Specialist Palliative Care at Barts Health The Macmillan

Specialist Palliative Care at Barts Health The Macmillan Palliative Care Team for The Royal London, St Bartholomew's and Mile End Hospital Clare Phillips Consultant in Palliative Medicine

Who is in the multi-professional team • 1. 3 WTE consultants in Palliative Medicine • 2 WTE speciality trainees (registrars) rotate annually • 0. 6 WTE band 8 a CNS • 3. 6 WTE band 7 CNSs • 2 WTE social workers one trust employed predominantly working at Barts, one employed through LBTH but post at risk • 0. 4 WTE consultant clinical psychologist • 0. 6 WTE clinical psychologist • 2 WTE admin support

How do we work • Referrals by phone to main office number 020 34655600 or face to face as staff are on the wards • Most patients are inpatients approximately 750 -800 new referrals a year of which 75% have cancer • One clinic Tuesday morning at The Royal London Hospital • One clinic Thursday afternoon Barts • Clinical psychologists see mainly outpatients

How do we work • Monday to Friday 9 -5 • OOH telephone advice to clinical staff from a consultant on call • Daily meeting to handover new patients, allocate referrals not already seen, discuss patients as needed to refer to other members of the team or arrange joint visits • Triage system through the day • Weekly MDM

Things we do • Advise clinical teams • Support patient and family • Look at how we can support discharge but not completing CHC fast track forms in total • Support referral to hospice and CPCT • Share information through good communication

Improving EOLC • CQC rated inadequate • Separate EOLC work stream and improvement plan • Trust wide steering group SRO is CMO • Hospital site based EOLC groups • Main focus is 5 priorities of care, identifying patients, governance, training • Contributing to TST EOLC work with a view to improving advance care planning, coordination of care, reduce hospital admissions