South West Hampshire EOLC Pathway – Current Provision End of Life Care (EOLC) Is Support for People Who Are Approaching Death

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South West Hampshire EOLC Pathway – current provision End of life care (EOLC) is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers. Primary Care New Forest Totton PCN Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Southern Network and Waterside PCN Baddesley Parishes (PCN) Deterioration  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health Foundation Trust - Foundation Trust - Foundation Trust - Foundation Trust Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington includes Lymington includes Lymington – includes  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital Hospital Hospital Fordingbridge/ Hampshire Hampshire Hampshire Hampshire What do you  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice Lymington  Hampshire Hospitals  Hampshire Hospitals  Hampshire  Hampshire Hospitals know about  University Hospitals  University Hospitals  University Hospitals Hospital Foundation Trust Foundation Trust Hospitals Foundation Trust your current Southampton Southampton Southampton  Oakhaven (HHFT) (HHFT) Foundation Trust (HHFT) health  Salisbury Foundation  Royal Bournemouth Hospice  University Hospitals  University Hospitals (HHFT)  University Hospitals problems and Trust (SFT) Christchurch  Salisbury Southampton Southampton  University Hospitals Southampton what do you  Royal Bournemouth Hospitals (RHCH) Foundation Trust  Southampton  Queen Alexander (QA)

think might Christchurch (SFT)  occasionally happen in Hospitals (RHCH)  Royal future? Bournemouth Christchurch Hospitals (RHCH)

Contact:  PCNs One Team – Home Visiting Service established to support ‘unwell patients’ 8am to 8pm- 7 days Access to GP Record / Rio / CHIE [email protected] 0300 303 1710  Primary Care: GP – in hours 08:00-18:30: Future Planning Template has been designed by GPs and Palliative Medicine clinicians to collect vital patient information in one place within SystmONE and EMISweb, the two GP clinical record systems used in 99% of practices across Hampshire and Berkshire.  Southern Health Foundation Trust: Integrated care teams Contact number: 0300 121 0471  Mountbatten Hampshire: Community Hub: 02382 548860; (8.30am-4.30pm; 7/7); Out of Hours: Inpatient unit-02382 548810  Oakhaven Hospice: 24/7 Support - 01590 670345 OPTION 3; Open Mon– Fri 9-5pm  HHFT: Call Stephanie Killick: [email protected]  UHS: 7 days week service 08:30-16:30; Core service Mon – Fri with 2 Clinical Nurse Hospitals at weekend and Bank Holidays; Clinical advice available from palliative medicine consultant on call 24/7 for hospital and CNS team.  Salisbury Foundation Trust: Salisbury Hospice onsite at SFT: Direct Telephone No: 01722 425113 Extension No: Hospice reception Ext. 2113  Royal Bournemouth Christchurch Hospitals: The RBH Palliative Care Team is available 7 days a week (including bank holidays) from 8am-4pm and can be contacted on 01202 726021. A member of the team is available at weekends and bank holidays. Access to the Macmillan is via the Palliative Care Team  Third Sector Services: access details online; see Advice and Support below –resources for patients; families and health and social care professionals

During COVID 19 - Pulse oximetry used under clinical supervision can help identify ‘silent hypoxia’ and rapid patient deterioration for patients with COVID-19 living at home including in care homes; O2 Saturation monitors allocated to homes supporting people with learning disabilities as these individuals may are at higher risk of experiencing of ‘silent hypoxia’. Request for pulse oximeters should go to: england [email protected]. Guidance is available on the use of pulse oximetry to detect early deterioration of patients with COVID-19 in primary and community care settings.

Primary Care New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Southern Network Waterside PCN Baddesley Parishes

Diagnosis  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care End of Life  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health

Foundation Trust - Foundation Trust – Foundation Trust – Foundation Trust Foundation Trust Foundation Trust Foundation Trust Foundation Trust

includes Lymington includes Lymington includes Lymingtom –includes  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital  Oakhaven Hospice  Oakhaven Hospice Fordingbridge/ Hampshire Hampshire Hampshire Hampshire  Oakhaven Hospice  University Hospitals  University Hospitals Lymington  Hampshire Hospitals  Hampshire Hospitals  Hampshire  Hampshire Hospitals  University Hospitals Southampton Southampton Hospital Foundation Trust Foundation Trust Hospitals Foundation Trust Southampton  Royal Bournemouth  Oakhaven (HHFT) (HHFT) Foundation Trust (HHFT)  Salisbury Foundation Christchurch Hospice  University Hospitals  University Hospitals (HHFT)  University Hospitals Trust (SFT) Hospitals (RHCH)  University Southampton Southampton  University Hospitals Southampton  Royal Bournemouth Hospitals Southampton  QA occasionally Christchurch Southampton Hospitals (RHCH)  Salisbury Foundation Trust (SFT)  Royal Bournemouth Christchurch Hospitals (RHCH)

In Primary Care Future Planning Template Supports general practice Gold Standard Framework meetings: MiQuest report writer produces a practice GSF patient list, in prognosis order.

End of Life Diagnosis may take place in a variety of settings.

[Type text] South West Hampshire EOLC Pathway – current provision End of life care (EOLC) is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers. New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Southern Waterside PCN Baddesley Parishes

Advance Care  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team Planning  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health Foundation Trust - Foundation Trust Foundation Trust – Foundation Trust – Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington including Lymington includes Lymington includes  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital Hospital Hospital Fordingbridge/ Hampshire Hampshire Hampshire Hampshire  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice Lymington Hospital  Hampshire  Hampshire Hospitals  Hampshire  Hampshire Hospitals  University Hospitals  University Hospitals  University Hospitals  Oakhaven Hospice Hospitals Foundation Trust Hospitals Foundation Trust Southampton Southampton Southampton  University Hospitals Foundation Trust (HHFT) Foundation Trust (HHFT)  Salisbury Foundation  Royal Bournemouth Southampton (HHFT)  University Hospitals (HHFT)  University Hospitals Trust (SFT) Christchurch  Salisbury Foundation  University Southampton  University Hospitals Southampton  Royal Bournemouth Hospitals (RHCH) Trust (SFT) Hospitals Southampton  Occasionally QA Christchurch  Royal Bournemouth Southampton Hospitals (RHCH) Christchurch Hospitals (RHCH)

Health and Social Care Organisations may use national or internal Advanced/Anticipatory Care Planning documentation; these should support escalation of treatment conversations or even conversations about non treatment

Third sector organisations: national and local may support Advance Care Planning as part of advice and support to patients and carers

See notes above re Future Planning.

[Type text] South West Hampshire EOLC Pathway – current provision End of life care (EOLC) is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers. Primary Care New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Southern Network Waterside PCN Baddesley Parishes

Advice and  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team Support  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health Foundation Trust - Foundation Trust Foundation Trust – Foundation Trust Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington  Oakhaven Hospice includes Lymington Hospital –includes  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital  University Hospitals hospital Fordingbridge/ Hampshire Hampshire Hampshire Hampshire  Oakhaven Hospice Southampton  Oakhaven Hospice Lymington Hospital  Hampshire  Hampshire Hospitals  Hampshire  Hampshire Hospitals  University Hospitals  Salisbury Foundation  University Hospitals  Oakhaven Hospice Hospitals Foundation Trust Hospitals Foundation Trust Southampton Trust (SFT) Southampton  University Hospitals Foundation Trust (HHFT) Foundation Trust (HHFT)  Salisbury Foundation  Royal Bournemouth  Salisbury Foundation Southampton (HHFT)  University Hospitals (HHFT)  University Hospitals Trust (SFT) Christchurch Trust (SFT)  Salisbury Foundation  University Southampton  University Hospitals Southampton  Royal Bournemouth Hospitals (RHCH)  Royal Bournemouth Trust (SFT) Hospitals Southampton Christchurch Christchurch  Royal Bournemouth Southampton Hospitals (RHCH) Hospitals (RHCH) Christchurch Hospitals (RHCH)

Third sector organisations: national and local can provide advice and support for people and their families/carers at End of Life; examples include:

 Macmillan Cancer Support  Dying Matters - general information about preparing for a good death for public + professionals.  Say it Once – Hampshire carers site where you can read about and download an easy to use Advance Care Plan.  Terminal illness support from Marie Curie via The NHS website - general information about end of life care and advice on talking about death.  Advanced decision to refuse treatment/Living wills - explains about these legal documents.  Palliative and end of life care - a factsheet from Marie Curie

During COVID 19:NHSE: Guide to visiting people in health and Social Care setting at End of Life: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0393-clinical-guide-for-supporting-compassionate-visiting- arrangements-11-may-2020.pdf

[Type text] South West Hampshire EOLC Pathway – current provision End of life care (EOLC) is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers. Primary Care New Forest Totton PCN and Coastal Avon Valley Romsey & Chandlers Ford Eastleigh Health Eastleigh Southern Network Waterside PCN North Parishes Baddesley

Palliative Care  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health Foundation Trust - Foundation Trust – Foundation Trust – Foundation Trust – Foundation Foundation Trust Foundation Trust Foundation Trust includes Lymington includes Lymington includes Lymington includes Trust  Mountbatten  Mountbatten  Mountbatten Hospital Hospital Hospital Fordingbridge/  Mountbatten Hampshire Hampshire Hampshire  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice Lymington Hospital Hampshire  Hampshire Hospitals  Hampshire  Hampshire Hospitals  University Hospitals  University Hospitals  University Hospitals  Oakhaven Hospice  Hampshire Foundation Trust Hospitals Foundation Trust Southampton Southampton Southampton  University Hospitals Hospitals (HHFT) Foundation Trust (HHFT)  Salisbury Foundation  Salisbury Foundation  Salisbury Foundation Southampton Foundation  University Hospitals (HHFT)  University Hospitals Trust (SFT) Trust (SFT) Trust (SFT)  Salisbury Foundation Trust (HHFT) Southampton  University Hospitals Southampton  Royal Bournemouth  Royal Bournemouth  Royal Bournemouth Trust (SFT)  University Southampton  Occasionally QA Christchurch Christchurch Christchurch  Royal Bournemouth Hospitals Local NHS Hospitals (RHCH) Hospitals (RHCH) Hospitals (RHCH) Christchurch Hospitals Southampton hospitals and (RHCH) community Foundation Trusts

Palliative Care:

SHFT- General End of life (including non-specialist end of life care delivered by community/ district nursing teams) Palliative Care and provide very specific care i.e. wound dressing, managing syringe drivers CIRS staff are skilled in having end of life discussions with patients approaching terminal phase of their disease. Service works with local hospices (Oakhaven & Mountbatten Hampshire). Offer integrated approach between CIRS, ICTs to ensure patients are supported with minimum disruption. Mountbatten Hampshire- Inpatient Unit 25 beds; In the community (CNS); A day hospice service; Outpatient clinics Oakhaven Hospice - An inpatient unit 10 beds; In the community (CNS); A day hospice service; Outpatient clinics HHFT – For hospital inpatients general palliative Care UHS - For hospital inpatients; general palliative Care SFT - For hospital inpatients general palliative Care RBCH - For hospital inpatients general palliative Care

[Type text] South West Hampshire EOLC Pathway – current provision End of life care (EOLC) is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers. Primary Care New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Southern Network Waterside PCN Baddesley Parishes

Continuing  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team Health Care –  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health Fast track Foundation Trust - Foundation Trust – Foundation Trust – Foundation Trust – Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington includes Lymington includes Lymington includes  Mountbatten  Mountbatten  Mountbatten  Mountbatten CHC Eligibility for Hospital Hospital Hospital Fordingbridge/ Hampshire Hampshire Hampshire Hampshire NHS Continuing  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice  Lymington Hospital  Hampshire  Hampshire Hospitals  Hampshire  Hampshire Hospitals Healthcare  University Hospitals  University Hospitals  University Hospitals  Oakhaven Hospice Hospitals Foundation Trust Hospitals Foundation Trust Southampton Southampton Southampton  University Foundation Trust (HHFT) Foundation Trust (HHFT) 4 key characteristics:  Salisbury Foundation  Salisbury Foundation  Salisbury Foundation Hospitals (HHFT)  University Hospitals (HHFT)  University Hospitals  Nature Trust (SFT) Trust (SFT) Trust (SFT) Southampton  University Southampton  University Hospitals Southampton  Intensity  Royal Bournemouth  Royal Bournemouth  Royal Bournemouth  Salisbury Hospitals Southampton  Complexity Christchurch Christchurch Christchurch Foundation Trust Southampton  Unpredictab Hospitals (RHCH) Hospitals (RHCH) Hospitals (RHCH) (SFT) ility  Royal

Bournemouth Fast Track - rapid Christchurch deterioration Hospitals (RHCH) Health & Social Care staff refer clients for consideration of eligibility

Hampshire NHS CHC team management and administrative functions are centralised at Fareham (known as The CHC Hub or The Hub):

NHS Continuing Healthcare Team WHCCG 5th Floor, Civic Offices Civic Way Fareham Hampshire PO16 7AZ Tel: 0300 123 4448 Email: [email protected]

Responsibilities (for adults over 18):  Continuing Health Care (CHC ) (Fast Track Domiciliary Care Service) 24/7  Funded care provided by agency or local Domiciliary Home Care  Service (cost varied) 7/7  Continuing Health Care (CHC ) (Fast Track Nursing Home Service Funded care provided by Nursing Homes 24/7)

Beacon an organisation which provides information and advice about CHC: 0345 548 0300; https://www.beaconchc.co.uk/what-is-nhs-continuing-healthcare/

West Hampshire Clinical Commissioning Group supports the use of advocacy for individuals through the process of application for Continuing Healthcare, as in other services where advocacy is required During COVID 19 – CHC locality teams restructured from CCG based to ICP based and changed our focus from community CHC assessment to hospital discharge

Primary Care Network New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Waterside PCN Baddesley Southern Parishes

Anticipatory  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team Medication  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health Foundation  Southern Health  Southern Health  Southern Health  Southern Health

Foundation Trust - Foundation Trust – Foundation Trust – Trust – includes Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington includes Lymington includes - Lymington Fordingbridge/Lymington  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital Hospital Hospital Hospital Hampshire Hampshire Hampshire Hampshire  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice  Hampshire  Hampshire  Hampshire  Hampshire  University Hospitals  University Hospitals  University Hospitals  University Hospitals Hospitals Hospitals Hospitals Hospitals Southampton Southampton Southampton Southampton Foundation Trust Foundation Trust Foundation Trust Foundation Trust  Salisbury  Salisbury  Salisbury  Salisbury Foundation Trust (HHFT) (HHFT) (HHFT) (HHFT) Foundation Trust Foundation Trust Foundation Trust (SFT)  University  University  University  University (SFT) (SFT) (SFT)  Royal Bournemouth Hospitals Hospitals Hospitals Hospitals  Royal Bournemouth  Royal Bournemouth  Royal Bournemouth Christchurch Hospitals (RHCH) Southampton Southampton Southampton Southampton Christchurch Christchurch Christchurch Hospitals (RHCH) Hospitals (RHCH) Hospitals (RHCH)

During COVID  Wessex Palliative Care Medicines Guidance: COVID-19 management of End of Life symptoms - COMMUNITY SETTINGS Includes links to Contact details for Community Pharmacies and details of how to access a stock of Palliative Care medicines in an emergency

 HHFT: Royal Hampshire County Hospital and Basingstoke North Hampshire Hospital sites are willing to dispense from FP10s for urgent EOLC requests (opening times Mon-Fri 9am – 5pm). Weekends, and can dispense urgent FP10s for EOLC patients from the HHFT inpatient pharmacies during opening hours (Sat and Sun 9.15am-1pm)

[Type text] South West Hampshire EOLC Pathway – current provision End of life care (EOLC) is support for people who are approaching death. It helps them to live as well as possible until they die, and to die with dignity. It also includes support for their family or carers. Primary Care Network New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Waterside PCN Baddesley Southern Parishes

Bereavement and  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team Psychological  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health Foundation  Southern Health  Southern Health  Southern Health  Southern Health Counselling Foundation Trust - Foundation Trust – Foundation Trust- Trust –including Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington including Lymington including Lymington Fordingbridge/Lymington  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital Hospital  Oakhaven Hospice Hospital Hampshire Hampshire Hampshire Hampshire  Oakhaven Hospice  Oakhaven Hospice  University Hospitals  Oakhaven Hospice  Hampshire  Hampshire  Hampshire  Hampshire  University Hospitals  University Hospitals Southampton  University Hospitals Hospitals Hospitals Hospitals Hospitals Southampton Southampton  Salisbury Southampton Foundation Trust Foundation Trust Foundation Trust Foundation Trust  Salisbury  Salisbury Foundation Trust  Salisbury Foundation Trust (HHFT) (HHFT) (HHFT) (HHFT) Foundation Trust Foundation Trust (SFT) (SFT)  University  University  University  University (SFT) (SFT)  Royal Bournemouth  Royal Bournemouth Hospitals Hospitals Hospitals Hospitals  Royal Bournemouth  Royal Bournemouth Christchurch Christchurch Hospitals (RHCH) Southampton Southampton Southampton Southampton Christchurch Christchurch Hospitals (RHCH) Hospitals (RHCH) Hospitals (RHCH)

√ √ √ √ √+ √+ √+ √+ Oakhaven Oakhaven Oakhaven Oakhaven Mountbatten Mountbatten Mountbatten Mountbatten

UHS inpatients supported through various groups; current strategic focus on improving bereavement services offer to all inpatients/carers .Children’s services are supported by Children’s Hospices. Psychology work with PICU to support parents. Flag: Carers issues re Long Term Conditions: managing Anticipatory Grief.

Third sector support examples locally include:

 Macmillan Cancer Support  WAY Foundation

 Dying Matters - general information about preparing for a good death for public + professionals.  Sue Ryder  Marie Curie  Sudden – Covid19 Bereavement support  The Bereavement Centre  No Limits – for children and young people  Bereavement Rescue (New Forest)  Barnados – for children and young people

 Butterflies Bereavement Support – including suicide support  Motor Neurone Disease Association  Cruse Bereavement Care  Age Concern Hampshire  Compassionate Friends  Carers Together During COVID 19 – SUDDEN: Support service for people bereaved by COVID-19 or in any other sudden ways now available; referrals from hospitals and police provides free support and advocacy for up to 10 weeks, with a focus on safeguarding and wellbeing outcomes. Please visit www.sudden.org or email [email protected] for more information.

National Bereavement Partnership –COVID-19 hub: for those affected by COVID 19. For Bereavement Support: Call National Helpline: 0800 448 0800; SMS Helpline: 0786 002 2814 (texts are charged at your standard rate)Monday to Sunday - 07:00 to 22:00; Email us on: [email protected]

Primary Care New Forest Totton PCN and Coastal Avon Valley Romsey & North Chandlers Ford Eastleigh Health Eastleigh Southern Network Waterside PCN Baddesley Parishes

EOLC Information  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team  PCN One Team Education and  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Primary Care  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health  Southern Health Training Foundation Trust - Foundation Trust – Foundation Trust – Foundation Trust Foundation Trust Foundation Trust Foundation Trust Foundation Trust includes Lymington includes Lymington includes Lymington – includes  Mountbatten  Mountbatten  Mountbatten  Mountbatten Hospital Hospital Hospital Fordingbridge Hampshire Hampshire Hampshire Hampshire  Oakhaven Hospice  Oakhaven Hospice  Oakhaven Hospice /Lymington  Hampshire Hospitals  Hampshire Hospitals  Hampshire  Hampshire Hospitals  University Hospitals  University Hospitals  University Hospitals Hospital Foundation Trust Foundation Trust Hospitals Foundation Trust Southampton Southampton Southampton  Oakhaven (HHFT) (HHFT) Foundation Trust (HHFT)  Salisbury Foundation  Salisbury Foundation  Salisbury Foundation Hospice  University Hospitals  University Hospitals (HHFT)  University Hospitals Trust (SFT) Trust (SFT) Trust (SFT)  University Southampton Southampton  University Hospitals Southampton  Royal Bournemouth  Royal Bournemouth  Royal Bournemouth Hospitals Southampton Christchurch Christchurch Christchurch Southampton Hospitals (RHCH) Hospitals (RHCH) Hospitals (RHCH)  Salisbury Foundation Trust (SFT)  Royal Bournemouth Christchurch Hospitals (RHCH) √ √ √ √ √+ √+ √+ √+ Oakhaven Oakhaven Oakhaven Oakhaven Mountbatten Mountbatten Mountbatten Mountbatten

Training underpinned by Six Ambitions of End of Life Care  Mountbatten Hampshire: Care homes in geographically aligned care homes may purchase EOLC training. During COVID 19: bite size online sessions available some free; some joint training with SHFT. Implementing bespoke specific Dementia care  Oakhaven Hospice: Care homes in geographically aligned care homes may purchase EOLC training. During COVID 19 have supported care homes local via telephone  UHS: Palliative Care Team to UHS staff to support general palliative care provision to inpatients  Health Education England: provide 160 highly interactive sessions to support health and social care professionals to implement NICE guidelines and support care of dying adults in the last days of life  NHSE/I: During COVID 19 Fortnightly webinars: Slide set accompanying the sessions is available via the Palliative Care End of Life (PEOLC) Practitioners network on Futures NHS site, via the NH Futures website: Includes EOLC guidance for Children and Young People in all care settings; EOLC support for homeless people; people with disabilities and specific sessions for people with learning disability. Includes Guidance and Standard operational Procedure for Advance Care planning; Verification of Death in times of Emergency; Anticipatory Medications updates and tailored PEOLC guidance for care homes  Third Sector organisations: local and national can provide disease specific information and raise awareness of End of Life Care support available in local hospices

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