End of Life

COVID-19 Guidance

Symptom Control for COVID Patients

Communication

Advanced Care Planning in times of COVID

ACP for COVID blank to fill in

Deaths

COVID-19 ESCDC Flyer

 

 

Last few months of life

GSF Template for GP meetings

A Quick Guide to identifying patients in last year of life

BMA Mental Capacity Act fact sheet “Assessing Capacity”

DNACPR

CCG Policy

Electronic DNACPR form (patient copy, ideally to be printed on LILAC paper please. Copy for audit and one to patients notes also should be kept)


Top tips for DNACPR decision making

Resuscitation Council Guidelines

Last Day of Life documentation

Individual Plan of Care for those in the last few days and hours of life

Medication authorisation Sheet

Conversion chart for opioids

Symptom control algorithms – guidance around prescribing for common symptoms at the end of life

Symptom Control Guidelines –

palliative care pain and symptom control pdf

Five priorities of Care For The Dying Person (responsibilities when recording care in the last few hours and days of life)

Anticipatory Prescribing Medication    **to be added shortly**

Contact Details

St Anns Hospice, Heald Green

Palliative Care Team Contact numbers

Palliative Care Referral Form

St Anns 24 hour helpline for telephone advice

  •    0800 970 7970

Documents to record wishes

Stockport Advanced Care Plan

Thinking Ahead (Care plan for those with capacity)

Looking ahead (care plan for those without capacity)

Advance Decision to refuse treatment (ADRT)

Useful Information Leaflets

Leaflet for patients and carers about DNACPR decisions

‘What to expect when someone close to you is dying’

Practical Guidance for Best interest decision making at the End of Life

ADRT

Stockport EPAC information leaflet

Advance Care Plan information leaflet

Examples of Advance Care Plan Documents for patients use (Many others are available online from other organisations)



 


Stockport EPAC (End of life care Portal for Anticipatory Care)

 

What is the Stockport EPAC?

The Stockport EPAC is an electronic end of life care (EoLC) co-ordination system.  All providers of care will be able to input and/or view information about a patient once they have given their consent.  EPAC will be populated, as much as is possible, straight from the Stockport Health Record to minimise input time.

The Stockport Electronic Portal for Anticipatory Care (EPAC) can be accessed via Graphnet through your EMIS system.

Alternatively you can do the training for Stockport EPAC and then obtain a password via www.stockport.nhs.uk/elearning

Stockport EPAC is then available via  https://idcr.manchester.nhs.uk

Any further enquiries can be directed to Dr Sarah Griffiths sarah.griffiths10@nhs.net or Christine Symes chris.symes@nhs.net who both work with Stockport Palliative Care team

How will the Stockport EPAC benefit patients/clinicians?

  • Enabling patients to record their preferences in EoLC
  • Aid the health care provider in making decisions re further care.
  • Reduction in unscheduled care with better communication between providers
  • Dates of Palliative Care meetings held within GP practices can be recorded.
  • More patients cared for in their Preferred Place of Care.

How will the system be accessed?

As a GP, access will be granted, where possible, via single sign on from your GP clinical system.

Who can access the Stockport EPAC?

GPs, OOH, District Nurses, MacMillan Nurses, Hospital staff. Ambulance service etc.  The system is fully auditable and will have role based access.