Palliative and End of Life Care
The Macmillan team members use their specialist skills and knowledge, to help people manage the complex needs associated with living with a life-threatening illness.
They act as a specialist resource, and influence patient care by providing specialist education and training to other professional staff and students. They are members of an integrated team, working with partners and providers.
Macmillan Nurses work with others to develop palliative care services, ensuring that all national initiatives such as "Guidelines for Supportive and Palliative Care" (NICE, 2004) and the End of Life Strategy (2008) are implemented, supported and evaluated.
Service Operating Times
The service operates from 9am to 5pm Monday to Friday.
Referrals are accepted from primary and secondary care clinicians and self-referral from patients.
Usually a generalist nurse needs to be involved before referral to a specialist Macmillan Nurse.
Telephone: 0300 123 4868
As from 14 July 2014, the Liverpool Care Pathway is no longer in use. A national coalition of organisations called the Leadership Alliance for the Care of Dying People (LACDP) has published national guidance setting out the approach that all organisations caring for dying patients should follow. The ˜One Chance to get it Right" documents sets out 5 Priorities of Care for the Dying Person:
- The possibility that a person may die within the coming days and hours is recognised and communicated clearly, decisions about care are made in accordance with the person's needs and wishes and these are reviewed and revised regularly.
- Sensitive communication takes place between staff and the person who is dying and those important to them.
- The dying person, and those identified as important to them, are involved in decisions about treatment and care.
- The people important to the dying person are listened to and their needs are respected.
- Care is tailored to the individual and delivered with compassion, with an individual care plan in place.
'How we care for the dying is an indicator of how we care for all sick and vulnerable people. It is a measure of society as a whole and it is a litmus test for health and social care services
End of Life Care Strategy DoH 2008
˜How people die remains in the memory of those who live on."
Dame Cicely Saunders, Founder of the Modern Hospice Movement
- If you need advice please contact your local Macmillan Nurse Specialist or your local hospice service
- PNAG (Palliative Adult Network Guidelines) 2011 are available for reference OR internet: book.pallcare.info