Partners: Scotland
Crosshouse Hospital
Services Offered
Dr Pamela Mackenzie is developing a Renal Supportive Care Programme in Ayrshire and Arran for people with renal disease whose health is deteriorating such that they can benefit from a palliative care approach alongside ongoing treatment of their underlying medical conditions.
Part of this service improvement has involved a project specifically within the Renal High Dependency Ward, to identify patients within the acute renal ward setting who may have supportive/ palliative care needs. All patients admitted to the Renal High Dependency Ward have a Treatment Escalation Plan completed within 24 hours of admission. If a patient is felt to be at risk of deteriorating/ dying, a Renal Supportive Care Trigger Tool is completed which identifies patients who may have unmet palliative care needs, who can be referred to the Renal Supportive Care Programme.
SPICT Uses
The SPICT indicators were used to develop the ‘Trigger Tool’. The Trigger Tool is part of a range of resources developed by Dr Mackenzie with Tracey Dodds and Elaine Street, Renal HDU Supportive Care Link Nurses, to support shared decision making and to develop a person-centred approach to planning supportive/ palliative care within the context of a busy acute clinical area.
The other resources include advance care plan with patient information leaflet, end of life care plan, symptom control and anticipatory prescribing in renal disease and rapid discharge planning.
Website: nhsaaa.net
Contact: Dr Pamela Mackenzie
Email: [email protected]
NHS Greater Glasgow and Clyde
Services Offered
Palliative care across acute hospital sites. The service is provided by a mixture of generalist and specialist staff
SPICT Uses
Plan to use to trigger ACP conversations
Website: nhsggc.org.uk/
Contact: Gillian Sherwood<
Email: [email protected]
NHS Tayside Specialist Palliative Care Service
Services Offered
Palliative Care Education – Facilitation of learning through our planned education programme and responsive requests for people working in Tayside who support people affected by life shortening conditions and illnesses.
SPICT Uses
QI project working with clinical areas in Royal Victoria Hospital, Dundee, to use SPICT as an identification tool on admission to support Future Care Planning conversations with individuals and teams.
The SPICT and Spectrum of Palliative Care tools are part of our resources for student nurses in their education sessions when attending RVH Hospital.
Resources are used widely in our learning materials, including Future Care Planning, communication courses, and we reference and publicise the SPICT website often.
Contact: Theresa Keicher
Email: [email protected]