BaptistCare NSW & ACT
New South Wales and the Australian Capital Territory
CareSearch, Flinders University
CareSearch/palliAGED is a program funded by the Australian Government to enhance the provision of evidence-based palliative care to the Australian population by providing online information and resources to health and aged care workers, and to the broader community. As part of this the project manages two websites to disseminate information and support care needs across the life course (www.caresearch.com.au) and in aged care (www.palliaged.com.au).
A strong focus of the program is to enhance the identification and synthesis of evidence to support best practice palliative care including the use of evidence based tools.
In addition to the synthesis of evidence we provide practice relevant summaries which include SPICT as part of a suite of validated tools to support evidence-based best practice in palliative care.
Carinity - Baptist Community Services
We are an aged care organization Carinity- Baptist Community Service, currently with 11 Residential aged care services are working to improve our palliative care approach. Hence the request to use this form electronically and load onto iCare . We would like to use it as part of our initial and on-going assessment of residents so we can track current trajectory of residents care
We currently have a partnership with ELDAC ( palliative care) and it was their suggestion that we uses this tool to ensure we follow best practice ideals
Darling Downs Hospital Health Service
Darling Downs, Queensland
Darling Downs Health provides public hospital and healthcare services to nearly 300,000 people from 29 facilities, which includes one large regional referral hospital, one extended inpatient mental health service, three medium sized regional hub hospitals, twelve rural hospitals, three multipurpose health services, three community outpatient clinics and six residential aged care facilities. Darling Downs Health also has a learning, research and innovation role. Darling Downs Health partners with a number of tertiary education institutions to provide undergraduate and postgraduate clinical placements.
The Darling Downs Health region is a large and diverse geographic area covering some 90,000 square kilometres. We are one of the largest employers in the region, employing more than 5,000 people, and managing a budget of more than $750 million annually.
Toowoomba Hospital is a secondary hospital and is the largest hospital in Darling Downs Health providing ambulatory care (including Emergency Department, Specialist Outpatient Services, Day Procedures Unit Dialysis and Oncology services), acute inpatient care including Medical, Surgical, Orthopaedic, Obstetrics and Gynaecology, Paediatrics, Special Care Nursery, Intensive and Coronary Care, Theatre, Geriatric Adult Rehabilitation and Stroke Service (GARSS), Aged Care and Palliative Care.
Further details about Darling Downs’ other hospitals and health services can be found at: https://www.health.qld.gov.au/darlingdowns/locations
The 2019 SPICT and SPICT-4ALL tools will be modified to include the Darling Downs Health logo and adopted along with Using SPICT guides tailored to the local health needs and services in Darling Downs Health area.
The SPICT tools will be used to assist clinicians to identify patients who might benefit from end-of-life care planning. The RED-MAP framework ,resources and teaching videos will be utilised to facilitate discussions about end-of-life care.
The tools will be available to in-hospital and community-based clinicians, including General Practitioners working with Darling Downs Health.
End-of-Life Essentials is an Australian government funded project offering free peer-reviewed online education modules on health care at the end of life in acute hospitals for nurses, doctors and allied health professionals.
A range of implementation tools are also available to assist managers and clinicians to implement a unified approach to strategies and processes which will inform end-of-life care.
End-of-Life Essentials is based on the Australian Commission on Safety and Quality in Health Care's National Consensus Statement: Essential elements for safe and high-quality end-of-life care, and the Commission provides ongoing advice to the project.
The SPICT is included in resources of evidence-based and useful tools to assist health care professionals identify patients who are at the end of life and enhance the safety and quality of services provided.
The Bethanie Group
Our Aged Care Facilities offer person-centred care in a supportive and comfortable home-like environment.
We respect each person’s story and show people the dignity they deserve. We provide a wide range of services including chaplaincy and dementia care.
The Bethanie Group plans to use the SPICT as an electronic tool to evaluate care plans. The SPICT guides a more targeted approach to individualised care plan evaluation. It focusses on what it is that the customer needs to be able to live the best quality of life possible. This approach facilities an opportunity for crucial conversations about advance care planning in a sensitive and timely manner.
WA Country Health Services (WACHS)
Perth, Western Australia
WA Country Health Service (WACHS) provides healthcare to more than 500,000 rural and remote West Australians across an area of more than 2.5 million square kilometres.
The population we provide care to is diverse and expansive and as a result has widely varying health needs. With this, our palliative care services are continuing to grow through the early identification of palliative care patients within the regions.
Across the state we have six large regional hospitals, 15 medium sized district hospitals and 48 small hospitals. Along with this there are 31 health centres and nursing posts, four dedicated mental health inpatient units and 24 dedicated mental health services, which also provide outreach services to more remote locations, and over 170 other facilities where population health teams are based.
The Supportive and Palliative Care Indicator Tool (SPICT) supports the WA Country Health Service’s commitment to providing the best possible palliative care closer to home for our regional patients.
SPICT supports our specialist and generalist clinicians to understand that palliative care is wider than providing support to those with cancer.
SPICT facilitates early identification of all palliative care patients, enables improved symptom management and prompts discussion with the patient and carer about their values and wishes for future care.
Prince Edward Island, Provincial Palliative Care Centre
Health PEI (HPEI) is a crown corporation established under the Health Services Act and is responsibile for the delivery of publicly funded health services in Prince Edward Island. This corporation is govered by a Board of Directors who works on behalf of all Islanders to ensure the management and delivery of safe, quality health care. The board oversees the work of the Chief Executive Officer and is accountable to the Provincial Minister of Health and Wellness.
The Provincial Integrated Palliative Care Program (P-IPCP) is one of many health services provided by HPEI. Established in 2004 as an integrated approach to palliative care, this program is managed by a Provincial Integrated Palliative Care Team and provides a combination of active & compassionate therapies intended to comfort & support individuals living with or dying from a progressive life threatening illness, their families & the bereaved.
In the spring of 2018, the P-IPCP received funding support from the Canadian Partnership Against Cancer (CPAC) to build upon the foundation of P-IPCP to provide earlier integration and better access to quality palliative and EOL care in many care settings across the province including Home Care, Long-term Care, Acute Care and the Provincial Cancer Treatment Centres, Primary Care, Emergency Medical Services and First Nations Communities (a total of 40 health care sites).
One of the main outcomes of the project is to build provider competency in palliative care by adopting provider algorithms, assessment tools/resources including care pathways and guidelines for qulity palliative care. The SPICT tool has been identified by the Project Management Team as a potential tool that would be helpful to identify people with general indicators of poor or deteriorating health and clinical signs of life-limiting conditions for assessment and care planning. All providers will receive training on how to use this tool (in addition to Edmonton Symptom Assessment System, Eastern Cooperative Oncology Group Scale, Palliative Performance Scale) to build provider competency in palliative care. Once trained, providers will determine what data will be collected surrounding the implementation of this tool to support the Project and the work of our CPAC partnership.
Life and Death Matters
Victoria, British Columbia
The mission of Life and Death Matters is to improve care of the dying person and their family through "delicious and digestible", engaging and user-friendly, palliative care education and resources for nurses, health care workers, and educators.
The text, 'Essentials in Hospice and Palliative Care: A Practical Resource for Every Nurse, and companion workbook, online resources and instructor resources are designed for nurses and nursing students. The content addresses competencies for all nurses who care for the dying.
The text, 'Integrating a Palliative Approach: Essentials for Personal Support Workers, the companion workbook, online resources and instructor resources are designed for front-line caregivers, those will less than a year of formal health care education. These caregivers are often with the person and family more than any other team members, and yet are often provided the least education and support.
In 2019 the nursing text was adapted and translated into Spanish for use in Mexico and Latin America.
The SPICT is included in the chapter on TOOLS in both the English and Spanish version of the nursing text.
The text is being used in core curriculum for nurses, including Registered Nurse, Bachelor of Science in Nursing, and Practical Nurse programs.
In the workplace the text is used for orientation and ongoing education in long term care, hospice and palliative care, community care and acute care settings.
We look forward to connecting with others in the SPICT community.
Please feel free to reach out to us!
Life and Death Matters
Province of British Columbia, Ministry of Heatlh
BC Palliative Care Benefits support individuals of any age at the end stage of a life-threatening disease or illness and want to receive medically appropriate palliative care at home.
Through this program, B.C. residents who are eligible to receive palliative care services at home can:
• receive PharmaCare assistance with the cost of palliative medications
• access certain palliative medical supplies and equipment from their health authority
Palliative Care Benefits are available to all B.C. residents with active MSP coverage who:
• are living at home
• have been diagnosed with a life-threatening illness or condition
• have a life expectancy of up to six months, and
• consent to the focus of care being palliative rather than treatment aimed at cure.
The Supportive and Palliative Care Indicators Tool helps guide the medical/nurse practitioners in determining a patient’s medical eligibility.
Winnipeg Regional Health Authority
The Winnipeg Regional Health Authority Palliative Care program provides palliative and end of life care to all ages of patients within the Winnipeg area. We provide in-hospital consultation, hospice services, inpatient palliative tertiary care facilities and palliative home care.
SPICT will be used to identify patients who would benefit from enrollment on a palliative care program or from a palliative approach to care.
Institute for General Practice and Palliative Care, Hannover Medical School
Our research team and clinical academics use and evaluate SPICT-DE in different care settings in Germany, including general practice.
We have worked closely with the SPICT International Programme for several years and Dr Kambiz Afshar has led the translation and adaptation of SPICT-DE and SPICT-4ALL-DE.
Our research focuses on testing SPICT in daily clinical practice for acceptability among GPs and their teams, and to evaluate the effects of early intervention (e.g. on medication, hospitalization, advance directives, referral to specialist palliative care).
Antea Associazione Onlus
Founded in 1987, Antea is an association that provides free home and hospice care to cancer and non cancer patients with advanced disease. Every day Antea assists 140 outpatients and 25 inpatients. Antea works on educational, training and research projects since 2000.
Antea is using the SPICT to develop projects aimed to implement educational and research initiatives for the spreading of early palliative care approach in primary and secondary care.
Academic Medical Center
Connected Palliative Care
Sandwell and West Birmingham NHS Trust
Connected Palliative Care is a service for patients and their relatives and carers in Sandwell and West Birmingham who have a life-limiting illness.
We work in partnership with other health professionals such as the GP and community nurses to support and coordinate care.
We lead quality improvement for end of life and palliative care across our care system.
We have used SPICT for many years in paper format to facilitate identification of people with palliative care needs. With new electronic systems we intend to integrate SPICT - into our systems ,SystmOne (Community notes) and Cerner (Acute EPR), to equip all our clinicians with access to evidenced based tool to start conversations, initiate palliative approach and record their reasons for doing so.
Lyndon West Bromwich West Midlands B71 4HJ
Locala Community Parterships CIC
Locala Community Partnerships provides NHS community services to over 400,000 people in Kirklees, West Yorkshire and beyond. We are a Community Interest Company - an independent, not-for-profit social enterprise. Being a social enterprise means we have the freedom to improve and develop what we do. We deliver NHS services but in a much more coordinated, integrated and community-focused way. The people who are most in touch with people's needs - doctors, nurses and therapists as well as elected members of the public are directly involved in shaping as well as providing our services for patients and families. Locala works with local stakeholders; Kirklees Council, Kirkwood Hospice, Yorkshire Ambulance Service and Kirklees Clinical Commissioning Group to plan end-of-life services for the local community.
Locala provides a range of care to adults within the community through nursing, urgent care response, care home support and adult therapy. Clinicians often care for adults living with life-limiting conditions, so future planning and preparation for end-of-life care are key to providing timely, appropriate care.
The value of SPICT™ is well documented, but it is currently used by clinicians as a stand alone application on a mobile phone. Evidence that it has been used to support clinical decision-making is therefore lost within the clinical record. Becoming a Platinum SPICT Partner will enable Locala to develop a SystemOne version of the tool within the online clinical system used by the organisation. The SystemOne SPICT tool will ensure that data is recorded chronologically within a patient's clinical record.
Royal Cornwall Hospital, Treliske
- District general hospital within Cornwall, offering services including ED, medical admissions, and outpatients.
- There are also outpatient services in oncology, and inpatient palliative care
- To identify deteriorating patients within general medicine (specifically eldercare), and planning to use it within the outpatient setting. It has yet to be trialled within the hospital, but our advanced care planning steering group would like to trial its usage within eldercare first, with an aim to then branch out into other medical specialities and surgery.
West Suffolk Hospital NHS Foundation Trust
Bury St Edmunds, Suffolk
District general hospital with serving a population of around 280 thousand in Suffolk. Palliative care team support adult patients in all inpatient beds.
The WSH FT also provide community based services as well.
To help identify individuals with deteriorating health who may benefit from advance care planning conversations.
Yeovil District Hospital NHS Foundation Trust
A District General Hospital providing a range of services specialist services including general medicine, cardiology, general surgery, orthopaedic surgery, trauma and paediatrics. Inpatient care is provided across the site with 345 inpatient beds.
One of the priorities for the Trust over the next years is to improve the identification of patients who are in need for an advance care planning discussion. We have trialled the use of the SPICT tool within teams such as the Frailty and respiratory who have found it helpful and we are keen to role this out further to assist teams and members of the MDT in this recognition.
North East of Scotland
NHS Grampian is one of the fourteen regional health boards of NHS Scotland. It is responsible for providing health and social care services to the population of over 500,000 people living in Aberdeen City, Aberdeenshire and Moray. NHS Grampian consists of acute services, corporate services and works with the three Integrated Joint Boards in the North-East of Scotland.
SPICT is part of our National Early Warning Scoring Chart to empower staff to have conversations with patients and colleagues on person centred care.
Adult in-patient chart: (opens in new window)
Harrington Health Clinic
Primary care and primary palliative care to those who are homeless.
It is used as a screening tool to determine further needs for developing primary palliative care plans or moving into specialty palliative care.
SPICT Platinum Partners
Winnipeg Regional Health Authority
United Kingdom - England
United Kingdom - Scotland
United States of America
Become a SPICT Platinum Partner
Get the current version of SPICT™ with your organisation's logo.
Request other minor amendments to suit your country or organisation.
Join the International SPICT Programme and work together to support its ongoing development.