Transcript Palliative Care Pathway - Nursing Home Net: Welcome

Palliative Care
Pathway
Local Care Direct
Alyson Corns
Co-ordinator for Additional
Services
Introduction
Local Care Direct has put in place the
priority care line.
 This is a prioritised service for palliative
care patients or their carers to contact
the service as quickly as possible.
 This service is for patients who are in
their last 12 weeks of life.
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How it works
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District Nurse team and GP provide LCD with a palliative care
handover form
LCD flag this information on the adastra system (computer system
used in OOH)
The patients are given a dedicated number to contact LCD on and this
is also on a pink sticker which can be attached to their patient held
records.
The telephony system is set up so the line is clearly identified to the call
handler as “priority line” which immediately alerts the call handler that
the call is either from or regarding a palliative care patient.
Depending on the condition the call is either directly transferred to a
clinician or given a ring back in 5 or 15 minutes.
The call handler would access the paper palliative care record and
pass this to the dealing clinician who also has a summary of the details
on the adastra record.
Patient with no handover form
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In the event that we receive a call on the
priority line regarding a patient who we do not
have a palliative care handover form for, we
deal with this is the same way (but without the
luxury of relevant information)
 The next working day LCD chase the
registered surgery to provide a palliative care
handover form
Issues
Badly filled in handover forms
 No patient updates when a patient’s
conditions has changed
 DNR status not filled in
 Form not signed by the GP
 No note whether there are anticipatory
meds in the home
 Any others?
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Nursing Homes
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Numbers
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Open discussion