UK – England
Crawley CCG
Crawley
Services Offered
Commissioning
SPICT Uses
Primary care- GPs using this to identify which of their patients are end of life.
Other information
SPICT Platinum Partner
Horsham and Mid Sussex CCG
Horsham
Services Offered
Commissioning Services.
SPICT Uses
Primary Care- GP use to identify which of their patients may be at end of life.
Other information
SPICT Platinum Partner
North Middlesex University Hospital
London
Services Offered
Palliative Care Team offering ACP to all patients identified as last year of life.
New ACP initiative Trust-wide to increase identification of patients suitable for ACP, based on SPICT.
ACP offer in Pall Care outpatient clinic and accepted criteria for inpatient referrals.
SPICT Uses
ACP policy refers to SPICT tool for identification of patients.
SPICT app referenced in policy and at training sessions for junior doctors and consultants, as well as in ED training programme.
Royal Cornwall Hospital, Treliske
Cornwall
Services Offered
– District general hospital within Cornwall, offering services including ED, medical admissions, and outpatients.
– There are also outpatient services in oncology, and inpatient palliative care
SPICT Uses
– 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.
Royal United Hospital Trust
Bath, UK
Services Offered
Acute hospital trust.
SPICT Uses
To assist clinicians identify the needs of elderly frail patients and patients with dementia in order to make appropriate decisions and have informed conversations with patients and families about the plan of care, their future and their end of life care needs.
Sheffield Place, South Yorkshire ICB
Sheffield
Services Offered
Commissioning palliative and end of life care services in Sheffield
SPICT Uses
SPICT has been added to the Sheffield chronic disease review templates in primary care for COPD, Heart failure and dementia to help prompt review of decline and highlight if there is need for advanced care planning.
Teaching sessions for community staff to promote the use of SPICT to aid earlier identification of palliative patients for addition to the GP palliative care register.
There is a plan to share SPICT4All with hostel staff as a way for them to help recognise potentially palliative patients amongst the homeless community.
St Wilfrid's Hospice
Chichester
Services Offered
Palliative care services
Education
SPICT Uses
In education sessions
Other information
Thank you so much for your continued work on this great tool!
Aintree University Hospital, Liverpool
Aintree University Hospital NHS Foundation Trust is a large teaching hospital in North Liverpool. We serve a population of around 330,000 in North Liverpool, South Sefton and Knowsley providing a range of acute and non-acute specialties, and work in partnership with other organisations to provide community-based services. We also offer specialist services with a world-class reputation to a population of 1.5m residents across the North West and are a Regional Centre for Oral and Maxillofacial surgery and the North Western Hepatobiliary Centre
The hospital has a Specialist Palliative Care Team who respond to referrals on the wards. We have close links with Woodlands Hospice, The Walton Centre for Neurology and Liverpool Community Health. Together we are keen to the make Advance Care Planning Process as straight forward as possible to encourage our staff to feel knowledgeable and confident enough to have appropriate conversations with patients at the right time to enhance patient choice.
Contact: Barbara Dilnot
University Hospitals Coventry and Warwickshire NHS Trust
A Partner SPICT tool has been used as the basis for a new electronic alert for the local clinical database. Specialists working in the fields of palliative medicine, cardiology, respiratory medicine, oncology, haematology, neurology, elderly care, nephrology and old age psychiatry have supported the development. The electronic clinical alert flags patients who are being managed with a supportive and palliative care approach.
Robust clinical governance measures ensure that only senior clinicians who have received the online training about using the Partner SPICT can upload an alert. The online learning module also provides accessible training covering some aspects of palliative and end of life care including how a new alert is communicated to the primary care team and the importance of appropriate investigations and management of such patients.
Contact: Dr Jon Tomas
Coordinate My Care – London
The Coordinate My Care pathway uses an electronic solution (a shared, secure online patient plan) to delivery fully integrated, personalised end-of-life care. The CMC record can be accessed 24/7 by all health and social care professionals directly involved in the care of the patient. See Resources for the paper describing the development and outcomes of CMC.
Difficult Conversations, London
Services Offered
Difficult Conversations workshops provide experiential, multi-professional training to generalist NHS and social care staff on how to have compassionate conversations; covering issues such as a new diagnosis e.g. cancer or dementia, deteriorating health and dying.
Training improves patient choice, professionals confidence and skills addressing difficult conversations, knowledge of key legal issues, identification of at-risk patients, and the quality of care-planning and discussions around these common themes. The training is quality assured, endorsed and a nationally scaling programme.
There are two training models:
- Standardised ½ day workshop, delivering training to up to 20 multi-professionals, by 2 experienced trainers.
- Train the Trainer, 2 day training for up to 6 local, multi-professionals. This offers sustainability.
Uses of SPICT
SPICT is highlighted in our workshop presentation and a copy is handed to each attendee as part of their delegate pack.
website: Difficult Conversations
Contact: Suzanne Howard
Doncaster and Bassetlaw NHS Foundation Trust
We are providing specialist palliative care across the health locality and are leading the implementation of our local End of Life Care plan. Locally we have agreed that we would like to use SPICT across the hospital and community to help guide identification of the last year of life.
Contact: Dr Laura McTague
Ipswich Hospital Trust
Services Offered
Ipswich Hospital Trust is an acute trust with a regional cancer centre
Uses of SPICT
Ipswich Hospital palliative Care Team is exploring the use of the SPICT tool in education and training material throughtout the trust with the aim of improving recognition of people at risk of dying and recognition of when to offer advance care planning and additional support.
website: Ipswich Hospital
Contact: Samuel King
Rotherham Doncaster and South Humber NHS Trust St Johns Hospice
St Johns Hospice provide Specialist Palliative Care and End of Life care via a ten bed Hospice In patient Unit,Fifty place Hospice Daycare, Community Macmillan team,Hospice at Home, Living Well Information team and Counselling Team
The tool will be used to assist staff to identify and focus on patients in the last year of life to populate the newly developed EPPACS in Doncaster
Contact: Mrs Helen Thompson
St Barnabas Lincolnshire Hospice
Services Offered
The Hospice are the lead for EPaCCS in Lincolnshire. This is a national directive and offers an opportunity to drive change in Primary and Secondary Care through clinical engagement, templates, care plans and education. We have chosen to do this as much as possible in an organisational agnostic fashion.
The Hospice runs a specialist in-patient unit in Lincoln, a hospice in the hospital in Grantham and a community hospice in Louth. We have a directorate within the main secondary care provider unit and offer support on the wards. St Barnabas also delivers day therapy, an out patients service and hospice at home across Lincolnshire.
Uses of SPICT
The SPICT tool is attractive to us the emphasis is on identifying need rather than prognosis and it manages this on a single page. We have included this in our EPaCCS educational website www.eolc.co.uk and in our End of Life Brochure. These resources are for all Health and Social Care professionals. We are highlighting it to GPs when we visit or present at meetings. The consultants are discussing it throughout the secondary care trust.
Website: www.eolc.co.uk
Contact: Lawrence Pike
NHS Birmingham South Central CCG
In 2013, South Central Birmingham CCG, Sandwell and West Birmingham CCG, and Solihull CCG collaborated to provide training for GPs on breaking bad news (using Sage and Thyme sessions) and informing them of SPICT as an alternative prognostication tool in addition to the GSF tool.
GPs were informed that they should register with the website if they were using the SPICT tool.
Contact: Dr Diana Webb (Consultant in Palliative Medicine) or Zoeta Manning (Commissioning Manager)