Research and Development Projects.

This section highlights some of the innovative projects that are using SPICT™

If you want to add your project here, please Contact Us.

Using SPICT to predict risk of dying

Colleagues from the international SPICT community have published studies looking at use of SPICT to identify those with a higher risk of dying in geriatric inpatient wards (Belgium) and in primary care (Australia). They said: “SPICT seems to be valuable for identifying geriatric patients in need of palliative care as it demonstrates significant association with…


Here is a new report on SPICT for Lower Income Settings by Dr Dan Munday who leads the SPICT-LIS special interest group following his presentation at the recent Indian Palliative Care Conference. Published in the Indian Journal of Palliative Care Download Use of SPICT-LIS

SPICT in Primary Care and Elderly Care

Two new studies have been published using SPICT in primary care and in elderly care: www.ncbi.nlm.nih.gov/pubmed/28792787 This is a paper from Ghent in Belgium evaluating use of SPICT in a geriatric population www.ncbi.nlm.nih.gov/pubmed/27432607 This study used SPICT combined with the Irish Hospice care planning tool – Think Ahead to improve care planning with frail patients…

SPICT in Nepal

Colleagues in Nepal, led by SPICT Partner Dr Dan Munday, are working on an adapted SPICT for use in Nepal and other similar healthcare systems. Do contact the SPICT programme team if you’d like to join in with this work.  

Using the SPICT™ tool – Extract from Pulse

1. It’s important for a GP to be able to estimate when a patient might be in the last year of life. Can you explain how to use the SPICT tool to do this? The SPICT (Supportive and Palliative Care Indicators Tool) is designed to recognise key points in the clinical trajectory of individuals with chronic…

A Quality Improvement approach to improving Anticipatory Care Planning & Key Information Summary access at St John’s Hospital

Poster presentation from the acute medicine unit at St John’s Hospital, W Lothian, Scotland This collaborative project showed that ward staff were able to identify people with deteriorating health for anticipatory care planning and use the electronic key information summary to read plans uploaded by general practitioners. Staff members need support and training to ensure that timely identification…

SPICT in Brighton & Sussex University Hospitals

The respiratory medicine team in Brighton & Sussex University Hospitals NHS Trust have used SPICT combined with 3 possible actions to increase identification of patients at risk of deteriorating and dying for anticipatory care planning. The team presented a poster at the European Respiratory Society Congress in Amsterdam in Septmeber 2015. They also developed a…

Hospital rapid response team and patients with life-limiting illness

A multicentre retrospective cohort study Palliative Medicine April 2015; 29(4):302-309. Merlina Sulistio1, Michael Franco2,3, Amanda Vo2, Peter Poon2,3,4 and Leeroy William2,3,5 1Department of Palliative Medicine, Cabrini Health, Melbourne, VIC, Australia 2McCulloch House Supportive and Palliative Care Unit, Monash Medical Centre, Monash Health, Melbourne, VIC, Australia 3Monash University, Melbourne, VIC, Australia 4Eastern Palliative Care, Melbourne, VIC,…

SPICT Partners at Monash Health in Australia feature in an EAPC blog

Facing the challenge of managing the deteriorating patients in an acute hospital SPICT Partners at Monash Health in Australia feature in a posting on the European Association of Palliative Care blog. Dr Merlina Sulistio, Advanced physician trainee in palliative medicine, Monash Health, explains how she makes use of the SPICT Tool to identify patients with life-limiting illnesses.…
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