Out-of-hours need for specialist palliative care face-to-face assessments

Sheils, Rachel; Ankrett, Helen; Edwards, Annette; Hicks, Fiona; Kiely, Mary; Lennard, Rosemary; Rock, Charlotte

doi:10.1177/0269216308101211

Cited by 4 publications

(3 citation statements)

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“…Such a scheme, where palliative care patients are provided with a direct local contact number and the local service has details of their condition, has been in place for some time in the Borders Region of Scotland (Dr Paul Cormie, personal communication, December 2007) and also in the North-East of England. 26…”

Section: Recommendationsmentioning

confidence: 99%

Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study

2009

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Recent changes to out-of-hours primary care in the UK have generated concerns about care for palliative care patients. The aim of this study was to identify key challenges and improvements to out-of-hours palliative care in a mixed urban and rural deprived area. We integrated data from three sources: interviews with patients and professionals, direct observations of services, and routine statistics. Key issues in the provision of care were the importance of good communication and having information available, the unwieldy process of accessing medical care out of hours, professionals bypassing routine out-of-hours care for palliative care patients, and out-of-hours care being provided by practitioners unaware of local services. We recommend provision to out-of-hours services of an enhanced 'special note' for palliative care patients, to be completed early in the course of the illness and updated regularly. The provision for certain complex patients to bypass NHS24 should be considered if routine care is not satisfactory.

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Section: Recommendationsmentioning

confidence: 99%

Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study

2009

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“…Sheils and colleagues 4 also surveyed staff about the possible provision of a face-to-face after-hours SPC service and reported that there was a significant demand for such services. However, in the opinion of the authors, many of the requests for assessment appeared to be amenable to telephone advice.…”

Section: Discussionmentioning

confidence: 99%

“…In response to this lack of evidence, Sheils and colleagues recently undertook a survey of specialist and non-specialist providers of palliative care to determine the perceived level of out-of-hours need within their local cancer network. 4 They reported that many respondents considered that problems could be adequately dealt with by telephone advice and they questioned whether routine out-of-hours access to SPC face-to-face assessments was really necessary.…”

Section: Introductionmentioning

confidence: 99%

Is there a need for weekend face-to-face inpatient assessments by hospital specialist palliative care services? Evaluation of an out-of-hours service

Krikos

McGowan

et al. 2011

Palliat Med

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There is an increasing demand for hospital specialist palliative care services to be made more accessible outside of normal working hours. However, it has been argued that extended service provision could be misused and that specialist telephone advisory services are an adequate response to this demand. A 'routine' Saturday face-to-face visiting service was introduced into a hospital palliative care team and the service was evaluated to determine whether it was being utilised appropriately. A retrospective notes review of out-of-hours assessments was undertaken. Anonymised data relating to the nature of the interaction with the palliative care team and the outcome of the consultation were entered into an electronic database. A random sample of routine weekday interactions was also evaluated. A total of 336 Saturday and 93 weekday assessments were analysed. Most of the Saturday assessments resulted in a significant change in management (57%) or were undertaken on patients close to death (10%). There were 39/336 (12%) new referrals assessed on Saturdays. There were few differences between the nature of the Saturday and the weekday service and no evidence of 'inappropriate' referrals. We found clear evidence of the need for a specialist out-of-hours face-to-face inpatient visiting service for hospital palliative care.

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Palliative Care in the Community

Munday

Charlton

2012

Handbook of Palliative Care

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Out-of-hours need for specialist palliative care face-to-face assessments

Cited by 4 publications

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Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study

Assessing and improving out-of-hours palliative care in a deprived community: a rapid appraisal study

Is there a need for weekend face-to-face inpatient assessments by hospital specialist palliative care services? Evaluation of an out-of-hours service

Palliative Care in the Community

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