{"id":35,"date":"2016-03-18T13:40:18","date_gmt":"2016-03-18T13:40:18","guid":{"rendered":"http:\/\/www.stockportccg.nhs.uk\/practicehub\/?page_id=35"},"modified":"2020-05-05T13:11:57","modified_gmt":"2020-05-05T12:11:57","slug":"end-of-life","status":"publish","type":"page","link":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/conditions\/end-of-life\/","title":{"rendered":"End of Life"},"content":{"rendered":"<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element \" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>COVID-19 Guidance<\/strong><\/p>\n<p>Symptom Control for COVID Patients<\/p>\n<p><span style=\"color: black;font-family: 'Calibri','sans-serif'\"><div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/12017\/?tmstv=1776877824\" rel=\"nofollow\">\n        Palliative-Care-Pain-and-Symptom-Control-Guidelines.pdf    <\/a>\n<\/div><\/span><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/12019\/?tmstv=1776877824\" rel=\"nofollow\">\n        Stockport-Two-Page-Summary-of-COVID-Symptom-Control.pdf    <\/a>\n<\/div>\n<p>Communication<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/12021\/?tmstv=1776877824\" rel=\"nofollow\">\n        Conversations-about-COVID-v2.docx    <\/a>\n<\/div>\n<p>Advanced Care Planning in times of COVID<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/12023\/?tmstv=1776877824\" rel=\"nofollow\">\n        COVID-ACP-with-notes-to-help-completion-2.docx    <\/a>\n<\/div>\n<p>ACP for COVID blank to fill in<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/12025\/?tmstv=1776877824\" rel=\"nofollow\">\n        ACP-for-COVID-blank-to-fill-in.docx    <\/a>\n<\/div>\n<p>Deaths<\/p>\n<p>COVID-19 ESCDC Flyer<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/12027\/?tmstv=1776877824\" rel=\"nofollow\">\n        COVID-19-ESCDC-Flyer-GPEx-02042020.docx    <\/a>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Last few months of life<\/strong><\/p>\n<p>GSF Template for GP meetings<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10450\/?tmstv=1776877825\" rel=\"nofollow\">\n        GP-GSF Patient Summary List 2019    <\/a>\n<\/div>\n<p>A Quick Guide to identifying patients in last year of life<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1031\/?tmstv=1776877825\" rel=\"nofollow\">\n        A Quick Guide to Identifying Patients for Supportive &amp; Palliative Care    <\/a>\n<\/div>\n<p>BMA Mental Capacity Act fact sheet \u201cAssessing Capacity\u201d<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1033\/?tmstv=1776877825\" rel=\"nofollow\">\n        mental_capacity_act_tool_kit_card4[1]    <\/a>\n<\/div>\n<p><strong>DNACPR<\/strong><\/p>\n<p>CCG Policy<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1035\/?tmstv=1776877825\" rel=\"nofollow\">\n        nhs-north-west-dnacpr-policy-v1-4-final    <\/a>\n<\/div>\n<p>Electronic DNACPR form (patient copy, ideally to be printed on LILAC paper please. Copy for audit <em><span style=\"background: white;color: #333333;font-family: 'Helvetica','sans-serif'\">and one to patients notes also should be kept)<\/span><\/em><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-doc\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1083\/?tmstv=1776877825\" rel=\"nofollow\">\n        NWAS Unified DNACPR form - (word version)    <\/a>\n<\/div><br \/>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1085\/?tmstv=1776877825\" rel=\"nofollow\">\n        NWAS Unified DNACPR form - (pdf version)    <\/a>\n<\/div>\n<p>Top tips for DNACPR decision making<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10453\/?tmstv=1776877825\" rel=\"nofollow\">\n        Top Tips for DNACPR    <\/a>\n<\/div>\n<p>Resuscitation Council Guidelines<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10458\/?tmstv=1776877825\" rel=\"nofollow\">\n        Resuscitation Council Guidelines on Decision Making for DNACPR    <\/a>\n<\/div>\n<p><strong>Last Day of Life documentation<\/strong><\/p>\n<p>Individual Plan of Care for those in the last few days and hours of life<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10462\/?tmstv=1776877825\" rel=\"nofollow\">\n        Individual Plan of Care for the dying person 2019    <\/a>\n<\/div>\n<p>Medication authorisation Sheet<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-xls\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1090\/?tmstv=1776877825\" rel=\"nofollow\">\n        Last Days of Life Community Prescription Sheet - July 14    <\/a>\n<\/div>\n<p>Conversion chart for opioids<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-doc\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1046\/?tmstv=1776877825\" rel=\"nofollow\">\n        Opioid conversion charts 20151    <\/a>\n<\/div>\n<p>Symptom control algorithms \u2013 guidance around prescribing for common symptoms at the end of life<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-doc\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10466\/?tmstv=1776877825\" rel=\"nofollow\">\n        Last days of life algorhithm 2019    <\/a>\n<\/div>\n<p>Symptom Control Guidelines \u2013<\/p>\n<p><em><span style=\"color: black;font-family: 'Calibri','sans-serif'\">palliative care pain and symptom control pdf<\/span><\/em><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/11500\/?tmstv=1776877825\" rel=\"nofollow\">\n        Palliative Care and Pain Symptom Control Guidelines for Adults    <\/a>\n<\/div>\n<p>Five priorities of Care For The Dying Person\u00a0(responsibilities\u00a0when recording care in the last few hours and days of life)<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1052\/?tmstv=1776877825\" rel=\"nofollow\">\n        Five_Priorities_of_Care_in_the_Last_Hours_and_Days_of_Life[1]    <\/a>\n<\/div>\n<p>Anticipatory Prescribing Medication\u00a0\u00a0\u00a0 <strong>**to be added shortly**<\/strong><\/p>\n<p><strong>Contact Details<\/strong><\/p>\n<p>St Anns Hospice,\u00a0Heald Green<\/p>\n<ul>\n<li>\u00a0<a href=\"http:\/\/www.sah.org.uk\/contact-us\/how-to-find-our-locations\/heald-green\">http:\/\/www.sah.org.uk\/contact-us\/how-to-find-our-locations\/heald-green<\/a><\/li>\n<\/ul>\n<p>Palliative Care Team Contact numbers<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-doc\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10475\/?tmstv=1776877825\" rel=\"nofollow\">\n        Palliative Care Team contact numbers    <\/a>\n<\/div>\n<p>Palliative Care Referral Form<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-docx\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10479\/?tmstv=1776877826\" rel=\"nofollow\">\n        Palliative Care Referral Form    <\/a>\n<\/div>\n<p>St Anns 24 hour helpline for telephone advice<\/p>\n<ul>\n<li>\u00a0\u00a0 0800 970 7970<\/li>\n<\/ul>\n<p><strong>Documents to record wishes<\/strong><\/p>\n<p>Stockport Advanced Care Plan<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1064\/?tmstv=1776877826\" rel=\"nofollow\">\n        ADRT example form    <\/a>\n<\/div>\n<p>Thinking Ahead (Care plan for those with capacity)<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1060\/?tmstv=1776877826\" rel=\"nofollow\">\n        Thinking Ahead    <\/a>\n<\/div>\n<p>Looking ahead (care plan for those without capacity)<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1062\/?tmstv=1776877826\" rel=\"nofollow\">\n        Looking Ahead    <\/a>\n<\/div>\n<p>Advance Decision to refuse treatment (ADRT)<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1064\/?tmstv=1776877826\" rel=\"nofollow\">\n        ADRT example form    <\/a>\n<\/div>\n<p><strong>Useful Information Leaflets<\/strong><\/p>\n<p>Leaflet for patients and carers about DNACPR decisions<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1066\/?tmstv=1776877826\" rel=\"nofollow\">\n        DNACPR Info for patients and carers    <\/a>\n<\/div>\n<p>\u2018What to expect when someone close to you is dying\u2019<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1068\/?tmstv=1776877826\" rel=\"nofollow\">\n        What to expect when someone is dying LEAFLET    <\/a>\n<\/div>\n<p>Practical Guidance for Best interest decision making\u00a0at the End of Life<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1070\/?tmstv=1776877826\" rel=\"nofollow\">\n        Best Interests at End of Life    <\/a>\n<\/div>\n<p>ADRT<\/p>\n<ul>\n<li><a href=\"http:\/\/www.cheshire-epaige.nhs.uk\/ePaige%20Documents\/ADRTfactsheet003%5b1%5d.pdf\">http:\/\/www.cheshire-epaige.nhs.uk\/ePaige%20Documents\/ADRTfactsheet003[1].pdf<\/a><\/li>\n<\/ul>\n<p>Stockport EPAC information leaflet<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1072\/?tmstv=1776877826\" rel=\"nofollow\">\n        Stockport EPAC Patient Leaflet    <\/a>\n<\/div>\n<p>Advance Care Plan information leaflet<\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-doc\"\n       title=\"Version 1\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/1074\/?tmstv=1776877826\" rel=\"nofollow\">\n        Advance_Care_Plan_Info_Leaflet_June_2014[1]    <\/a>\n<\/div>\n<p>Examples of Advance Care Plan Documents for patients use<em>\u00a0(Many others are available online from other organisations)<\/em><\/p>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10482\/?tmstv=1776877826\" rel=\"nofollow\">\n        Advanced Care Planning Guide    <\/a>\n<\/div><br \/>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10486\/?tmstv=1776877826\" rel=\"nofollow\">\n        Planning Your Care in Advance    <\/a>\n<\/div><br \/>\n<div class=\"dl-template\">\n    <a class=\"download-link filetype-icon filetype-pdf\"\n       title=\"\" href=\"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/download\/10489\/?tmstv=1776877826\" rel=\"nofollow\">\n        My Future Wishes - Advance Care Planning    <\/a>\n<\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<p align=\"center\"><b>Stockport<\/b><b> EPAC (<i>E<\/i>nd of life care <i>P<\/i>ortal for <i>A<\/i>nticipatory <i>C<\/i>are)<\/b><\/p>\n<p>&nbsp;<\/p>\n<p><strong>What is the Stockport EPAC?<\/strong><\/p>\n<p>The Stockport EPAC is an electronic end of life care (EoLC) co-ordination system.\u00a0 All providers of care will be able to input and\/or view information about a patient once they have given their consent.\u00a0 EPAC will be populated, as much as is possible, straight from the Stockport Health Record to minimise input time.<\/p>\n<p>The Stockport Electronic Portal for Anticipatory Care (EPAC) can be accessed via Graphnet through\u00a0your EMIS system.<\/p>\n<p>Alternatively you can do the training for Stockport EPAC and then obtain a password via <a href=\"https:\/\/www.stockport.nhs.uk\/elearning\/default.aspx#epacelearning\">www.stockport.nhs.uk\/elearning<\/a><\/p>\n<p>Stockport EPAC is then available via\u00a0 <a href=\"https:\/\/idcr.manchester.nhs.uk\">https:\/\/idcr.manchester.nhs.uk<\/a><\/p>\n<p>Any further enquiries can be directed to Dr Sarah Griffiths <a href=\"mailto:sarah.griffiths10@nhs.net\">sarah.griffiths10@nhs.net<\/a> or Christine Symes <a href=\"mailto:chris.symes@nhs.net\">chris.symes@nhs.net<\/a>\u00a0who both work with Stockport Palliative Care team<\/p>\n<p><strong>How will the Stockport EPAC benefit patients\/clinicians?<\/strong><\/p>\n<ul>\n<li>Enabling patients to record their preferences in EoLC<\/li>\n<li>Aid the health care provider in making decisions re further care.<\/li>\n<li>Reduction in unscheduled care with better communication between providers<\/li>\n<li>Dates of Palliative Care meetings held within GP practices can be recorded.<\/li>\n<li>More patients cared for in their Preferred Place of Care.<\/li>\n<\/ul>\n<p><b>How will the system be accessed?<\/b><\/p>\n<p>As a GP, access will be granted, where possible, via single sign on from your GP clinical system.<\/p>\n<p><b>Who can access the Stockport EPAC?<\/b><\/p>\n<p>GPs, OOH, District Nurses, MacMillan Nurses, Hospital staff. Ambulance service etc.\u00a0 The system is fully auditable and will have role based access.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>\n   ","protected":false},"excerpt":{"rendered":"COVID-19 Guidance Symptom Control for COVID Patients Palliative-Care-Pain-and-Symptom-Control-Guidelines.pdf Stockport-Two-Page-Summary-of-COVID-Symptom-Control.pdf Communication Conversations-about-COVID-v2.docx Advanced Care Planning in times of COVID COVID-ACP-with-notes-to-help-completion-2.docx ACP for COVID blank to fill in [...]","protected":false},"author":1,"featured_media":0,"parent":345,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-right-sidebar.php","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/35"}],"collection":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/comments?post=35"}],"version-history":[{"count":15,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/35\/revisions"}],"predecessor-version":[{"id":12029,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/35\/revisions\/12029"}],"up":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/pages\/345"}],"wp:attachment":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/media?parent=35"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}