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Cheshire & Merseyside Strategic Clinical Network 1

Palliative and End of Life Care Network Specialist Palliative Care Directory of Services - March 2015

Cheshire & Merseyside

Palliative and End of Life Care

Clinical Network

Directory of Adult Specialist

Palliative Care Services



Introduction

Cheshire and Merseyside Palliative and End of Life Care Network sits within Cheshire and Merseyside Clinical Networks.

The purpose of this document is to have a central directory of Specialist Palliative Care Services within the Network and can be found on the website at www.cmscnsenate.nhs.uk

Cheshire & Merseyside Specialist Palliative Care Services Groups

Palliative and End of Life Care provision, within the Cheshire & Merseyside Network, is organised and delivered through locality based services know as Specialist Palliative Care Services Groups (SPCSG), formally known as Integrated Clinical Networks or ICNs. Each SPCSG brings together personnel from the community’s health organisations, including hospice, hospital and community teams.

Locality SPCSG Chair Page

Aintree Dr Julie Raj 3

Cheshire (East) Helen Knight 5

Cheshire (South and Vale Royal) Siobhan Horton 7

Cheshire (West) Dr Graham Leng 9

Halton Dr Averil Fountain 11

Liverpool Dr John Ellershaw 13

St Helens and Knowsley Dr Alison Coackley 17

Warrington Dr Melanie Brooks 19

West Lancashire, Southport & Formby Dr Karen Groves 21

Wirral Dr Cathy Lewis-Jones 22

http://www.cmscnsenate.nhs.uk/



Aintree SPCSG

Chair Dr Julie Raj

Catchment Areas North Liverpool, South Sefton And Knowsley

Organisations University Hospital Aintree Walton Centre for Neurology and Neuroscience Liverpool Community Health Trust Bridgewater Community Trust (Knowsley) Woodlands Hospice

Aintree SPC MDT Meets weekly on Wednesday morning in Woodlands Hospice

MDT Lead Clinician

Dr Julie Raj

Hospital SPC Team Services Referral criteria

University Hospital Aintree Aintree Palliative Care Team Lower Lane Fazakerley L9 7AL Tel: 0151 529 2098 Fax: 0151 529 2940 Inpatient SPC advisory service SPC outpatient clinics Patients with poor symptom control, patient, carer or professional in need of specialist advice, emotional or spiritual needs (which cannot be met by the ward team or present support workers). Need for specialist advice regarding discharge, continuing care or treatment plans, disease process. Referrals need to confirm that the patient/carer is aware of the referral; the referrals should also be made via the SPCT Office on ext: 2095/2098; a formal request should be written in the case notes. Written referrals for outpatient appointments should be either posted to the above address or faxed to the above number.

Community SPC Team Liverpool Services

Community Palliative Care Team – Liverpool Lifehouse Summers Road Brunswick Business Park Liverpool L3 4BE Tel: 0151 295 3676 Fax: 0151 296 7528 Indirect service – strategic and policy making activities that influence patient care. Direct service – empowering and supporting primary carers, advising and assessing the development of care plans, clinical practice and teaching and education. Macmillan are also a resource for other professionals and provides specialist advice on nursing, empowering to others to carry out the care.

Community SPC Team Knowsley

St Helens and Knowsley Community Palliative Care Service Willowbrook Hospice Portico Lane Prescot L3 2QT



Services

Tel: 0151 431 0156 Fax: 0151 289 8776 Offers an advisory service via telephone or face to face interventions for healthcare professionals, patients or carers. The team includes a team manager, clinical nurse specialists, advanced practitioners and a dedicated Consultant in Palliative Medicine. The service operates 7/7, 9 am – 5 pm and supports the specialist palliative care advice line during these times. The service is also actively engaged with education and audit which supports the dissemination of best practice.

Hospice Services Referral Criteria

Woodlands Hospice UHA Campus Longmoor Lane Liverpool L9 7LA Main reception: 0151 529 2299 Inpatient Unit: 0151 529 8674 (24 hours) Wellbeing and Support Centre: 0151 529 2299 Hospice at Home: 0151 529 8672 (24 hours) Fax: 0151 529 6080 www.woodlandshospice.org/ The hospice has 15 inpatient beds, a Wellbeing and Support Centre providing medical, nursing and therapies outpatient appointments and group sessions, an Outreach therapy service in patients’ own homes and a Hospice at Home Service for Patients in South Sefton. Inpatient Unit:

Aged 18 years or over.

Diagnosed with an advanced, progressive incurable condition.

Complex needs that require specialist supportive and palliative care, which may include physical, emotional, psycho-social, spiritual and rehabilitation needs.

Patient requires short-term assessment, symptom control and/or specialist rehabilitation.

Complex symptom management in the last days of life.

http://www.woodlandshospice.org/



Eastern Cheshire SPCSG

Chair Helen Knight

Catchment Areas Cheshire East (Community) East Cheshire NHS Trust (Hospital Inpatients)

Organisations East Cheshire NHS Trust East Cheshire CCG East Cheshire Hospice

East Cheshire MDT

Meets weekly on Thursday 9.00 am – 10.30 am at Macclesfield District General Hospital

MDT Lead Clinician

Dr Trevor Rimmer

Hospital and Community Teams Services Referral Criteria

Macmillan Specialist Palliative Care Team (SPCT) East Cheshire NHS Trust Hope House Macclesfield District General Hospital Victoria Road Macclesfield Cheshire SK10 3RH Tel: 01625 663177 Fax: 01625 661378 Macmillan Lung Cancer Nurse Specialists (lung cancer and mesothelioma) East Cheshire NHS Trust Ward 3/4 corridor Macclesfield District General Hospital as above Tel: 01625 661997 Fax: 01625 663150 Inpatient SPC service SPC outpatient clinic (Consultant) Specialist Lung Cancer and Mesothelioma Nurse Led Clinics Telephone advice Domiciliary visits providing complex symptom control, psychological and emotional support Patients with advanced progressive terminal illness with:

Problematic pain or other symptoms relating to their diagnosis, at any stage of their illness including advice on management of distressing terminal symptoms.

Patients, their relatives or carers requiring psychosocial support where there are assessed complex needs.

Clinical and social staff requiring advice/ support in order to continue caring effectively for the patient.

Referrals can be made to the SPCT with the permission of the General Practitioner or Consultant in charge of the patient, and with the consent of the patient (if lacking capacity, obtain consent of their legal representative if they have one, or in the patient’s best interests). The family or carers should be informed of the referral.



Lung SPC Referral Criteria

Any patient can be referred with a diagnosis of lung cancer or mesothelioma to the service at any point on their disease pathway from pre-diagnosis to end of life. Referrals accepted from any health care professional or carer with patient’s permission and General Practitioner informed. Self-referral also accepted.


East Cheshire Hospice Millbank Drive Macclesfield, Cheshire SK10 3DR Tel: 01625 610364 Fax: 01625 https://www.eastcheshirehospice.org.uk/ The hospice has 15 in-patient beds, day services 5 days a week, ‘living well’ service, carers support services, pre and post bereavement services including children, blood transfusion & bisphosphonate infusion service, complementary therapies; therapy outpatient clinics and advanced planning clinic. Volunteers are a key component of the workforce supporting delivery of services. 24hr advice line for professionals: 01625 666999 People with incurable, life-limiting disease.

Referrals are received from patients (consent for access to medical information will be requested form GP), carers, family member and other professionals.

Day services and outpatient referrals can be referred throughout disease trajectory to support ‘living well’ with incurable disease. Inpatient referrals will have advanced progressive disease and the focus of care will have changed from curative to palliative. Some patients, who have complex specialist needs, may be referred at an earlier stage of their disease.

Area covered:

Patients registered with GPs in Eastern Cheshire (inpatient and day unit). Patients registered with GPs in the High Peak area (inpatient unit).

Requests for Patients from out of these areas may be considered on an individual basis.

https://www.eastcheshirehospice.org.uk/



South Cheshire & Vale Royal SPCSG

Chair Siobhan Horton

Catchment Areas Vale Royal CCG; South Cheshire CCG; part of West Cheshire CCG - Rural (the two Tarporley Medical Practices and The Bunbury Medical Practice) and part of East Cheshire CCG (Holmes Chapel) Community, MCFHT outpatients (seen by Dr Kate Smith & Hospice patients)

Organisations East Cheshire NHS Trust South Cheshire CCG Vale Royal CCG East Cheshire CCG

MDT Meets weekly on Monday 13:00-15:00 at St Luke’s (Cheshire) Hospice

MDT Lead Clinician

Dr Kate Smith

Community Team Clinical Service Non-clinical Services Referral Criteria

Macmillan Specialist Palliative Care Team (East Cheshire NHS Trust) Central Team St Luke's Hospice Queensway Winsford CW7 1BH Telephone: 01606 544155; Fax: 01606 544163 email referrals only: [email protected]

Provision of community-based specialist palliative care. Assessment, planning and evaluation of adult patients with a diagnosis of cancer and those with other life limiting illness who may be approaching the last two or three months of life. They should have existing complex problems. Interventions where there may be complex communication difficulties. Support of people the patient considers to be their family. Indirect supportive advice to colleagues in the management of patient symptoms. Involvement in Gold Standard Framework meetings and Community Neighbourhood meetings. Involvement in MDT at St. Luke’s Hospice. Strategic and operational support in Palliative and Specialist Palliative Care service development. Working with End of Life Partnership to develop services and planning and delivery of education. Support of clinical and caring colleagues. Adult patients with a diagnosis of cancer or life limiting illness who have existing complex problems with pain or other uncontrolled symptoms that have not responded to first-line interventions and those patients with complex social, psychological or spiritual needs over and above those that the key worker can provide. The patient should be aware of their diagnosis and must consent to the referral, unless the patient has a mental health issue which affects their awareness. If the patient lacks capacity the referral can be made in the patient’s best interest. Our service accepts written referrals from primary, secondary and tertiary health and social care professionals if the patient meets the referral criteria. Local and up to date referral forms can be found at http://www.cheshire-

mailto:[email protected]

http://www.cheshire-epaige.nhs.uk/SitePages/Home.aspx



epaige.nhs.uk/SitePages/Home.aspx


St Luke’s (Cheshire) Hospice Grosvenor House Queensway Winsford Cheshire Tel: 0161 551246; Fax: 0161 555485

www.stlukes-hospice.co.uk The hospice has 10 beds, Day Hospice services, Bereavement services, Complementary therapies; Physiotherapy & Occupational Therapy, Lymphoedema services, Psychosexual Clinic, Social workers and Benefits Advisor, Pastoral team and is the base for the Community Specialist Palliative Care Macmillan team; volunteers are used within the facility. 24hr advice line for professionals: 0161 551246 Adults registered with a GP practice within Central and South Cheshire who have incurable, life-limiting malignant or non-malignant disease. Most patients will have advanced progressive disease and the focus of care will have changed from curative to palliative. Some patients, who have complex specialist needs, may be referred at an earlier stage of their disease. Requests for Patients from out of these areas may be considered on an individual basis

Organisation Mid Cheshire Hospital NHS Trust

MDT Lead Clinician

Corinna Edwards

Consultant Dr Kate Smith

Clinical Nurse Specialists

Corinna Edwards & Liz Fullerton

Hospital MDT Meets weekly on Friday 12-1pm at Leighton Hospital

Hospital Team Services Referral Criteria

Specialist Palliative Care Team Leighton Hospital Middlewich Rd Crewe CW1 4QJ Tel: 01270 612266; Fax: 01270 612408 Inpatient Specialist Palliative Care service Specialist Palliative Care outpatient clinics Referrals may be made to the team for:

Patients, their relatives or carers requiring support over and above that which primary carers can provide, and where there are assessed complex needs.

Patients who have problematic pain or other symptoms relating to their diagnosis.

Psychological support at diagnosis or recurrence.

Advice about rapid or complex discharge planning for patients at the end of life.

Management of distressing symptoms at the end of life.

Additional support for relatives/carers of palliative patients.

Staff requiring advice/ support in order to continue caring effectively for the patient.

http://www.cheshire-epaige.nhs.uk/SitePages/Home.aspx

http://www.stlukes-hospice.co.uk/



Western Cheshire SPCSG

Chair Dr Graham Leng

Catchment Areas Chester, Ellesmere Port, Deeside, Cheshire

Organisations Countess of Chester Hospital Cheshire & Wirral Partnership Hospice of the Good Shepherd

Chester MDT Meets weekly on Thursday 8.30 am - 9.30 am at The Hospice of the Good Shepherd

MDT Lead Clinician

Dr Graham Leng

Hospital Team Services Referral Criteria

Palliative Care Team Countess of Chester Hospital NHS Foundation Trust Liverpool Road CH2 1UL Tel: 01244 366086 Fax: 01244 366115 Inpatient SPC advisory service SPC outpatient clinics

Patients with advanced, progressive, incurable, malignant and non-malignant disease who have complex physical, psychological, spiritual, social or carer needs.

Where the above patient and/or family needs are unable to be met by health professionals in the current care setting and may be met by a specialist palliative care service.

Where the current health professionals require support and advice of the specialist palliative care service for e.g. patients dying with complex needs, challenging ethical dilemmas or complex communication issues.

Referrals can be made to the HSPCT with the permission of the Consultant in charge of the patient and the patient.


Hospice of the Good Shepherd Gordon Lane Backford Chester Ch2 4DG Tel: 01244 851091 Fax: 01244 851108 www.hospiceofthegoodshepherd.com The hospice has 12 beds, day care services, bereavement services, complementary therapies; outpatient clinics, community palliative nurse specialists and volunteers are used within the facility. 24hr advice line for professionals: 01244 852520 People living within the catchment area of Chester, Chester Rural, Ellesmere Port and Deeside that have incurable, life-limiting malignant or non-malignant disease. Most patients will have advanced progressive disease and the focus of care will have changed from curative to palliative. Some patients, who have

http://www.hospiceofthegoodshepherd.com/



complex specialist needs, may be referred at an earlier stage of their disease.

Community SPC Team Services Referral Criteria

Community Palliative Clinical Nurse Specialists Heath Lane Medical Centre Heath Lane Chester CH3 5UJ Tel: 01244 340631 Fax: 01244 344658 Palliative Therapy Team: 01244 315923 Indirect service – strategic and policy making activities that influence patient care. Direct service – empowering and supporting primary carers, advising and assessing the development of care plans, clinical practice and teaching and education. The team is also a resource for other professionals and provides specialist advice on nursing, empowering to others to carry out the care. Referrals can be made via GP, District Nurse, Health Visitor or Hospital Consultant.



Halton SPCSG

Chair Dr Averil Fountain

Catchment Areas Halton

Organisations Warrington and Halton NHS Foundation Trust (WHHFT) Bridgewater Community Trust Halton Haven Hospice

WHHFT MDT Meets weekly on a Tuesday 10 am – 11 am at Warrington Hospital with a video link to Halton Hospital

WHHFT Lead Clinician

Margaret Kendall Dr Elizabeth O’Brien (from April 2015)

Hospital SPC Team Services Referral Criteria

Warrington & Halton General Hospital Office 11 1st Floor Post graduate Education Centre Warrington Hospital Lovely Lane Warrington WA5 1QG Tel: 01925 662347 In-patient beds. 7/7 visiting service for inpatients. Outpatient clinics: Wednesday: 9 am -12.30 pm at Warrington once a month at Halton Inpatient – Written referral in the patient’s case notes, computer referral generated on Meditech system. Urgent referrals will be responded to within one working day (24hrs), routine referrals will be responded to in two working days (48hrs). After initial assessment patients are categorised for follow up visits. Urgent referrals also accepted via phone or bleep with follow up Meditech referral, and via other site specific MDT meetings. Outpatient – referral letter, or computer generated via palliative care proforma and faxed to 01925 662347 – new patient (outpatients), patient may be a follow up from an inpatient episode previously known to the service. Anyone with complex palliative care needs (malignant and non-malignant) is assessed by the service. The team is also a resource for other professionals and provides specialist advice on nursing, empowering to others to carry out the care. Advice regarding pain and symptom management, advice and information for patients and carers, emotional/psychological support for patients and carers and bereavement support. The team is also a resource for other professionals and provides specialist advice on nursing, empowering to others to carry out the care.

Hospice MDT Meets weekly on a Tuesday at 11:30 am at Halton Haven Hospice. Joint MDT with Halton Community Specialist Palliative Care team

Hospice MDT lead clinician

Dr Averil Fountain

Hospice

Halton Haven Barnfield Avenue Murdishaw Runcorn WA7 6EP Tel: 01928 719454



Services Referral Criteria

Fax: 01928 701201 The hospice has 12 beds, Day Therapy, complementary therapies, physiotherapy, family support team, pre and post-bereavement support. Volunteers are used in this facility. Consultant outpatient clinic Tuesday PM - Referrals to the Consultant should be sent to the above address - separate office number: Tel: 01928 714927 Fax: 01928 795157 The team is also a resource for professionals and provides specialist advice to other health care professionals, empowering to others to carry out the care. Anyone with complex palliative care needs (malignant and non-malignant) is assessed by the service. We use network guidelines for referral criteria.

Community Services

Halton Community Specialist Palliative Care Team Halton Haven Hospice Barnfield Avenue Murdishaw Runcorn WA7 6EP Tel: 01928 714927 Fax: 01928 795157 Advice regarding pain and symptom management, advice and information for patients and carers, emotional/psychological support for patients and carers and bereavement support. The team is also a resource for other professionals and provides specialist advice on nursing, empowering to others to carry out the care.



Liverpool SPCSG

Chair Professor John Ellershaw

Catchment Areas Liverpool

Organisations Royal Liverpool and Broadgreen University Hospital (RLBUHT) Liverpool Women’s Hospital (LWH) Liverpool Heart and Chest Hospital (LHCH) Liverpool Community Trust Marie Curie Hospice

Hospital MDT Lead Clinician

Royal Liverpool Hospital Professor John Ellershaw

Hospital SPC Team Services Referral Criteria and process for referral

Royal Liverpool Hospital Palliative Care Team 1st Floor Linda McCartney Centre Prescot Street Liverpool L7 8XP Tel: 0151 706 2274 Fax: 0151 706 5886 SPC in patient advisory service SPC outpatient clinics Pain control, other symptoms e.g. nausea, psychological support for the patient / family, patient is dying with distressing symptoms, problems regarding insight of the patient / family, facilitation and advice regarding complex placement issues. Inpatient – Written referral in the patient’s case notes, computer referral generated on PAS system, bleep 4191 via hospital switchboard, telephone 0151 706 2274. First contact for an urgent referral is 24 hours. Routine referral is 48 hours. Each referral has a first assessment and the most appropriate team members will pick up the referral. Patients will be allocated a key worker. Outpatient – referral letter – new patient (outpatients), patient may be a follow up from an inpatient episode previously known to the service. Process – Referral received in department – written request – case notes or letter, reviewed by Office Manager & Specialist Nurse, patient contacted within 48hrs of receipt of referral – and discussed at interface meeting to determine location of appointment according to availability / need / patient choice.



Liverpool SPCSG

LWH MDT Meets weekly on Wednesday 10.30 am - 11.00 am

LWH Hospital MDT Lead Clinician

Dr Leslie Allsopp

LWH Hospital SPC Team Services Referral Criteria

Liverpool Women’s Hospital Crown Street Liverpool Tel: 0151 702 4186 Fax: 0151 4146 www.liverpoolwomens.nhs.uk The service offers outpatient, inpatient and telephone specialist palliative care services for women and their families across the Merseyside and Cheshire cancer Network who have been diagnosed with a gynaecological malignancy. The team provides holistic support from diagnosis to bereavement as appropriate. This may also include patients who have complex needs and require support to ensure seamless transition between hospitals or hospital to home. For professional colleagues to act as resource to support them in their role. The team provide 7 day cover 9 to 5 within an agreed protocol. Referrals are accepted from any members of LWH MDT, any member of CCC MDT, members of the Mersey / Cheshire Cancer Nurse Group, any member from the primary health care team, self-referral by patient, referral from criteria, and referral from other support agencies. Methods of referral – computer (Hospital information service), telephone, bleep, via Marie Curie centre, fax, written referral on case sheet or letter, MDT meeting.

http://www.liverpoolwomens.nhs.uk/



Liverpool SPCSG

LHCH Hospital MDT

Meets weekly on Friday

LHCH MDT Lead Clinician

Dr Helen Bonwick

LHCH Hospital SPC Team Services Referral Criteria

Liverpool Heart and Chest Hospital Palliative Care Team Thomas Drive Liverpool L14 3PE Tel: 0151 293 2246 Fax: 0151 293 2243 Hospital advisory service Pain, symptom control, psychological support for patient or family, patient is dying and distressed, insight or patient / family, placement (discharge planning).

Hospice MDT Peer review MDT Thursday morning – weekly Clinical MDT for inpatient Monday and Tuesday weekly Day therapy weekly

Hospice Peer Review MDT Lead Clinician

Dr Helen Bonwick

Hospice Inpatient MDT Lead Clinicians

Dr Leslie Allsopp Dr Richard Latten Dr Sarah Fradsham Dr Helen Bonwick

Hospice Services

Marie Curie Centre Speke Road Woolton Liverpool L25 8QA www.mariecurie.org.uk Tel: 0151 801 1400 Fax: 0151 801 1458 The Hospice has 30 beds, day care, outpatient clinics by members of the MDT, child counsellor; lymphoedema management clinics, domiciliary visits including medical, therapies and social workers, complementary treatments, bereavement service and volunteers are used within the facility. Provision of a 24 hour Specialist Palliative Care advice line for health care professionals in hospital and community. Tel: 0845 2232900

http://www.mariecurie.org.uk/



Referral Criteria Health care professionals can refer into the hospice by completing the Liverpool specialist palliative care referral proforma. All relevant up to date information e.g. scans, letters, etc. should be included with the referral form. All referrals from the community should be discussed with GP prior to referral. Completed referral forms should be faxed to the Admissions Officer. Fax: 0151 8011458 Patients may be admitted for pain and symptom management and physical, social, spiritual, psychological support, continuing care (terminal care), short term health assessment and rehabilitation. Priority must be given to the neediest patients in whatever category.

Community SPC Team Services

Community Palliative Care Team– Liverpool Cottage 2 Newhall Campus Fazakerley L10 1UD Tel:0151 234 5214 Fax: 01512345219 Indirect service – strategic and policy making activities that influence patient care. Direct service – empowering and supporting primary carers, advising and assessing the development of care plans, clinical practice and teaching and education. Macmillan are also a resource for other professionals and provides specialist advice on nursing, empowering to others to carry out the care.



St Helens & Knowsley ICN

Chair Dr Alison Coackley

Catchment Areas St Helens and Knowsley

Organisations St Helens & Knowsley NHS Trust Bridgewater Community Trust Willowbrook Hospice KIPPS 5 Boroughs Partnership

MDT Meets Wednesday 11.30 am - 12.30 pm at Willowbrook Hospice

MDT Lead Clinician

Dr Alison Coackley

Hospital SPC Team Lead Clinician Services Referral Criteria

Specialist Palliative Care Team Medical Directorate, Green Zone Whiston Hospital Palliative Care Team Prescot L35 5DR Tel: 0151 290 4266 Dr Clare Littlewood We offer an advisory service 7days/week 9am-5pm for inpatients with progressive life limiting illness who require specialist support in managing associated complex issues, physical, psychological, spiritual or social. Referrals should be made via the St Helens & Knowsley SPC referral form and faxed to the Hospital Specialist Palliative Care Team. We also offer Medical out patients clinic twice weekly. Patients with uncontrolled pain, other uncontrolled symptoms, psychological support, patient dying and distressing symptoms, information / communication issues, complex / difficult discharge placement. We aim to review patients within 24 - 48hrs of receipt of referral dependent upon urgency of needs.

Hospice Services

Willowbrook Hospice Portico Lane Prescot L3 2QT Tel: 0151 430 8736 Fax: 0151 493 1006 www.willowbrook.org.uk The hospice has 10 specialist palliative care inpatient beds. Outreach services provide a range of outpatient clinics and day therapy services over 5 days. There is a Breathlessness Programme delivered by Occupational Therapists and Physiotherapists. There is a complementary therapy service and bereavement services. Volunteers are used within the facility. Willowbrook Hospice, with the support of the hospital and community services, provides a 24 hour specialist palliative care advice line for all healthcare

http://www.willowbrook.org.uk/



Referral Criteria Referral Process

professionals. Tel: 0844 225 0677 For patients with advanced, progressive, incurable, malignant and non-malignant disease who have complex physical, psychological, spiritual, and social or carer needs. Where the above patient and / or family needs are unable to be met by health professionals in the current care setting and may be met by a specialist palliative care service. Where the current health professionals require the support and advice of the specialist palliative care service. Referrals are made using the St Helens and Knowsley referral proforma. Referral should be faxed to the Hospice number. Outpatient referrals must be accompanied by a medical letter.

Community Services

St Helens and Knowsley Community Palliative Care Service Willowbrook Hospice Portico Lane Prescot L3 2QT Tel: 0151 431 0156 Fax: 0151 289 8776 Offers an advisory service via telephone or face to face interventions for healthcare professionals, patients or carers. The team includes a team manager, 5.6 clinical nurse specialists, a dedicated Consultant in Palliative Medicine for 7 sessions per week and a Specialty Doctor for 4 sessions per week. The service operates 7/7 9-5pm and supports the specialist palliative care advice line during these times. The service is also actively engaged with education and audit which supports the dissemination of best practice.



Warrington SPCSG

Chair Dr Melanie Brooks

Catchment Areas Warrington

Organisations Warrington and Halton Hospitals NHS Foundation Trust (WHHFT) Bridgewater Community Trust – Warrington division St Rocco’s Hospice

WHHFT MDT Meets weekly Tuesday 10 am – 11 am Warrington Hospital with video link to Halton Hospital

WHHFT MDT Lead Clinician

Margaret Kendall Dr Elizabeth O’Brien (from April 2015)

Hospital SPC Team Services Referral Criteria

Warrington & Halton Hospitals NHS Foundation Trust Office 11 1st Floor Post Graduate Education Centre Warrington Hospital Lovely Lane Warrington WA5 1QG Tel & Fax: 01925 662347 In-patient beds. 7/7 visiting service for inpatients. Outpatient clinics: Wednesday: 9 am -12.30 pm at Warrington once a month at Halton Inpatient – computer referral generated on Meditech system. Urgent referrals will be responded to within one working day (24hrs). Routine referrals will be responded to in two working days (48hrs). After initial assessment patients are categorised for frequency of follow up visits. Urgent referrals also accepted via phone or bleep with follow up Meditech referral, and via other site specific MDT meetings. Outpatient – referral letter, or computer generated via Palliative care proforma and faxed to 01925 662347 – new patient (outpatients), patient may be a follow up from an inpatient episode previously known to the service. Anyone with complex palliative care needs (malignant and non-malignant) is assessed by the service. The team is also a resource for other professionals and provides specialist advice, empowering to others to carry out the care. Advice regarding pain and symptom management, information for patients and carers, emotional/psychological support for patients and carers and bereavement support. Support for referral out of hospital teams as well as inpatient reviews.

Joint Hospice and community MDT

Meets weekly on Tuesday mornings 9 am – 10.15 am

MDT lead clinician Dr Melanie Brooks

Hospice

St Rocco’s Hospice Lockton Lane Bewsey WA5 OBW Tel: 01925 575780 Fax: 01925 630690 www.stroccos.org

http://www.stroccos.org/



Services Referral Criteria

The hospice has 10 inpatient beds, up to 25 patients per day in Day Care, bereavement services, drop-in information centre, complementary treatments; volunteers are used within the facility. Outpatient Clinics: Monday and Wednesday Ascites Clinic: Tuesday a.m. Anyone with specialist palliative care need both malignant and non-malignant The hospice covers north and south Warrington for patients 18 years and above.

Community SPC Team Referral Criteria and process for referral

Bridgewater Community Healthcare NHS Trust Warrington Division Specialist Palliative and End of Life care Team St Rocco’s Hospice Lockton Lane Bewsey WA5 OBW Tel: 01925 575781 Fax: 01925 579202 Accepts referrals for malignant and non-malignant disease. Standard referral form faxed to team.



West Lancashire, Southport & Formby SPCSG

Chair Dr Karen Groves

Catchment Areas West Lancashire, Southport and Formby

Organisations Southport & Ormskirk Integrated Care Organisation Queenscourt Hospice

MDT Meets Wednesday 9.15 am -11.00 am; Terence Burgess Education Centre, Queenscourt Hospice

MDT Lead Clinician

Dr Karen Groves

Hospital & Community Services Referral Criteria

Southport & Ormskirk Integrated Care Organisation West Lancs, Southport & Formby Palliative Care Team Umbrella House Town Lane Southport Merseyside PR8 6PN Tel: 01704 704540 (Monday – Friday; 0900 – 1700) Tel: 01704 704536 (Health Professionals ex-directory number) Fax: 01704 704538 Weekend and Bank Holidays 0900-1700 Health Professionals only Tel: 01704 704536 Symptom control, psychological support (hospital and community). Patients and families of patients, with far advanced and progressive malignant and non-malignant disease with complex needs requiring specialist palliative care.


Specialist Palliative Care Unit Queenscourt Hospice Town Lane Southport PR8 6RE Tel: 01704 544645 Fax: 01704533655 Email: [email protected] 24hr Health Professionals only Tel: 01704 517922 (24 hours) The hospice has a 10 bed inpatient unit for short term admission for symptom control, outpatient unit for assessment and symptom management, day services for assessment, symptom management and re-adaptation to changing circumstances, “at home” service for providing support to fill gaps in care, ‘in hospital’ medical support and carer’s services for support, social contact, advice and bereavement support. Patients and families of patients, with far advanced and progressive malignant and non-malignant disease with complex needs requiring specialist palliative care.

mailto:[email protected]



Wirral SPCSG

Chair Dr Cathy Lewis-Jones

Catchment Areas Wirral

Organisations Wirral University Teaching Hospital NHS Trust Wirral Community Trust Wirral Hospice St Johns

Wirral Integrated MDT

Wirral Integrated MDT meets Wednesday morning 9.30 am - 12.00 pm Hospital MDT Meeting Friday morning 9.00 am - 10.30 am

MDT Lead Clinician

Dr Fawad Ahmad

Hospital and Community Integrated Team Services Service Description Referral Criteria

St Catherine’s Hospital Birkenhead Wirral CH42 7HA Face to face Specialist Palliative Care support for patients in their home, nursing home or in hospital seven days a week 9.00 am - 5.00 pm. Telephone Specialist Palliative Care advice and support for Health and Social Care Professionals seven days a week, 9.00 am - 5.00 pm Tel No: Weekdays: 0151 328 0481 Weekends and Bank Holidays 9.00 am - 5.00 pm: 07825 226724 The Integrated Specialist Palliative Care Team (ISPCT) comprises a team of Specialist Palliative Care Nurses and Allied Health Professionals supported by Specialist Palliative Care Consultants. Referral can be made by health and social care professionals, patients or carers. Patients with advanced, progressive, incurable, malignant and non-malignant disease who have complex physical, psychological, spiritual, social or carer needs where the above patient and/or family needs are unable to be met by health professionals in the current care setting and may be met by a specialist palliative care service. Where the current health professionals require support and advice of the specialist palliative care service for patients dying with complex needs, challenging ethical dilemmas or complex communication issues.

CCC MDT Meets Tuesday morning between 9 am and 10 am

CCC MDT Lead Clinician

Dr Alison Coakley

The Clatterbridge Cancer Centre Specialist Palliative Care Team Services

The Clatterbridge Cancer Centre (CCC) Clatterbridge Road Bebington CH63 4JY Tel: 0151 334 1155 extension 4857 Fax: 0151 482 7629 Direct Line: 0151 552 1850 Specialist palliative care advisory service to inpatients and outpatients attending The Clatterbridge Cancer Centre for treatment. The service is available 7 days per



Referral Criteria

week 9-5pm. For healthcare professionals within there is access to a 24 hour specialist palliative care telephone advice service. Tel: 0844 225 0677 There is a full complement of multiprofessional support working closely with the specialist palliative care team including social work, family support, information advice, chaplaincy, lymphoedema, dietician, psychologist, liaison psychiatry, site specific CNS, benefits advice, physiotherapy, occupational therapy, complementary therapy, volunteer support, patient support groups. There is a Maggie’s Centre situated on the Clatterbridge site. Patients with progressive life limiting illness who require specialist support in managing complex physical, psychological, social and spiritual issues. Advice is also available for complex discharges and decision making. First contact for an urgent referral is 24 hours. Routine referral is 48 hours. Inpatient referrals can be made via the CCC referral form, clinical letter, phone or fax. For inpatients the referral should be documented in the case notes. Outpatient services – there is a weekly nurse led outpatient clinic and a weekly medical outpatient clinic. These are held on Wednesday afternoon and Friday morning. Referrals can be sent by post or faxed to the team using the above number. Any outpatient referrals made by phone must be accompanied by either a referral form or clinical letter.

Hospice MDT Wirral Integrated MDT meets Wednesday morning 9.30am to 12.00pm

Hospice MDT lead clinician

Dr Catherine Hayle/Dr Helen Emms


Wirral Hospice St John’s Mount Road Higher Bebington Wirral CH63 6JE Tel: 0151 334 2778 Fax: 0151 343 9589 A Consultant led service providing Inpatient, Day Therapy and Outpatient Specialist Palliative Care Services by a Multi-professional Team Bereavement Services Palliative Care Advice and Information Line (PAIL). Telephone line for Health and Social Care Professionals: 0151 343 9529 Hospice at Home Services Patient and Carer Advice and Information Line (PAIL). Tel: 0151 482 8988 Wirral Interventional Pain Services for Palliative Care Patients. Hospice at Home Service (ongoing pilot) Referral can be made by health and social care professionals, patients or carers Patients with advanced, progressive, incurable, malignant and non-malignant disease who have complex physical, psychological, spiritual, social or carer needs. Where the above patient and/or family needs are unable to be met by health professionals in the current care setting and may be met by a specialist palliative



care service. Where the current health professionals require support and advice of the specialist palliative care service for patients dying with complex needs, challenging ethical dilemmas or complex communication issues.

cheshire & merseyside palliative and end of life care ... · woodlands hospice aintree spc mdt...

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