to trigger the consultation leading to the completion of this document, which aligns with any legally binding directives made by the patient
  •  (Possibly) as part of our mortality review committee audit looking at compliance with appropriate advance care planning. A question like “did this patient meet SPICT criteria that should have prompted a discussion regarding goalsof care and resuscitation status? If so, was there evidence it occurred?”

Contact:  Dr Alastair Bonnin

 


 anzspm decision assistDecision Assist

Decision Assist is a program funded by the Australian Government to enhance the provision of palliative care and advance care planning services to the aged nationally by providing support to GPs and aged care workers. The project is managed by a consortium of national health and aged care organisations, including Respecting Patient Choices (lead agency), Palliative Care Australia, CareSearch, the University of Queensland, Queensland University of Technology, the Australian and New Zealand Society of Palliative Medicine, Leading Age Services Australia (LASA), and Aged and Community Services Australia (ACSA).

A strong focus of the program is to enhance the skills of GPs through specialised palliative care education.

SPICT Uses

It is proposed to use SPICT during palliative care education to GPs in Australia. It will be offered as a tool that GPs can use to aid prognostication and promote about proactive management of patient’s end of life care. Education is via workshops and an online education module.

WebsiteDecision Assist

Contact:  Dr Karen Cooper


Department of Health, Government of Western Australia

WA Health is Western Australia’s public health system. It covers 2.5 million square kilometres and is the largest area in the world covered by a single health authority. WA Health employs 43,000 staff who ensure the well-being of the State’s ever-increasing population throughout metropolitan, regional and remote areas.

SPICT is used as a tool to help medical staff develop essential knowledge, skills and confidence, to be applied when initiating and engaging in patient-centred conversations, particularly about CPR decision-making.

SPICT Uses

As part of a teaching resource to support decision-making and effective communication about cardiopulmonary resuscitation in the hospital-based setting. The teaching resource, developed by a team of Australian clinicians with different specialties, comprises a facilitator’s guide, videos and supporting resources. The facilitator guide with videos uses the SPICT indicators to assist clinicians identify and collaborate with patients who will more likely benefit from advance CPR decision-making.

Download the online resources:  Advance CPR decision making in the hospital setting: teaching package

Websitewww.health.wa.gov.au

Contact:  Palliative Care


 Screenshot 2013-11-26 10.18.09Fiona Stanley Hospital, Perth

Fiona Stanley Hospital is Western Australia’s flagship health facility, delivering a comprehensive suite of clinical services. Our hospital will be opened progressively in a four-phased sequence that prioritises patient safety and care, beginning with the State rehabilitation service in October 2014.

SPICT Uses

Use of the SPICT for unplanned admissions to identify patients eligible for goals of care discussion and resuscitation planning on admission.

Websitewww.fsh.health.wa.gov.au/

Contact:  Susan Mylne


Great Southern Palliative Care Service, Albany, West Australia

Services Offered

Specialist Palliative Care Service, offering comprehensive palliative care consultative support.

  • Central point for referrals for palliative care in rural regions (for example, if metropolitan or regional services wish to discharge a patient from hospital to return to a rural town)
  • To make an initial assessment of the patient’s needs to assist in planning future care and to determine what ongoing services will be required for the patient
  • Provide care coordination for the patient and family and/or referral to service agencies for local care coordination and direct care if required
    Provide ongoing advice/consultancy/shared care for complex patients or patients with escalating needs exceeding the local resources
    Episodic clinical assessment including treatment and medication review
  • Build capacity in regional health professionals to provide palliative care to meet Palliative Care Australia standards
  • Provide psychosocial consultancy and support
  • Provide access to specialist palliative care medical consultation and advice
  • Identify the need for discharge back to primary carers with the option of planned re-referral.

 SPICT Uses

We are gradually introducing the SPICT tool within the GSHS to assist primary care providers and other specialty services identify patients who may benefit from specialist palliative care support. We have a small quality improvement team working on this project within Albany Health Care Campus.

The SPICT tool is very much in line with the promotion of advanced care planning within WA.

Our hope is by using this tool we may reduce hospital admissions by the introduction of our services in a more timely manner supporting carers and families.

Feedback so far has been very positive and plan to review/audit results of this trial with professional providers and consumers

ContactLesley Forrester 


Metropolitan Palliative Care Consultancy Srvice MPaCCS – Perth

Services Offered

Who are the members of MPaCCS?
• Palliative Care Specialists
• Senior Palliative Care Nurses
• Senior Palliative Care Social Workers

What services will MPaCCS provide for me?
The aim of the service is to assist primary health providers (GPs, Other Medical Specialists, nursing & allied health staff) to provide the best palliative care possible for their patients. Team members are available to provide the following services:
1. Clinical and psychosocial review of palliative patients who:
• have any sort of life limiting illness
• have complex palliative care needs
• exhibit difficult to control pain or symptoms
• need transitional support from hospital to facility
• have previously been seen by a palliative care team
2. Specialist advice and assistance for any doctors and nurses with these patients in their care
3. palliative care education tailored to your individual needs.

Where does MPaCCS provide these services?
The Team can visit eligible patients with life limiting illnesses and assist staff caring for these palliative patients at the any of these locations:
• Residential aged care facility
• Disability Services facility
• Corrective services facility
• Mental health hospital or facility.

Uses of SPICT

  • Highlight Palliative Care Patients in Care Facilities.
  • Educational tool for Care staff
  • Capacity build with hospital staff in regards to when & who to refer to Palliative Care Teams

Websitewww.bethesda.asn.au/MPaCCS.aspx

Contact: Ed Gaudoin 


Mirrabooka Doctors Surgery, Perth

Services Offered

General Practice

 SPICT Uses

Assessment of death risk based on clinical features such as COPD

ContactDr Catherine Bacon 


 

Northern Adelaide Local Health Network, South Australia

The Northern Adelaide Local Health Network (NAHLN) is one of three Local Health Networks in metropolitan Adelaide. NAHLN delivers public hospital services and other community-based public health services as determined by the State Government of South Australia. NALHN includes the Lyell McEwin Hospital, Modbury Hospital, GP Plus Health Care Centres and Super Clinics, sub-acute services, mental health and Aboriginal Health services.

SPICT is used as a tool to help medical staff develop essential knowledge, skills and confidence, to be applied when initiating and engaging in patient-centred conversations, particularly about CPR decision-making.

SPICT Uses

As part of a teaching resource to support decision-making and effective communication about cardiopulmonary resuscitation in the hospital-based setting. The teaching resource, developed by a team of Australian clinicians with different specialties, comprises a facilitator’s guide, videos and supporting resources. The facilitator guide with videos uses the SPICT indicators to assist clinicians identify and collaborate with patients who will more likely benefit from advance CPR decision-making.

Websitewww.sahealth.sa.gov.au

Contact:  Christine Drummond


Northern Health, Victoria Australia

Northern Health is one of Victoria’s busiest public health services. The acute and sub-acute health services cover a local community of approximately 728,000 people and the emergency department treats almost 70,000 patients each year.

The northern community is located in one of Melbourne’s most significant growth corridors and the population is expected to grow by 64% or an additional 128,569 people by 2031.

SPICT is used as a tool to help medical staff develop essential knowledge, skills and confidence, to be applied when initiating and engaging in patient-centred conversations, particularly about CPR decision-making.

SPICT Uses

As part of a teaching resource to support decision-making and effective communication about cardiopulmonary resuscitation in the hospital-based setting. The teaching resource, developed by a team of Australian clinicians with different specialties, comprises a facilitator’s guide, videos and supporting resources. The facilitator guide with videos uses the SPICT indicators to assist clinicians identify and collaborate with patients who will more likely benefit from advance CPR decision-making.

Websitewww.nh.org.au

Contact:  Barbara Hayes


Palliative and Supportive Care Education Cancer Council WA

Palliative and Supportive Care Education (PaSCE) provides Palliative Care education for health professionals,

Health care workers and palliative care volunteers across Western Australia. PaSCE provides innovative and evidence-based palliative care education, as part of the Cancer Information and Support Services team at Cancer Council WA. Our programs are aimed at increasing knowledge and understanding of palliative care in all settings. As stated by the World Health Organisation, palliative care is for any person with a life-limiting illness. PaSCE education reflects this in our education.

The education is delivered by nurse educators in collaboration with palliative care specialist providers and health professionals. PaSCE is supported by the WA Cancer and Palliative Care Network ,Department of Health and Cancer Council WA.PaSCE strives to improve and develop our education to continue to meet the ever increasing demand for palliative care education.

SPICT Uses

Within our palliative care education workshops we highlight SPICT as a tool used within WA and integrate it into our teaching where appropriate.

Download the online resources:  Advance CPR decision making in the hospital setting: teaching package

Websitewww.cancerwa.asn.au

Contact:  G Buchanan


Sir Charles Gairdner Hospital

Services Offered

Sir Charles Gairdner Hospital is one of Australia’s leading teaching tertiary hospitals. Located on the Queen Elizabeth II Medical Centre site the hospital has over 600 beds and treats approximately 400,000 patients every year. The hospital provides a comprehensive range of clinical services whilst being home to the state’s comprehensive cancer centre and the principal hospital for neurosurgery and liver transplants.

SPICT Uses

The SPICT will be introduced as a tool to assist clinicians identify patients that will likely benefit from goals of care discussions and formulation of resuscitation plans.

Website: www.scgh.health.wa.gov.au

Contact:  Anil Tandon


South Australian Department for Health and Ageing

ContactChristy Pirone, Principal Consultant, Safety and Quality  

 

 


University of New South WalesUNSW

We are conducting research to explore how SPICT could be implemented in Australian primary care contexts.

Contact Dr Joel Rhee  

 


Uni of QueenslandUniversity of Queensland School of Medicine

The SPICT tool has been incorporated into a broader audit tool that is being used to assess the possibility of futile treatment. 1000 charts are being audited across 3 major Brisbane hospitals..

Website: www.som.uq.edu.au

Contact Sarah Winch , Senior Lecturer in Healthcare Ethics