Palliative and End of Life Care


Specialist services are now planning for restoration and recovery.

During this period we continue to triage patients referred to us offering support via education leaflets, websites, telephone and digital consultations. Face to face home visits are available for essential visits only.

Role of the Macmillan Nurse

The community Macmillan Palliative Care Nurse Specialist Service supports people with cancer or other life limiting conditions, who have complex physical and emotional needs. Macmillan clinical nurse specialists are experienced registered nurses who have additional training in cancer and palliative care. They provide specialist information and support where care cannot be easily managed by the patients’ GP or community nursing team.

The Macmillan Team can provide advice and support on symptoms management such as pain, nausea, fatigue as well as other symptoms along with a psychological and emotional support.  They can also refer on to other organisations that may be able to provide additional services and help.

The Macmillan nurse works in an advisory capacity alongside your GP and community nursing team.

A single consultation may be all that is necessary, but further involvement may be appropriate.

Referral process:

Referrals to the community Macmillan Team should be made through either your GP, Macmillan information centre or other healthcare professional.  The Macmillan Team do not take direct referrals from patients.

Gold Standards Framework (GSF)

GSF is a systematic, evidence based approach to optimising care for all patients approaching the end of life, delivered by generalist frontline care providers.

Five priorities of care

  1. The possibility that a person may die within the coming days and hours is recognized and communicated clearly, decisions about care are made in accordance with the person's needs and wishes and these are reviewed and revised regularly.
  2. Sensitive communication takes place between staff and the person who is dying and those important to them.
  3. The dying person, and those identified as important to them, are involved in decisions about treatment and care.
  4. The people important to the dying person are listened to and their needs are respected.
  5. Care is tailored to the individual and delivered with compassion, with an individual care plan in place

End of Life Care Strategy (2008), this can be found on the goverment webiste.

NICE Guidelines 31 2017

Care of dying adults in the last days of life: NICE Quality standard [QS144] Published date: March 2017. These can be found on the NICE website.

Back to Specialist Services Date last modified 15/03/2021