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Palliative and End Of Life Care

Palliative care is the active holistic care of patients with advanced progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is paramount. The goal of palliative care is achievement of the best quality of life for patients and their families. Many aspects of palliative care are also applicable earlier in the course of the illness in conjunction with other treatments.

Palliative care aims to:

  • Affirm life and regard dying as a normal process
  • Provide relief from pain and other distressing symptoms
  • Integrate the psychological and spiritual aspects of patient care
  • Offer a support system to help patients live as actively as possible until death
  • Offer a support system to help the family cope during the patient's illness and in their own bereavement


Palliative Care Strategy

End of Life Care Strategy

SPCIT Tool

Latest SPCIT Tool

Referrals can be made at any time from diagnosis to death where patients have complex needs including:

  • Uncontrolled pain and other symptoms
  • Psycho-social, emotional and spiritual issues
  • Support and information for carers and families
  • Support, advice and palliative care education for health care professionals
  • Any patient that the team feels would benefit from hospice inpatient care

The specialist palliative care team consists of:

Dr Julia ThompsonConsultant and Clinical Lead
Dr Hattie Roebuck Consultant
Lauren SmithClinical Nurse Specialist and Team Leader
Anne MartinClinical Nurse Specialist
Julie ReynoldsClinical Nurse Specialist
Lea FitzsimmonsClinical Nurse Specialist
Katie WorbyClinical Nurse Specialist/End of Life Care Facilitator
Renata StrzyzClinical Nurse Specialist
Rosalind GormerClinical Nurse Specialist
Rachel ThurstonClinical Nurse Specialist/End of Life Care Facilitator
Kim ParryMDT Coordinator
Teresa SteadmanPalliative and End Of Life Administrator
Beth KeeblePalliative and EOL Clinical Skills Nurse

We run a seven day clinical service from 9am-5pm and can be contacted on 01206 746272 and our fax number is 01206 746009.

For out of hours advice please contact the Hospital switchboard (01206 747474) and ask for the Consultant in Palliative Medicine on call.

All the Palliative and End of Life services in North East Essex work closely together and include GP's, ACE (which provide Community nursing and Clacton/Harwich Hospitals), St Helena Hospice including SinglePoint, and Colchester Hospital. Across the area there is access to the End of Life register called 'My Care Choices', and this should help deliver the best care and support patients' choice in every care setting.

pdf logo Community Palliative Care Referral Form Only - send to shh.singlepoint@nhs.net

All referrals to Hospital Specialist Palliative Care Team to be made via Order Comms


Individual Care record for the last days of life (ICR LDL):

pdf logo Individual Care Record for the Last Days of Life

pdf logo Individual Care Record for the Last Days of Life - Continuation Booklet

pdf logo Guidance for Health Care Professionals in the Last Days of Life

pdf logo ICR LDL drug chart

pdf logo Internal Cardiac Defibrillator Deactivation advice

pdf logo End of Life Ward Audit

pdf logo Order codes for Ward documentation


Anticipatory prescribing:

pdf logo Essex Palliative Supportive Care Network Formulary Guidelines for Management

pdf logo Guide to Completing Anticipatory Prescribing Forms for End of Life Care

pdf logo North East Essex Symptom Guidelines for Care of the Dying

pdf logo Anticipatory Prescribing for Symptoms at the End of Life


Recognising dying:

pdf logo Recognising dying

pdf logo Watchpoint Last days of life - Quick user guide


SPICT and Advance Care planning:

pdf logo Planning for your future care (advance care planning)

pdf logo North East Essex End of Life Care Model

pdf logo Preferred Priorities for Care

pdf logo End of Life Model with Prompts

pdf logo Identifying patients for supportive and palliative care (SPICT Tool)


Syringe pumps:

pdf logo Syringe Pump Compatibility Table - Morphine Sulfate

pdf logo Syringe pump compatibilty 3 drugs oxycodone

pdf logo McKinley T34 Syringe Pump Flowchart

pdf logo Syringe pump compatibilty 2 drugs

pdf logo Syringe pump & Sub IV Therapy Chart

pdf logo Syringe Pump 4 Hourly Checklist


Care after death:

pdf logo Care after the Death of an Adult


Hospice transfer form:

pdf logo St Helena Hospice Transfer - Ward Handover